2011, 05-31 Permit App: 11001531 Demolition Carportsii Z c��j(E Comr4hunity Development Department (Staff Use Onl _
Permit Center J (--'
Cn'4 2, 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: / 7
1 2
ISpokalhe Valley, WA
99206
Tel: (5 9) 688-00 6PERMIT FEE:
" Fax: (�09) 688-0037
permitdenterCcbsgokanevalley.org
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DEMOLITION PERMIT APPLICATION
PROJECT ADDRESS: 14913 and 14915 E Mission Ave, Spokane, WA (DUPLEX)
ASSESSORS PARCEL NO.: 45141.0905
BUILDING OWNER NAME: Hotchkiss Living Trust
MAILING ADDRESS: 2427 W Hayden Ave
c,Ty: Hayden STATE: ID ZIP: 83835
CONTACT PERSON NAME: Lea Hart
PHONE: 208-772-2799 FAX: 208-762-1062 CELL:
CONTRACTOR NAME:
MAILING ADDRESS: MB Builders and Development, LLC
cITY: Hayden STATE: ID ZIP: 83835
PHONE: 208-772-2799 FAX: 208-762-1062 CELL:
CONTRACTOR LICENSE NO.: 602872185 EXPIRES: 1/2013 CITY BUSINESS LICENSE NO.:
PROJECT DESCRIPTION (Please Provide Site Sketch)
0611 Site Plan Provided ❑ Notice of Intent #
❑ Spokane County Utilities has approved the disconnection
Describe the scone of work in detail
Remove Existing Carports for New Carports to be Built - This is a Duplex so there is (2) Carports
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 r d to be submitted and subsequently approved before this application can be processed.
Signature Date:
Method of payment: ❑ Cash ❑ Check _ ❑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
IN
Hotchhoo Duplex kemc
5ite Flan Lovout
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NOTICE OF INTENT MI. M3 1 ?011
Notice of Intent No. Spokane'��r
s
-
Regional �i� • : • • / • • SPOKANE REGIONAL
Agency Use Only Clean AIrA,,,, .�
Refer to the A enc 's Renovation, Demolition, and Asbestos Information Sheet as well as Regulation I, Article IX
A.
Project Type:
❑ Asbestos Removal
❑ Asbestos Removal & Demolition
I Demolition, No Asbestos Removal
Does this project involve a fire -damaged structure?:
❑ Yes 29 No
(If yes, refer to Sections 9.03.13.3 and 9.08)
Does this project involve demolition by fire training?:
❑ Yes No
(See Sections 9.02.R, 9.03.F.4 & 9.04.A.6.f)
How many contiguous structure does this project involve? (5
(If more than 1 structure, refer to Section 9.04.A.3)
max): ?j
B.
Property Owner: 11V `515 Lt ' rllj ' Phone: X _ a Xq1�7 Fax: 00V 76v2
Mailing Address: 2� 1 W Q, City: State: ( Zip: �js
C.
Site Address: iy913 X15 lyq� iyg2, ISD�il50 E City: VQiJState: Zip:
Contact Person: UEVt 1581 Job Sipa Phone: 20'f --T]
D.
RAsbestos Surveyor
Date survey performed: �j ao Ll. AHERA Bldg. Inspector Name:
RCdUA
❑ Material Presumed
Was asbestos
❑ Yes V[No
Company: P Y:
Cert. No.:
Q�
found?I
�T
CJI I'
E.
Asbestos Removal
Start
I
Completion
Abatement By
Information:
Date:
Date:
if known):
List individual tie and
quantily of materials to be
removed. If>1 structure, list
Total Linear Feet: Total S ware Feet:
materials for each structure
by address / location.
Will all asbestos material be removed from the s) b structure ❑ No
( y project completion? IJ
F.
Demolition
Information:
Start Date:
earliest
Demolition By
if known):
d A
M � C
G.
Asbestos Project and Demolition Notification Waiting Period and Non -Refundable Fee Categories
Your advance notification period will begin when a completed NOI, including required nonrefundable fees, is received by SRCAA.
Owner -occupied, single-family residence (see the Renovation, Demo., & Asbestos info. sheet) Waiting Period Fee
1. ❑ >_ 10 In ft and/or >_ 48 sq ft asbestos project not performed by residing owner Prior Notice $0
2. ❑ All Demolition (all asbestos must be properly removed and disposed of prior to demolition) 3 Days $30
residenceNot owner -occupied, single-family Waiting Period Fee
3. ❑ 10-259 In ft and/or 48-159 sq ft asbestos 3 Days $250
4. ❑ 260-9991n ft and/or 160-4,999 sq ft asbestos
10 Days $500
5. ❑ >_ 1,000 In R and/or> 5,000 sq ft asbestos
10 Days $1,250
6. All Demolition
* 7Z Qlcn -1--7_.-
10 Days $250*
—7-0—U uentut[uon, jee is waived f demolition is performed in conjunction with asbestos project category 3, 4 or S, above.
Additional Categories Which May Apply to the Project Categories in 1-6, Above
7. ❑ Emergency
Section 9.04.A.6.h I Prior Notice Twice the Regular Fee
Select the reason that best describes your situation:
❑ Sudden, unexpected event that resulted in a public health or safety hazard.
❑ The project must proceed immediately to protect equipment, ensure continuous vital utilities, or minimize property damage.
❑ Asbestos -containing materials were encountered that were not identified during the asbestos survey.
❑ The project must proceed to avoid imposing an unreasonable financial burden.
8. ❑ Alternate Asbestos Project Work Practices Section 9.08.A 10 days Twice the Regular Fee
Page 1 of 2
Spokane Clean Air, 3104 E. Augusta Ave., Spokane, WA 99207 / www.spokanecleanair.org / Ph:(509)477-4727 Fax: (509) 477-6828 09109