2010, 03-31 Permit App 10000818 Dry Sprinkler SystemSite Information:
Plat Key:
Project Number 10000818 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/31/2010 Page 1 of 2
Project Information:
Permit Use: EXTEND DRY SPRINKLER SYSTEM Contact: WESTERN STATES FIRE PROT.
Address: 2610 N VAN MARTER ST
C - S - Z: SPOKANE, WA. 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 922-8890
Group Name:
Project Name: PLAYERS & SPECTATORS
Name: OPPORTUNITY 01ST ADD
District: Sout
Parcel Number. 45222.0229 Block:
SiteAddress: 12828 E SPRAGUE AVE
Location:: CSV
Zoning: MU Mixed Use
Water District: 011 MODERN
Lot:
Owner: Name: J D'S DRAGON
Address: PO BOX 851
NEWPORT, WA 99156
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0
Review Information:
Nbr of Dwellings: 0
Review
Fire District Review
Permits:
Released By:
Originally Released: 3/31/2010 By: tharvey
Contractor: WESTERN STATES FIRE PROT.
Address: 2610 N VAN MARTER DR Phone: (509) 922-8890
SPOKANE, WA 99206
Fire Safety Permit
Item Description
City Fire Procssng Fee
Hydraulic Sys 10-49 Hds
Firm: WESTERN STATES FIRE PROT. C
Units Unit Desc
1 Select
1 Select
Fee Amount
$37.00
$364.00
Permit Total Fees: $401.00
Operator. JD Printed By: JD Print Date: 3/31/2010
Project Number: 10000818 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/31/2010
Notes:
The riser B01/R01 will need to be installed as 2'/2" pipe per the hydraulic calculation, drawing currently
shows 2".
Payment Summary: mamam.
Permit Type
Fire Safety Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$401.00 $401.00
$401.00 $401.00
$0.00 $401.00
$0.00 $401.00
Page 2 of 2
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: JD Printed By: JD Print Date: 3/31/2010
Project Number: 10000818 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: EXTEND DRY SPRINKLER SYSTEM
Setbacks: Front
Site Information:
Plat Key:
Date: 3/25/2010 Page 1 of 2
Contact: WESTERN STATES FIRE PROT.
Address: 2610 N VAN MARTER ST
C - S - Z: SPOKANE, WA. 99206
Left: Right: Rear: Phone: (509) 922-8890
Group Name:
Project Name: PLAYERS & SPECTATORS
Name: OPPORTUNITY 01ST ADD
District: Sout
Parcel Number: 45222.0229 Block:
SiteAddress: 12828 E SPRAGUE AVE
Location:: CSV
Zoning: MU Mixed Use
Water District: 011 MODERN
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: nu
Lot:
Owner: Name: J D'S DRAGON
Address: PO BOX 851
NEWPORT, WA 99156
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Fire District Review
Released By:
Permits:
Fire Safety Permit
Contractor: WESTERN STATES FIRE PROT. Firm: WESTERN STATES FIRE PROT. C
Address: 2610 N VAN MARTER DR Phone: (509) 922-8890
SPOKANE, WA 99206
Item Description
City Fire Procssng Fee
Units Unit Desc
1 Select
Fee Amount
$37.00
Permit Total Fees: $37.00
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Operator: JD Printed By: JD
Print Date: 3/25/2010
Project Number: 10000818 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $37.00 $37.00 $0.00 $37.00
Date: 3/25/2010 Page 2 of 2
$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: JD Printed By: JD Print Date: 3/25/2010
Spokane
jValley�
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.orq
(Staff Use Only)
PERMIT NUMBER: �� J
PERMIT FEE:
FIRE SAFETY PERMIT APPLICATION
SITE ADDRESS:E 12828 SPRAGUE
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
MAILING ADDRESS:12828 E. SPRAGUE
CITY:SPOKANE VALLEY
ZIP:99206
CONTACT PERSON NAME:
STATE:WA
Fro; ect ..-
'CIO
Narrie
PHONE: FAX:
CONTRACTOR NAME:WESTERN STATES FIRE PROTECTION
MAILING ADDRESS:2810 N. VAN MARTER DR., STE. 2
CITY:SPOKANE
STATE:WA ZIp:99206
PHONE:922-8890 FAX:922-8894
CELL:
CONTRACTOR LICENSE NO.:WESTESF136QF
LICENSE NO.:601049394
EXPIRES:12-21-10 CITY BUSINESS
NAME OF OCCUPANT OF STRUCTURE:PLAYERS & SPECTATORS
PHONE:
FAX: CELL:
CONTACT PERSON NAME:
PHONE:
FAX: CELL:
FIRE SPRINKLERS:Y NUMBER OF HEADS:22
FIRE ALARM: PAINT BOOTH:
TENT: BLASTING:
DATE/TIME: OTHER:
ABOVE/UNDERGROUND STORAGE TANK SIZE:
DESCRIBE THE SCOPE OF WORK IN DETAIL:
EXTEND DRY SPRINKLER SYSTEM TO COVER THE NEW ADDITION - COOLERS AND STORAGE ROOM.
TOTAL COST OF PROJECT: $5900
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature � Date: 3
Method of payment: 0 Cash ❑ Check
❑ Visa ❑ Mastercard
Effective October 28, 2007 Page 1 of 1
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Fire Safety Permit App.l.doc