2008, 09-10 Permit App: 08003575 Demo Garage Permit Center
So�''A„ 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: 7
pokane Spokane Valley,WA 99206
�Valley� (509)688-0036 FAX:(509)688-0037 PERMIT FEE: LI�
www.spokanevalley.org
Community Development
Demolition Commercial
Permit Application Residential
SITE ADDRESS:1 \ . \ t -(,4
ASSESSORS PARCEL NO:
Building Owner: Contractor:
Name:4.4.A, t� C Name:
Address-`\� \ l s Address:
City: State'A ZiLQv1.L17 City: State: Zip:
Phonet o/ Zn A�`(1 C' Fax: �t Phone: Fax:
v"� L� ` Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: % N 5\
Phone: t4f-00‘-{
Describe the scope of work in detail
o A site plan is provided.
o Spokane County Utilities has approved the disconnection. ql t
1qp 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 o resulti g del+ Ipment rights granted by any issued permit inure to the property owner.
Signature =+.�•��--� — Date
10'01.
4,11.14. .r
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
Effective 10-28-07
Page 1 of I
P:\Community Development\Forms\Building forms\Demolition Permit Application.doc
, .
SRCAA NOT No. SPOKANE REGIONAL CLEAN AIR AGENCY(SRCAA)11 D.) Received By SR---CAA—,
Date
' 't- I
(3 (43 — 03 /0 1101 West College,Suite 403,Spokane,WA 99201
NOTICE OF INTENT (NOI) iln)
,LI J: SEP 1 0 2008 I 0
...7.../;
Agency Use Only
For Asbestos Projects and Demolition Projects : ,ot• :':::r..•,•,,,Algertcy,iikei3Odly 1
',iF;2P."":4'-`,.,•.
A. Project Type: 1. D Asbestos Removal 2. CI Asbestos Removal&Demolition 3. i Tifroir,NO—Mbeitoarem—joval
B. Property 4 s, _ /
oti -2 r_ (If available)
Owner: A-- V...\..4 dv..cl 11 Phone: c.q.(9- 00--N. Fax:
Property Owner's ,
, f\
Mailing Address: VA\\ ' ..\_ \.)\AAA City:C...-\. DV
C. Site
c.,
Address: C- (..Wii, Q City: ,i0 ... StaL.).4 Zi clab 2 .Ps
Responsible Site 004 _ ,c.A Job Site
;2intact Person: VW 4-ck ,g_ sit\1VLikkA Phone:
D. 7Asbestos Survey or If surverformed,was asbestos found? V Date Sue i 16No. of Structures:
0 Material Presumed U Yes bo If"No"for any structure,attach survey ConductedPV- , 0 0 (see back if>1)
AHERA Building t A t \ Certification
Inspector Name:
c ..t),.. _ (...) 7 „,--) .,, DExapte.:Qyzi...,/43 ot:
Ma Q...\(_. ,,‘ q\,4-t 3C_ Number:
E. Asbestos Project No. of Structures: Start Completion Wk. Days: Su M T W Th F Sa
Information: (see back if>1) Date: Date: Hours:
Total quantity Ln. Sq. Will all asbestos material be D Yes Will work schedule 0 Yes
to be removed: Feet Feet removed by project completion? 0 No fax pgm.be used? 0 No
List individual type and quantity of materials to ............ ................................................ . ....
be removed or provide an attachment of same:
Abatement —
Contractor: Phone: Fax:
Mailing
Address: City: State: Zip:
F. Demolition No. of Structures: i Start i til D Training Fire(List Fire Dept. as demo, contractor below)
Information: (see back if> 1) k, Date:sA-\V U n Li Ordered Demolition(attach copy of Order)
Demolition
Contractor: 9...0... .k Phone: OCts . A
Vt0OfibFax:
Mailing
Address: VA k Q k A./ City:Ccl[kAA_QState:4q1- Zip:
G. Asbestos/Demolition Project Categories: Notification Non-Refundable
Does this project involve a fire-damaged structure? 0 Yesr Waiting Period Project Fee
1. g Owner-Occupied,Single-Family Residence Asbestos&Demolition Project* „.. - -- -----, ..,
Prior Notice
Owner-Occupied, Single-Family Residence Demolition Project*
2. 0 All Other Demolitions With No Asbestos Removal Project .TO Days
$250
3. D 10-259 linear feet or 48- 159 square feet(see back of form for options) 3 Days $250
4. 0 260-999 linear feet or 160-4,999 square feet 10 Days $500
5. 0 > 1,000 linear feet or>5,000 square feet 10 Days $1,250
6. 0 Emergency Asbestos/Demolition Project(attach"owner's letter") Prior Notice Twice Project Fee
7. 0 Alternate Means of Compliance for Friable Materials(attach plan) 10 Days Twice Project Fee
8. 0 Alternate Means of Compliance for Nonfriable Materials(attach plan) 10 Days Twice Project Fee
9. 0 Exception for Hazardous Conditions(attach plan) Concurrent with Project Regular Project Fee
10. D Demolition with Nonfriable Roofing Left in Place 10 Days Twice 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 must be used for all other asbestos/demolition projects.For more information,contact SRCAA at(509)477-4727.
H. Optional: List additional parties you would like copies of this NOT and/or related notices sent to(list name&fax number and/or mailing address):
mpleteness Review
I. I certify at the i formation contained in this notification and any supplemental data provided is,to the best of NOI complete
deficient -
y lcnow ge,aNu\:te and complete. See Attached
•::.'"'W -'- . Sk-c C\10-D`)-
vi
St:nat e Representing Date
For demolition projects,this NOT expires 12 months from the earliest listed asbestos/demolition project start date.
Agency Use Only
Your advance notification period will begin when a completed NOI,including required fees,is received by SRCAA.
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, RECEIVED 09/11/2008 09:34 5096880037 SV PERMIT CENTERFR
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RECEIVED 09/11/2008 09:34 5096880037 SV PERMIT CENTERFR
Sep 11 2008 9: 34AM SPOKANE#COUNTY#UTILITIES 4777178 P. '
09/11/2008 08:06 5096880037 SV PERMIT CENTERFR PAGE 01/04
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4001000ValleY
i1703 E Sprague Ave Suite B-3 i Spokane Valley WA 99206
•509.688.0036•Fax:509.688.0037
, f40 Transmittal
Date: 5/11/2008
SPOKANE COUNTY UTILES
Fax 509-47T-4715
CSV PERMIT CENTER
Re: Review/Approval of Demolition Permit Application
Attn: Billy Urhausen
�( Roger Rivers
Colin Depner
T la e szt _1 1.14,' n'1V'#I-c..
SITE ADDRESS: 1711 N VISTA
PERMIT PURPOSE: DEMOLITION OF GARAGE
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Spokane
.0,00Malley
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
• 509.688.0036 ♦ Fax: 509.688.0037 •
Transmittal
Date: 9/11/2008
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: 1711 N VISTA
PERMIT PURPOSE: DEMOLITION OF GARAGE