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2007, 02-22 Permit App: 07000508 Demo, Remove MHProject Number: 07000508 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/22/2007 Page 1 of 2 Project Information: Permit Use: DEMOLITION/REMOVAL SINGLE WIDE Contact: LARSON'S DEMOLITION TRAILER Address: PO BOX 4535 C - S - Z: SPOKANE, WA 99202 Setbacks: Front Left: Right: Rear: Phone: (509) 535-7944 Group Name: Site Information: Project Name: NOTICE OF INTENT #7-0044 Plat Key: MH007 Name: BARKER ROAD MOBILE PARK District: East Parcel Number: 55082.0410 Block: 3 Lot: 10 SiteAddress: 19011 E MARIETTA AVE Owner: Name: FREEZE, KARINE & JOHN Address: 123 S WRIGHT CT Location:: CSV LIBERTY LAKE, WA 99019 Zoning: UR -7 Urban Residential -7 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 8,190 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Depth: 0 Right Of Way (ft): 0 Review Information: r Review Building Plan Review Released By: Septic Sys Review Originally Released: 2/22/2007 13y: jlmain Released By:. -. OK PER LANCE C HEALTH DEPT. Originally Released: 2/21/2007 By: jlmain Permits: , Demolition Permit Contractor: LARSON'S DEMOLITION INC Firm: LARSON'S DEMOLITION INC Address: PO BOX 4535 Phone: (509) 535-7944 SPOKANE WA 99220 Item Description Units Unit Desc Fee Amount DEMOLITION - RESIDENTIAL I NUMBER OF 544.00 Operator: jmm Printed By: jmm Permit Total Fees: 544.00 Print Date: 2/22/2007 Project Number: 07000508 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/22/2007 Page 2 of 2 Notes: Payment Summary: Permit Type Demolition Permit Disclaimer: Fee Amount Invoice Amount $44.00 $44.00 Amount Paid $0.00 Amount Owing $44.00 $44.00 $44.00 $0.00 $44.00 Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 2/22/2007 Permit Center Spokane 11707 E Sprague Ave, Suite ®$�alle (509)688-0036 FAX: (509)688-0037 Spokane Valley, WA 99206 FEB Community Development www.spokanevalley.org 106 D n 03�0� Demolition Notice of Intent Permit Application # 07-0044 PERMIT NUMBER: -06VV7 r �ERMIT FEE: x Commercial Residential /� SITE ADDRESS: 19011 E. t4 rietta ASSESSORS PARCEL NO: 55082.0410 Building Owner: - -_ - Contractor: ,Teff T.rrvrt - Name: me. KrimFreeze Name: I3rRztrs L73tnliti[rt, Inc. Address: 123 Saith Right (hat Address: pp. Bac 4535, City: Lilcerty Take State: Inlk Zip: 99019 City: Spolere State: wri Zip: ggno Phone: 509 710-9894 Fax: Phone: 509 535-7944 Fax: 509 535-8087 Contractor Lic No•ThRgnimaj Exp Date: 12/31/2007 Contact Person City Business Lic. No: 60)556997 Name: 3- rr Iar'r_n Phone: 509 994-3995 . A4 -o i_g ca --j910 Describe the scope of work in detail****NOTICE OF INTENT REQUIRED**** Emlitiat/tttrual Single WirSS Trailer Cost of project: $ 2000.00 ' The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) •This 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. • Ownership ofre Iting development rig granted by any issued permit inure to the property owner. Signature WC Date 2/21/2007 Method of Payment: ❑ Cash - 9 Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/23/2005 -• Site Plan - 19011 E. Marietta \4,2,o aNcOci oma- 02-14-0T 00:5T FROM-SCAPCA 500476020 T-500 P.02/02 F-142 4 1101 Wad 8ella403. AM 59201 �...+.. PTO of ape and gataibkofmart* toBrame stl. betemoveaoramain anetnehmeatMemo IT hinding AddreraK Affi le AsteOC_ 16190 N. Nast Nasse take Drive Y. Dominant I No. offtataaame; Ielaemouoa: (sea lank if> l) Derogation Came: ' Inn's ter itial, Irr. Q Doan m1a Mij00t Moan a firadentmed aflmtme7 0 Ya�0Noo [I 1. R Ponta Roali pi� * C, 2) MI Other De With NoAahaaslasRemoval Pan i 3 10-2591qmerfa e48-IS9moanSamharkefbeatFar 4. 260-999 femarIda- 4.999e4oam9:ont tens) 5. >10001ineerkat er>s.000 `aes-- > Mks* Pointer 1 pari 7. a Mona of a5- U armor Nam of $r ...,....... *beam 9 '.eaptataforIfemadamC ipms . bftaosh ,C a'7be oro dim in al.q]Ipb. mb On eweawomyied, arenundb rtaidnom Mkt Commreto a dtPrainot Regidar t5jas Fee �o dant b saamm(y _Mtha Warb and ager 5-0 See asshole 5-o met & i a er'be anmeiisaCL29and lac aced %praR )fir rci4tea rooamOmSCAPyamriren-47sQmotdx mmjacm, Pat ama5ig0�aaylspt Ian 8CA1'CAat1S09IiiI:�4T27. IL Opbaaml:List ddatatl moat yrs taaddlimman ofIbis w09stir ea tae alarm Oia mot & fax amber agar 'Am Wins* 1 2/21/2007 idaara 11.O 133c 4535 un ray — .v- rig hie p 509 i x1-75/5 Cam gamin Lake No For509 535-1%3 WA 1 99025 Stater1 a . Mining Fuc (limns Dept, as dam. aoa4omu 0 Maud DuarationfatachroPY *faded Phone: 509 535-7944 WadingNotirratian i x sag 535-8087 staoa , I Mr Naalhamlibk PudemPen 3 Days 10 Dema 10'115)5 - -- Prior Notice 10 ' 10Dm; $1.250 Twice > Fea Twice 'Project Fee manta L 1 eon* that mei aaataioa0 io mit mo_ ___ o nal kamdadia anyaundommuid dote prodded lA.lo es bag -513.11d complete. Taram'e f>�olilia1. Inc. . 2/13/2007 , Ractalare — s a • advance preitelion flied will beldo ahea a SalaisaliNOL boalthal rellared fear is received b7 SC.APCA. lbe A. Pr Jactt7pa) L 41Aabetos Nonmval I2.UAlbealot . apnotadrin 3. . .,.... ,r .. . ,Ts5-.r..: .. *r^'^ a Pavan). Iratin amine chars0tl M. Pboas509 71O-9894 1 > M&.- 5, 123 Right hat-- Q19011Stkair I Elbe Liisty Yale 3941 I Stan MFS �22p: 99019 OtiaCtrtards II rex Respoinale Sim Canon Pasant . f Tyr" D. D 41 J 509 994-3595 AsbtplsSong or avey aasaiimingfomdl 0 MMrrkt Premed 1 W Ya U ZfNa, Muth SSW, DacSay : I / ..I ?./08/21117 bro.flaco, s Ore back idyl) Mame 1a 159ARENA Sadie Nmaber. ► '-�� �y1 .I =/10/07 IL - astamtos Salta I No. ofllemettmtc Infonnatism ' �e i >1 1 t "02/10/7D07 -I C� "2710/2007-- f Vac. An n r at Total 7. b lalmr4y°t1 Peet 723 all ashram be Inn 1WiA wad( s G7 Ya • ape and gataibkofmart* toBrame stl. betemoveaoramain anetnehmeatMemo IT hinding AddreraK Affi le AsteOC_ 16190 N. Nast Nasse take Drive Y. Dominant I No. offtataaame; Ielaemouoa: (sea lank if> l) Derogation Came: ' Inn's ter itial, Irr. Q Doan m1a Mij00t Moan a firadentmed aflmtme7 0 Ya�0Noo [I 1. R Ponta Roali pi� * C, 2) MI Other De With NoAahaaslasRemoval Pan i 3 10-2591qmerfa e48-IS9moanSamharkefbeatFar 4. 260-999 femarIda- 4.999e4oam9:ont tens) 5. >10001ineerkat er>s.000 `aes-- > Mks* Pointer 1 pari 7. a Mona of a5- U armor Nam of $r ...,....... *beam 9 '.eaptataforIfemadamC ipms . bftaosh ,C a'7be oro dim in al.q]Ipb. mb On eweawomyied, arenundb rtaidnom Mkt Commreto a dtPrainot Regidar t5jas Fee �o dant b saamm(y _Mtha Warb and ager 5-0 See asshole 5-o met & i a er'be anmeiisaCL29and lac aced %praR )fir rci4tea rooamOmSCAPyamriren-47sQmotdx mmjacm, Pat ama5ig0�aaylspt Ian 8CA1'CAat1S09IiiI:�4T27. IL Opbaaml:List ddatatl moat yrs taaddlimman ofIbis w09stir ea tae alarm Oia mot & fax amber agar 'Am Wins* 1 2/21/2007 idaara 11.O 133c 4535 un ray — .v- rig hie p 509 i x1-75/5 Cam gamin Lake No For509 535-1%3 WA 1 99025 Stater1 a . Mining Fuc (limns Dept, as dam. aoa4omu 0 Maud DuarationfatachroPY *faded Phone: 509 535-7944 WadingNotirratian i x sag 535-8087 staoa , I Mr Naalhamlibk PudemPen 3 Days 10 Dema 10'115)5 - -- Prior Notice 10 ' 10Dm; $1.250 Twice > Fea Twice 'Project Fee manta L 1 eon* that mei aaataioa0 io mit mo_ ___ o nal kamdadia anyaundommuid dote prodded lA.lo es bag -513.11d complete. Taram'e f>�olilia1. Inc. . 2/13/2007 , Ractalare — s a • advance preitelion flied will beldo ahea a SalaisaliNOL boalthal rellared fear is received b7 SC.APCA. lbe PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 - - 509-477-3675 t ' ..._...v vu un avlUrsns IVlN _ Street Address: 19011 E. Marietta miwun rcrnmut tars %t,...1 ' - .. . RECEIVED Assessor's Tax Parcel Number(s): Phr 509 1v: i n�.I brUICMPVC CCL;;.t i _ .�, Legal Description: Addresc _ 123 South Right. Gait i s City, State. q FEB 0 •LOOT haling Addrecc - .• P.O. Bac 4535 • (instruction two :1!". DEPARTMENT OF BUILDINI HIV LJ FLAntI.11'V ;7,2r -- - - tach/ Itntral =n. -D3iDh Gil leyifle ri bjje li.m I Pmiert necrrintinn O Building Permit O Relocation - O Change in Use ding O Sign 0 Tenant Change) c\ 0 Manufactured Home Penult. Other Departinent Use Only - ?Cater Divrict/Puncfor. School District - - Scwvrpu ict/Purcmr • Roil width OWNER/APPLICANT INFORMA of .• Setbacks • Left 3 7A/7579 vie 0-1 - hciJh to peak Dimensions_ miwun rcrnmut tars %t,...1 ' - .. . a Own r Freeze Ms. KarimKarim1 Mailing 1 Phr 509 1v: i 710 9894 RT Applicant . d' l�ts'tli IA - Finnie 509 535-7944 TM. 11- Par. 509 535-8087 Addresc _ 123 South Right. Gait i s City, State. , haling Addrecc - .• P.O. Bac 4535 • (instruction two %i, - - fie, NA 99019 D ck St f ft _ . - . _ - _ C;tf, Snrc• i -Tr_ Spode, la.99220 r A 0 Contractor - . Marling - - Mrdnc - Fax - • O Architect/Engineer — - Thune address C'7. State . -- Aladmg address ,• - '� Yap WA Snrc Contractor t ( .Stat Zip . //l license # Contact frame - . - .. _, 3 7A/7579 vie 0-1 - :: Building Information . ` ...:: Building hciJh to peak Dimensions_ # of stouts 1 Main floor sm. ft; 780 • 1 _ Oentpartcr habitable s et. fa 2nd (kaon w. ft. 14 .;t d ilk Theft rel. Ft. gn uP Cost (instruction two Garage sq. ft. D ck St f ft _ . of project �.. ._ - 1 feat source (electric, gas. etc.) • r A 3 7A/7579 vie 0-1 Manufactured Home Walrk Year. Length: Make: Wb a the square footage of the sign find 11 of signs How highis the sign? Ana of craving signs Relocation Fire.Safety PR1tlanS ati11wss 15reyaankhx _ Paan[ booth _ Fin' Alarm . -lira Fireworks &Thy Prnpostd use Valle ALJ.l1Marlin. aa aa. un v........�..,•,-- Special Inspections Required? Non -Residential Energy Code Compliance? IrintiNarnc Phone Plans Rcuniner Phone lns,actrns • _ Address - Are there any wetlands, streams or ponds within 200 feet of the property? Ilya, ides* ea silt plan O Yes 00 No Ingrain Moor - 0 Concrete 0 Welding O Bolting 0 Reinforcement ^'1 ism FAILED PERMITS WILL ONLY BE ACEPTBD WITH PAYMENT OF A MAJOR D.TIT_ EXPIRILF TOTALFEE •raNzattariaaortansasMnacy±- MAKE6IPOSPAYAatCC1DStOKM.E COUNTS* PFAMr CENTER - ALJ.l1Marlin. aa aa. un v........�..,•,-- Are there structures on the property? gI Yes 0 No idiut45y Wbat is the current property size? (square feet or acres) lik Ups. en riff plan Is any pan of the property within 250 feet of a shoreline? If iSrati%y 0 Yes ® No Wbat is the current use of this property? yrs. onsite plan . Is your property in a designated wildlife habitat area? O Don't know O Yes a No WML the site be served by aseptiicc systema ) Yes O No Wil1--'—" Is any pan of the property within a 100 yr Rood plain? lir{ ithf emit<p&a 0 Maybe O Don't know 0 Yes No Am or will these be wells located on the property? Ibex, drah%y srte site plan 0 Yes 9 No Are there any wetlands, streams or ponds within 200 feet of the property? Ilya, ides* ea silt plan O Yes 00 No Is there evidence of fill or excavation on the property? - 0 Yes 9 No Are them slopes greater than 30% on the property? (30 & ase in 100 ft) ( /°A°) O Yes 17 No Are critical or hazardous materials used or stored Y site No Is the property m a designate! Stoimwater Consul Area? :::2.: -. -:' :.-�: " _" _--O O.,Nu 'Is pubSc iewinsatiable adm able the site? _:- - O Yes " _O No -".. - - .: Yes•-: Is the propeity inside the ASA? : -O- Yes "O.No' �,.." co Yes-' O No:....--: I; public water aw+lab e to the site? :. 0 Yes O No :. _ . .. ..- .... Is the property inside the PSSA? - - 0 Yes. '_ ONo: - Is:the property located within 1000 feet of a Natural Resource Ara? Dave Rccmat _. Stall — - METHOD OF PAYMENT ; VHA - : r CREDIT CARD SUBTOTAL r4D -.. _ �.'. -- Ei CASII ❑ CIIECK III°;•-. ..•• ❑ i_ ■ FAILED PERMITS WILL ONLY BE ACEPTBD WITH PAYMENT OF A MAJOR D.TIT_ EXPIRILF TOTALFEE •raNzattariaaortansasMnacy±- MAKE6IPOSPAYAatCC1DStOKM.E COUNTS* PFAMr CENTER - . i BANKC.\RD NUMBER .......�..a....•.�.nv. .. SPOKANE COUNTY HEALTH DISTRICT E. O. PLOEGER, M. D., M.P.H., HEALTH OFFICER N. 819 Jefferson Street Spokane, Washington 99201 PERMIT NO. ©9' r y Name DATE /Q ZO Na A 10096 APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES 4111 wa Address of Proposed Site Type of Use Number of Bedrooms Water Supply Septic tank capacity Length of disposal field /S-0 Address r v0r you e- a*7 Is basement for building planned? e No Building Capacity Camp Capacity - Other - (City Well, Spring). Drywell� gals. Style of tank Absorption Pits Leach Bed 111 Saw matin location of, Prepelad kwM. septic lank. disposal field. wall. Pane* and Ybm oat bulldlnp. lz1 (2) Yaks ned of any heavy slope or swampy am or any rg afar Impertam tepopaphlo datalla. „ — -_ — — _ S�1 %la Remarks: CONTRACTOR ......t ORM 240 REY: HEALTH PO4',11 For Spokane County Health District