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2007, 07-25 Permit App: 07002888 Demolition Garage, Project Number: 07002888 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2007 Page 1 of 2 Project Information: Permit Use: DEMOLITION OF GARAGE Setbacks: Front Site Information: Plat Key: 002265 Name: RIVERVIEW MOBILE HOME SUB Left: Right: Rear: Contact: HENNESSEY CONSTRUCTION Address: P.O. BOX 1080 C - S - Z: LOON LAKE, WA 99148 Phone: (598) 233-8004 Group Name: Project Name: INWIEWASO District: Parcel Number: 55071.0603G Block: SiteAddress: 2913 N RIVISTA DR Location:: CSV Lot: Owner: Name: SHEILDS, CATHERINE R Address: 2913 N RIVISTA DR SPOKANE VALLEY, WA 99027 Zoning: UR -7 Urban Residential -7 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 9,600 Sq Ft Nbr of Bldgs: 0 Review Information: Width: 0 Nbr of Dwellings: 1 Depth: 0 Right Of Way (ft): 50 Review Building Plan Review Released By: Sewer Review Permits: Originally Released: 7/25/2007 By: JLMain Released By: OK PER BILLY URHAUSEN VIA FAX -7-25-07 Originally Released: 7/25/2007 By: JLMain Contractor: JAMES HENNESSEY Address: P.O. BOX 398 LOON LAKE, WA 99148 Item Description Demolition Permit Firm: JAMES HENNESSEY CONSTRUC Phone: (509) 233-8004 Units Unit Desc Fee Amount DEMOLITION ACCESSORY 1 NUMBER OF $20.00 Permit Total Fees: $20.00 Operator: jmm Printed By: jmm Print Date: 7/25/2007 , Project Number: 07002888 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2007 Payment Summary: Permit Type Demolition Permit Fee Amount Invoice Amount $20.00 $20.00 $20.00 $20.00 Amount Paid $0.00 $0.00 Amount Owing $20.00 $20.00 Page 2 of 2 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: 7/25/2007 Project Number: 07002888 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2007 Page 1 of 2 Project Information: Permit Use: DEMOLITION OF GARAGE Setbacks: Front Site Information: Left: Right: Rear: Contact: HENNESSEY CONSTRUCTION Address: P.O. BOX 1080 C - S - Z: LOON LAKE, WA 99148 Phone: (598) 233-8004 Group Name: Project Name: Plat Key: 002265 Name: RIVERVIEW MOBILE HOME SUB Parcel Number: 55071.0603G SiteAddress: 2913 N RIVISTA DR Location:: CSV Block: Lot: District: Owner: Name: SHEILDS, CATHERINE R Address: 2913 N RIVISTA DR SPOKANE VALLEY, WA 99027 Zoning: UR -7 Urban Residential -7 Water District: 134 CONSOLIDATED ID #19 Area: 9,600 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 50 Review Building Plan Review ed By: Sewer Review Permits: __A61 Contractor: JAMES HENNESSEY Address: P.O. BOX 398 LOON LAKE, WA 99148 Item Description Released By: Demolition Permit Firm: JAMES HENNESSEY CONSTRUC Phone: (509) 233-8004 Units Unit Desc Fee Amount DEMOLITION ACCESSORY 1 NUMBER OF $20.00 Permit Total Fees: $20.00 Operator: jmm Printed By: jmm Print Date: 7/25/2007 Proj ect Number: 07002888 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2007 Notes: IMINNINSINNOMINERVoltc0 Payment Summary: latkoma Permit Type Demolition Permit Fee Amount Invoice Amount $20.00 $20.00 $20.00 $20.00 Amount Paid $0.00 $0.00 Amount Owing $20.00 $20.00 Page 2 of 2 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: 7/25/2007 • Permit Center -- SCITY OF 11703 E Sprague Ave), Sulth $-3 pokane Spokane Valley, WA b6 Valley. (509)688-0036 FAX: j 009)688-Q0 7E 2 www. spokanevalley.org-- JUU Community Development Demolition Permit Application 2 PERMIT NUMBER: 7-Z l 0 D PERMIT FEE: n Commercial �Ifesidential SITE ADD • ASSESSORS PARCEL NO: s 5-0 7 l 0 3 Building Owner: Name:4,1e,".v e S S e y, Name: C i S (rt,c.11. Phone:0--0cf '/q -6).--36 Fyc7 - a 33 -8doyT Address: ,�_�j iii ■rs' City Business Lic. No: City: State: WA. 4 ` Zip: Phone: (1 C ( �,-1 -)._(e Fax: Contact Person Name: :Si M /'1k?. y% Phone: R ( 3� d €')C 3c - Describe the scope of work detail Contractor: Name:4,1e,".v e S S e y, AddreT( 0 �c.,,k 1 ©eO „ 4-e State: z4,41- Zip:7 Cf f //g City:/ 0K) Le -$14--e Phone:0--0cf '/q -6).--36 Fyc7 - a 33 -8doyT Contractor Lic No.'-, w16t-k_c_ p Dat : 3-og i9 City Business Lic. No: o A site plan is provided. o Spokane County Utilities has approved the disconnection. 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Signature vYw Method of Payment: ❑ Cash Check Bankcard #: Authorized Signature: REVISED 2/16/07 Date 7/ZS�D7 ❑ MasterCard ❑ VISA Expires: VIN#: NOI No. Agency Use Only SPOKANE REUIUNAL ULhAN Aix AUL NU Y n 1101 West College, Suite 403, Spokane, WA 99201 NOTICE OF INTENT (NOI) TO PERFORM: �a��� �• JUL 2 5 2007 �JI (+p^Ae�n�wy(�Urse/�Only dFHrsnrtL I IICa L. ► A. Project Type: 1. ❑ Asbestos Removal 2. ❑ Asbestos Removal & Demolition 3. ������'V�`�'''lr� �� B. Property Owner: Ch E r/ n 5A id Phone: qg / 677a--,6, (If available) Fax: Property Owner's Mailing Address: c �' i v 1 � .sp o LA Al e_ City: L9 a.-�� t j.- _ i , , State: �/ Zip: C. Site' Address: N d.. q 13 f"C l v j S ►G:., b ✓ a 01' -'►1- City: _ ��� State: w Zip: Responsible Site Contact Person: (Q <n vie ‘s5 e (6 Job Site Phone: 9/ OS -3F D. XAsbestos Survey or ❑ Material Presumed If surve rformed, was asbestos found? ID No, Attach Survey Date Survey Conducted: No. of Structures: (see back if > 1 TIf \ AHERA Building Inspector Name: Certification Number: Exp. Date: E. Asbestos Project Information: No. of Structures: (see back if >1) Start Date: Completion Date: Wk. Days: Su M T W Th F Sa Hours: Total quantity to be removed: Ln. Feet ( f Sq. Feet Will all asbestos material be U Yes removed by project completion? ❑ No Will work schedule ❑ Yes fax pgm. be used? ❑ No List individual type and quantity of materials to be removed or provide an attachment of same: Abatement Contractor: /-r)/1(".5 2-c. OM 5 Phone: Fax: Mailing Address: City: State: Zip: F. Demolition Information: No. of Structures: (see back if > 1) Start Date: ❑ Training Fire (List Fire Dept. as demo. contractor below) ❑ Ordered Demolition (attach copy of Order) Demolition Contractor: Phone: Fax: Mailing Address: City: State: Zip: G. Asbestos/Demolition Project Categories: Does this project involve a fire -damaged structure? ❑ Yes ❑ No Notification Waiting Period Non -Refundable Project Fee 1. ❑ Owner -Occupied Residential Asbestos Removal & Demolition Project * t.❑ Owner -Occupied Residential Demolition Project Only * Prior Notice $30 2,....W. All Other Demolitions With No Asbestos Removal Project --- 10 Days $250 3. ❑ 10 - 259 linear feet or 48 - 159 square feet (see back of form for options) 3 Days $250 4. ❑ 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 $1,250 6. LIEmergency Asbestos Project or Emergency Demolition Project Prior Notice Twice Project Fee 7. ❑ Alternate Means of Compliance for Friable Materials or laDemolition 10 Days Twice Project Fee 8. ❑ Alternate Means of Compliance for Nonfriable Asbestos Materials 10 Days Twice Project 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 unit building containing living space that is currently occupied (prior to and after 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, call (509) 477-4727. 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): I. I certify that the information contained in this notification and any supplemental data provided is, to the best of my knowledge, accurate and complete. I Seib' Completeness Review ❑ NOI complete ❑ NOI deficient - See Attached Signature 1 Represent'ig ate Agency Use Only Your advance notification period will begin when a completed NOI, including required fees, is received. A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. S:\FORMS - June 2007\Asbestos\Notice of lntent.doc / I ZS J 7 3c/397 / t1 O Y S CHECK CASH 1/ MONEY ORDER❑/ 2. .--19 ACTION DATE REVENUE CODE RECEIPT NO. AMOUNT RECEIVED RECEIVED RECEIVED FROM 6 •• �.' 2_ / t� 33366 32291 34397 35900 32191 Fed Grant ❑ Burn Permits 0 Asbestos Penalties Operating Permit 33403 34395 32292 36990 34317 32194 State Grant NOC Review Ag Burn Fees Misc Income SEPA Fees AOP Sry Fee 33831 34396 34398 34318 Local Assessment Registration Wood Stove Exemp. Oxy Fuel Program Other SPOKANE REGIONAL CLEAN AIR AGENCY 1101 W. College Ave., Suite 403, Spokane, WA 99201 RECEIPT NO. 1 8 0 4 5 By •10/\..... %iilley 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 • 509.688.0036 ♦ Fax: 509.688.0037 • Transmittal Date: 7/25/2007 To: SPOKANE COUNTY UTILITIES Fax: 509-477-4715 From: CSV PERMIT CENTER Re: Review/Approval of Demolition Permit Application Attn: Billy Urhausen Roger Rivers Glen Gredvig Colin Depner Lela Gallert SITE ADDRESS: 2913 N RIVISTA PERMIT PURPOSE: DEMOLITION OF GARAGE r• • •c4,,,:%, 15094774715 Spokane Utilities JUL 25 2007 14:44 FR COSV PERMIT CENTER Siiachan .0•011;Valley -Date: 7/25/2007 5096880037 TO 4774715 P.01/02 11703 E S •am Ave Suite 8-3 • 688.0036 ♦ Fax: 509688.033 Valleykane 99206 Transmittal To: SPOKANE COUNTY UTILITIES Fax: From: 509.477-4715 CSV PERMIT CENTER Re: Review/Approval of Demolition Permit Application Attn: -Pilly-UTh um,- Roger Rivers Glen GTedvig Colin Depner Lela Gallen SITE ADDRESS: 2913 N RIVISTA PERMIT PURPOSE: DEMOLITION OF GARAGE JUL 25 2007 15:05 G kt., co'j� 15094774715 PAGE.01