2008, 09-02 Permit App: 08003426 Demolition MHProject Number: 08003426 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/2/2008 Page 1 of 2
Project Information:
Pemrit Use: DEMOLITION OF BURNT MANUFACTURED Contact: JA SWIFT
HOME Address: 13005 N PITTSBURG
C - S - Z: SPOKANE, WA 99208
Setbacks: Front Left: Right: Rear: Phone: (509) 468-5975
Group Name:
Site Information: Project Name: NOTICE OF INTENT #08-0289
Plat Key: Name: WEST FARMS IRRIGATED TRACT # 02 District: Nort
Parcel Number: 46344.0716 Block:
Lot:
SiteAddress: 13815 E WELLESLEY AVE Owner: Name: CATE, RONALD J & DARLENE R
Address: 13815 E WELLESLEY AVE
Location:: CSV SPOKANE VALLEY, WA 99216_
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD Hold: ❑
Area: 14,272 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Sewer Review
SEWER ABANDONMENT NOT REQUIRED PER ROGER RIVERS -JM
Originally Released: 9/2/2008 By: JLMain
Permits:
.Demolition Permit
Contractor: J A SWIFT ENTERPRISES Firm: DALE SWIFT/J A SWIFT ENTERP
Address: 13005 N PITTSBURG Phone: (509) 468-5975
SPOKANE, WA 99208
Item Description Units Unit Desc Fee Amount
DEMOLITION - RESIDENTIAL 1 NUMBER OF $44.00
Permit Total Fees: $44.00
Operator: jmm Printed By: jmm Print Date: 9/2/2008
Project Number: 08003426 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/2/2008 Page 2 of 2
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Demolition Permit $44.00 $44.00 $0.00 $44.00
$44.00 $44.00 $0.00 $44.00
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: jmm Print Date: 9/2/2008
Spokane
.#Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 9920ERECEIVED BY
(509)688-0036 FAX: (509)68034) OKANE VALLEY
www.spokanevalley.org
Demolition
Permit Application
BY:
SEP 0 2 2006
PERMIT CENTER
PERMIT NUMBER: ?
PERMIT FEE:
ommercial
residential
SITE ADDRESS: 38 15 ET
Sy
ASSESSORS PARCEL NO:
Building Owner:
t/ I rS C S
Name: 1l JCS [ epi [ t_
1(l' J� `
Name:
0v1
°ay. lJJ�yt s.(
I
�1�T'e s
Address:
f-- tae ((r S kri
t 3645
City:
t
1/4 ( ,eStatee: (J /Zip: ll 06Phone: l
Fax: //� n_
t5
<yZ 2.d
/
Fax:
Contact Person
Name: Oa (e &A)
Phone: 93`'f- /GJO
1� /
Contractor: a:V4 S-63� t
v_ -- Et r/
t/ I rS C S
Name: 1l JCS [ epi [ t_
1(l' J� `
Address:
( 005
/ k „ j,„,
City: S
�
1'`
State: tar—
w4
Zip:/6.8
8
Phone: 9 3/s'a8
Fax: //� n_
t5
<yZ 2.d
Contractor Lic N"o�'43101E
& D` te: /
/a_ O /d
City Business Lic. No:
Describe the scope 9fork in det '1 Jac/el
IUD-r_i44 o r i itc�vl O 4 JC(✓✓� ( toL l'4' 4
(VA site plan is provided.
o Spokane County Utilities has approved the disconnection.
o Notice of Intent #
The pert dee 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 r ting d
Signatu
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2116/07
❑ Check
hts granted by any issued permit inure to the property owner.
Date — 3/-0U
❑ MasterCard ❑ VISA
Expires: VIN#:
Aug. 26. 2008 4:05PM SPOKANE CLEAN AIR
No.5544 P. 1/1
1i ui.ucuuic i\IicylIlI/
SRCAA NOT No.
's �a��
Ob. 's
Agency Use Only
SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAA)
West College, Suite 403, Spokane, WA 99201
. NOTICE OF INTENT (NOI)
For Asbestos Projects and Demolition Projects
U
11.
LHatie�l�rvetl BNy�S
MP; 2 6 2008
SPUtd& ° tUG°U !
r
'
. ji
A. Project Type:
emoval
1. U Asbestos Removal
2. ❑ Asbestos Removal & Dem✓✓oli//tion
3. C!
lseitte
Property M�rdd 4 /9(2.4,6„, .Ji
Owner:Phone:
«6t 5g75
�y �yln_ol
(gay bj by `.�`�/ 1
Fax:
Property Owner's �•/%��
Mailing Address: % jf �/��O I,J/
�//J,
Glty,;? GY.rc/ll a4
Stato1L4
/ _
Zip:9 /( e
C. Site rF
Address: � aj / 8S E, tz2 � �
llll``
City:, 2.2„.4 0j
QState:
�y 1 /
Zip: q7 ca/�(v
kesponsible Site jI c I 0'
Co ctPerson: `suet ✓ JLo �+
Job Site
Phone: lc��—iiD%,
D. Ud Asbestos Survey or
0 Material Presumed
If surveyormed, was, asbestos found?
Q Yes If "No” for any structure, attach survey
Date Survey
Conducted: ?Mt 02
No. of Structures: /
(sec back 1>1)
AHERA Building
Inspector Name: br►c. OC)nS
Certif cation
Number: \e,--0 •- O I S
i
Exp.
Date: �lr11e”
Project
ormation:
AsAsbestos
No. of Structures:
(see back if>1
Start
Date;
Completion
Date:
Wk. Days: Su M T W Th F Sa
Hours: -
alguantity
to be r• c�toved:
Ln.
Feet
Sq.
Foot
Will all asbestos material be U Yes
removed by project completion? 0 No
Will work schedule U Yes
fax pgm. be used? 0 No
List indiviid al type and quantity of materials to
be removed or Ovide an attachment of same:
Abatement
Contractor:
Phone:
Fax:
Mailing
Address:
City:
State:
Zip:
F. Demolition
Information:
No. of Structures:— `
(see back if'> 1) 1
Start 914 � aIC E
Date:. % is
Q Training Fire (List Fire Dept. as demo. contractor below)
0 Ordered Demolition (attach copy of Order)
Demolition •—�
Contractor: `1 Y1 SW t
Phone4,9��5
/� �/
Fax: - 6t3 �Z'1(
Mailing /� /J
. Address: 13 00 S A) IOC k t�
City:,S/%Ok60467
State:la(
7
Zip:9COR
G. Asbestos/Demolition Project Categories: �//
Notification
Waiting Period
Non -Refundable •
Project Fee
Does this project involve a fire -damaged structure? Ig Yes U .No
1. wn • 0 pied, Single -Family Residence Asbcstos & Demolition Project *
Owner upied, Single -Family Residence Demolition Project *
prior Notice
$30
2.j All then Demolitions With No Asbestos Removal Project
10 Days
$250 -?;t-
3. j]] 10 - 259 linear feet or 48 - 159 square feet (see back of form for options)
3.
3 Days
$250
4. U 260 - 999 linear feet or 160.4,999 square feet
10 Days
$500
.5. U >.1,000 linear feet or > 5,000 square feet
10 Days
$1,250
6. U Emergency Asbestos/Demolition Project (attach "owner's letter")
Prior Notice
Twice Project Fee .
7. U Alternate Means of Compliance for Friable Materials (attach plan) ,
10 Days
Twice Project Fee
8. U Alternate Means of Compliance for Nonfriable Materials (attach plan)
l ODays
Twice Project Fee
9. U Exception for Hazardous Conditions (attach plan)
Concurrent with Project
Regular Project Fee
10. U Demolition with Nonfiiable Roofing Lcft in Place
10 Days
Twice Project Pee
* The two categories in 0.1 apply only to owner -occupied, single-family residences, which means any non -multiple unit bui ding containing living
space that is currently occupied (prior to and after renovation/demolition) by one family who owns the property as their domicile. Ono of the
categories must be used for all other asbestos/demolition projects. For more information, contact SRCAA at (509) 477-4727.
It 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):
I. I cern that the in
f5'
mykno g ac
/ contained in this notification and any supplemental data provided is, to the best of
lmatf
rate complete.7� o4
v
/f L'gnati
g mpleteness Review
"" OI complete
❑ NOI deficient -
See Attached
1:1240/02 ,66
a Representing Age
For demolition projects, this NOI expires 12 months from the earliest listed asbestos/demolition project start date.
Agency Use Only
Your advance notification period will begin when a cotnolleted NOI, including required fees, is received by SRCAA.
e ..,...., nfthe aeheetnc enrr,ev nmmnleteA nntiAratinn W. all amendments must be available for iusoection at all times at the job site. NOI WO7
w 11/4c5RGC
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RECEIVED 09/02/2008 14:21 5096880037 SV PERMIT CENTERFR
Sep 02 2008 2:2IPM SPOKANE#COUNTY#UTILITIES 4777178 p.1
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11703 E Sprague Ave Suite 6-3 • Spokane Valley WA 99206
• 509.688.0036 • Fax: 509.688.0037 •
Date: 912/2006
Transmittal
SPOKANE COUNTY UTWTIES — Eas5e r
Fax:
509-477'.4771"
CSV PERMIT CENTER c.
Review/Approval ot.Demoll0on Permit Application
Attn: Billy Urhausen
k Roger Rivers
Colin Depner
SITE ADDRESS: 13813 E WELLESLEY
PERMIT PURPOSE: DEMOLITION OF BURNT MANUFACTURED HOME
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.0.001;Valley
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
♦ 509.688.0036 ♦ Fax: 509.688.0037 •
Transmittal
Date: 9/2/2008
To: SPOKANE COUNTY UTILITIES
Fax: 509-477-4715
From: CSV PERMIT CENTER
Re: Review/Approval of Demolition Permit Application
Attn: Billy Urhausen
Roger Rivers
Colin Depner
SITE ADDRESS: 13815 E WELLESLEY
PERMIT PURPOSE: DEMOLITION OF BURNT MANUFACTURED HOME