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2009, 08-05 Permit App: 09002592 Demo Interior l�s�� Community Development Department (Staff Use Only) CITY OFkae Permit Center -7 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: 41.1. C� Spokane Valley, WA 99206 Tel: (509) 688-0036 PERMIT FEE: ♦ — 440.0.Wiley k, Fax: (509) 688-0037 permitcenter@sookanevallev.orq DEMOLITION PERMIT APPLICATION PROJECT ADDRESS:16803 E.VALLEYWAY SPOKANE VALLEY,WA 99037 ASSESSORS PARCEL NO.: BUILDING OWNER NAME:Lois&JEAN DAVENPORT MAILING ADDRESS:16803 E.VALLEYWAY CITY:SPOKANE VALLEY STATE:WA ZIP•99037 CONTACT PERSON NAME:JEAN DAVENPORT PHONE: FAX: CELL: CONTRACTOR NAME:MR. SERVICE MAILING ADDRESS:728 N. COOK CITY:SPOKANE STATE:WA ZIP:99202 PHONE:509-535-8801 FAX:509-536-7512 CELL:8393305 CONTRACTOR LICENSE NO.:MRSERI*20781 EXPIRES:12-10-09 CITY BUSINESS LICENSE NO.:L0907722 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 THIS IS A FIRE THAT HAS BEEN ABATED. THE HOUSE IS GUTTED AND READY TO REBUILD,ALL THE FRAMING IS STILL INTACT EXCEPT THE ROOF ON THE EAST SIDE WHICH IS GOING TO BE REMOVED AND TRUSSES SET. WE WILL BE DOING:ROOFING, SIDING,WINDOWS, FLOORING, ELECTRICAL,MECHANICAL, INSULATION, SHEETROCK, &FINISH. 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 permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be requi be submi nd subsequently approved before this application can be processed. Signature"' i�lil� � �(m/.( ��,P�1/'(J(�' Date:8-5-09 Method of payment: 0 ih ® Check OVisa 0 Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 1 of 1 C:\Users\Michael E. Johnson\AppData\Local\Microsoft\Windows\Temporary Internet Files\Low\Content.IES\X03TX1 L4\Demolition%20Permit%20App.1[1].doc RECEIVED 08/19/2009 14:24 5096880037 SV PERMIT CENTERFR Aug 19 2009 2: 08PM PHRLON ABATEMENT 509-928-8785 p. 1 PAS PHALON ABATEMENT SERVICES, INC. P.O. Box 30968 • Spokane, WA 99223 • Office (509)928-8656 • FAX(509)928.8785 FROM: irl 1 C,k VGAn Da- FF DATE: p — I 0 9 TO: e.r-�q FAX: 6.8 O ©� � ATTN: jeock COMMENTS : Total Fax Transmittal is pages, including lead sheet. Please call 509 928 8656 if fax is incomplete. Thank you. RECEIVED 08/19/2009 14:24 5096880037 SV PERMIT CENTERFR • Rug 19 2009 2: 08PM PHALON ABATEMENT 509-928-8785 p. 2 Page 1 of 2 Dept. of Labor & Industries, Division of Occupational Safety & Health Asbestos Project Notification Form Form ID: 30081##1248Phalo078922 Notice Date: 7/1/2009 Start Date: 7/15/2009 Completion Date: 7/21/2009 Status: Initial Site Work Hours: 7:00 AM- 3:30 PM Site Work Days: Monday Tuesday Wednesday Thursday Friday Contractor: Photon Abatement Services Inc Job Site C.A.S.:Mike Hummel Your e-mail address: PAS@ AIR-PIPE.COM Contractor Phone Number: 509 928-8656 Property Owner Name: Jean Davenport Owner's Agent: Mike Johnson Company: Mr Service Address: 728 N Cook City: Spokane State: WA Zip-f-4: 99202 Phone: 509 535-8801 Job Site http:/llni.wa.gov/safety/topics/atoz/asbestos/FormDataDisplay.asp?FormID=30081%23%23.., 711/2009 RECEIVED 08/19/2009 14:24 5096880037 SV PERMIT CENTERFR Aug 19 2009 2: 08PM PHRLON ABATEMENT 509-928-8785 p. 3 Page 2 of 2 Address: 16803 E Valleyway Building Name: Residence Room: Main Floor City: Spokane Zip+4: 99037 County: Spokane Facility Type: Residence Age: 1955 Size:Two Story Type of activity: RemodelMaintenance Quantity of Asbestos to Be Removed Indoors Quantity: 1,100 square feet Popcorn ceiling Sheet vinyl Other:Wall Texture Quantity: linear feet Control Measures Neg.pres. enclosure Wet methods HEPA vacuum Critical barriers Manual methods Respiratory Protection 1/2 mask APR Type C pressure demand Comments: http://lni.wa.gov/safety/topics/atozJasbestos/FormDataDisplay.asp?FormID=3008]%23%23.., 7/1/2009