2010, 10-29 Permit App: 10003603 Demolish GaragePermit Center
SoyY OF 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
�\Talley (509)688-0036 FAX: (509)688-0037
WWW. spokanevalley.ore
Community Development
Demolition
Permit Application
P3- 3(66\5
PERMIT NUMBER:
PERMIT FEE:
Commercial
IX] Residential
SITE ADDRESS: 1 150 t S• (cY...'E'
ASSESSORS PARCEL NO:
Building Owner: -c2_1,19 r,�. L----v-no Qa&'
Contractor: (� ��
Name: r\ -
Address:
Address:
Name:ane-r(cac,e-(�},to a
Address: Is ----t) I /� (j i. (/ „ (%
+ �tStatee::'l
City: , � a)
City: Sty�- O'L r
1
City: State: Zip:
Phone: a DO � / �, } aF3x: �W� _�• .--%3
JJ lUT �t 10 `F
Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person
City Business Lic. No: -
ighr.ei,(22A�
Name: 3-P- -ram%
Phone: WOl— aa.b--(a) '?-----
Describe the scope of work in detail
eivn-o LtHcric b \t t;mJ th CASC
® A site plan is provided.
® Spokane County Utilities has approved the disconnection.
® Notice of Intent # a 0 i o —0 319
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 development ri.hts granted by any issued permit inure to the property owner.
Signature A ' .� , Date I a --aei -1 6
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/16107
Spokane Regional Clean Air Agency - Print NOI
SpRegiookanales� ne o°
p a aQ P
CQean ADrAgency
Print NOI
Back
Customer Information
Company:
Owner:
Contact:
Email:
Phone:
Address:
Licensed Asbestos
Abatement Contractor:
Demolition Contractor:
Property Owner:
Other:
NOI Information
IDNUM:
Project Type:
Additional Info:
Fee:
Property Owner:
Site Address 1:
Site Contact:
Multiple Structures:
Asbestos Survey:
Material Presumed:
Asbestos Found:
sherry morehead
twofromwash i n gton Colcomcast. n et
509-220-6812
1501 s blake rd
spokane valley, wa 99216
NO
YES
YES
https. //ww w.spokanec I eanair.org/pr i nt_noi.asp? id=626&templ ate=fal s
2010-0379
Owner -occupied, single-family residence + all demolition
$30.00 (PAID)
sherry morehead
509-220-6812
1501 s blake rd
spokane valley, wa 99216
1501 S blake Rd
spokane
sherry morehead
509-220-6812
1
YES
NO
NO
oft 11/1/2010 10:52 At
Survey Date:
Inspector:
Project Dates:
Structure
Removal By:
Removal Completed:
Materials:
Contractor:
Demolition Structures:
Demolition Date:
Demolition By:
Fire Damage:
Emergency:
Alternate:
All asbestos to be removed by project completion:
NOI Submit Date:
10/29/2010
maureen fay
micrist
#Bir -09-098
Quantity Type
N/A
1
11/4/2010
Property Owner
sherry morehead
509-220-6812
1501 s blake rd
spokane valley, wa 99216
NO
N/A
11/1/2010 10:46:16 AM
of 2 11/1/2010 10:52 AIS
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Asbestos / Demolition Notification for Contractors and Property Owners
Project Categories
Qlyner-orruolep. single-femlly residence
Asbestos removal performed by residing owner Section 9.04.A
< 10 In R of asbestos removal and/or Section 9 04A
< 48 sq ft of asbestos removal NOT performed by the residing owner
>= 10 In tt or >= 48 30 ft of asbestos removal NOT performed by the residing owner Section 9.04 A
ALLRemotboo
Not owner-occupled, single-family residence
< 10 In ft of asbestos removal and/or
< 48 sq R of asbestos removal
10 - 259 In ft of asbestos removal and/or
48 - 159 sq R of asbestos removal
260 - 999 In R of asbestos removal and/or
160 - 4,999 sq ft of asbestos removal
= 1,0001n ft of asbestos removal and/or
>= 5,000 sq ft of asbestos removal
A1LDern0LRgn
Additional categories
Amendment
Annual Notification
Emergency
Alternate Asbestos Project Work Practices
Demolition with Nonfnable Roofing
Exception for Hazardous Conditions
After payment, when can Non-refundable
I start my project? Project Fee
Notification not required
Notification not required
Pnor Note
In 3 days
$0.00
$0.00
60.00
530.00
Section 9.04.A Notification not required 60 00
Section 9.04A In 3 Days 5250.00
Section 9.04.A In 10 Days 5500.00
Section 9.04.A In 10 Days 51,25000• 0
in 10 Days $250.00•• 1
Section 9.04.B Pnor Notice $0
Section 9.04.A.62 Pnor Notice 5250 •.
Section 9.04.A.6.h Pnor Notice Twice project fee 1
Section 9.08.A In 10 days Twice project fee 1
Section 9.08.B In 10 days Twice project fee 1
Section 9 08 C In 10 days Regular project fee 1
•The $250 demolition fee is waived if demolition Is performed in conjunction with one of the Ihrce asbestos projects above.
**When removing 2,000 or more In ft and/or 10,000 or more sq ft, an additional fee of $250 shall be paid for each Increment of up to 1,0001n
beginning at 2,000 In ft and/or each Increment of up to 10,000 sq ft beginning at 10,000 sq ft. aid( pea to see the incremental fees.
••On-line filing of annual notification is currently not available. Please download an Annual NOI form from gg, complete it, and submit it to
Spokane deme Aft In hard copy form with your cash or chaff payment of $750.
Next Step
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@,Se- ne " 0LA.Q.ti . 0 2c
of 1 10/29/2010 12:48 PN
Jenna Davis
From: Mike Turbak
Sent: Monday, November 01, 2010 10:31 AM
To: Jenna Davis
Subject: 1501 S Blake
Hey Jenna,
Collin just called from Utilities —the detached garage is not connected — they are OK to release the demo permit.
Mike Turbak
Senior Permit Specialist
City of Spokane Valley Permit Center
11703 E. Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
m t u rb a k (@ s p o k a n e va I l e y. o rq
509.720.5317 (Direct)
509.688.0037 (Fax)
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