2011, 05-31 Permit App: 11001532 Demoltion CarportsENE - F
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Permit Center f iR. 1 "
SC1�11 crrf 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: " _Y J
alb �Aa Spokane Valley, WA 99206 t
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DEMOLITION PERMIT APPLICATION
PROJECT ADDRESS: 15003 and 15005 E Mission Ave, Spokane, WA (DUPLEX)
ASSESSORS PARCEL NO.: 45141.0903
BUILDING OWNER NAME. Hotchkiss Living Trust
MAILING ADDRESS: 2427 W Hayden Ave
CITY: 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)
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 required to be submitted and subsequently approved before this application can be processed.
Signature Date: -31-
Method
-3l-Method of payment: ❑ Cash ❑ Check ❑Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Siqnature:
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
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Hotchkiss Duplex Rrrmojel
15003 E. Mission Ave 8 13005 E. Mission Ave
Spokane Valley,lNA
Parcell #: 45141.0 -103
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8th Add. to Veradale Weights
Lot 3, Block 1
3q Acres
"All Utilities are Existing.
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8th Add. to Veradale Weights
Lot 3, Block 1
3q Acres
"All Utilities are Existing.
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�,,.vccaswi jGe LJ wal veu y aemounon is performed in conjunction with asbestos project category 3, 4 or 5, 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 -7 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.spokanecleanainorg / Ph:(509)477-4727 Fax: (509) 477-6828 09109
TICE INTENT
Notice of 1ptent No. = Spokane�' , ,
Regional �i!'FORASBESTOS PROJECTS DEMOLITION
AgencyUse Only CC@al1A�rAgenty
SP04C4NE REGIONAL
2R5 -
Refer to the Agency's Renovation, Demolition, and Asbestos Information Sheet as well as Regulation I, Article IX
A.
Project Type:
❑ Asbestos Removal
❑ Asbestos Removal & Demolition
Demolition, No Asbestos Removal
Does this project involve a fire -damaged structure?:
❑ Yes No
(If yes, refer to Sections 9.03.17.3 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 `ems Phone: X , a XR9 Fax: 000 - 7(pZ AJ
Mailing Address: 'LIA'l W City: State: ( Zip:
�S
C.
Site Address: i`i913 �t(a� lyc�� lyg2 ►SD03 150 E City:\J State: Zip:
Contact Person: — { � �.� V551 Job Silt Phone: 20 -T—M
D.
Asbestos Survey or
Date survey performed: 5 c)D tl AHERA Bldg. Inspector Name:
R iVn C,
❑ Material Presumed
Was asbestos
❑ Yes
Company:Iy
Cert. No.:
found?
T
tJl 1� ' `
E.
Asbestos Removal
Start
Completion
Abatement By
Information:
Date:
Date:
if known):
List individual type and
quantLty of materials to be
removed. If>1 structure, list
Total Linear Feet: Total S uare Feet:
materials for each structure
by address / location.
Will all asbestos material be removed from the structure(s) by project completion? ❑ Yes ❑ No
F.
Demolition
Information:
Start Date:
earliest
Demolition By
if known):
s A
Y" ti C
G.
Asbestos Project and Demolition Notification Waiting Period and Non -Refundable Fee Categories
Your advance notification period will begin when a complete NOI, including required nonrefundable fees, is received by SRCAA.
II
L ❑ >_ 10 h1 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
Not owner -occupied, single-family residence
3. ❑ 10-259 In ft and/or 48-159 sq ft asbestos 3 Days7$72504.❑
260-9991n ft and/or 160-4,999 sq ft asbestos
10 Days5.
❑ >- 1,000 In ft and/or > 5,000 sq ft asbestos
10 Days
6. V All Demolition
10 Days
$250 *
*Tho.R�sn,� a;f;,.0 � ,.
�,,.vccaswi jGe LJ wal veu y aemounon is performed in conjunction with asbestos project category 3, 4 or 5, 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 -7 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.spokanecleanainorg / Ph:(509)477-4727 Fax: (509) 477-6828 09109