2009, 10-14 Permit App: 09003247 Abandon Oil Tank Project Number: 09003247 Inv: 1 Application Date: 10/14/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
roject Information:
Permit Use: PERMANENTLY CLOSE UNDERGROUND Contact: ROB'S Demolition
RESIDENTIAL HEATING OIL TANK Address: 8420 E WOODLAND PARK DR
C-S-Z: SPOKANE WA 99217
Setbacks:Front Left: Right: Rear: Phone: (509)534-2970
Group Name:
Site Information Project Name:
Plat Key: 001393 Name: KOKOMO TOWNSITE(FEES) District: Sout
Parcel Number: 45283.3813 Block: Lot:
SiteAddress: 11011 E 28TH AVE Owner:Name: DEWITZ,DEBRA S
Address: 11011 E 28TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: R-3 SF Res District
Water District: 007 MODEL Hold: ❑
Area: 13,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 70
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Fire District Review Released By:
Originally Released: 10/14/2009 By: THARVEY
Fire Safety Permit
Contractor: ROB'S DEMOLITION Firm: ROB'S DEMOLITION
Address: 8420 E WOODLAND PARK DR Phone: (509)534-2970
SPOKANE WA 99217
Item Description Units Unit Desc Fee Amount
City Fire Procssng Fee 1 Select $37.00
Remv/Abandon Tanks 1 Each $105.00
Permit Total Fees: $142.00
Operator: jmm Printed By: JD Print Date: 10/14/2009
Project Number: 09003247 Inv: I Application Date: 10/8/2009 Page 1 of 2
TILES IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PERMANENTLY CLOSE UNDERGROUND Contact ROWS Demolition
RESIDENTIAL HEATING OIL TANK Address: 8420 E WOODLAND PARK DR
C-S-Z: SPOKANE WA 99217
Setbacks:Front Left: Right: Rear: Phone: (509)534-2970
Group Name:
Site Information: Project Name:
Plat Key: 001393 Name: KOKOMO TOWNSITE(FEES) District: Sout
Parcel Number: 45283.3813 Block: Lot:
SiteAddress: 11011 E 28TH AVE Owner:Name: DEWITZ,DEBRA S
Address: 11011 E 28TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: R-3 SF Res District
Water District: 007 MODEL Hold:
Area: 13,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 70
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Fire District Review Released By:
Fire Safety Permit
Contractor: ROB'S DEMOLITION Firm: ROB'S DEMOLITION
Address: 8420 E WOODLAND PARK DR Phone: (509)534-2970
SPOKANE WA 99217
Item Description Units Unit Desc Fee Amount
City Fire Procssng Fee 1 Select $37.00
Permit Total Fees: $37.00
11,bairlor Fiat-11(6mb 9at c(
510nza, e /0-41kZENJERED
OCT 0 9 2009
MICHELLE RODGERS
Operator: jmm Printed By: jmm Print Date: 10/8/2009
Project Number: 09003247 Inv: 1 Application Date: 10/14/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary ..... .. .... . .: ,mda ? 400.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $142.00 $142.00 $0.00 $142.00
$142.00 $142.00 $0.00 $142.00
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: jinni. Printed By: JD Print Date: 10/14/2009
Project Number: 09003247 Inv: 1 Application Date: 10/8/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary: : . k = mma .: ,m ,,, al,u2A =g- ,., z :.= :
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $37.00 $37.00 $0.00 $37.00
$37.00 $37.00 $0.00 $37.00
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: 10/8/2009
cv F��t')-
DEPARTMENT
10319 EAST SPRAGUE AVE.•SPOKANE VALLEY,WA 99206-3627•(509)928-1700•FAX(509)892-4127
www.spokanevalleyfire.com
PREVENTION DIVISION
October 14, 2009
Permit#: 09003247
Project Address: 11011 E.28th Avenue
Project Description: Abandon Residential Heating Oil Tank
Applicant: Robs Demolition
8420 E.Woodland Park Drive
Spokane,WA 99217
RE: Permit Acceptance
The Spokane Valley Fire Department approves the issuance of the permit for the abandonment of the
tank at 11011 E.28th Avenue.
Call 928-1700 to schedule an inspection. Provide a minimum of 24 hours notice.
If there are any questions please do not hesitate to call.
Sincergly
f i
CC r
T�ci arvey
Fire Protection Engineer
Spokane Valley Fire Department
Cc
Jodi Main City of Spokane Valley
Jenna Davis City of Spokane Valley
Q:\Dept Data Unshared\Prevention Unshared\Building Files\17th-32nd -Master Property128th E 11011 Tank Removal Permit
Acceptance.doc