HomeMy WebLinkAbout2008, 03-26 Permit Application: 08001037 Demo GaragePermit Center
11703E Sprague Ave, Sui - ETVEa BY
SiY okane Spokane Valley, WA �� OP SPOKANE NE VALLEY
�0Valle (509)688-0036 FAX: (509)688010x7 7 4 sumo
wu.spokanevalley.org e''^
PERMIT CENTER
Community Development
Demolition
Permit Application
PERMIT NUMBER:
/031
PERMIT FEE:
Commercial
Residential
SITE ADDRESS:
10701 F 71-GK/
ASSESSORS PARCEL NO:
Building Owner:
Name: rkL .- to , 1 . )? v ., L 14 Vl.
Address: 10 2 3 `f J Fa �- i< /
q
City: 111 G 1lrn. it SStaatte:: j . Zip: 'l c e
Phone: 99 2 -94), 7 Fax:
Contact Person
Name: / h,,,.,k 6. 6 k-A
Phone: Q 2.— p
Describe the scope of work in detail
Tett 4't de Witt
Contractor:
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
0 Lyj C1�CilZ-
o A site plan is provided.
o Spokane County Utilities has approved the disconnection.
m Notice of Intent # Q r 009‘
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 resulting development rights granted by any issued permit inure to the property owner.
Signature �L �..- �, / Date %/I Va
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard 111/VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED 2/16/07
Project Number: 08001037 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/25/2008 Page 1 of 2
Project Information:
Permit Use: DEMOLITION OF GARAGE
Setbacks: Front
Site Information:
Contact: BRAUHN, FRANK G & MARY F
Address: 10303 E ALKI AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Left: Right: Rear: Phone: (509) 922 -7970
Plat Key: 000400 Name: CLACKS ADD
Parcel Number: 45174.0509 Block:
SiteAddress: 10303 E ALKI AVE
Location:: CSV
Zoning: R -3 SF Res District
Water District: 011 MODERN
Group Name:
Project Name: NOTICE OF INTENT #08 -0076
District: Nort
Lot:
Owner: Name: BRAUHN, FRANK G & MARY F
Address: 10303 E ALKI AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: 11,388 Sq Ft Width: 78 Depth: 146 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Sewer Review
Permits:
Originally Released:
3/25/2008 By: JLMain
SEWER ABANDONMENT PERMIT AND INSPECTION IS NOT REQUIRED PER ROGER RIVERS,
CTY UTILITIES VIA FAX 3/25/08
Originally Released: 3/25/2008 By: JLMain
Contractor: OWNER
Item Description
Demolition Permit
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
Fee Amount
DEMOLITION ACCESSORY 1 NUMBER OF $20.00
Permit Total Fees: $20.00
Operator: jmm Printed By: jmm Print Date: 3/25/2008
Project Number: 08001037 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/25/2008 Page 2 of 2
Payment Summary:
Permit Type
Demolition Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $20.00
$20.00 $20.00
$20.00 $20.00 $0.00 $20.00
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: 3/25/2008
SRCAA NOI No.
a - oo7P
Agency Use Only
SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAA)
1101 West College, Suite 403, Spokane, WA 99201
NOTICE OF INTENT (NOI)
For Asbestos Projects and Demolition Projects
A. Project Type:
1. ❑ Asbestos Removal 12. ❑ Asbestos Removal & Demolition
IE1D4V2.eFivl By S
MA ga4 9, ,
3.4 Demolit iU0cOemoval
B. Property
Owner:
fv6t,vi // 6,
Property Owner's
Mailing Address: f �/
(�q
(If available)
Phone: W ^ 9 ; 7/ Fax:
City: L tate:W. , Zip:l7 �
Your advance notification period will begin when a completed NOI, including required fees, is received by SRCAA.
A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NO1 9/07
7
C.
Site / -
Address: / a-3,3 /� � 1- �< /
J
City 5 n/4 0,...A a,
State: IC/�P -
Zip: �L�G�
Responsible Site / /
Contact Person: f i,_4 . ,1(�- (' . g f/� .„i i .
Job Site
Phone: Q I-2-- f2 G/
D.
51 Asbestos Survey or
❑ Material Presumed
If survey erformed, was asbestos found?
❑ Yes If "No" for any structure, attach survey
Date Survey
Conducted:ti //l/py"
No. of Structures:
(see back if >1) 1
AHERA Building ++ f _
Inspector Name: /1-- r` r i V A. 19 1,, 4. �,j(2 / /U1
Number:
Numb Certification Q/ f� _� /� _ �G f
Date: j
Date: � ��`
E.
Asbestos Project
Information:
No. of Structures:
(see back if
Start
Date:
Completion
Date:
Wk. Days: Su M T W Th F Sa
Hours:
Total quantity
to be removed:
Ln.
Feet
Sq.
Feet
Will asbestos material be U Yes
removed by project completion? ❑ No
Will work schedule ❑ Yes
fax pgm. be used? ❑ No
List individual type and quantity of materials to
be removed or provide an attachment of same:
Abatement
Contractor:
Phone:
Fax:
Mailing
Address:
City:
State:
Zip:
F.
Demolition
Information:
No. of Structures:
(see back if > 1) /
Start
Date: 3/S�G(
❑Training Fire (List Fire Dept. as demo. contractor below)
❑ Ordered Demolition (attach copy of Order)
Demolition
Contractor: /
By ' a✓fj Lk—
Phone:
Fax:
Mailing /`
Address:
City:
State:
Zip:
G.
Asbestos/Demolition Project Categories:
Notification
Waiting Period
Non - Refundable
Project Fee
Does this project involve a fire - damaged structure? ❑ Yes J No
1. V Owner- Occupied, Single- Family Residence Asbestos & Demolition Project *
a Owner- Occupied, Single- Family Residence Demolition Project *
Prior Notice
$30
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 options)
3 Days
$250
4. J 260 - 999 linear feet or 160 - 4,999 square feet
10 Days
$500
5. ❑ > 1,000 linear feet or> 5,000 square feet
10 Days
$1,250
6. U Emergency Asbestos/Demolition Project (attach "owner's letter")
Prior Notice
Twice Project Fee
7. ❑ Alternate Means of Compliance for Friable Materials (attach plan)
10 Days
Twice Project Fee
8. ❑ Alternate Means of Compliance for Nonfriable Materials (attach plan)
10 Days
Twice Project Fee
9. ❑ Exception for Hazardous Conditions (attach plan)
Concurrent with Project
Regular Project Fee
10. ❑ Demolition with Nonfriable Roofing Left in Place
10 Days
Twice Project Fee
* The two categories in G.1 apply only to owner - occupied, single -family residences, which means any non - multiple unit 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 must be used for all other asbestos/demolition projects. For more information, contact SRCAA 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
L
I certify that the information contained in this notification and any supplemental data provided is, to the best
of my o ledge, accur to and comp ete.
k �/ r 3/2 y A,
/
Completeness Review
NOI complete
❑ NOI deficient -
S ttac ed
.57/4)-1/6? !
Age
Signature Representing Date
For demolition projects, this NOI expires 12 months from the earliest listed asbestos/demolition project start date.
Agency Only
Your advance notification period will begin when a completed NOI, including required fees, is received by SRCAA.
A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NO1 9/07
Mar 25 2008 8:15RM SPOKRNEUCOUNTY #UTILITIES 4777178
J'IHk d4 deOb 1 5 I-t 5V FEWI F CENTER 5096880037 TO 94774715
P. 01/04
11703 E Sprague Ave Suite 8-3 • Spokane Valley WA 99206
• 509.688.0036 • Fax: 509.688.0037 •
Transmittal
SPOKANE COUNTY UTILITIES
p.1
Fax:
509-477 -171 &
CSV PERMIT CENTER
Review /Approval of Demolition Permit Application
Attn: Billy Urhausen
Roger Rivers
Glen Gredvig
Colin Depner
Lela Gallen
SITE ADDRESS: 10303 E ALIU
PERMIT PURPOSE: DEMOLITION OF GARAGE
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MAR 25 2888 08 :13
4777178 PAGE.81
Mar 25 2008 8:15AM SPOKANE #COUNTY #UTILITIES 4777178 p.2
r .i e4
MAR 24 202E 13 :56 FR SV PERMIT CENJ 510Jbkit100S( I U
Project Number: 08001037 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/24/2000 Page 1 of 2
Pr lect Information:.
Permit Use! DEMOLITION OF GARAGE
Setbacks: Front Lei: Right: Rear:
Site fn forrmg$iott:
Plat Key: 000400 Name: CLACKS ADD
Parcel Number: 45174.0909 Block:
SiteAd&ess: 10303 E ALKI AVE
Contact: BRAUHN, FRANK G & MARY F
Address: 10303 E ALKI AVE
C - S - Z: SPOKANE VALLEY, WA 99246
Phone: (509) 922 -7970
Group Name:
Project Name: NOTICE OF INTENT #00-O076
4e. _ wwwwwwnweem
Location:: CSV
Zoning: R-3 SF Res District
Water District: 011 MODERN
Area 31,368 Sq Ft Width: 70
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Maim
Building Plan Review
District Nort
Lot:
Owner: Nerve: BRAVIIN, FRANK G & MARY F
Address: 10303 E ALKI AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 146 Right Of Way (ft) ' 40
Sewer Review
SecwY 44
Permits:
otosiipasW
,37z.sfs9
Contractor. OWNER
Item Description
DEMOLITION ACCESSORY
Demolition Permit
Firm OWNER
Phone: (000) 000-0000
nits Unit Desc
1 NUMBER. OF
Operator )mm Printed By imam
MAR 25 2008 08:13
Fee Amount
$2.0.00
Permit Total Fees: 520.00
Print Date: 31241200$
4777178 PAGE.02
Mar 25 2008 8:15RM SPOKRNE #COUNTY #UTILITIES 4777178
or SPOKANE COUNTY UTILITIES SIDE SEWER INSPECTION REPORT
ACCl.NaesGt%C d Z PIPE TYPE at SIZE : • A* PVC 0-31134 ❑ 6' PVC 0-3034 ❑ OTHER
INSPECT, DATE : J8' Z000 INSPECTOR "PAZ
`ADDRESS • E. 13 °3 quo swe
SEWER DISTRICT /SU8 -DI
EXTERIOR WSPECTION
DEFICIENCY ❑ TANK: ❑ DINER. ❑ (E )
INTERIOR PLUMBING CHANCES •
COMMERICIAL BLOC :0
IRED! ❑ YES
PROJECT Nd : 2000 - 113 OWNER
CONTRACTOR • T. L. C..
p.3
ZIP -4
/ L$.- y V1STA PARCEL No. : 451St, 0509 LOT : — SILK : �..
ES ONO DORY ❑OTHER SEWAGE CONTAINER(S) ABANDONED T IS YES 0NO ❑N /A H.D. TIME EXTENSION
(SEE COMMENTS BY: III ��C`Tdt ❑ OTHERS DATE: 2: 18 - C�0 INSPECTOR: j )1�
! YES ❑N BY ISt$TIANV ' "miI aF NOTE: CIV/ BLOCS INSPECTS t "
NEW ❑ RESIDENTIAL BLOC HEW ❑CONNECTED TO SUBSTANDARD PIPET ❑ YES TYPE: ❑ 272E PVC
SEE ATTACHED HOLD HARMLESS AGREEMENT ❑ ORANGESEURG
EASEMENT AGREEMENT REpU
CQYMENTS:—T-1*mK $1TGKL >t- CDw1TLA L7b(G C,RuSW E-0 err_ co NQvn£ fw !to E
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H.O. HEALTH DISTRSCT
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❑ COPY TO WOO /PLAN
❑ COPY la OWNER
❑ OTHERS;
SORTS ARROW
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