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2007, 04-11 Permit App: 07001204 Demo Fire Damage Permit Center clry of 11703 E Sprague Ave, Suitt B-3 PERMIT NUMBER—/ 70'4 PERMIT FEE: Spot alle Spokane Valley,WA 99206 il L_I__--- Valley. (509)688-0036 FAX:(509)688-0037 www.spokanevalley.org spokanevalley.org Community Development Demolition Commercial Permit Application k''Residential SITE ADDRESS: III I D L Q \J e - S C'I l`l VNr tt LM 1 L li b ASSESSORS PARCEL NO: Building Owner: Contractor: Name: 3`rbsQ v\(AS �,�tA ktg,� Name: 14e c4)Address: \ r . eeih�AVe. Address: ` 1 -.4lis-A.A41-72,K. �``,,,, 03 ``ff , {�Q`� City: C, � ViAt V`Q'�e. State: Zip: (I(J City: 'A Q V�� �. State: Ziip,t l L 16 Phonetlit_ ....11 a) Fax: Phone ►� , L/,�) Fa .sb1) y7Li 'SS20 Contractor Lic N eatsliDate: v 2 7/z,),, Contact Persont " 1. City Business Lic.No:y31 D bb (� 0 I Q,� Name: S 1A-Q-0 A UST C1 Phone: 'bq) `c - ( I t q 1 Describe the scope of work in detail ) N.: \M '' 'S ‘fn‘. ) s ,c1 ,0 c\ -0eiN,4:(,( \ �1�. � ��n ,��v,ss e S ) c.A e v\e A site plan is provided. o Spokane County Utilities has approved the disconnection. o Notice of Intent # 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. 110 Ownershi hof r-.ulting de - q• 1- ights granted by any issued permit inure to the property owner. 1 Signature ,�! . .,,�j Date I+ u 1 i )‘-1 Method of Payment: ❑ Cash ly Check ❑ MasterCard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 2/16/07 03-13-07 12:50PM FROM-SCAPCA 5094776828 1-998 P.01/03 F-517 / - . , .r. �•....M. :,4vu1v t x tette rv� u 11VN t;UNTROI.ML OR1'TY p �L" "- 2101 west College,Sct�t403,Spokane,WA 99201 . ,4010 -01 t---1. _ NOTICE 4F INTENT . .MAS'J_2 ZOO? Am � t3 TO PERFORM. n A. -' eject Type: 1. A Asbestos Removal Z.ri Asbestos Removal&Demolition 3.0 De.1.T:- A - ,i INIMMir Ili .._;_o__.....-.,�...-....... B. Property (If available) "' Owners .iason Dust Job# 141395 Phone:951-5499 Fax: Property Owner's Mailing Address: )4109 E ueeti City: Sall-_ y - State:.wWa Zip: 99216 C. Site - - - - Address: 14103E Queen _ City' kat'tts Valle State: Ws Zip: 99216 Responsible Site SpolJob Site Contact Person: Doti Picard-Amu'ican Restor)itiun Phone:995-6869 D- 0 Asbestos Survey or If survey . . ..-. was asbestos found? Date Survey ._ No,Of Structures: ■ Material Presumed El Yes II If No.Attach Surv-. Conducted: 2-23-07 see back if>I 1 AHERA Building Steve Payne Certification Exp. IllIpeclOr Name; �r - Number BIR-06-022 , Date: 8-2-07 E. Asbestos Project No-of Structures: Start 3-19 07 Completion 3-29-07 Wk.Days:Su F Sa Information: (see back If>1) I Date: ,Date: Hours: 7-5 Total quantity c,n. sq. Will alI asbestos material be ® Yes Will work schedule-7j Yes to be removed: __ Feet 6,196 Feet removed by proiect completion? No , fax psna.be used? jallo List individual type end quantity of materials to ,0 ar Street vinyl,2n sr v,7,576 black mastic,1000 SF popcorn,3360 SF wall textaurc. l SF fire be removed or provide an attachment of same: debris -�"- "" Abatement - - - Contractor: IRS Environmental of WA,Inc- Phone:927-7867 Fax:928-3933 Mailing ^.Mewl dames: PQM 15216 _____ ............... City- Spokane State: WA Zip: 99216 F. Demolition No.of Structures: Start R 'mining Fire(!Mist Fire.Dept as demo.commerce'below) information: (see back if> 1) Date: III Ordered Demolition(attach copy of Order) Demolition v Contractor: PhoOn: Fax: Mailing Address: ,�c $tate• G. Asbestos/Demolition Project Categories: Notification Non-Refundable Does(leis ro'ect involves foe Patna seructure4 Yes No Watling Period ProtFcr Fee 1.Z.I Owner-Occupied Residential Asbestos Removal&Demolition Project J7:1 Ower-UCgapied Residential Demolition Project Only• Prior Notice S30 _2--0 Ali Otter Demolitions With No Asbestos-Removal Project 10 Days $250 3.l^ l0-259 linear feet or 48 159 square feet(see back of foss for options) 3 Dais _ $250 4..0 260-999 linear feet or 160-4 999 square feet 10 D-t- $500 5. 0 > 1 000 linear feet or 5 000 a uare feet 10 Days SI 250 6.E_EmerEency Asbestos P feet or Titter en Demolition Pro'eat Prior Notice Twice Prot Fee 7- Alternate Means of Compliance for Friabie Material:or Demolition 10 Darr `-Twice Project Pet 8.©Alternate Means of Compliance for Nonfriable Asbestos Materials 10 Days Twice Proioct Fee --_- 9. :_Exception for Hazardous ConditionsConcurrent with Project Regular Project Fee * The two categories in Cl.i apply only to owner-occupied,single-family residences, which meant any non-multiple unit building containing living space that is currently occupied (pries to end after renovation/detaelition) by one family who owns the property as their domicile, One of the cutegones in G.2-9 must be esod far all other renovation/demolition projects.For mom infonnatientcontact SCAPCA al15.0 477-4727. H. Optional!List additional pasties you would tike topica of this Nal and/or related notices sant to(list mune&fax number and/or mailing address); '1P This is a . .. ..ac:� '.4.1 ,no"- .e , !port won.0 - e..- /11'1 u • j eyed and,' lylE!' , 4 �cc.:J G'lz T. I certify that the infounation contained in this notification and any supplemental data provided is,to the best '1i,.;,.-� ss.'I�vtt+w '_ of my knowledge,accurate acid complete_ ' 1 .� /'/ ►, ilk /1 �.� ' " s' eficala' t- Al / ' IRS Environmental of WA-Inc, *./3,7___ _ yam. 'd-gnccur Rapresentrr on 1t�.4�►. 0 M - f 7 t'G:�IJ4.S ., "our advance notification period will begin when a completed NOl,including required fees,is received by SCAPCA. copy of the asbestos survey,completed notification&all amendments must be available for inspection at all times at the job site. Ha/44/o6 RECEIVED 08-12-07 Ui;UPM PROM-5008Z858!3 TO-3CAPCA PAGE ui Pilti N nn^^ d V � Ifs f 0 Sb + c5 + z E.xzs'+zin) x2.S'6z14q USS CLAY t' .F 9141- V- t bltzueUgy Qqe,ev\ ve