2008, 02-25 Permit App: 08000539 Demolition BarnProject Ntunber: 08000539 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/25/2008 Page 1 of 2
Proiect Information:
Permit Use: DEMOLITION OF BARN Contact: SCHAFER, KARMEN L & BRUCE A
Address: 11122 E VALLEYWAY AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 928-8282
Group Name:
Site Information: Project Name: NOTICE OF INTENT #08-0045
Plat Key: 000000 Name: Range
District: Nort
Parcel Number: 45163.0321 Block:
Lot:
SiteAddress: 11122 E VALLEY WAY Owner: Name: SCHAFER, KARMEN L & BRUCE
Address: 11122 E VALLEYWAY AVE
Location:: CSV SPOKANE VALLEY, WA 99206
Zoning: R-3 SF Res District
Water District: 011 MODERN
Area: 40,512 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Review
Building Plan Review
Sewer Review
Permits:
Originally Released: 2/25/2008 By: jdavis
PER BILLY URHAUSEN
Originally Released: 2/25/2008 By: jdavis
Contractor: OWNER
Item Description
DEMOLITION ACCESSORY
Demolition Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Fee Amount
$20.00
Permit Total Fees: $20.00
Operator: jmm Printed By: JD Print Date: 2/25/2008
Project Number: 08000539 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/25/2008 Page 2 of 2
Notes:
The 3 outbuildings have been declared unfit for use due to clandestine drug labs.
CB
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Demolition Permit $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: JI) Print Date: 2/25/2008
Permit Center
CITY OF 11703 E Sprague Ave, Suite 4 -.EKED BY
Spokane Spokane Valley, WA 9920 llrrs�
pnNEVALLEY
jUalley. (509)688-0036 FAX: ( Y0FOtl3T
www.spokanevalley.org FEB 2 2 2148
Community Development CENTER
ERMtT CE
Demolition
Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial
Residential
SITE ADDRESS: /11 dpi t E/4//e Y GU.A1-11
ASSESSORS PARCEL NO: 11 5j LG•• 0 3 G I
Building Owner:
//
Name: 5(k 41.-,,,,,4 arc, ..1
Name:
Address: i/i?„,.. �r /fe,
/State:
City: `� � / State`4,n_
Zipc)
/
Phone: `���� Fax:
(moi) 3-7 0.-/ ,&.7
City:
Contact Person
Name:
Phone:
Describe the scope of work in detail
Contractor:
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
o A site plan is provided.
o Spokane County Utilities has approved the disconnection.
o Notice of Intent # 0 (- 0 0 Li5
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 resultingdevelopment rights granted by any issued permit inure to the property owner.
Signature
Date ea -aa-6�'
Method of Payment:
❑ Cash ❑ Check D MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/16/07
SRCAA NOI No.
B. Property
Owner:
1. ❑ Asbestos Re
SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAA)
1101 West College, Suite 403, Spokane, WA 99201
NOTICE OF INTENT (NOI)
For Asbestos Projects and Demolition Projects
Removal
2. 0 Asbestos Removal & Demolition
Property 0 •er's
Mailing Address:
C. Site
Address:
D. °` Asbestos Survey or
Material Presumed
AHERA Building
Ins.ector Name: .
Responsible Site
Contact Person:
E CEOME
FEBgfl p�
Demolit'
-ia» t k
eta _�nMMIZ t_y-
i�Phone: 3 26-y9
emoval
State:
E. Asbestos Project
Information:
If survey .erformed, was asbestos found? Survey
0 Yes D., If "No" for an structure attach surve Conducted 4
No. of Structures:
see back if>1
V 161 yuannry Ln.
to be removed: Feet
List individual type and quantity of materials to
be removed or provide an attachment of same:
Abatement
Contractor:
Mailing
Address:
Start
Date:
Certification
Number:
Completion
Date:
Will all asbestos material be
removed b .ro'ect co .letion?
Exp.
Date:
Wk. Days: Su M T W Th F Sa
Hours:
Will work schedule ■ Yes
fax . • m. be used? 0 No
F. Demolition
Information:
Demolition
Contractor:
No. of Structures:
(see back if> 1)
Start
Date: Q -oil
State:
� Training Fire (List Fire Dept. as demo. contractor below)
❑ Ordered Demolition (attach copy of Order)
Phone:
G. Asbestos/Demolition Project Categories:
Does this .ro'ect involve a fire -dams • ed structure? ■ Yes 1! No
1. ■ Owner -Occupied, Single -Family Residence Asbestos : Demolition Project *
Owner-Occu.ied, Sin.le-Fanvl Residence Demolition Pro'ect *
2. • All Other Demolitions With No Asbestos Removal Pro'ect
3. • 10 - 259 linear feet or 48 - 159 s. uare feet see back of fort for o.tions
4. • 260 - 999 linear feet or 160 - 4 999 s.uare feet
5. • > 1 000 linear feet or> 5 000 s.uare feet
6. w Emer enc Asbestos/Demolition Pro'ect attach "owner's letter"
Altemate Means of Co .fiance for Friable Materials attach .Ian
8. ■ Alternate Means of Com.liance for Nonftiable Materials attach .lan
9. • Exce.tion for Hazardous Conditions attach .Ian
10. ■ Demolition with Nonfriable Roofin• Left in Place
State:
Notification
Waiting Period
10 Da s
10 Da s
Prior Notice
lO Da s
Concurrent with Pro'ect
Non -Refundable
Project Fee
$1,250
Twice Pro'ect Fee
Twice Pro'ect Fee
Twice Pro'ect Fee
Re • lar Pro'ect Fee
* The two categories in G.l apply only to owner -occupied, single-family residences, which means any non -multiple unit building containing living10 Da s Twice e
space that is currently occupied (prior to and after renovation/demolition) by one family who owns the property
categories must be used for all other asbestos/demolition projects. For more information, contact SRCAA at (509) 477-4727tcile. One of the
11. 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):
1. I certify that the information contained in this notification and any supplemental data provided is, to the best of
my ;.wledge, accurat- and complete.
Signature Representing
For demolition projects, this NOI cxpiate 12 months from the earliest listed asbestos/demolition projectD startdate.
Your advance notification period will begin when a completed NOI, including required fees, is received by SRCAA.
s. copy of the asbestos survey. emmnlettpA nnhfirntim__-
girl npleteness Review
`NOI complete
NOI deficient -
See Attached
15094774715
Spokane Utilities
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12:13:51 p.m.
,wr000uwr IU 7rr(Yrl.7
02-25-2008 1 /5
r.ni.nv
11703 E Sprague Ave Suite B-3 1 Spokane Valley WA 99206
1509.688.00361 Fax: 509.688.00371
Transmittal
Date: 21221200/
To:
SPOKANE COUNTY ITTII.RIES
Fax: 509.4774715
From: CSV PERMIT CENTER
Re: • Review/Approval of Demolition Permit Application
Attn: Bil
Roger Rivers
Glen Grcdvig
Colin Depner
Lela Gellert
SITE ADDRESS: 11122 E VALLEY WAY
PERMIT PURPOSE: DEMOLITION OF BARN
FEB 25 2008 10:50
15094774715
PRGE.01
Spode
,�l.�Malley
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
• 509.688.0036 4 Fax: 509.688.0037 •
Transmittal
Date: 2/22/2008
To: SPOKANE COUNTY UTILITIES
Fax: 5094774715
From: CSV PERMIT CENTER
Re: Review/Approval of Demolition Permit Application
Attn: Billy Urhausen
Roger Rivers
Glen Gredvig
Colin Depner
Lela Gallert
SITE ADDRESS: 11122 E VALLEY WAY
PERMIT PURPOSE: DEMOLITION OF BARN
.,,