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2008, 09-22 Permit App: 08003758 Demo GarageStioliane Valley. Community Development Demolition Permit Application Permit Center 11703 E Sprague Ave? Suite -3 Spokane�Valley,;tWA=9920�.` tt Y (509L688-0036,fFAX:(50�J6�88-0037 wwwsnokannevalIeA. g2p08 Str T CENTER PERMIT NUMBER: PERMIT FEE: IS ❑ Commercial N. Residential SITE ADDRESS: ASSESSORS PARCEL NO: II AI, ljAiCS 45 ) S/ r 003o Building Owner: -----"----- - Name:iii Alzy n SC p EG/iC—e„._ Address: c ) 1 0A ,r�-5 f //_ f City: SPl1XA i✓ VAlete Stale: 14„A Zip.�1y 014 Phone: 1 93_ 7 1 3 _7Fax: Contact Person Name: j' /).„4-3 , Phone: �O Contractor: -- -----"----- - ----- Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Describe the scope of work in detail 0 o GA -CO 'f— 3 L a...-vt-t-✓A`i '� J1A-�D 72, Pa g)1° FD�` In/ o A site plan is provided. o Spokane County Utilities has approved the disconnection. X Notice of Intent # d gj _ 3 3.S 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 Method of Payment: ❑ Cash Bankcard #: Authorized Signature: ❑ Check Date 1, a /. 0 MasterCard ❑ VISA Expires: VIN#: Effective 10-28-07 Page 1 of 1 P:\Community Devclopment\Forms\Building forms\Demolition Permit Application.doc 4SPOKANE COUNTY UTILITIES SIDE SEWER INSPECTION REPORT ACCT No, 3 9 7 1/1 �'4"5 INSPECTOR= ( r PIPE FLOW, TYPE & SIZE:RAVITY 0 PRESSURE QBOTH 4 PVC 0-3034 0 6" PVC 0-3034 ■ OTHER: FINAL INSPECT. DATE: t + �L/ aQa �! 3 z INSPECT. OATE((S PROJECT No.: OWNER• 2IP �� �Li 7 �a R D CONTRACTOR: '� `�' (4-14•1b M f F•• �' ADDRESS: /} _ SEWER DISTRICT/SUB-DIV.: /1/LL Viet -f....) ,., PARCEL No.: "457 6,/, D &s, O LOT: BLK: STRUCTURE E TYPE ANEW altExisING Q ADDITION IIISINGLE FAMILY RESIDENTIAL Q DUPLEX 0 TRIPLEX Q FOURPLEX Q ZERO LOT LINE 0 BUSINESS / COMMERCIAL 0 MANUFACTURED HOME PARK 0 APARTMENT/CONDO y UNITS 0 TEMPORARY EASEMENT AGREEMENT REQUIRED? D YESRECORDED WAIVER OF REGULATIONS REQUIRED? DYES RECOROED DSUOSTANDARD PIPE CONNECTION OOTHER (SEE COMMENTS) TYPE OF INSPECTION REGULAR CONNECTION DEXTERIOR DRY SEWER CONNECTION ©SEWER STUB :INTERIOR DRY SEWER CONVERSION DMAINLINE TAP °MAINLINE (PRIVATE) QCUT-IN DORY SEWER' ❑CORE MANHOLE DREPAIR / QSTUB ABANDONMENT QFOLLOW-UP ❑ADD-ON ©OTHER (SEE COMMENTS) DEFICIENCY: OYES © CONSTRUCTION Q ADMINISTRATIVE (SEE COMMENTS) COMMENTS' TANK(S) ABANDONMENT INSPECTION. EYES ONO ON/ 2 7fr'o A" 5 PUMPER: 5f16/a5 by 4 Hess L111 SPOKA COUI\[i'y INTERIOR PLUMBING AYES sit NO QN/A PROJECT No BY: BILLING INFORMATION Q PENDING 0 LIVE BILLING �/ "GATE: T �jo� - - - - EXIST. SEWER LINE m SHUT OFF VALVE ORYWELL 16.0 BACKWATER VALVE/BWV SS SEWER STUB U CONNECTION POINT E 0 P EDGE OF PAVEMENT G/M GAS METER QE ELECTRICAL WATER METE WJI R CLEANOUT CO POWER POLE 0 MANHOLE STORM DRAIN 0 HYDRANT c_ CENTERLINE B.L. BUILDING LINE --1.-- - i - a►- - - - oARRo L NTH M1ROws NIXC+RS woo) sec -nal a SOAR ca[ s/W SIDEWALK C .. DEPTH C1. CAST IRON 0.0. ORANGEBURG — FITTING H.O. HEALTH DISTRICT ENO FOUNDATION //// Q COPY TO 0 & CE Q COPY TO HEALTH DIST. 0 OTHERS: NORTH ARROW ROGER RIVERS CUSTOMER SERVICE REPRESENTATIVE DIVISION OF UTILITIES SPOKANE COUNTY PUBLIC WORKS 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260-0430 PRONE: (509) 477-3604 DIREcr: (509) 477-7682 FAX: (509) 477-4715 ROC S RRI V E RS �C'(�S P O KAN BCO UN TY. O R G September 5, 2008 To Whom It May Concern: The proposed demolition of the attached garage at 911 No.ates Road ( parcel #45161.0830) will not impact the existing sewer lines hat currently serves the residence. Therefore, a sewer abandonment permit is not required. If an addition or remodel of the residence occurs resulting in connecting new wastewater lines into the existing lines, a sewer connection permit and inspection by the Spokane County Division of Utilities is required. Please call me at 477-7682 if you have any questions. Roger Rivers Customer Service Representative, Spokane County Division of Utilities r SRCAA NOI No. 05— 0335 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 D 1, EaCeaea B1an\ SEP 2 2 2008: Agency Use Only SPOKANE REGIONAL J A. Project Type: 1. ❑ Asbestos Removal 2. 0 Asbestos Removal & Demolition 3. a ernolitia.ltAAIAtimaSAloNmnval B. Property q �n1 /, nn /� Owner: /14 A-gC u ,4 �� !' ,CEG if [_.r; \ Phone 61 ,.3= 7137 (If available) Fax: Property Owner's Mailing Address: 11 f) ,Qj n)( ) c/9,9,) City: 5484 y> 4'-6 State: wQ Zip: c Gla) 471 C. Site �` n Address: l / I /V , 6 ATE 5 1t 0 i City sPvy407r, State: )n//} Zip: 9tQc- C Responsible Site Contact Person: 5'4 M E feumAiee( dg OOS F R ® Job Site Phone: °J °j 3 - 7/1.37 D. — Asbestos Survey or ❑ Material Presumed Ifs 2erformed, was asbestos found? es If "No" for any structure, attach survey Date Survey Conducted:' -'j -3 No. of Structures: (see back if>1) AHERA Building Inspector Name: P kat I- 8 6 26 Certif cation Number: 3 So 53U 7/ / O g Exp. Date: //-/Q YJ =.) 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 all asbestos material be U Yes removed by project completion? 0 No Will work schedule Li Yes fax porn. be used? 0 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:Start (see back if> 1) 1 Date: di -) a -46 0 Training Fire (List Fire Dept. as demo. contractor below) 0 Ordered Demolition (attach copy of Order) Demolition �v Contractor: P,4o fJ[2 Y ' 0 vv ifr E A 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? U Yes QtNo 1. U Owner -Occupied, Single -Family Residence Asbestos & Demolition Project * Owner -Occupied, Single -Family Residence Demolition Project prior Notice $30 2. U All Other Demolitions With No Asbestos Removal Project 10 Days $250 3. U 10 - 259 linear feet or 48 - 159 square feet (see back of form for options) 3 Days $250 4. U 260 - 999 linear feet or 160 - 4,999 square feet 10 Days $500 5. U > 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. U Alternate Means of Compliance for Friable Materials (attach plan) 10 Days Twice Project Fee 8. U Alternate Means of Compliance for Nonfriable Materials (attach plan) 10 Days Twice Project Fee 9. U Exception for Hazardous Conditions (attach plan) Concurrent with Project Regular Project Fee 10. U Demolition with Nonfriable Roofmg 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 bui ding 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/demobnon 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. I certify that the information contained in this notification and any supplemental data provided is, to the best of my knowledge, accurate and complete. Alta [— — g i_.17--- 1 -aa -O9 CC leteness Review NOI complete ❑ NOI deficient - See Attached 9 %Z LCnatnr. 7 - Representing Date For demolition projects, this • -xpires 12 months from the earliest listed asbestos/demolition project start date. Agency Use 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. NOI 7/07