2008, 08-28 Permit App: 08003420 Demo Garage, BarnSp®e
�Va11ey�
Community Development
Demolition
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalle�org
SITE ADDRESS: 11821 E. lhpize
ASSESSORS PARCEL NO:
Name: l,bi(*rbcrd'bod� Iric !
Address: 3201 N. Rx tter Pd.
ICity: ODeLx d alEre State: ID Zip:83814 I
Phone: 208 640000 Fax: 208 457-043
Contact person
Name:
Phone: 509 994-3995
Describe the scope of work in detail
& 1
PERMIT NUMBER: 3q, 26
PERMIT FEE:
❑ Commercial
® Residential
o A site plan is provided.
o Spokane County Utilities has approved the disconnection.
o Notice of Intent # 08-0261 �
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 resu . g development rig s gr nted by any; issued permit inure to the property owner.
Signature Date 8/28/2008
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
Effective 10-28-07
Page 1 of 1
P:\Community Development\Forms\Building forms\Demolition Permit Application.doc
Page 1 of 1
Larsons
From: "Rivers, Roger" <RRivers@spokanecounty.org>
To: "'Larsons"' <larsons@nwadv.com>
Sent: Friday, August 29, 2008 12:05 PM
Subject: RE: Sewer Permit
The property at 11821 E. Empire is not currently connected to county sewer. However, there is a sewer service
stub for future connection. I'll fax you a copy of the sewer service stub location. A sewer abandonment permit IS
NOT REQUIRED. You might want to check with the Spokane Regional Health District.
Roger Rivers
Customer Service Representative, Spokane County Division of Utilities
From: Larsons [mailto:larsons@nwadv.com]
Sent: Thursday, August 28, 2008 2:13 PM
To: Rivers, Roger
Subject: Sewer Permit
Roger, Please check the status of 11821 E. Empire for Sewer Abandonment. Thanks Carol
No virus found in this incoming message.
Checked by AVG - http://www.avg.com
Version: 8.0.138 / Virus Database: 270.6'.11/1639 - Release Date: 8/28/2008 7:39 AM
8/29/2008
bAug. 19. 200S31l : I5AN15ANO.
099,SROKANE CLEAN AIR IRS ENVIRONMENTAL
V/ 1V/ LV VV 1 s VL LUJ JJJ
i. From:Debbie
p,vL el.i
Riley
SRCAA NOT. No. SPOKANE REGIONALICLEAN AIR AGENCY (SRCAA) U
I Dat cetved PyWCA
1101 West College. Sultc 403, Spokane, WA 99201
NOTICE OF INTENT (NOI)
�` SNE Nf`GIUIVAL
I AN Al AGENCY
gc»ry thmOWv
For Asbestos Projects and Demolition Projects
Agemy Ute Only
A. Project Type: I L ❑ Asbestos Removal 2- Asbestos Removal & Demolition 13,0 Demolition, No Asbestos Removal
B. Property
Of available)
Owner; No) hb rhood lnc.
Jabd 11043 Phone: 208-640-4000
Fax: 208-457-8043
Property Owner's
Mailing Addreas: 3201 N. Huetter Rd,
Ci!y: Coeur d'Alene
State: ID
Zip: 83814
C, $Ito
Address: 1) 821 E. Empire
Ci : ' Spokane Valley
State: Wa Zip: 99216
Responsible Site
Job Site
Contact Person: Robert Reed
Phone: 998-8256
D. 0 Asbestos Survey or
if survey performed, was asbestos found?
Date Survey
No. of Structures:
❑ Material Presumed
I 0 Yes ElIf" No" Por any struotu' reattach suryov
I Conducted: 08/06/08
see back If>1 3
AHERA Building
Cerlltleation
Exp,
Ins ectorNamo: Robert Reed
Number: H1R•01/082
Dnto: 08/15/08
E. Aebestos Project I No. of Structures:
Start Completion
Wk. Days: Su M T W OF Sa
information: see back ifs1.
I Date. 08%29/08 Date: 08/28/08
Hours: gam -4:30 m.
Tote quantity Ln.
Sq. I Will ill asbestos material be ® Yes
Will work schedule es
to be removed: Feet
48 Feet I removed by proiect completion? ❑ No _
fax . be used? ® No
.�.�� ,�..+..,..�o. tY,,v uuu yum'LILY ' t u(attsntus to WIN 0001 (81)C
be removed or provide an attachment of same:
Abatement—
Contractor; IRS Environmental of WA, Inc. Phone: 927-7867 Fax: 928-3933
Mailing
Address: p0 Dox 15216 ;i Ci 5 okane Ya(Ie State: Wa Zi : 99215
)r Demolition No. of Structures: Start ❑ Training Fire (List Fire Dept. as demo. contractor below)
information. (aeeback if> 1) 3 Date: 08/29/08: ❑ Ordered Demolition fattach couv ofOrderl
Contractor: Larson's Demolition
Address: pO13ax
G, Asbestott/I?emolltion
Does this prosect invo
1. ❑ owner-Occupie
d Owner-Occupie
2. All Other Dem.
3.0 o - 259 linear
4. 260 - 999 linea
5. 0 > 1,000 linear 1
6, Emer enc Asb
�1. 171AlternateMeans
.,__ ,_r,
a Fre-damaged structure? Q Yes
ingle-Family Residence Asbestos &
inale-Family Residence Demolition
or 48 -159 square feet
t nr 161) . 6 440 ¢nines
W
for Hazard
Materials
Notification Nott -Refundable
Waiting Period Project Fee
tion Project
PriorNotice $30
0
10 Days l Twice Projcet Fee
10 Days Twice Proi cot Fee
10. LJ Demolition with Nonfriable Roofing Left is Place 10 DasI Twice Pro act Fee
A The two categories in 0,1 apply only to owner•occuple4. single4611y residences, which means any non-multlple unit building containing living
specs that is currently 000upied (prior to And after renovation/demolition) by one fam0y who owns tho property as their domicile. One of the
categories must be used fbr all other eabesios/demolition projects. For more information, contact .9RCAA at (509) 471-4127.
H. Optional: Llst additional parties your would like copies of this NOT s dlorrclatcd nbtices sent to (list name & fax number andlormailing address):
Larson's Demolition - fax#! 535-8087
leteness Review
1. t certify that the information contained in this notification and any supplemental data provided Is, tothe best ofrN01 complete
my wledge ace rate and complete,O>t deficient -
�� See Attached
IRS F vironmeittal 01, WA Inc.
sifnarrma Repreoeming 4,�C__a
For demolltion projects, this Not expires 12 months from the earliest listed asbestos/demolition project start date, 9k_#Dv__ V-A d1
Your advance notification period will begin when a om I to NOL including required foes, Is reeeivod by SRCAA_
AR e c - v e d T m etQ�u g: f 8. " O ""2 : d TP�It N 0."53 5 3mendmcnts must be available for inspection at all times at tho job site, Not
w
NOT TO SCALE
Garage
Drive
Slab
Barn
E. Empire
House
11821 E. Empire