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2008, 10-20 Permit App: 08004156 MH DemolitionSilikane Valley Community Development Department) BY (Staff Use Only) Permit center freCITY OF SPOKANE VAL EY_�j 4/ 11703 East SpragU� Avenue, Suite B-3 PERMIT NUMBER: d Spokane Valley, WA 9920t�T n Ij Z00e Y' --f Tel: (509) 688-0036 PERMIT FEE: 7 Fax: (509) 688-0037 permitcenter@spokane�all o T CENTER DEMOLITION PERMIT APPLICATION PROJECT ADDRESS: HO 11 S 3A riE s Rd ASSESSORS PARCEL NO.: 1-11;"33`--1 , OLo ( 0 BUILDING OWNER NAME: 40C1-eht erg Tem y+ - MAILING ADDRESS: CITY: STATE: ZIP: CONTACT PERSON NAME:JAY TORGERSON PHONE:534-2970 FAx:534-9404 CELL: CONTRACTOR NAME:ROB'S DEMOLITION MAILING ADDRESS:3810 E. BOONE AVE. #203 CITY:SPOKANE STATE:WA ZIP:99202 PHONE:534-2970 FAx:534-9404 CELL: CONTRACTOR LICENSE No.:ROBSDD197ORR EXPIRES:12/22/09 No.:602343577 CITY BUSINESS LICENSE PgOJECT DESCRIPTION (Please Provide Site Sketch Site Plan Provided Notice of Intent # 08-0357 XSpokane County Utilities has approved the disconnection Describe the scope of work in detail Leie,v)ol iSLtthci 4 iv, oh han..e_ DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction 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) The 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 .:(�- tc e - -- Date: p12e.3,c7� Method of payment: 9 Cash 0 Check ®Visa 0 Mastercard Bankcard #:4888 9400 1497 2000 VIN#: EXP:4/11 Authorized Signature: 3T 1 a e.{r go Fffprtivp nrtnhpr JR. 7nn7 Panp 1 of 1 2008 4:14PM SPOKANE CLEAN AIR -Sep Jug. euuea r i : oor1M rr-rli1_U1, r,nn � �riENT _ 5os�rNc. 6262 P. 1/1 p l Ptan: ebbie Riley SRCAA NOI No, Ofr°31ncy Urs t7n(v Lrst type erul guantrty ofmatertals to {emndivtdual SPOKANE REGIONAL CLEAN AIR AGENCY (SRC) 1101 West College, Suite 403, Spokane, WA 99201 NOTICEOF INTENT NODI For Asbestos Projects and Demolition Projects f L5 ({,,© °f NiW'Y P 3 0.208 Agurrry Use „ y CAA A. Project Typo: 1. ❑ Asbestos Removal , 2. ■ Asbestos Removal & Demolition 1 3. ❑ betltF0lanir iietbestos R�mo_val S, propertyQ J j Owner; a �(� /Cl . r :a . 4 'Lk Phone: y. (If available) Fax: Property Owner's MailingAddress: 6\ W , M 3%N1 } City: bPOKc,rvf? State: 441/ Zip:19'6Q C, Site j Address!: Li O U. _ Tz, 9 ��� ` _ 'WI 9pOkarsk ` �/� State: W r'1 Q�7 r ziP 7�t ��CP Responsible Site/�J� � Contact Person: (- l I:1<e_ I-1 ldraaP I _ 'TillAsbestos lob Site Phone: Fj (Al - 3317 Survey or ' ❑ Material Presumed •If survcy neaformed, was asbestos found/ • Yea U If "No" for any structure Date Survey No. of Structures: Inspectorrn . Number ... ► — i , *az, z, Date . l () i E. Asbestos Project Informations .,No. of Structures: see back if 51 } . Start Date: 11 ' I `+� , Comptet Date: o I - 1 di Wk. Days: Sui Th F S , Hours•l.'Ain lin- , ..PM Total quantity to be removed: Ln.Sq. Feet .1 ('0Q Feet - Will all asbestos material be Yes removed by. roj t completion? Cl No W111 work schedule Yes fax Diva. be used? • No 4 ' be roved or provide an attachment of same: "The two allegories in 0.1 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 bo used for 411 other e. be.toeldcmolitioh projects, For more Information. contact SRCAA, et (509) 477-4727. H. Opp nal: Litt additional semis! you would like copies of this N O1 and/or related notices rant to (list nam & fax number and/or mailing address): /• I.- II I. 1 certify that the irtfOrmatloc contained in this notification and any supplemental data provided is, to the best of my knowledge, accurate amid complete. Phalon Abatement Serv. 49-4;951)6 Slrnalu a Reprtrrnrlag - Doe For demolition olition projects, this NOI expires 1.2 months f}am the earliest Iisted asbestos/demolition project start date, sour advance notification period will begin when a corripleIC4 NOI, including required fees, is reaeiVed by SRCAA, 1 copy of the asbestos survey, completed notification & al! atneudments must bo available for inspection at all times at the job site. Received ire Sep. 30. 2008 12:058M No. ]etenese Reviev :NOI complete ❑ NOI deficient • See Attached ,4dlnq Ura gnly NOl 7)07 Abatement Phalon Abatement Services Inc. Contractor: 926 8656 928 Phone: FDX: 8785 Mailing Address: P.O. Box -30968 - Ci : Spokane State; WA 21,:99223' F. Demolition Information: No, ofStructures:Start see back if 5. 1) I pate: 10'1 (r) - ' ■ Training Fire (List Firo Dept, as demo. ❑ Ordered Demolition (attach copy of Order) contractor below Demolition ip, Co.ntraclor: 1 Y t# . l�- Ms Ia.i -,/` Phone: ay a Pass; , ` J Address; , A . ... 4. aP.. II. . b . • • ... i • IM 2•.: ' • _ G, Asbestos/Demolition•Project Categories: Notification Waiting Period Non -Refundable Project Fed Does this 'ro'ect involve a fire-tlanm_ ed structure? U Yes • No 1TU Owner -Occupied, Single -Family Residence Ci Owner -Occupied, .Sinr;;le-Family Residence Asbestos & Demolition Project * Demolition Project • Pro•ect Prior Notice ]0 Da s, S30 2. it All OtherDtrmolitions With No Asbestos Removal 3. t# 10-259 linear fee: or 48 - 159 a.uate feet see back o.fPoi= for options 4_ • 260 - 9991inear feet or 160, 4 999 a ware feet 3 Dai 10 Da s $500 5. II > 1 000 linear feet or> 5' 800 S • uer° feet 10 Da 3 . $1 250 6. 1111 Ernes_ out Asbestos/Demolition Pro set attacks r'owner's.]etter" Prior Notice Twice Pro'ectFee 7. M Alternate Mears of Compliance for Friable Materials (attach plan) 1D Days TWioo Pro'cct Fee 10. B. Alternate Means of Com • l lance for Nonfriablo Materials attach • ]an 9. • an- 'lion for Hazardous Conditions attach • len • Demolition with Nonfriablo Rooi.p•Left in Place 10 Days Twice Project Fee Concurrent with Project 10 Days Rc�ular Twice Project Fes. Project Fee "The two allegories in 0.1 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 bo used for 411 other e. be.toeldcmolitioh projects, For more Information. contact SRCAA, et (509) 477-4727. H. Opp nal: Litt additional semis! you would like copies of this N O1 and/or related notices rant to (list nam & fax number and/or mailing address): /• I.- II I. 1 certify that the irtfOrmatloc contained in this notification and any supplemental data provided is, to the best of my knowledge, accurate amid complete. Phalon Abatement Serv. 49-4;951)6 Slrnalu a Reprtrrnrlag - Doe For demolition olition projects, this NOI expires 1.2 months f}am the earliest Iisted asbestos/demolition project start date, sour advance notification period will begin when a corripleIC4 NOI, including required fees, is reaeiVed by SRCAA, 1 copy of the asbestos survey, completed notification & al! atneudments must bo available for inspection at all times at the job site. Received ire Sep. 30. 2008 12:058M No. ]etenese Reviev :NOI complete ❑ NOI deficient • See Attached ,4dlnq Ura gnly NOl 7)07 .—• I .a.'s F, vjj junicomewt! 4777178 LU •—• 1-1 D 45 4/1 LJJ tt CC 0 0 0 C57 41- V/ %) (t)) 247 087.181 Tuesday, Oct 14, 2008 02:16 PM Nogata