2009, 02-24 Permit App: 09000443 Demolition BarnProject Number: 09000443 Inv: I Application Date: 2/24/2009 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: DEMO OLD BARN Contact: JEWELL EXCAVATING & CONST INC
Address: PO BOX 14759
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 927-4217
Group Name:
Site Information: Project Name
Plat Key: CONV Name: CONVERTED CNTY DATA District: East
Parcel Number: 45231.0751 Block:
SiteAddress: 212 S PROGRESS RD
Location:: CSV
Zoning: UR -7 Urban Residential -I
Water District: 010 VERA
Area: .00 Acres Width: 0
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Lot:
Owner: Name: DEGREEST, WADE
Address: 212 S PROGRESS RD
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:Zw-
Permits:
Demolition Permit
Contractor: JEWELL EXCAVATING &
Address: PO BOX 14759
SPOKANE, WA 99214
Item Description
DEMOLITION ACCESSORY
Firm: JEWELL EXCAVATING & CONST
Phone: (509) 927-4217
Units Unit Desc Fee Amount
1 NUMBER OF $21.00
Permit Total Fees: $21.00
Notes:
Payment Summary: m .rr:.�.,�n.. .. V-
Permit Type Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Demolition Permit $21.00
$21.00
$0.00
$21.00
$21.00
$21.00
$0.00
$21.00
Dicrinimar-
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: JD Printed By: JD Print Date: 2/24/2009
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RECEIVED 02/24/2009 14:01 5096880037 SV PERMIT CENTERFR
I ne nnnn n,nnctA ccnvnhir N rnti ATD NIr, Plp? P 1/1
5.V All Demolition
10 Days I $250w
1 have completed and attached the Supplemental Notice of Intent (NOI) for emergency, alternate asbestos project work practices,
__. _ —demolition with nonfriable-mhu2� 1_oofimg, or exception for hazardous conditions, _
*-The $250 demolition fee is waived if demolition is performed in conjunction with asbestos project category 2, 3 or 4, above.
H. Optional: List additional parties you would like copies of this'NOI and/or related notices sent to (list name & fax number and/or mailing address):
Y. I certify that the information contained in this notification and any supplemental information provided is, to the Completeness Review
best of my knowledge, accurate and complete. �'Nol complete
��� (�oC1 Q NOT deficient -
Business Name: `� Fax: 1 001 Phone; See Attached
Mailing A dress: Qf SA UA 9U �-
4
Z tit/ U
P,
/ Signature: 1 , L ..t l Print Flame: ►1l �1r Reencv Use Only
Spokane Clean Air, 1101 ImCollege, Suite 403, Spokane, WA 99201 / www.spokanecleanair.ore / Ph.: (509) 477-4727 Fax: (509) 477-68D
Your advance notification u iod will begin when a gompleted NOI, including required nonrefundable fees, is received by SRCAA. No! 11108
rsNOTICE OF
otice of Intent No. ? Spokane` !• '
INTENTFEB 2 4 20D9
FOR AS01ESTOS PROJECTS
Regionalpp
/ s
`
Agency We Only Clean /-�ll'A9emy
17nte �
Refer to the Agency's Renovation, Demolition and Asbestos information Street as vve as a tt atron r Article IX
A. Project Type:
❑Asbestos Removal I
[J Asbestos Removal 8c Demolition I 3Demolition, No Asbestos Removal
Does this project involve a fire -damaged stiucture?: E] Yes
No (If yes, refer to Sec ons 9.03.F.3 and 9.08)
Does this 2roject involve demolition by foe training?. ❑ Yes
No (See Sections 9.02.11, 9.03.)3.4 & 9,04.A.6.f)
How many structures does this project involve?:
(If more than 1 structure, refer to Section 9.KA.3)
B. Property owner: a
Phone: Fax:
Mailing Address:
City: �p )(ptcnl� State: zip. 2 )
C. Site Address: al–a `,a . Yb
city.,SrI State:(, f} I Zip: 1
Contact Person:
Job Site Phone: `� 0 le 1
D. Asbestos Surveyor
Date survey performed:. % o
AHBRA Bldg. Inspector Name:
I Was asbestos found? ❑ Yes No
Company: Cert. No.: .d 1
Material Presumed
1;. Xlbeakos Removal
Start
Completion
Abatem t
Informattan,.
Date:
Date:
own),
List individual tie an
uanti of materials to be
removed, If >1 structure, list
materials for each structure
Total Square Feet: Total linear Feet:
ill all asbestos material be removed from c=e(s) b roirct completion? ❑ Yes ❑ No
by address I location.
F. Demolition
Star ate:
Demolition By
Information:
I (earliest) 7 0
if known ;
G. Asbestos Project and Demolition Notification Waiting Period and Non -Refundable Fee Catevories
0Avnei-i)ceupicd, single-foinily residence (seethe Renovation,
J)enik)., &Asbestos info. sheei) WaitingPerind F cc
1. ❑ All Demolition (all asbestos must be properly removed and disposed of prior to demolition) 3 Days $30
2.'❑ 10-259 In ft and/or 48-159 sq ft asbestos
3 Days $250
3. ❑ 260-999 In ft and/or 160-4,999 sq ft asbestos
10 Days $500
4. ❑ z 1,000 In ft and/or �! 5,000 sq ft asbestos
10 Days $1,250
5.V All Demolition
10 Days I $250w
1 have completed and attached the Supplemental Notice of Intent (NOI) for emergency, alternate asbestos project work practices,
__. _ —demolition with nonfriable-mhu2� 1_oofimg, or exception for hazardous conditions, _
*-The $250 demolition fee is waived if demolition is performed in conjunction with asbestos project category 2, 3 or 4, above.
H. Optional: List additional parties you would like copies of this'NOI and/or related notices sent to (list name & fax number and/or mailing address):
Y. I certify that the information contained in this notification and any supplemental information provided is, to the Completeness Review
best of my knowledge, accurate and complete. �'Nol complete
��� (�oC1 Q NOT deficient -
Business Name: `� Fax: 1 001 Phone; See Attached
Mailing A dress: Qf SA UA 9U �-
4
Z tit/ U
P,
/ Signature: 1 , L ..t l Print Flame: ►1l �1r Reencv Use Only
Spokane Clean Air, 1101 ImCollege, Suite 403, Spokane, WA 99201 / www.spokanecleanair.ore / Ph.: (509) 477-4727 Fax: (509) 477-68D
Your advance notification u iod will begin when a gompleted NOI, including required nonrefundable fees, is received by SRCAA. No! 11108
X use. i vi a
Jenna Davis
From: Rivers, Roger [RRivers@spokanecounty.org]
Sent: Tuesday, February 24, 2009 2:58 PM
To: Mike Turbak; Jodi Main; Jenna Davis
Cc: 'matt@jewellexcavating.com'
Subject: 212 S. Pines
The shed / barn that is scheduled for demolition located at 212 S. Pines Road IS NOT connected to the Spokane
County Sewer System. Therefore a sewer abandonment / modification permit IS NOT REQUIRED. Please call
me at 477-7682 if you have any questions.
Roger Rivers
Customer Service Representative, Spokane County Division of Utilities
2/24/2009