2005, 08-05 Permit App: 05002769 RemodelProject Number: 05002769 Inv: 1
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: TREE DAMAGE REMODEL -1216 MAIN FLOOR / Contact: SMALL'S CONSTRUCTION CO INC
440 GARAGE Address: PO BOX 963
C - S - Z: RATHDRUM, ID 83858
Setbacks: Front Left: Right: Rear: Phone: (208) 687-1205
Group Name:
Project Name:
Site Information:
Plat Key: 003423 Name: FOREST MEADOW 02ND ADD District: Sout
Date: 08/05/2005 Page 1 of 3
Parcel Number: 45333.1521
Block: Lot:
SiteAddress: 4216 S BOWDISH RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: ALBERT, MARK & RHEA
Address: .4216 S BOWDISH RD
• SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 80 Depth: 161 Right Of Way (ft): 60
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Release&B
Sewer Review
Permits:
Originally Released: 08/05/2005 By: TMELBOU
Released
SEWER PERMIT #02004294
Originally Released: 08/05/2005 By: mturbak
Operator: MT Printed By: KJK Print Date: 08/05/2005
Project Number: 05002769 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 08/05/2005 Page 2 of 3
Contractor: SMALL'S CONS
Group: R-3
Total Area
Building Height
Stories
Dwelling Units
Type: VB
1216
15
1
1
Description Qn! Type
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Firm:
Phone:
Building Characteristics
(000) 000-0000
This Application: Total Project:
Notes Sq Ft Valuation Su Ft Valuation
REPAIR 0 $5,000.00 0 $5,000.00
TREE
DAMAGE
REPAIR 0 $50,000.00 0 $50,000.00
TREE
DAMAGE
Contractor: SMALL'S CONS
Item Description
TOILETS/BIDETS
SINKS
TUBS
Operator: MT
Totals: 0 $55,000.00 0 $55,000.00
Units Unit Desc
I SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Plumbing Permit
Firm:
Phone:
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Printed By: KJK
Permit Total Fees:
Fee Amount
$678.75
$4.50
$271.50
$954.75
(000) 000-0000
Fee Amount
$6.00
$12.00
$6.00
$24.00
Print Date: 08/05/2005
Project Number: 05002769 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/05/2005 Page 3 of 3
Notes:
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Fee Amount
$954.75
$24.00
Invoice Amount
$954.75
$24.00
$978.75 $978.75
Amount Paid
$0.00
$0.00
Amount Owina
$954.75
524.00
$0.00 $978.75
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: MT Printed By: KJK
Print Date: 08/05/2005
13Th
*k n
Valley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane valley, WA 99206
Phone: (509) 683-0036; Fax: (509) 688- 037
o5-2- p
$ /Oi.(7s-
REQUIRED SITE INFORMATION
Street Address:
42-K49 a3 K_
Assessor's Tax Parcel Number(s): 't 5 33 1 S Z 1
Legal Description:31l"ce-7 j �,
PERMIT DESCRIPTION: 1-64e,� 14'l__-1
re Z,�P ,gy, i -,c•-) Lot 24 BLoG [
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation 9 Tenant Improvement 9 Fire Safety 9 Other
OWNER/APPLICANT INFORMATION
zi _Owner. I-Ikr2-e A-LISta r 9 , Applicant:
Phone: &)9 -5'52.0 Fax: 7.52- - 2138 Phone: Fax:
Address: lZ1Q 6. D t g I Address:
a 1/s+ll�,
Ci /State 5 Zip a Code City State Z9 Code
II] Contractor: 604-�G S`F 'fiG/ 9 Architect:
Phone: , &fl I2t5- Fax: U87 9 / 23 Phone: Fax:
Address: ?o. Tex 9103 tZfl1PRuA-1 Address:
City State Zip Code City State Zip Code
5MALL000l&MA
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
DIMENSIONS: 3 y J6? ,
� /1
# OF STORIES: I
HEIGHT TO PEAK: j ('— 1
1J
MAIN FLQO Te SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG ` ' `r\
1(1
DECKJCOV. PATIO SQ. FTG:
OCCUPANCY GROUP:e -3
,`
CONSTRUCTION TYPE: ft
HEAT SOURCE: E� / e
# OF BEDROOMS:
,Q
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 5-3— it
30% SLOPES ON PROPERTY:
ER we ON-SITE SEPTIC
of
„IL \ 1\ /\
if I `1 \'w�3t�
cs w-��ct GA -NO
Attic AccessibleTt �s
by 22' k 30”
Attic Ventilation
1 Sq Ft per every 300 Sq Ft of space
ventilated with at least 50% in the upper
portion of roof area.
tft3nM.xfo otaTE fto ov_
W4us
4° 4" LnC S r
a as
%a
9'
i
LolneActsa
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get tc�o..... 20 -arae_ -r �er�, Zo 1,4
ceINJ, aatm.
v4,
I r4S acct r
1 /8" GAP
BETWEEN SHEATHING
04L,L- rgsstt->,3H,
£,aH. iia,` _
red, wrc—e
,1f4 SA4L..e l6.14O,C,
P -.lei' ii35 t vs .,
JgGYP, ed
8ta e r S— KILL.
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nl ci act., - 9 Lg (o
gejoSizek
Asbestos Abatement
.ma 05,, eonskrar on FAX:
FROM:," : Phil L. Berg, Owner
PHONE: (509) 891-7575
DATE: N-0,4 R -o4 -05
FAX: (509) 535-1893
RE: 11•,,bdLQD o.P: 4,Que An4-,L4252atveti
Number of pages including transmittal cover sheet:
Iq
COMMENTS:
giSIM
Iffilitilatiffiffil
1(T► .a
1
/tai m711/11 7111=iEi. 1/ .KSf Sfl!. Ile l
Lia —3 . -IA) & Bou. rtuc\ PL -ti --421 ,,,_ (44 )
910 N Lake Road, Spokane,Valley, WA 99212 — Phone (509)491-7575 Fax (509)-535-1893
Table of Contents
1. Summery of Findings/Acknowledgment
2. Introduction, Scope, Building Description, Lab Information, Methodology,
Results.
3. Chart A —Asbestos Containing Materials
4. Chart B — Non Asbestos Containing Materials
5. Chart C — Definitions
6. Chart D — S.C.A.P.C.A. Checklist
7. Chart E — Sample Material List
8. Chart F — Asbestos In Home
9. Appendix 1— Lab Certifications and Lab Results
10. Appendix 2 — Inspector Certifications
Page -1-
Summary of Findings
1. ASBESTOS CONTAINING MATERIALS: NO - See Cbart A
2. NON -ASBESTOS CONTAINING MATERIALS: YES - See Chart B
3. PRESUMED ASBESTOS CONTAINING MATERIALS: NO
Conclusion: Based on our technical inspection; which included destructive means,
we did not fmd asbestos. Contractor may proceed with remodel.
Acknowledgment
"T acknowledge that I have read and understand this report. I further acknowledge that
hidden asbestos materials may exist in concealed areas that may be exposed during my
work If suspect materials (refer to page C) are discovered, I will treat the material as
asbestos containing until testing proves otherwise."
Firm Name:
Signature:
Name: (Print or Type:
Title:
Address:
Phone Number.
1. AAA is not responsible for hidden asbestos that cannot be found using destructive
means.
2. This survey is limited to the scope of the project as stated by owner, or the owner's
representative.
3. Anyone having questions about this report please do not hesitate to contact AAA
or S.C.A.P.C.A. @ 1101 W. College Avenue, 403 Spokane, WA 99203 Phone:
(509) 477-4727, www.scapca.org
Phil Berg
Page-2-
1. Introduction
On August 02, 2005 Affordable Asbestos Abatement (AAA.), was contracted by
Greg of Small's Construction to conduct an asbestos survey for the remodel of a
house located at: 4216 S. Bowdish, Spokane, Washington. This survey included
numerous parts of the house.
2. Scope: REMODEL OF HOUSE
The property was first inspected on August 02, 2005, as requested by Greg of Small's
Construction. The AHEEA Inspector was Mr. Phil Berg, of Affordable Asbestos
Abatement. Mr. Bergs AHEB.A Inspector Certification Number is: 3509-04-23-02,
Expiration Date: 11-01-05.
Affordable Asbestos Abatement is located at:
910 N. Lake Road
Spokane Valley, WA 99212
Phone: (509) 891-7575 Fax: (509) 535-1893
3. Building Description
HOUSE
4. Lab Information
A. (ilobal Industries Corporation, 1855 E. Southern Avenue /4204C, Mesa, AZ
85210. ISO/IEC 17025:1999, ISO 9002:1994, NVLAP Code 18/AO1.
Phone: 1-(480)-497-0280.
B. Samples we analyzed, using an EPA recommended polarized light microscope
method with dispersion staining. The lab results are included.
Survey Methodology
The sampling was in accordance with; 40 CER 7686. As requested per
S.C.A.P.C.A. Reg. 1, Article IX, Section 9.02.0 and 9.03. Using destructive methods,
sixteen samples of suspect ACM's were taken from sixteen homogenous areas.
5. Results
A. ACM - (ACM is any materials containing grater than 1% asbestos.) NO
ACM - Listed on Chart A
B. Non -ACM: YES - Listed on Chart Li
-C. Presumed ACM: NO
D. Assumed Non -ACM: Metal, Wood, Glass, Fiberglass, Insulation, and Concrete.
WSEC TABLE 6-2
PRESCRIPTIVE REQUIREMENTS°,r FOR GROUP R OCCUPANCY
CLIMATE ZONE 2
Option
Glazing
Area10•
%offloor
Glazing U -Factor
Door°
U-
Factor
3
Ceilin 9
Vaulted
Ceilings
wenn
. Above
Grade
Wall?
int
Below
Wall?
ext'
Below
Floors
Slab°
on
GradeGrade Grade
Vertical
Overhead"
I.
10%
0.40
0.58
0.20
R-38
R-30
R-21
int'
R-21
R-12
R-30
R-10
i
II.
15%
: 0.40
0.58
0.20
R-38
R-30
R-19+
R-21
R-12
R-30
R-10
i
- ft -5°
III.
17%
0.37
0.58
0.20
R-38
R-30
R-19+
R-21
R-12
R-30
R-10
R-5°
IV.
25%
0.35
0.58
0.20
R-38 /
R-30 /
R-21
R-15
R-12
R-30 /
R-10 /
Group R-1
-
U=0.031
U=0.034
int' /
U=0.029
F=0.54
Occupancy
U=0.054
Only
V.
Unlimited
Group R-3
0.35
0.58
0.20
R-38
R-30
R-21
int
R-21
R-12
R-30
R-10
Occupancy
Only
VI.
Unlimited
0.32
0.58
0.20
R-38 /
R-30 /
R-21
R-15
R-12
R-30 /
R-10 /
Group R-1
U=0.031
U=0.034
int' /
U=0.029
F=0.54
Occupancy
U=0.054
Only
* Reference Case
0. Nominal R -values are for wood frame assemblies only or assemblies built in accordance with
Section 601.1.
1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio
to the conditioned floor area of 13%, it shall comply with all of the requirements of the 15% glazing
option (or higher). Proposed designs which cannot meet the specific requirements of a listed option
above may calculate compliance by Chapters 4 or 5 of this Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings.
3. Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the
interior to the same level as walls above grade. Exterior insulation installed on below grade walls
shall be a water resistant material, manufactured for its intended use, and installed according to the
manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended
use, and installed according to manufacturer's specifications. See Section 602.4.
7. Int. denotes standard framing 16 inches on center with headers insulated with a minimum of R-5
insulation.
WSEC Builder's Field Guide 5th Edition
[DOME°AINE EXTENSION
WASHINGTON�STATE UNIVERSITY
ENERGY PROGRAM •
1-7