2007, 08-02 Permit Application: 07002910 Smoke detectors, horn strobe & pull stationS "TY(A' e
j d Valley
Community Development
Fire Safety
Permit
Permit Center
11707E Sprague Ave, it 1 * (C j,
Spokane Valley, WA 9!9206
(509)688 -0036 FAX: (�b9�88 -0
www.s okanevalle .or - •7�
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SITE ADDRESS:
ASSESSORS PARCEL NO:
E 1 V� D PERMIT NUMBER:' z %o
PERMIT FEE:
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Z Tl' - 30y '5
LEGAL DESCRIPTION:
Building 0. wner:
Name: 5.7
C,074 f rG G tJ
Address: .U(
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City�_5p b t1
State: Zip:
Phone: q Z q _
Fax:
Occupant of Structure
F713usiness Lic. No:
Name:
Phone:
Contact Person
Name: J
Phone:
Cost of Project: $
;lm
Contractor:
Name: ~ Se-6 U"L4
Address: –.5_
Sf, 9z),,,
City: p
Stater zip -�
Phone: _ `U 6
Fax. L Z Y 2 Z G
Contractor Lic N ON S
2u$xg Date: �,. A�
F713usiness Lic. No:
Jescribe gle scope of work in detail:
, Z /W d /t-N
Fire Sprinkler: # of Heads: (Fire:Alar'm-- Paint Booth:
Tent: Blasting: Date/Time:
Above/Underground Storage Tank Size:
Other:
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, 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 712 610 ?
Method of Payment:
❑ Cash RI/Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Xuthorized Signature:
REVISED 8125/2005
Project Number: 07002910 Inv: 1 Application Date: 8/27/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: ADDINGG 4 -SMOKE DETECTORS, 2 HORN Contact: MOON SECURITY
STROBE & PULL STATION Address: 209 S WASHINGTON
C - S - Z: SPOKANE WA 99201
Setbacks: Front Left: Right: Rear: Phone: (509) 459 -1018
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range District: East
Parcel Number: 45232.9141 Block: Lot:
SiteAddress: 304 S ADAMS RD Owner: Name: CATHOLIC BISHOP OF SPOKANE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Area: 3.00 Acres Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Address: 304 S ADAMS RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Fire District Review Released By:
Originally Released: 8/24/2007 By: THARVEY
Permits:.
__ -- ------ -.___— - - - - -- Fire Safety Permit
Contractor: MOON SECURITY SVS INC Firm: MOON SECURITY SVS INC
Address: PO DRAWER B Phone: (509) 370 -6750
PASCO WA 99302
Item Description
City Fire Procssng Fee
Alarm Sys 5 -100 Devices
Units Unit Desc Fee Amount
1 Select $35.00
1 Select $250.00
Permit Total Fees: $285.00
Operator: jmm Printed By: jmm Print Date: 8/27/2007
Protect Number: 07002910 Inv: 1 Application Date: 8/27/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: K &4:
Payment Summa
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owinp-
Fire Safety Permit $285.00 $285.00 $0.00 $285.00
$285.00 $285.00 $0.00 $285.00
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: 8/27/2007
Project Number: 07002910 Inv: 1 Application Date: 7/26/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: ADDINGG 4 -SMOKE DETECTORS, 2 HORN
STROBE & PULL STATION
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 999999 Name: Range
Parcel Number: 45232.9141 Block:
SiteAddress: 304 S ADAMS RD
Contact: MOON SECURITY
Address: 209 S WASHINGTON
C - S - Z: SPOKANE WA 99201
Phone: (509) 459 -1018
Group Name:
Project Name:
District: East
Lot:
Owner: Name: CATHOLIC BISHOP OF SPOKANE
Address: 304 S ADAMS RD
Location:: CSV SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 3.00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review Information:
Review
Fire District Review
Permits:
Fire Safety Permit
Contractor: MOON SECURITY SVS INC Firm: MOON SECURITY SVS INC
Address: PO DRAWER B Phone: (509) 370 -6750
PASCO WA 99302
Item Description Units Unit Desc Fee Amount
City Fire Procssng Fee 1 Select $35.00
Permit Total Fees: $35.00
Operator: jmm Printed By: jmm Print Date: 7/26/2007
Project Dumber: 07002910 Inv: I Application Date: 7/26/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:.,::
Payment Summary: .. �V -- .. Win.. VI-1=, a.m.. r �. � =, .ZZ..5. - .
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: 7/26/2007