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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 Cho h/q/rai lI draubc ea I 6a(a7N 644 Ij S-‘141 ay O�c�,SE. 7i4A P 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