2007, 05-10 Permit App: 07001696 Demolition GarageProject Number: 07001696 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/10/2007 Page 1 of 2
Project Information:
Permit Use: DEMOLITION OF GARAGE
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: ROCKSTROM, NORMAN J & CARRIE
Address: 2604 N PARK RD
C - S - Z: SPOKANE VALLEY, WA 99212
Phone: (509) 863-7133
Group Name:
Project Name: NOTICE OF INTENT #07-0154
Plat Key: 000716 Name: ELECTRIC RAILWAY SUBURBAN HOME ADD
District: Nort
Parcel Number: 45072.1206 Block:
SiteAddress: 2604 N PARK RD
Location:: CSV
Zoning: UR -3.5
Urban Residential 3.5
Water District: 002 ORCHARD AVENUE
Area: 1.06 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: ROCKSTROM, NORMAN J & CAR
Address: 2604 N PARK RD
SPOKANE VALLEY, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Review
Building Plan Review
Released By:
Sewer Review
Permits:
Originally Released: 5/10/2007 By: jlmain
Released By:
OK PER LELA GALLERT @ SPOKANE CTY UTILITIES -VIA EMAIL 5/8/07
Originally Released: 5/10/2007 By: jlmain
Contractor: OWNER
Item Description
Demolition Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
Fee Amount
DEMOLITION ACCESSORY 1 NUMBER OF $20.00
Permit Total Fees: $20.00
Operator: jmm Printed By: jmm Print Date: 5/10/2007
Project Number: 07001696 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/10/2007 Page 2 of 2
Payment Summary:
Permit Type
Demolition Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$20.00 $20.00
$0.00 $20.00
$20.00 $20.00 $0.00 $20.00
Disclaimer:
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: 5/10/2007
Permit Center
Sc,rr or 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley, WA 99206
.Valley. (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Demolition
Permit Application
Mie 0 9 201»
PERMIT NUMBER:7 —N 4
PERMIT FEE:
Commercial
Residential
SITE ADDRESS: r, 6,04 N PPS c'(x,► yk.1.1 !Z V a9`J Q Q a/�'' aria
L
L
7 -1
ASSESSORS PARCEL NO: b/, Ao2060
Building Owner:
Name: NO 1 MA , x r 9. AlS
7YU
Address (D01 1.1 ., 'pa
Cit tf)..rlSc State:
��s
Fax
Phone- l ri 17
7 ,,� ��p, r
Contact Person
if'
Phone: (,pci,
Name:
Des ribe the scope of work in detail
0
Contractor: f.0 TLP 10
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
yS A site plan is provided.
p Spokane County Utilities has approved the disconnection.
o Notice of Intent # 07-O/54
The permittee verifies, acknowledges and agrees by their signature that: 1) Ownership of this City of Spokane Valley
Permit inure to the property owner. 2) The signatory is the property owner or has permission to represent the property
owner in this transaction. 3) All construction is to be done in full compliance with the City of Spokane Valley
Development Code. 4) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Signature ��,�� �� ) Date 5— G -a7
Method of Payment:
❑ Cash Check ❑ MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/16/07
05-08-07 03:15PM FROM-SCAPCA
T-420 P.01/01 F-228
SCAPCA NOI No.
-
07-0161i /
Agency USe Only
SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY a
1101 West College, Suite 403, Spokane, WA 99201
NOTICE OF INTENT
(NOI) TO PERFORM:
"INITE PrEettoe'lllYSIMPtit
MAY 0 8 2007
Agency Use Only
A. Project Type: 11. 0 Asbestos Removal j 2.0 Asbestos Removal & Demolition 1
3.X ;
. ! VII fabl til tcal
B. P1.01261.0? 1 `arm •+•�uru ' ,,
Owner: ' V . ort..
Phone2rr7/.5,
(If available)
Fax;,,/,08- % (,,Roil
Property Owner's o/ J) I x
Mailing Address:
Ci
3-
State Zip:
C. Sitebq AI eir �L
Address:
ka.IL.Q
City:
�'
State:
/a
lap:
Responsible Site p h �, � k
Job Site am
it/Contact
Parson:
D. IAsbestos Survey or
Material Presumed _
If survey performed was asbestos found?
❑ Yes jIf No. Anach Survey
Date Survey, -07
30
Conducted:
No. of Strucntres:
(see back if >1
t
/
AHERA Building l 44....p P W � gyp• 0)2 -
Inspector Name:
C mor:tion ,,, /,
l
Dael o243
E. Asbestos Project
Information:
No. of Structures:,
see back if >1
Start n a.a_
Date: '
Completion
Date: %-
Wk. Days•�Stit
Hours:
W ? eaj
Total quantity
to be removed:
Ln.
Feet
7&d''"
Sq.
eet
Will all asbestos material be 0 Yes
removed by nrnierr emmnletinn? fit No
Will work schedule
fax pem. be used?
0 Yes
n No
List individual type and quantity of
be removed or provide an attachment
materials to
of sante:
Abatement
Contractor:
Phone:
Fax:
Mailing -
Address:
City:
State:
Zip:
F. Demolition
Information:
No. of Structures: i
(see back if > 1) I
Start
Date: V--1-0 (
0 Training Fire (List Fire Dept. es demo. contractor below)
0 Ordered Demolition (attach copy of Order)
Demolition n w1m +C.Rn _ra_ 0c.zirts-rn.,
Contractor: / W �
Phone:g103 -7 la3
e Fax: a' 77A - (p 4
Mailing
Cly
Address: f
.
City:
State:
Zip:
G. Asbestos/Demolition Project Categories:-
Does this project involve a fire -damaged structure? 0 Yes No Categories:_
Notification
Waiting Period
Non -Refundable
Project Fee
I, 0 Owner -Occupied Residential Asbestos Removal & Dem li ion Project "
Igt Owner -Occupied Residential Demolition Project Only
Prior Notice
$30
2. ❑ All Other Demolitions With No Asbestos Removal Pr ject
10 Days
$250
3. • 10 - 259 linear feet or 48 - 159 square feet (see back of form for options)
3 Days
$250
4. 0 260 - 999 linear feet or 160 - 4,999 square feet
10 Days
$500
5. ■ > 1,000 linear feet or > 5,000 s ware feet
10 Days
_ _$ 250
6. Emergency Asbestos Project or Emergency Demolition Project
Prior Notice
Twice Proiecr Fee
7. q Alternate Means of Compliance for Friable Materials or ■ Demolition
10 Days
Twice Pro'ect Fee
8.011 Alternate Means of Compliance for Nonfriable Asbestos Materials
10 Days
Twice Pro_ ect Fee
9. ■ Exception for Hazardous Conditions
Concurrent with Project
Regular Project Fee
* The two categories in G.1 apply only to owner -occupied, Single-family residences, which means any non -multiple un't building containing living
space that is currently occupied (prior to and atter renovation/demolition) by one family who owns the property as their domicile. One of the
categories in G.2-9 must be used for all other renovation/demolition projects. For more information, contact SCAPCA at (509) 477-4727.
H. Optional; Lie additional parties you
ould like copies of this NOI and/or related notices sent to (hat name & fax number and/or mailing address):
* No 1 aog — 65l—R7}-Sr
-
I. I certify that the information contained in this notification any supplemental data provided is, to the best
of my knowledge, accurate and complete. -
� � s 5-9-07
C mpleteness Review
�NOII complete
O NOI deficient -
rsee1 Attached
C-'0494
'04_,5g1DI
Signature Representing Date
Ag cy Use l
Your advance notification period will begin when a completed NOI, including required fees, is received by SCAPCA.
A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at rhe job site. NO/ 8/06
1 a5\. 1 V1 1
Jodi Main
From: Gallert, Lela [LGALLERT@spokanecounty.org]
Sent: Tuesday, May 08, 2007 1:09 PM
To: Jodi Main
Subject: sewer information for 2604 N Park
Attachments: 2604 Park Rd.gif
Jodie,
We had a customer who lives at the above address come in today stating that the city of the valley has requested information about
whether the lot is connected to sewer. I was supposed to send you something showing if it was connected or not. I have included a
screen shot of the data in our system for the address and it shows no sewer permit has been taken out for the property. The
information is located in the upper right hand corner.
If this is not what you wanted please let me know what you do want and I will either email or fax it to you.
Regards,
Lela Gallert
Eng. Technician
Spokane County Utilities
477-7293
5/10/2007
Show Parcel Info
Parcel 11 / Premise 45072.1206 / 45967
Site Addr. 2604 N PARK RD - SPOKANE - (SV)
WANININM*110.11.111~0/0 ME. "IMMI
Owner ROCKSTROM, NORMAN J & CARRIE
(Assr.) 2604 N PARK RD
SPOKANE,WA 99212
Taxpa.$)er
(Treas.)
ROCKSTROM, NORMAN J & CARRIE
2604 N PARK RD
SPOKANE, WA 99212
Bill Name/Cons.ID ROCKSTROM, NORMAN J & CARRIE / 116937
(Util.) 2604 N PARK RD
SPOKANE, WA99212
Acct.Status/Oasis A /
Date Add/Conn.
Par. 9 tatus/U LU se
R esComVciALU se
Pending Seg?
Value/Sales
Plats
Dev.Agmt/Plan Act
Prj/Bu/D/Swd/GCt
8It/Prj/ConRq
Water Dist.
Zoning
10/25/2005 /
Active /
R/ Single Unit
N
91900 / 94196
LPABDP95
None/
Edgerton / CO n y 1 C
2005 / 2005 / --
Orchard Avenue I.D. #6
UR -3.5
—View Images
C StubReport
C 2 Connection Rpt
C 3 Project Apt
C 4 Plat
✓ 5 Assr. Section
C 6 Engr. Section
7 Sewer Status
C 8 GFC Prrit. Opt.
✓ 9 Dry Side Sewer
✓ A Attached D OC'S
P '
_errnits byCo PY Legal
Address to C ipboard
Exit
— Parcel is within.
PSSA 6YR
GA 15YR
Project # Issue Dt.
none
Sewer Permit Description/Addr (by Parcel tt
Project #
06003836
07000984
V Issue Dt.
V
V
Final Dt. Tp
SH
87003178 9/2571997 10/16/1987
99000520 1/25/1999 G/30/1999
Legal Description
Other Permits (by Parcel #)
Short Plat for 4 lots
SH FINAL SHORT PLAT -4 LOTS
MEI WOODSTOVE
BU RE -SIDE RESIDENCE
V=permit issued by Spokane Valley
ELEC RY SUB HOME PT OF B12 N182FT OF S199FT EXC E264FT ALSO
EXC N82FT OF W1BOFT
Prj=Sewer Project; Bu=Builder; D=Dry; Swd=Sewered; GCLIS=Gfc,Cfr,Ulid,Special;
Blt=Built Dt; Prj=Project Dt; ConRq=Conn.required Dt
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LEGAL DESCRIPTION
ORDER NO. 154034 -KG
TO
PART OF TRACT 12 ELECTmRIC RAILWAY SUBURBAN HOME ADDITION, ACCORDING COUNTY, WASHN PLAT
RECORDED IN VOLU" OF PLATS AT PAGE 95, IN SPOKANE WASHINGTON,
PLAT
"D
DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE WEST LINE OF TRACT 12, A DISTANCE OF 16 FEET NORTH OF
THE SOUTHWEST CORNER THEREOF;
THENCE NORTH ON SAID WEST LINE, 100 FEET;
THENCE EAST PARALLEL WITH THE SOUTH LINE OF SAID TRACT, A DISTANCE OF 180 FEET;
THENCE NORTH PARALLEL WITH THE WEST LINE OF SAID TRACT, A DISTANCE OF 82 FEET;
THENCE -EAST-ON-A=LM-PARALLEL WITH THE SOUTH LINE OF SAID TRACT TO A POINT 264
FEET WEST OF THE EAST LINE OF SAID TRACT;
THENCE SOUTH PARALLEL WITH THE'WEST LINE OF SAID TRACT, A DISTANCE OF 182 FEET;
THENCE WEST PARALLEL WITH THE SOUTH LINE OF TRACT TO THE POINT OF BEGINNING.
i