2008, 07-21 Permit App: 08002810 Demo Residence, Church Project Number: 08002810 Inv: 1 Application Date: 7/21/2008 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DEMOLITION/REMOVAL HOUSE&CHURCH Contact: LARSON'S DEMOLITION
ATTACHED Address: PO BOX 4535
C-S-Z: SPOKANE,WA 99202
Setbacks:Front Left: Right: Rear: Phone: (509)535-7944
Group Name:
Project Name: NOTICE OF INTENT#08-0226
Site Information:
Plat Key: Name: Range District: Sout
Parcel Number: 35232.9031 Block: Lot:
SiteAddress: 4818 E 4TH AVE Owner:Name: WSDOT/REAL ESTATE SERVICE
Address: 2714 N MAYFAIR ST
Location::CSV SPOKANE,WA 99207
Zoning: CF Community Facilities
Water District: 003 CARNHOPE Hold: ❑
Area: 14,522 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: xr,
Demolition Permit
Contractor: LARSON'S DEMOLITION INC Firm: LARSON'S DEMOLITION INC
Address: PO BOX 4535 Phone: (509)535-7944
SPOKANE WA 99220
Item Description Units Unit Desc Fee Amount
DEMOLITION-COMMERICAL 1 NUMBER OF $125.00
Permit Total Fees: $125.00
Payment Summary•
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Demolition Permit $125.00 $125.00 $0.00 $125.00
$125.00 $125.00 $0.00 $125.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm Print Date: 7/21/2008
N
N
Permit Center
cmoe 11703 E Sprague Ave,Suite B 3 PERMIT NUMBER:6-a�/o
Spokane Spokane Valley_ 99 L-1
Spokane
(509)688-003 f09)68$=9031� Y PERMIT FEE: /�.--� .
www.s okane a 1e .or
Community Development 1 s 1 20UB
! DRi-aii Y t...,..--i+t I`g----11
Demolition i�Y. •____---------- Commercial
Permit Application PP rx1 Residential
SITE ADDRESS: 4818 E. 4th Ave
ASSESSORS PARCEL NO:
Building Owner: Contractor: Larson's Demolition, Inc.
Name: Name:
WA Dept_ of Transportation L. Jeff Larson
Address: 2714 N. Mayfair Address-
2714 Box 4535
City: Spokane State: WA Zip:99207 City: Spokane State: WA Ztp:99220
Phone: 509 324-6000 Fax:509 324-6005 Phone: 509 535-7944 Fax:509 535-8087
Contractor Lic No: Exp Date:
I11BSODI1679U .12/31./09
Contact Person City Business Lic.No: •
Name: r. Jeff LaY-enn 600556997
Phone: ,O9 994--/995
Describe the scope of work in detail
Demolition/Removal Houcc and Church attached
ao A site plan is provided.
kz Spokane County Utilities has approved the disconnection.
0 Notice of Intent# 0 8-0 2 2 6
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 res :ng develo•ment ri!Lill granted by any issued permit inure to the property owner.
/ /� A''''
Signature / • 41 Date 7/21 /2008
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
Effective 10-28-07
Page 1 of 1
P:\Community Development\Forms\Building forms\Demolition Permit Application.doc
Jul. 17. 2008 1 : 36PM SPOKANE CLEAN AIR No. 4845 P. 1/1
• .7lni ao cure lu: -raFiM rnnuuii non , c,-tENT 50S-928-8 io.i p• 1
■ -
■ SRCAA NOI No. SPOKANE REGIONAL CLEAN AIR AGENCY(SRCAA D — e . a —.
--, �" 1101 West College,Suite 403,Spokane,WA 9920] — c, ��� - .
• 06." 0222' NOTICE OF INTENT (NOI) JUL �i�nerQ�f�o,riy '
Agency Use only For Asbestos Projects and Demolition Projects
A. Project Type; 1. ❑ Asbestos Removal . 2.1 Asbestos Removal&Demolition BEI DemolltittOltitq_iM1 its Remo i
E. Propert
Owner: 6 .. I1 1 6 tr 6 s_ - its Phoue:3 -a - e • Fax; a •
Property Owner's ,,
Address; 'M 1,•. a e IMM.•• • 6 a • Zi.:
C. Sitefira it de 4�ZOZ
Address: . -�h OAa : / . State: A Zi
Responsible Site f fob Phone:
•
Contact Person: 6a R/ • I
D: Asbestos Surveyor - If Burveyierformed,was asbestos found? Date Survey . No. of Structures:
❑ Material Presumed 'e Yes Ll If"No"for an stricture attach curve Conducted; `17'O • see back if>1 1
AHERA Building ...: .6,k Certification ry Exp.
Ins.octprNan •, • - . % Ir . ,Number: 11R" --.,•d
0 —.06 Date:11
E. Aabestos.Prbject .:No.of Structures:y Start'.,-, .,,,1,, Wk.Days:Su M tIa820 a cs
Information: sec back if>1 Date: i n 29-0 :. Date: • •- ..• .: Hours; t u. . • -.
Total quantity Ln. Sq. Will all asbestos material be '- Yes Will work schedule w Yes
to be removed: Feet 000 Feet remo cdb ..ro'ectco •.letion? ❑ No fax •: .be used? il-No
List individual type and quantity of materials toyligC~4.05 '�'14..^l.U'OD . _ --._______.,-.- _-_._•---_.
be removed or .rovide an attachment of same:
Abatement Phal•on Abatement Services., Inc. Phone; 928 8656 Fax: 928 8785
Contractor.
Mailing Ci SpokaneInall Zi 99223'
Address; P.O. Box -3 0 9 68
F. Demolition No.of Structures; Start „, Training Fire(List Fire Dept.as demo.contractor beim
Information: (see back if' 1 t Date: &-Lt O8 0 Ordered Demolition attach copy of Order
Demolition )J5-101�ik Fax; 'Jr7 SI0El1�f
Contractor: �A i C) t e'(Y1. t 1 10 Phone!
Mal{li�g. �J Pd 1f�Q.:1f1'
Address; Y..O• c50?L. 4-6- 5 Ci Zi•:C1/4Q
Non-Refundable
G. Asbestos/DemNotification
elltion.Project Categories: Waiting Period Non
Ref oda
Does this .ro ect involve a fire-dared+ed structure? • Yes No
Fee
I. • Owneei-Occupied,Single-Family Residence Asbestos&Demolition Project« Prior Notice $30
❑ Owner-Olsen.le. Sin 0-F4m11 Residence Demolition Pro oct° N i $250
2. .•. All Other Demolitions With No Asbestos Removal Pro'ect a a $ 50
3. • 10--259 linear feet or 48-159 a.1mm feet sec back of form for o•tions 3 Da �2 2 t t
4, 260.999linear feet or 160:- 999,e•rare feet ..... . .a a $] 250
5. • > 1 000 linear feet or. 5't000 s•uare feet
6, a Ever_enc Asbestos/Demolition Pro'ect attach"owner'e,letter” Prior Notice Twice Pro act Fee
• Alternate Moate of Com.liance for Friable Materials attach .lar 10 Da s Twice Pro'ect Fee
8. • Alternate Means of Com•liance for Nonfriable Materials. attach .lan 10 Da a Twice Pro'ect Fcc
9. • Extce.tiocfor Hazardous onditions attach •lar Concurrent with Pro'eel B-a:ularPro'ect Fe,
10.•• Demolition with Nonfriable Roafin I Left In Place 10 Da s Twice Pro'ect Fee
*The two categories in G.1 apply only to owner-occupied,of-ogle-family residenecs,which means any non-multiple unit building containing living
space that is currently occupied(prior to and alter renovation/demolition)by one fluntly who owns the property as their domicile.One of the
categories must be used(Or 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 NO1 and/or related notices sent to(list name&fax number and/or mailing address):
Com lateness Revie
O7 complete
I. I certify that the Information contained in this notification and any supplemental data provided is,to.the boat of 0 NOI deficient
knowledl e,accurate and complete.. See Attached
• ' ' I Phalon Abeteme.nt Serv. 1- ((O •08
_a/. !•t _i idea_. - pale
Signa fur Reprea ming
Fo•
r demolition projects,this NOI expires 12 months from the earliest listed asbestos/demolition project start date. w., _
Ort
~c Useenl
Your advancenoti(icetioa period will begin when a moglletemN I,no ding required fees,
isr rreceived
n at IRI times at the jab site, r+ot ��
A cony of the asbeatea survey,completed notiticatro CA}Time Jul. 16. 2008 10: 50AM No. 4801
rage 1 of l
Larsons
From: "Rivers, Roger'<RRivers@spokanecounty.org>
To: "'Larsons'" <larsons@nwadv.com>
Sent: Wednesday, July 09, 2008 4:36 PM
Subject: RE: Sewer Abandonments
Carol,
Sorry for not geffling back to you sooner. I've been out of the office until today. None of'the addresses on ;;our list
requires c sewer abandonment permit t pit from the county. it of the '-eses except for 3 are in the City of
,,Aol
Spokane's Sewer Service Area, so you might need to check with them. The 3 that are the county's are 418
''i not connected); 410 S. Howe (not connected) & 13100 N. Shady Slope (not connected).
Roger
From: Larsons [mailto:larsons@nwadv.com]
Sent: Monday,July 07, 2008 11:27 AM
To: Rivers, Roger
Subject: Sewer Abandonments
Hi Roger,
I have multiple listings that I am checking for Sewer Abandonments
The first is one that I would appreciate a quick response as this project is in Deer Park on the way to another job
in Cusick. With diesel the way it is,we are trying to schedule to mimimize travel. This is a trailer that has never
been set up, so I am guessing that the sewer is probably not an issue. Single wide trailer at N. 33112 Findley Rd.
in Deer Park,WA
The addresses listed below is for a 13 dwelling project for the Department of Transportation. I know that most
may be listed in the City, but some may be Valley and the Shady Slope is probably County.
2002 E. 3rd
4004 E. 3rd
4818 E.4th �.�f
itag4
410 S. Howe '\;t
1823 E. 2nd
1817 E. 2nd
1813 E. 2nd
1807 E. 2nd
3227 E. Carlisle
2623 N. Ralph
3201 E. Grace
3208 E. Jackson tY1 G J e---
13100 N. Shady Slope(House is being Moved) M 0 J Q....-
Thanks
iThanks Carol Larson
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4818 E. 4th
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