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2009, 10-21 Permit App: 09003414 Demoliton GarageProject Number: 09003414 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/21/2009 Page 1 of 2 Project Information: n Permit Use: DEMO RES GARAGE Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Contact: JRLED CORP Address: 2011 S EARLY DAWN C - S - Z: SPOKANE VALLEY WA 99037 Phone: (509) 216-4986 Group Name: Project Name: District: East Parcel Number: 55192.9029 Block: SiteAddress: 120 S TSCHIRLEY RD Lot: Owner: Name: FORD, STEPHEN H Address: 320 S SULLIVAN SPOKANE VALLEY, WA 99037 Location:: CSV Zoning: MF -1 MF MDR District Water District: 134 CONSOLIDATED ID #19 Area: 1.14 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Sewer Review Permits: Contractor: JRLED CORP Address: 2011 S EARLY DAWN SPOKANE VALLEY WA 99037 Demolition Permit Firm: JRLED CORP Phone: (509) 216-4986 Item Description Units Unit Desc Fee Amount WSBCC SURCHARGE 1 SELECT $4.50 DEMOLITION ACCESSORY 1 NUMBER OF $21.00 Permit Total Fees: $25.50 Operator: JD Printed By: JD Print Date: 10/21/2009 Project Number: 09003414 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/21/2009 Page 2 of 2 Payment Summary: Permit Type Demolition Permit Fee Amount Invoice Amount $25.50 $25.50 $25.50 $25.50 Amount Paid Amount Owing $0.00 $25.50 $0.00 $25.50 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: JD Printed By: JD Print Date: 10/21/2009 •••"..„, Spanoliane jvalleyx Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©sookanevalley.orq (Staff Use Only) PERMIT NUMBER: -34 4' PERMIT FEE: G� DEMOLITION PERMIT APPLICATION PROJECT ADDRESS: ( Z -A S. ra I ti ASSESSORS PARCEL NO.: BUILDING OWNER NAME: 4 tr%zf,J MAILING ADDRESS: Cm: et, -ice St 7/. ✓a,/ /414 1144 CONTACT PERSON NAME: `��� E ��AGeI'L STATE: 041 ZIP: PHONE: >r1'lAlL Z/ 4186 FAx: CELL: CONTRACTOR NAME: ..0-2 / 7 (3. MAILING ADDRESS: ' // S l`At 2 Gc., a ��✓ Cm: PHONE: SA. ‘4,6- 419 4- S 194 - STATE: CONTRACTOR LICENSE No.: FAX: CELL: ZIP: 1 j 7 2r 6 V4 EXPIRES: CITY BUSINESS LICENSE NO.: PROJECT DESCRIPTION (Please Provide Site Sketch) Site Plan Provided ❑ Notice of Intent # 0 Spokane County Utilities has approved the disconnection Describe the scope of work in detail POOP 44 DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permi n•t . • •rmit or,app'roval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may b- equire . • ' e su • itted and subsequently approved before this application can be process d. Signature Method of payy1ent: Bankcard #: Cash ❑ Check Date: C7 ❑Visa 9 Mastercard EXP: VIN#: Authorized Signature: SRe Effective October 28, 2007 P:\Community Development\Forms\Building forms\Demolition Permit App.1.doc Page 1 of 1 Oct. 19• 2O91:17PM2JM SPOKANE CLEAN AIRk ., ,. ,. r. <r v� r -,a yr ..r v � r a N. 171U P r•� 1 } The $250 demolirion fee fs 1valved ff dewalNion is perfai rico in cmchi 1•• - I. it k/•- •tom ` ' L-... . 1 a- 3_ N() i'T(F illi. IN'l'��,\T OCT a s 2009 xotioeofinientNo. okane 1' SPOKANE REGIO ' ��itlaJt •+ tl.11i\It .I4) I'[illll(fti'111`-fflflilll� i L'a1:' LT.7.' tits at4. Pi 1 — enAir A: cit', Use0++ly " Sheet well es Ra _ ulatlon Article s Refer to the A one s Renovation Demolition and Asbestus lamination as A, Project Type Asbestos Removal n asbestos Removal Demolition i 0 Demolition, No Asbestos Removal ■Yes �►� If es, refer to Sections 9,03.F.3 and 9.08. Does rhes • . •eoC involve a fire -dame, ed structure?: ❑ Yes - No See Sections 9.028 r O3;F•4 & 9•04.A.6.f) Does this project involve demolition by fire training?: l structure, refer to Section 9,04.A3) How many contiguous structures does this project involve? (4 � (Timbre thin Max : .7 �, Prarer ' Owner:: MaitinAddress: : Co a . Phone: y . flIo](1 Ci : . # /6 el/ 04 � , , f r ,�� Fax: Moto: Zig: •f.-Ci3 WA Zip: i�r ffli C. Site Address: O tri Vetej City: • 5,o tzeie'11' State: Contact person: ' JobSltl3Phone: �%�" 6 • /3 ode 4 Et-i—sbestos Survay or Date curve erfbrmtd: JO Ce, AHERA Bldg. Inspector Muer 01C- D. LJ miaow Presumed . Was asbestos .1 Yes IN No Company:frorgiet4,46,...„.........frt. No. 071 166 By '-1010 E. Asbestos Removal Start` Date: 6' Completion Date. 4 Abatement if known : 1 -/ Information: Last individual Cyte and guigitj ofmaterials to be ,/ M -= ¢ (Me removed, if>1 structure, list ` - Total Linear Feet: Total S r care Peet: D 4 materials for each structure by address l lo0atIon. -------� Will all asbestos material be removed from the strata s b r ro ect co .letion? F es • No —_ Aemoiitlon Information: Start Date, earliest 10 Z Demolition By fknaWn : r? y' Vf A X0 0 G. Asbestos project and Demolition Notification Welting Period and Non -Refundable Fee Categories Your will begin when a oompje.tedNOl, 'winding required nqnrefUndable feta, is received by SRCAA. advance notification period OwlltI omUliicd;.:iugle-isualili'rr\idrnrn(.erv'iItoliiylHrlitifinvOrm(1,,.\' AAlk Ski,. 'nth ..afl'r'i) 1. ❑ z 10 In fl ai d/or 48 sq 11 asbestos project not performed by residing owner \VIIitinr I'crinit Prior Notice 1 e $0 2. Not 3. • Ail Demolition (all asbestos must be properly removed and disposed of prior to demolition) Q5i'tI CI'-lI L'Cllillld•, •,Iiy�L, taultly I<•sirli'n('l' r 10.259 to ft and/or 48.159 sq ft asbestos 3 Days W,iitinit Period 3 Days $30--- I'rr $250 4.5( 260-999 In ft and/or 160;4,999 sq ft asbestos 1 1`f - - 5. III 1,000 In ft and/or � 5,000 sq ft asbestos ....... - 10 be $1,250 6.0 All Demolition 10 >�s . s250N ..:d. r.,,•.,,...rniaci rnieen v .4. d n)•5. above. n. Additional Categories Which May Apply to the Project Categories In 1.6, Above I kilt I,'011, y ion 7, (� Emergency Belot the reason that beat describes your situation: Sudden, unexpected event that resulted in a public health or safety hazard. [�The ptnJeetmutt proceed immediately to protect equipment, ensure continuous vital utilities, or minimize property damage. LAsbestos•containing materials Were encountered that were not identified during the asbestos survey, 'Tho yI—roject must proceed to avoid lmpoeing an unseasonable financial burden. 11Cti1'c11Ca Section 9.04.A.6,h ��',1ilrll' Poi'llill ,lift hCtllll(I;IhIL I l'E Prior Notice Twice the Regular Pee Ih i ii rte ,\sim1-1.us 1'rpical \\.4111, 8, a Alternate Asbestos Project Work Praotices Section 9.08.A 1Voulin,' Period Neu-ltcltIIIlI ala lit Twice the Regular Pee Page 1 of 2 Spokane Clean Air, 3104 E. Augusta Ave., Spokane, WA $9207 / lyww.spokeneelepnalLorg / Ph;(509)4774727 Fax: (509) 471=6828 0109 Dki j�e 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 • 509.688.0036 ♦ Fax: 509.688.0037 • Transmittal Date: 10/21/2009 To: SPOKANE COUNTY UTILITIES Fax: 509-477-4715 From: CSV PERMIT CENTER Re: Review/Approval of Demolition Permit Application Attn: Billy Urhausen Roger Rivers Colin Depner SITE ADDRESS: 120 S TSCHIRLEY PERMIT PURPOSE: DEMOLITION OF GARAGE