2006, 11-15 Permit App: 06004354 Wet Chem System Project Number: 06004354 Inv: 1 Application Date: 11/15/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REPLACING EXISTING DRY CHEM SYSTEM Contact: OXARC FIRE
WITH NEW WET CHEM SYSTEM Address: 3417 E SPRINGFIELD AVE
C-S-Z: SPOKANE WA 99202
Setbacks:Front Left: Right: Rear: Phone: (509)370-1199
Group Name:
Site Information: Project Name:
Plat Key: 000690 Name: EAST SPOKANE District: Nort
Parcel Number: 35132.1504 Block: Lot:
SiteAddress: 5908 E BROADWAY AVE Owner:Name: PARK,WALAYA P
Address: 327 E LACROSSE AVE
Location::CSV SPOKANE,WA 99207
Zoning: I-3 Heavy Industrial
Water District: 107 SPOKANE,CITY OF Hold: ❑
Area: 14,325 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review In formation:
Review
Fire District Review Released By:
Originally Released: 11/15/2006 By: NLOFTIN
Permits:
Fire Safety Permit
Contractor: OXARC INC Firm: OXARC INC
Address: P.O.BOX 2605 Phone: (050)900-0000
SPOKANE,WA 99220
Item Description Units Unit Desc Fee Amount
City Fire Procssng Fee 1 Select $35.00
Other Fire Ext Sys+Nozs 1 Nozzles $51.50
Permit Total Fees: $86.50
Operator: jmm Printed By: jmm Print Date: 11/15/2006
Project Number: 06004354 Inv: 1 Application Date: 11/15/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $86.50 $86.50 $0.00 $86.50
$86.50 $86.50 $0.00 $86.50
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm Print Date: 11/15/2006
Project Number: 06004354 Inv: 1 Application Date: 10/31/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: REPLACING EXISTING DRY CHEM SYSTEM Contact: OXARC FIRE
WITH NEW WET CHEM SYSTEM Address: 3417 E SPRINGFIELD AVE
C-S-Z: SPOKANE WA 99202
Setbacks:Front Left: Right: Rear: Phone: (509)370-1199
Group Name:
Site Information: Project Name:
Plat Key: 000690 Name: EAST SPOKANE District: Nort
Parcel Number: 35132.1504 Block: Lot:
SiteAddress: 5908 E BROADWAY AVE Owner:Name: PARK,WALAYA P
Address: 327 E LACROSSE AVE
Location::CSV SPOKANE,WA 99207
Zoning: I-3 Heavy Industrial
Water District: 107 SPOKANE,CITY OF Hold: ❑ .
Area: 14,325 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60 , .
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review Information:
Review
Fire District Reviewt
Released By
n//yjo
Permits:
Fire Safety Permit
Contractor: OXARC INC Firm: OXARC INC
Address: P.O.BOX 2605 Phone: (050)900-0000
SPOKANE,WA 99220
Item Description Units Unit Desc Fee Amount
City Fire Procssng Fee 1 Select $35.00
Permit Total Fees: $35.00
®-Nnvc Fire Exrt 55 , 1 50,00
‘Li-L4t71b)
—c— 85.o0
Operator: jmm Printed By: jmm Print Date: 10/31/2006
Project Number: 06004354 Inv: 1 Application Date: 10/31/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: ;..
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $35.00 $35.00 $0.00 $35.00
$35.00 $35.00 $0.00 $35.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
•
Operator: jmm Printed By: jmm Print Date: 10/31/2006
•
y •��, Permit Center II
^� L�, I�� (� 11
Spokane 11707 E Sprao e Ave, Suite 106 u \ I j,PERMIT NUMBER:435 4
Valle Spokane Valley,WA 99206[E =JpERMIT FEE:
J (509)688-0036 FAX: (509)688:0037 OCT 3 • 006
Community Development www.spokanevalley.ore.com D
Fire Safety D r !! I v I
Permit Application
SITE ADDRESS ' • ?d 8 /32 a,c7-
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building owner _ . - Contractor
Name: "/l/Fc5-e'<-74 Name: O K ,-c- F ►YZ 6
Manager/Contact Person: /77,0hi Address: E 3tit (7 /ai2/iU g P/e ld
Address: .S9a 9 City:5/e/C/a.VC_ State: t./.._)/1- Zip:Tj2so:
City:c.57%/(/4,</e-L,f!4-/ /� State: ( J4 Zip: 2/Z- Phone:3 7 //p? Fax: 7 5S- d 635
Phone:.5-24/-3c �D Fax: Lic No:04y4e/*oz.o96 Exp. Date: `/- //- 67
Occupant of Structure City Business Lic No: if,&fid/,-/1
Name: CJ
Contact Person
Name:
Phone:
Cost of Project: $ f 3 Q 4.
Describe the scope of work in detai :
>Lj% /9 e 4/U cc? s frzi
/i(WI rit /11 4./s) 3 v ,4//dAi L f- t Che <$ ,S
Fire Sprinkler # of Heads Fire Alarm Paint Booth
Tent Fireworks Display Blasting Date/Time
Above/Underground Storage Tank Size
Other:
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling,the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws, c••- or ordinances.6) Plans or additional information may be required to be submitted, and subsequently approved before
this application c:n be processed.
Signature Mr - � �-=�� -- Date (
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005