2007, 08-23 Permit App: 07003338 Demolition BldgsProject Number: 07003338 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/23/2007 Page 1 of 2
Project Information:
Permit Use: DEMO 2 BLDGS 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:
Plat Key: 000000 Name: Range
District: Nort
Parcel Number: 45163.0321 Block:
SiteAddress: 11122 E VALLEY WAY
Location:: CSV
Lot:
Owner: Name: SCHAFER, KARMEN L & BRUCE
Address: 11122 E VALLEYWAY AVE
SPOKANE VALLEY, WA 99206
Zoning: B-1 Neighborhood Business
Water District: Hold: ❑
Area: 40,512 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Originally Released:
Other Reviews
8/23/2007 By: jdavis
Originally Released:
Sewer Review
8/23/2007 By: jdavis
Permits:
Operator: JD Printed By: JD Print Date: 8/23/2007
Project Number: 07003338 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/23/2007 Page 2 of 2
Demolition Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
WSBCC SURCHARGE
DEMOLITION ACCESSORY
Units Unit Desc
1 SELECT
2 NUMBER OF
Fee Amount
$4.50
$40.00
Permit Total Fees: $44.50
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 Pemuf $44.50 $44.50 $0.00 $44.50
$44.50 $44.50 $0.00 $44.50
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fords 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 04 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: 8/23/2007
Permit Center
SpQary oe 11703 E Sprague Ave, Suite B-3
De Spokane Valley, 4VED BY
(509 )688-003 CJ 1~5W /ALLEY
Imp.
www uokanevalle .or
Community Development AUG 23 2007
PER T CENTER
Demolition BY: n Commercial
PERMIT NUMBER:q,
PERMIT FEE:
Permit Application
Residential
SITE ADDRESS: /NZ . v.�t�� Lt% / � mss.. r daj e ' 9.9>06 'c4
ASSESSORS PARCEL NO:
Building Owner:
Name: -'cj4"'
4eleire...e.
"`
Address: ,//.?".. R. ti .„
City: ,45., v /State: r_�� Zip:99,4
Phone:- Fax:
Contact Person
azo11497
Name:
Phone:
Descri e the scope of work in detail
e 61 •¢e
Contractor:
Name: if 7'�� A_ _ 010 ,f�o-c/7
/�
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.
X Notice of Intent # o 7'-- Op73.
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 ta 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 Date G51 023 •o %
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/16/07
rI
SRCAA NOI No.
07: Qa-1 d
Agency Use Only
SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAAC
1101 West College, Suite 403, Spokane, WA 99201
NOTICE OF INTENT (NOI)
For Asbestos Projects and Demolition Projects
-
Date Received By SRC
AUG 2 3 2007
SPOKANE,r :
33366 Fed Grant ❑
32291 Burn Permits ❑
34397 Asbestos ❑
35900 Penalties ❑
32191 Operating ❑
Permit
33403 State Grant ❑
34395 NOC Review El
32292 Ag Burn Fees ❑
36990 Misc Income ❑
34317 SEPA Fees ❑
32194 AOP Sry Fee ❑
33831 Local Assessment
34396 Registration
34398 Wood Stove Exemp.
34318 Oxy Fuel Program
Other
SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY
1101 W. College Ave, Suite 403, Spokane WA 99201
RECEIPT NO. b o /
By
❑❑El
,,P q3i1
I9_ -r
CASH❑
CHECK ❑
MONEY ORDER ❑
• ACTION DATE
REVENUE CODE
RECEIPT NO.
AMOUNT RECEIVED
RECEIVED FROM
33366 Fed Grant ❑
32291 Burn Permits ❑
34397 Asbestos ❑
35900 Penalties ❑
32191 Operating ❑
Permit
33403 State Grant ❑
34395 NOC Review El
32292 Ag Burn Fees ❑
36990 Misc Income ❑
34317 SEPA Fees ❑
32194 AOP Sry Fee ❑
33831 Local Assessment
34396 Registration
34398 Wood Stove Exemp.
34318 Oxy Fuel Program
Other
SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY
1101 W. College Ave, Suite 403, Spokane WA 99201
RECEIPT NO. b o /
By
❑❑El