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2013, 06-18 Permit App: BLD-2013-1078 Demolition GaragecrrY of �� Spokane �'�Valleyr • Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perm itcenter©spoka neva)ley.orq (Staff° Ps0' Qni PERMIT NUMBER: CSV PEF) C -1\11E17 PERMIT FEE: DEMOLITION PERMIT APPLICATION PROJECT ADDRESS: 1405 N. Long Road — (?.f_.- ASSESSORS PARCEL NO.: 55182.1623 BUILDING OWNER NAME: City of Spokane Valley MAILING ADDRESS: 11707 E. Sprague Avenue Suite 106 ci-f: Spokane Valley STATE: WA. ZIP: 99206 CONTACT PERSON NAME: Mike Stone PHONE: 720-5400 FAX: CELL: CONTRACTOR NAME: To be Determined through bid process. MAILING ADDRESS: cm: Spokane Valley STATE: W zip: 99206 PHONE: 720-5400 FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: PROJECT DESCRIPTION (Please Provide Site Sketch) 0 Site Plan Provided 1.1 Notice of Intent # O/OZ ❑■ Spokane County Utilities has approved the disconnection Describe the scope of work in detail Property became the City's when the previous owner passed away. The structures on site are to be removed and the entire site cleaned up. An asbestos survey has been completed and the asbestos on site has been removed. The property will be developed as a part of Phase 2 Greenacres Park. 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 requireo be submj�tt. = d bse. -ntl approved before this application can be processed. Signature C/ ' Date: x/7//3 Method of payment: ❑ Cash •'eck ❑■Visa ❑ Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 1 of 1 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Demolition Permit App 10.28.07.doc 1 Googleearth feet' meters, 100 500 A gw G. Asbestos Project and Demolition Notification Waiting Period and Non -Refundable Fee Categories / 2013-0102 � NOTICE OF INTENT 4/4/2013 N ofIent OIy Agency Use Only Clean AirA9e,cY Date Stamp -Agency Use Only SineFOR ASBESTOS PROJECTS/DEMOLITION 2. ❑ All Demolition (all asbestos must be properly removed and disposed of prior to demolition) Refer to the Agency's Renovation, Demolition, and Asbestos Information Sheet as well as Regulation I, Article IX A. Project Type: ❑ Asbestos Removal I X Asbestos Removal & Demolition ❑ Demolition, No Asbestos Removal Does this project involve a fire -damaged structure? ❑ Yes X No (If yes, refer to Sections 9.03, F.3 and 9.08 Does this project involve demolition by fire training? ❑ Yes X No See Sections 9.02.R, 9.03.F.4 & 9.04.A.6.f) How many structures does this project involve: 3 (If more than 1 structure, refer to Section 9.04.A.3) B. Property Owner: City of Spokane Valley Phone: 509 720-5400 FAX: Mailing Address: 2426 N. Discovery Place City: Spokane State: Zip: 99216 C. Site Address: 1405 N Long (House) Rd City: Spokane Valley Zip: Contact Person: Jackie VanDeBogart Job Site Phone: 509 768-2606 D. X ❑ Asbestos Survey or Materials Presumed Date Survey performed: Was asbestos found? 3/25/2013 X Yes ❑ No AiERA Bldg. Inspector Name: Michael S. Pereira Company: ALLWEST Cert. No.: BIR -13-001 E. Asbestos Removal Information: Start 4/11/2013 Date: Completion 4/12/2013 Date: Abatement By Tim Phalon (if known): List individual type and quantity of materials to be removed. If> 1 structure, list materials for each structure by address/location. 100 sqft Floor Tile, 0 sqft No Asbestos, 0 sqft No Asbestos, Total Square Feet: 100 Total Linear Feet: 0 Will all asbestos material be removed from the structure(s) by project completion? ❑ Yes X No F. Demolition Information: Start Date (earliest): 4/15/2013 Demolition By Michael Stone (if known): G. Asbestos Project and Demolition Notification Waiting Period and Non -Refundable Fee Categories Owner -occupied, single fancily residence (see the Renovation, Demo., & Asbestos info. sheet) Waiting Period Prior Notice Fee $0 1. ❑ >= 10 In ft and/or >= 48 sq ft asbestos project not performed by residing owner 2. ❑ All Demolition (all asbestos must be properly removed and disposed of prior to demolition) 3 Days $30 Not owner -occupied, single family residence Waiting Period Fee 3. X 10 - 259 Inft and/or 48 - 159 sq ft asbestos 3 Days $250 4. ❑ 260 - 999 Inft and/or 160 - 4,999 sq ft asbestos 10 Days $500 5. ❑ z 1,000 In ft and/or 5,000 sq ft asbestos (see calculation table below) 10 Days $1,250 For this NOI, the additional incremental fee added to the @1,250 base fee was calculated as follows: Number of 1,000 In ft increments beginning at 2,000 In ft: 0 x $250 = + $1250 Base Fee = Number of 10,000 sq ft increments beginning at 10,000 sq ft: 0 x $250 = + $1250 Base Fee = 6. X All Demolition 10 Days 1 $250** H. Acknowledgement The Control Officer, or duly authorized representative, shall be allowed to access property at reasonable times to inspect projects specific to the control, recovery, or release of contaminants into the atmosphere, in accordance with SRCAA Regulation I, Article II and RCW 70.94.200. For the purposes of renovation, demolition, and asbestos projects, reasonable times include, but are not limited to, any of the following: when renovation, demolition, or asbestos removal appear to be occurring or are scheduled to occur, and times when the Control Officer or duly authorized representative are investigating air quality complaints filed with agency and/or have reason to believe that air quality violations have occurred or may be occurring. No person shall obstruct, hamper or interfere with any such inspection. 1 certify that the information contained in this notification and any supplemental information provided is, to the best of my knowledge, accurate and complete. Business Name: Phalon Abatement Services Inc. Phone: 509 928-8656 Mailing Address: PO Box 30968 gio • UTILITIES DIVISION N. BRUCE RAWLS, P.E., DIRECTOR. A Div!SION OF THE PUBLIC WORKS DEPARTMENT CITY OF SPOKANE VALLEY 11707 E SPRAGUE AVE STE 106 SPOKANE VALLEY,WA 99206 Sewer Connection for Property at: 1405 N LONG RD April 11, 2013 �\ r South Green Acres Parcel #: 55182.1623 Dear Property Owner: You are receiving this letter because our records indicate that sanitary sewer is available to your property and one of the following circumstances exists: 1) Your property has not yet been connected to the sewer or 2) Required work on your connection to the sewer has not been properly completed. If your property has already been connected or you feel you have received this notice in error, please contact us at 509-477-3604. Please be advised that we have now established the one-year mandatory connection period for the South Green Acres Sanitary Sewer Project. All connection must be completed within the one-year mandatory connection period which will end on Thursday, May 01, 2014. A sewer connection permit must be obtained from the Spokane County Division of Building and Planning Permit Center, 1026 West Broadway Avenue, before any work is commenced on your connection. We recommend that you obtain bids from a minimum of three contractors for the work. We also recommend that you make arrangements for your connection with a contractor soon, as they typically have a substantial backlog of work and there could be a long waiting period. Sewer connection contractor's listings can be found in the yellow pages under "sewer Contractors & Cleaning" or "Septic Tanks and System -Sewer Contractors". All wastewater systems on your property must be connected to the sewer, including gray water systems and basement laundry sinks. Basement floor drains that receive only clean water are not required to be connected to the public sewer. In the case of commercial properties, grease traps must be kept in service and maintained with the grease trap effluent discharged to the sewer. In conjunction with the sewer connection, the septic tank must be properly abandoned by pumping out the tank and then filling it with sand, pea gravel, or other approved material, in accordance with Spokane Regional Health District regulations. Cesspools and drywells must also be disconnected and properly abandoned. If you have any questions regarding how to complete a sewer connection, stub as —built information, inspection requirements or the regulations regarding abandoning existing on-site systems, please contact our office at 509-477-3604. Spokane County Division of Utilities 1026 WEsT BROADWAY AVENUE, 4TH FLOOR • SPOKANE, WA 99260-0430 PHONE: (509) 477-3604 • FAX: (509) 477-4715 • TDD: (509) 477-7133