2006, 09-27 Permit App: 06004013 DemolitionOct 05 2006 10:b HI1 Moo s Lemoi•
r
11-21-0E 14:43 FROM-SCAPCA
'I1
T -T U P.01/01 F-434
QCA?CAu SFOKANb COUNTY KPOLUTK N CONTRDL AU
THORITY
iw , WA i
NOTICE OFINTENT
(NO1) TO PERFORM:
�. Project Types 1_ D Asbeatos Damem i _I 2. 1123-Aab •e iRemove) 8eDeate ittew Des_uaelit =r
ebtiva ry S RYCA
SEP 2 7 z006
Apex" tire '0•
3. Property
Owner. Ks43 Topper JOON W7 _Mar
properly Owner's
Mailing Address: t230 N Howard
321-5139
(If available)
Fax:
Ct : a
Steee: Wa Zi 99301
C. Site
Address: 18024 E Monseemery City: Spain* Va11 y
State: Wa
Zip 99216_
Responsible Site
R
Conten Person; Ruben Choler
lob Site
Phone: 991.0266
...........
D. ca Aaiun= survey sr
C1Mate (resumed
red, wan eibaii; kiwi 7
1tsurvcy rfbm
'.• s t Mao, Attain Survey
_Ye
Date Survey
Conducted: 50 -20 -0d50 -20-0d
Na. of ores:
zoo bet. 11,1
t
Cereii1citiott 1022129
Exp.
Dat.: 5-2467
A)4ERA 9W'IdiDg Kevin McCrirk
Ins • cow Nome:
N ,, ._,
F Aabeetas Project
1 No, of Structures: ! I Start 10-16.06 Co tion 1. 23-06
ec back If >9 Date:
Wk. Days-.su
Hata: 6 ;30
Di t,�• 0
Tofotrutioa:
otatl quantity
betenpn+e4:
Tan.
Peat
1710
ate:
Sq. W41 all asbestos • e 14 -.a
-_., .,is -. . 'on? 111413•
' 111 schedule
r • -,, be
(] Yes
•
to
List Individual type
and quantity of mama m
- ,,,.•, ,,,•
/On SF Centric TOM
.
_ _
._ _.._� --
De removed or • rovide an awefarnent of sans:
9905' how*
_
AbutPilait
Contractor IRS brarirrnnmental or WA, Inc.
�Phosto: 927.7667
Pax: 921-3933
��..
—
MdbO5
Address: PO Hoo[ 15236_
City: Spoliate
State: WA
1 Zip: 99236
P. Deniontioe
Information:
lVo. of Satreturao:
(see back if> 1) 1
Start 1D-23-06
Date:
D Training Fire (Lia Fire Dept. er demo. eon.travior below)
Q Orpsrad Dearolition (attach copy of Order)
_,
Drmaittiort gab's Demoliljan
Contractor:
Piton.; 534-2970.
Fax: 534-9404
Stan: Ws
Zip: 09217
Mailing
Address: 5420 S W9odland ?irk Dr.
it.: Spokane
G. Asbestws/Dewutltlaw TtojatCstiegat)p:
NatiTlcation
Non-Rciiaeubie
Docs this 'tet in u1ve a fir, darmated se uavre' Q Yes ® nit
Wane Pertod
lroicLt Fee
I. Owper Occupte d -Residential *abeam Removal & Demoliticla Project •
O.wsar-Ocjupicd Aesideweial DaOwlitiAn ?select Orkt •
Prior Notice
$..tu
a. A7 QTMrDea+olitions Wjtis No Asbestos Remeiwal Project
10 Davi
=541
3. ICI - 259 noon feet or 4e • 159 square foes (u bock alarm for options)
3 Mid
S'2. !n
4. 260 .9991jnea r they or 160 - 4.999 souls feet
10 Del
nine
S. 1,000ifetier feet ora 5.000 eau fact
10 DI '
$1,' <i)
6. a Aabo:ea Project or Oil &mer ency pggefido ca
.Mor Notice
Twee Prej. kx Fee
7. Alamos a of Cmwpllanee for Pt iobk Material* a Cl Non
l? Drys
Twice Prop= Fee
1. Alaernwratealna aCsmcpiianoe for Nonrriabte Asbcotoe MaaeirJats
i bays
•11vica Mums Fee
_ 9. 6>lorrffos forHaurdora Conditfrna
C�oatmnasan with Project
Roti Pnicct }=et
• The two .xogoost it G.1 aptly silky to owmcroccupicd. sinalo-nimily residences. which mans any nowntvitipie unlc building otmimning Hvaeg
spas. lbws i• corncob, omool.d (prior t. and Ow roeov..ddansotilion) by ma Nab atm owns the property as their domidir. s,Tlr or Ow
tate�oria et 0.2-9 muse loosed Paean other rteov.siooidalaelloap onsposs. For now ilooftcat, contact SCAPCA it (309)477•47'>.
H. Opdanaa: Wst aeloitiastal perdu you would Ificc Copies of this NOI atedfor rel,&.d naticcs stet to qui name It fax mamba ander rnatlieg :kt_ene:sy:
` Ditian 4-N0 v
33
1. 1 , fy that the intbtitnation contained In Ws notificationd soy mpplemedual data provided is, le Ole best
ta
of ny knowledge. accurst* tad eompleee.
iI .l iso a .1111 dl r %,1 , , t = ! ' it . ,fa II Ire 1
letene.4.s Review
01 nomp.MtP
dI deficient -
. MOme,Mins
A w Ow
Your advance notification period will begin when a =Mewl N01, including required fires. is received sty SCAPCA.
A copy of tito asbestos survey, completed notification & alt amendmefats muscae available for inspection at all tines at the job site. NO! 9M
RCEt4D 0114t-01 15521 t*014•i539211111 TC-sCAPCA
OCT 05 2006 11:2?
PAGE 01
509 534 9404 PAGE.02