2010, 07-12 Permit App: 10002068 Demolish Pole BldgSpokane
jValley�
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
Demolition
Permit Application
SITE ADDRESS: 11223 ESi- &minim � A-v .
ASSESSORS PARCEL NO: 55073. 0'7 1(o
PERMIT NUMBER: 23C.0%
PERMIT FEE:
/Commercial
iffn Residential (r1e garr )
Spokane Ua l lty, w/1
131
Building Owner: E5 blu>✓yQ -"CU LLc...
Name: Dal e urri d el7e1
Name:
LL
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pr
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Address: 182.4 6rl�►west- 8/0
City: I .0
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A
City: Coeur d'K..ent State: MI ZZip: d J9) f
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Phone: 2$ _104_ 3 2 Dl Fax: 26 % — 44 (Ar
01
Contact Person
Name: �a le���[i
Phone: 1- 1q -0i 1 c2
Lescribe the scope of work in detail
etriohsh eeIst1YIg 'obit bark
Contractor: Bic Sk/tA bevel o pm.eriti .rnc,
Name: Dal e urri d el7e1
Address 1Ootp3 N. Way'
1 `1 �V
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City: I .0
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State:
Zip: 83631
Phone: /) 0 T72' C1(01' L2 Fax: ✓ 0,(g
v
71,2_1037(n
Contractor Lic No:61651651A
I►/�CplDate:
1_15_11
City Business Lic. No:
A site plan is provided. •
ca/ Spokane County Utilities has approved the disconnection. (rio lAti 1111-c5 t1-cS o Vl -Site)
'Notice of Intent # j0/0- 0 / 1 7
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 ompliance with the City of Spokane Valley
Development Code. 4) This City of Spokane Valley Perm not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
Ownership of resulting de opment rights anted by any issued permit inure to the property owner.
Signatur / Date
Method of Payment:
❑ Cash /� 1-/Check MasterCard
Bankcard #: Expires:
Authorized Signature:
REVISED 2/16/07
II
VISA RECEIVED BY
T
VINt#: v OF SPOKANE VALLEY
JUL If, 2010
PER CENTER
f
BY
Spokane
CLean Aire
Print NOI
Back
Customer Information
Company: Big Sky Development, Inc
Owner: Jeremy Tripp
Contact: Dale Friddle
Email: frontdesk @timberedridge.com
Phone: 208 - 819 -0719
Address: 10063 North Navion
Hayden, id 83835
Licensed Asbestos NO
Abatement Contractor:
Demolition Contractor: YES
Property Owner: NO
Other:
NOI Information
IDNUM:
Project Type:
Additional Info:
2ec rnkfir
2010 -0179
Not owner - occupied, single - family residence + all demolition
Fee: $250.00 (PAID)
Property Owner: ES Bluewater, LLC
208 - 704 -3287
208 - 446 -0701
1924 Northwest Blvd.
Coeur d'Alene, ID 83814
Site Address 1: 17223 E Baldwin Ave
Spokane Valley
Site Contact:
Dale Friddle
208 - 819 -0718
Multiple Structures: 1
Asbestos Survey: YES
Material Presumed: NO
Asbestos Found: NO
Survey Date: 6/29/2010
1-
LOT 49
O
I ' I
1
l:871721t
7001'
92.24•
L
NB717'22
170 01'
08707'21•E
270.or•
2
BLOCK 1
\ I
•
3
7777'
5
s
LOT
LOT
1-----
LOT
LOT E
BALDWIN AVE
PROJECT DESCRIPTION.
THESE CIVIL CONSTRUCTION DRAWINGS DE
SERVICES AND ACCESS TO EACH OF THE
SHP 05 -08 WHILE MAINTAINING THE EXIS
TO THE EXISTING RESIDENCE WHICH WILL
CONTACT INFORMATION:
SITE SUPERVISOR: DREW BENADO
PHONE (509) 475 -6418
OWNER /DEVELOPERS: E.S. BLUE WATER.
CONTACT; ZAC SCOTT
PHONE (509) 868 -5244
ENGINEER/DESIGNER: DANNY PATTER506
PHONE: (509) 209 -7455
SITE SOILS:
PER ALLWEST 900IECHNICAL REPORT PR
AS FOLLOWS:
12 -42 INCHES OF SILTY SAND TOPSOIL,
GRADED GRAVELS °.
CUT /FILL QUANTITIES;
CUT: 320 CU. YDS.
FILL 0 CU. YDS.
NET: 320 CU. YDS.
mOF
Spokane
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
_.Valley$ (509)688 -0036 FAX: (509)688 -0037
www. spokanevalley. ora
Community Development
ROW Construction
Permit Application
PKUJEC;l AliliftESS
START DATE
PERMIT NUMBER:
PERMIT FEE:
❑ Driveway ❑ Pavement Cut * *(see below)
❑ Sidewalk rb & Gutter ❑ Other
Road Obstruction ❑ No • Yes (traffic control plan required)
ANTICIPATED COMPLETION DATE
Building Owner:
Name: 0e l Octe e_ Alve(AdWt
Address: / a�� Aoti.-t -th i (, (v6
City: 0 e),A_ p 4w.t State: 0 Zip: do3 1 ( `�
Phone: 9. 0 % _ 3; i Fax: 20 -c-P-10 -0701
Contact Person
Name:
Phone:
* *MUST BE COMPLETE IF PAVEMENT CUT **
Contractor: �5 (16,.4.7r-
Name: � C� t 6.41 p th2AT
Address: R90(Q3 1/- 44)
City: 1-64,4
State: j Zip:431 $ 35
Phone: - � ._ (No_ Fax: ,2 0s' ' �y ?_Q-3-7e.0
Contractor Lic No: g;) 4,5 vi s. xp Date: 7- /5- _ (7
City Business Lic. No:
Tier
Policy
Type of Work
Gas
Electric
Water
CATV
Communications
Sewer
ei#
Type of Repair
A
Asphalt
Width Length
X
X
X
Condition of Cut
Sawcut
Grind (pre- approved only)
Existing Road Condition
Depth of Asphalt
Depth of Gravel
Concrete
Width Length
X
X
X
Locate Ticket #
BOND/INSURANCE CE
Signature
Method of Payment:
❑ Cash
Bankcard #:
❑ Check ❑ Mastercard
Expires:
Authorized Signature:
Work completed satisfactorily
(INSPECTOR)
PLEASE FAX TO CITY OF SPOKANE VALLEY UPON COMPLETION (509)688 -0037
REVISED 1025/05
(PER SVMC TITLE 10 ARTICLE 2)
Date
❑ VISA
VIN #:
Date