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2007, 04-30 Permit Application: 07001517 Barn DemolitionPermit Center Sc1TY of 11703 E Sprague Ave, Suite B -3 pokane Spokane Valley, WA 99206 .Valley. (509)688 -0036 FAX: (509)688-00)7 www.spokp1elilIey.org Community Development , [ APR ' 2007 LJ Demolition Commercial Permit Application ? it 15 Residential PP � � PERMIT NUMBER: ' L 15 117 PERMIT FEE: SITE ADDRESS: (or 2 W AO A W L5 ASSESSORS PARCEL NO: Building Owner: I i jj Name: k �.x P1 i I L t' Address: / p L �" , A ^ft S City:. , i. Vi.,try • It State: j Zip: 7.2 r liv %A Phone: D, 1 5 . ....` l Fax: Contact Person A. Name: Q_ k Phone: 6?19 2- l Describe the scope of work in detail Contractor: Name: -e..?< -Ph i li V f/v- Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: (e, vri ©vim co Id G ci IA /A6 ;,j`)1 o A site plan is provided. o Spokane County Utilities has approved the disconnection. o Notice of Intent # The permittee verifies, acknowledges and agrees by their signature that: 1) Ownership of this City of Spokane Valley Permit inure to the property owner. 2) The signatory is the property owner or has permission to represent the property owner in this transaction. 3) All construction is to be done in full compliance with the City of Spokane Valley Development Code. 4) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership of res„ing develop ent hts granted by any issued permit inure to the property owner. 4. Signature Ire 1A 14.✓ Date ` 367—C / Method of P.yment: ❑ Cash ❑ Check ❑ MasterCard ❑ VISA Bankcard #: Expires: VIN #: Authorized Signature: REVISED 2/16/07 Project Number: 07001517 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/3/2007 Page 1 of 2 Project Information: Permit Use: DEMOLITION OF OLD BARN Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 002757 Name: VERA Contact: PHILLIPS ETUX, R Address: 602 N ADAMS RD C - S - Z: SPOKANE VALLEY, WA 99216 -2005 Phone: (509) 928 -2721 Group Name: Project Name: NOTICE OF INTENT 07 -0140 :: e: v max: :.x District: East Parcel Number: 45144.0761 SiteAddress: 602 N ADAMS RD Location:: CSV Block: Lot: Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 43,200 Sq Ft Width: 0 Nbr of Bldgs: 4 Nbr of Dwellings: 2 Review Information: Owner: Name: PHILLIPS ETUX, R Address: 602 N ADAMS RD SPOKANE VALLEY, WA 99216 -20 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Sewer Review Permits: Originally Released: 5/3/2007 By: jlmain Released By: OK PER LOUIS YORK -SP CTY UTILITIES Originally Released: 5/3/2007 By: jlmain ,rte ,N -a s , ..: _ wren a .... Demolition Permit Contractor: OWNER Firm: OWNER Phone: (000) 000 -0000 Item Description Units Unit Desc Fee Amount DEMOLITION ACCESSORY 1 NUMBER OF $20.00 Permit Total Fees: $20.00 Operator: jmm Printed By: jmm Print Date: 5/3/2007 Project Number: 07001517 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/3/2007 NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY individual freestanding or monument signs for Tract A -E of BSP- 03 -04. See project No. 05- 001343 for multi- business complex sign. (4- 26 -05) KK Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Demolition Permit $20.00 $20.00 $0.00 $20.00 $20.00 $20.00 $0.00 $20.00 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: jmm Printed By: jmm Print Date: 5/3/2007 Project Number: 07001517 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/30/2007 Page 1 of 2 Project Information: Permit Use: DEMOLITION OF OLD BARN Setbacks: Front Site Information: Left: Right: Rear: Contact: PHILLIPS ETUX, R Address: 602 N ADAMS RD C - S - Z: SPOKANE VALLEY, WA 99216 -2005 Phone: (509) 928 -2721 Group Name: Project Name: NOTICE OF INTENT 07 -0140 Plat Key: 002757 Name: VERA District: East Parcel Number: 45144.0761 SiteAddress: 602 N ADAMS RD Location:: CSV Block: Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 43,200 Sq Ft Width: 0 Nbr of Bldgs: 4 Nbr of Dwellings: 2 • Lot: Owner: Name: PHILLIPS ETUX, R Address: 602 N ADAMS RD SPOKANE VALLEY, WA 99216 -20 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Sewer Review Permits: Released By: Contractor: OWNER Demolition Permit Firm: OWNER Phone: (000) 000 -0000 Item Description Units Unit Desc Fee Amount DEMOLITION ACCESSORY 1 NUMBER OF $20.00 Permit Total Fees: $20.00 Operator: jmm Printed By: jmm Print Date: 4/30/2007 ��Dt�Os 6a 60°2- /v q7ZI. oict Aprk t ®IZrz 'f ` 4gl SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY 1101 West College, Suite 403, Spokane, WA 99201 NOTICE OF INTENT (NOI) TO PERFORM: A" A. Project Type: 1. ❑ Asbestos Removal 12. St Asbestos Removal & Demolition 13. U DemolitentotbnisEteinnTo 1 �4W4in B. Property P� ' 'e � 1.2 i Phone602 -) e 17Z , City . fLw, ,c€ [10 )NTROL ALJTHORIT Fax: Property Owner's / Mailing Address: Q Q� Al s ��O AM } J State: W . : 2Z/6 C. Site Address: OE V „ 4 ) 6C( Cp�-, City: SeVJti State:Q/1f Zip:" I % Responsible Site Contact Person: k ,X' pii,://,,,,, Job Site Phone: D. U Asbestos Survey or ❑ Material Presumed If survey performed, was asbestos found? 0 Yes ❑ If No, Attach Survey Date Survey Conducted: qn "e 3 - 07 No. of Structures: 1 (see back if 1 AHERA Building Inspector Name: V' )G iJ LS' Certification p Number: 1 b( " d 2` ©74. Exp. Date: : i' l 3 0 7 E. Asbestos Project Information: No. of Structures: (see back if >1 / Start Date 4-` 2% -� 7 Completion Date: --3d -li % Wk. Days:9�T W Th& Hours: Total quantity to be removed: Ln. Feet Sq. Feet Will all asbestos material be Zi Yes removed by project completion? ❑ No Will, work schedule U Yes fax pgln. be used? ❑ No List individual type and quantity of materials to w i a_ / ; Kys- 0 _ ..._...._.......__._._. .._ .............---- .........._ `6 f w GC be removed or provide an attachment of same: _ -.. _ _ky7� (j d,,;L, red AA-A (. Ve.-al 1 LAI Abatement 1 1/40 Contractor: 1 �■ / A j/ Phone: 2 Z G17 t 2 / City3 ,OOkAVz, Fax: Mailing (� Address: (DO %_ Al . A / Ivt5 C1 Statet/V,%� Zip: 9Ye`b F. Demolition Information: No. of Structures: (see back if> 1) 1 Start Date: 41— /1 0 ❑ Training Fire (List Fire Dept. as demo. contractor below) ❑ Ordered Demolition (attach copy of Order) Demolition Contractor: e X 14,1 • (1 ;,o !" Phone:507 tf' e- y�27z I Fax: Mailing � / ,1 A Q Address: 6 U /V 4L A. It �l ' G� /� City:4POi1i -( State: Zip: 2 2 e IG G. Asbestos/Demolition Project Categories: Does this project involve a fire - damaged structure? ❑ Yes No Notification Waiting Period Non - Refundable Project Fee 1.Owner -Occu ied Residential Asbestos Removal & Demo ttion Project ❑ Owner- Occupied Residential Demolition Project Only "' Prior Neti ) X30 2. ❑ All Other Demolitions With No Asbestos Removal Project 10 Days $250 3. ❑ 10 - 259 linear feet or 48 - 159 square feet see back of form for o.tions 3 Da s $250 4. • 260 - 999 linear feet or 160 - 4,999 square feet 10 Days $500 5. ❑ > 1,000 linear feet or > 5,000 s uare feet 10 Days $1,250 6. ❑ Emergency Asbestos Project or U Emergency Demolition Project Prior Notice Twice Project Fee 7. ❑ Alternate Means of Compliance for Friable Materials or Li Demolition 10 Da s Twice Project Fee 8. • Alternate Means of Compliance for Nonfriable Asbestos Materials 10 Days Twice Project Fee 9. ❑ Exception for Hazardous Conditions Concurrent with Project Regular Project Fee * The two categories in G.1 apply only to owner - occupied, single - family residences, which means any non - multiple un't building containing living space that is currently occupied (prior to and after renovation/demolition) by one family who owns the property as their domicile. One of the categories in G.2 -9 must be used for all other renovation/demolition projects. For more information, contact SCAPCA at (509) 477 -4727. H. Optional: List additional parties you would like copies of this NOI and/or related notices sent to (list name & fax number and/or mailing address): I. I certify that the information contained in this notification and any supplemental data provided is to the best of my knowledt4= accurate and complete. k'e-X � f -2_. -0 7 C pleteness Review : NQI eomp)fete , ee 0 . N❑ O d c gnt I} • Sf_ nature Representing Date ehcy. Ilse fhrly � Chis information provides an overview of Notice of Intent requirements. It is not intended as legal advice or as a substitute to applicable laws ind regulations. The Spokane County Air Pollution Control Authority (SCAPCA) is the local air pollution authority for Spokane County. SCAPCA's 1.egulatian I, Article IX and Article X, Section 10.09, requires advance notification be submitted to SCAPCA, on an Authority approved form, for any asbestos project involving materials equal to or greater in size than 10 linear feet or 48 square feet (per structure, per calendar year) and for any demolition project, regardless of asbestos content, involving structures with a projected roof area greater than 120 square feet. Asbestos and demolition projects involving materials and structures below the notification thresholds listed above are still subject to all other requirements of SCAPCA Regulation I, Article IX and Article X, Section 10.09. GUIDELINES FOR SUBMITTING AN ASBESTOS / DEMOLITION NOTIFICATION Notices of Intent (NOIs) should be mailed or hand delivered to SCAPCA with the appropriate non - refundable project fee (NOIs may be faxed to SCAPCA if a prepayment account has been set -up with SCAPCA). SCAPCA will review the NOI to ensure that, based on available information, there is no missing information, the form has been filled out correctly, appropriate fees accompanied the NOI, and the project start date(s) comply with the advance notification periods (e.g., prior notice, 3 -day notice, 10 -day notice, etc.). Unless otherwise indicated, all information requested on the NOI form must be provided for it to be considered complete. After the NOI is reviewed, a copy will be returned (via fax, if possible) to the parties listed in box B, E, F, and/or H. SCAPCA's completeness review (lower, right -hand corner of form) is not required prior to beginning work, provided the NOI meets all applicable requirements. However, if work begins on a project and it is subsequently determined that a complete NOI was not received by SCAPCA, a Notice of Violation may be issued. Box A. Check the appropriate project type. Box B. Enter the legal property owner information. Box C. Enter the project site address for the asbestos project or demolition. Include the name of a responsible site contact person and a telephone number where he /she can be reached (preferably a cellular telephone number where the person(s) can be reached on- site). Box D. Check asbestos survey or material presumed. If asbestos survey is checked, fill out all information requested. Except as provided for in Article IX, Section 9.03, all renovation and demolition projects must have an asbestos survey performed by an AHERA Building Inspector. Demolition with no asbestos discovered in the survey must submit a copy of the survey along with the notification. Asbestos removal projects only may check the material presumed box if all materials are to be removed and disposed of as asbestos - containing materials in accordance with SCAPCA Regulation I, Article IX and Article X, Section 10.09. Box E. Enter the asbestos project information, including contractor and mailing address or other properly trained company or person performing the asbestos project. For multiple asbestos projects or demolitions, provide a work plan, including a map of the structure(s) involved, site address of the structure(s), the amount and type of asbestos- containing material in each structure, and a detailed work schedule. For projects where a detailed work schedule cannot be provided, the work schedule fax program must be used. When using the work schedule fax program, asbestos contractors or property owners are not required to submit amendments for work schedule changes occurring between the start and completion dates. SCAPCA may allow asbestos contractors or property owners to use the work schedule fax program for non - multiple asbestos projects or demolitions, provided the asbestos contractor or property owner has good reason(s), as determined by SCAPCA, which are conveyed to SCAPCA in writing with the submittal of the Notice of Intent. Contact the Washington State Dept. of Labor & Industries for applicable training/certification requirements. Box F. Enter the demolition project information. If the structure is to be used in a training fire, list the fire department as the demolition contractor. If the property owner has been ordered to perform a demolition by government official, submit a copy of the order from the appropriate official. Refer to above paragraph for requirements on multiple structure projects. Box G. Enter all project information requested. All multiple structure asbestos project notifications must be submitted with a work plan including a map of the area, site address for each structure, type and amount of asbestos in each structure, and a detailed work schedule. Check one project category in boxes #1 -5. The project fee includes the demolition fee. Asbestos removal projects and demolition with an asbestos removal involving less than 10 linear feet or 48 square feet may be filed as project category #3. An emergency asbestos project or demolition may be requested by checking the appropriate job size category in boxes #2 -5 and then checking the applicable emergency box in category #6. Emergency asbestos project notifications must be submitted with a letter from the property owner explaining the necessity for the emergency. Emergency demolition notifications must be submitted with a letter from an authorized government official or a licensed structural engineer documenting that the structure is in imminent danger of collapse. To request an alternative means of compliance for friable or nonfriable materials, check the appropriate job size category in addition to the applicable box in categories #7 and #8. A work plan must be submitted by an appropriately trained individual along with the notification. Box #9 is reserved for the Exception for Hazardous Conditions. Box H. Optional — list other parties involved with the project that you wish to receive a copy of the notification if it is considered deficient and/or when it is considered complete. Box I. Sign the notification certifying the accuracy and completeness of the information provided on the form. Mandatory amendments are required for changes that increase the project type, job size category, the types of asbestos materials to be removed and work schedule changes. No fee is required for work schedule changes if the contractor is participating in the work schedule far. program. A $0.00 processing fee is required for all other amendments. For technical assistance, contact SCAPCA at (509) 477 -4727. Your advance notification period will begin when a completed NOI, including required fees, is received by SCAPCA. A 'nnv of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NO! 8/06 Sent: To: Jodi Main Subject: RE: DEMOLITION APPROVAL rk @spokanecounty.org] Tuesday, May 01, 2007 7:51 AM Hi Jodi, Page 1 of 1 BUILDING DIVISION 11'/0"/ E Sprague venue, uite 106 Spokane Valley, WA 99206 There are 2 separate homes on one parcel connected to the sewer. It appears the old barn is not connected to sewer therefore no sewer abandonment is required. Louis From: Jodi Main [mailto:jmain @spokanevalley.org] Sent: Monday, April 30, 2007 10:40 AM To: York, Louis Subject: DEMOLITION APPROVAL Thanks :) Jodi Main Commercial Permit Specialist City of Spokane Valley Building Dept 11703 E Sprague, Ste B -3 Phone: 509 - 688 -0203 Fax: 509 -688 -0037 5/1/2007 NOTICE The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the applicant/permittee that the use described on the front of this permit complies with applicable codes and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's /permittee's or property owner's expense. At a minimum, the following inspections ARE REQUIRED by City Code: FOOTING — when forms and reinforcement are in place and prior to placement of concrete -all structures, including manufactured homes. NOTE: This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback provisions lies solely with the permittee- neither the City of Spokane Valley nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's /permittee's expense. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. PLUMBING — after rough -in, before covering, and final. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to concealing. FINAL — when complete and prior to occupancy and /or use. All permits require final inspection. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on -site drainage ('208' swales), road improvements, parking and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issuance of a Certificate of Occupancy. MANUFACTURED HOMES — Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy: completed inspection record card must be available on site. PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover. RIGHT -OF- WAY /APPROACH — prior to placement of concrete /asphalt or, if gravel approach, after completion. In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc. must be inspected prior to cover. Check with the Building department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS Please give one working day /24 hour notice. Different parts of your project may require permits and inspections from more than one agency. Building, plumbing (includes interior reversals for sewer) and mechanical, City of Spokane Valley Building Division 688 -0054 Road cuts for utilities or driveways, City of Spokane Valley Public Works 688 -0195 or State Dept of Transportation 324 -6000 Permits and inspections for electrical wiring, State Department of Labor Permits and inspections for Sewer Connection, Spokane County Utilities Division And Industries 324 -2640 477 -3604 Permits and inspections for on -site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections, Spokane Valley Health District 324-1560 Fire Department 892 -4122 State law RCW 19.122 requires that prior to any excavation the "CALL BEFORE YOU DIG' center must be notified. Call before you dig at least 2 working days in advance, 456-8000. PERMIT EXPIRATION AND REFUNDS All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to finish the original permit. All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized when an application is withdrawn or cancelled prior to the plan review being completed. Owner / Agent Date Staff Approval Date