2009, 11-03 Permit: 09003454 Demo Garage Stioliai°<\41 PERMIT CENTER
Valley® 11703 E. Sprague Avenue, Suite B-3
Spokane Valley,WA 99206
Site Information Project Information
Site Address: 11203 E 4TH AVE Project Number: 09003454 Inv: 1 Issue Date: 11/03/2009
Permit Use: DEMO GARAGE
Parcel Number: 45212.0702
Subdivision: Applicant: HULTQUIST,DANIEL D&LYNN
Block: Lot: 14516 N FREYA ST
Zoning: C Community Commercial MEAD,WA 99021-8924 Phone: (509)468-0216
Owner HULTQUIST,DANIEL D&LYNN Contact: HULTQUIST,DANIEL D&LYNN
14516 N FREYA ST
Address: 14516 N FREYA ST MEAD,WA 99021-8924 Phone: (509)468-0216
MEAD,WA 99021-8924
Setbacks-Front: Left: Right: Rear:
Building Inspector: SOUTH
Water Dist: MODERN
Group Name:
Project Name:
Permits
Demolition Permit Contractor: OWNER License#: OWNER
DEMOLITION ACCESSORY 1 $21.00
Total Permit Fee: $21.00
Payment Summary
Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt
$21.00 $21.00 $0.00 11/03/2009 20682 $21.00
D
ci=.01
Processed By: DAVIS,JENNA PERMIT
Printed By: MORRIS,HEATHER Page 1 of 1
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner.The permit applicant,by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes and that required
inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the
construction at the applicant's/permittee's or property owner's expense.At a minimum,the following inspections ARE
REQUIRED by City Code:
FOOTING—when forms and reinforcement are in place and prior to placement of concrete-all structures,including manufactured homes.
NOTE:This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane
Valley Ordinance.Curb lines and fence lines are not necessarily indicative of property lines.The responsibility to comply with applicable
setback provisions lies solely with the permittee-neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the verification or location of your property lines.Please verify their location prior to locating your structure.Failure to
properly locate the structure may require its relocation at the owner's/permittee's expense.
FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING—after rough-in,before covering,and final.
MECHANICAL—rough-in of piping,before covering,metal chimneys before concealment,and final.
FRAMING—after all framing,bracing and blocking is in place, rough electrical,plumbing and mechanical systems are complete,and prior to
concealing.
FINAL—when complete and prior to occupancy and/or use.All permits require final inspection.
NOTE: In addition to inspection of the structure,this inspection includes review of site improvements(typically depicted on the approved site
plan)required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants,fire department access,
on-site drainage('208'swales),road improvements,parking and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES—Final inspection required when complete,stairs,handrails,skirting,etc.installed,and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS—prior to cover.
RIGHT-OF-WAY/APPROACH—prior to placement of concrete/asphalt or,if gravel approach,after completion.
In addition to the above,any plumbing or mechanical systems or material which would be concealed by framing,drywall,concrete,etc.must
be inspected prior to cover.Check with the Building department for"special inspections"in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day/24 hour notice.Different parts of your project may require permits and inspections from more than one agency.
Building,plumbing(includes interior reversals for sewer)and Road cuts for utilities or driveways,City of Spokane Valley
mechanical,City of Spokane Valley Building Division 688-0054 Public Works 688-0195 or State Dept of Transportation
324-6000
Permits and inspections for electrical wiring.State Department of Labor Permits and inspections for Sewer Connection,Spokane County Utilities Division
And Industries 324-2640 477.3604
Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections,Spokane Valley
Health District 324-1560 Fire Department 892-4122
State law RCW 19.122 requires that prior to any excavation the"CALL BEFORE YOU DIG'center must be notified.Call before you dig al least 2 working days in advance,456-8000.
PERMIT EXPIRATION AND REFUNDS
All permits shall expire by limitation and be declared void if a)work is not started within 180 days of obtaining a permit,or b)work is
abandoned for 180 days or more after beginning work,or c)after two years from the date of permit issuance,regardless of whether the work is
finished. If a permit is expired for time,a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
finish the original permit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100%refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80%of a permit fee may be
authorized when no work has been done under the permit issued.Refunds of not more than 80%of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner/Agent Date
Staff Approval Date
City of Spokane Valley
Building Dept
Receipt
Receipt Number: 20682 Customer Number
Projects
Full
Project Nbr Inv Nbr Fee Amt Inv Amt Owing PAID Pint
09003454 1 $21.00 $21.00 $21.00 $21.00 El
Total: $21.00 $21.00 $21.00 $21.00
Miscellaneous Items
Total PAID: $21.00
Tender
Type Check Acct Balance CC Nbr Exp Date TENDERED
VISA xxxxxxxxxxxx7664 05/2011 21.00
Payer:
Total TENDERED: 21.00
Over /(Short) $0.00
Change $0.00
Notes:
Tran Date/Time: 11/03/2009 2:31:09 PM
By: HMORRIS
Logon User: BldgCounter
Station: CX SV00014A
Override By:
Printed: 11/03/2009 2:31:10 PM Page 1 of 1
sioim.ne
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11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
• 509.688.0036 ♦ Fax: 509.688.0037•
Transmittal
Date: 10/23/2009
To: SPOKANE COUNTY UTILITIES
Fax: 509-477-4715
From: CSV PERMIT CENTER
Re: Review/Approval of Demolition Permit Application
Attn: Billy Urhausen
Roger Rivers
Colin Depner
SITE ADDRESS: 11205 E 4TH
PERMIT PURPOSE: DEMOLITION OF GARAGE
Oct. 22. 2009 7:45AM SPOKANE CLEAN AIR u No. 1760 P. 1 ilij
OCT 1 1 2uu$
-- SPOKANE REGIONAL
s��cr,�'Yj5 ..,..a., C A► AI: .c E►
Notice of Intent No. $ okane 1' ` NOTICE OF INTE N u
Regional ( "\ FOR,\S111.S I OS L'ttOJEt_TS/DV N101 J WON
Agency Use Only Clean A)rAeenry _Dale Stamp`-Agen2V Use Onl
Refer to the Agency's Renovation,Demolition,and Asbestos Information Sheet as well as Regulation Article IX I
A. Project Type: ❑Asbestos Removal [l Asbestos Removal&Demolition 2 Demolition,No Asbestos Removal
Does this project involve a fire-damaged structure?: ❑Yes I]No (If yes,refer to Sections 9.03.F.3 and 9.08)
Does thisproject involve demolition by fire training?: ❑Yes_ yi No (See Sections 9.02.R,9.03.F.4&9.04.A.6.f)
How many contiguous structures does this project involve?(5 (If more than 1 structure,refer to Section 9.04.A.3)
max): . /./..74
/74/..,( I Phone:` 9 fV.,.oc t; 7/( C_1
B. Property Owner: `���.,, ��. ,mac r s /T � f
e City: Ji.,o-. c'< Zip: y az Mailing Address: /�(f'�v'Z. Al [«' , _
. `
C. Site Address: //24-C- 4.1 yz4 City; S%ec.‘ tState: ueti Zip:
Contact Person: S'Gra.,e • Job Site Phone: $'c_.e-
D. ® Asbestos Survey or Date survey performed: é 6 f- (r,7007jAHERA Bldg.Inspector Name: k'o•.,., M' Cr-4—,K,'
El Material Presumed Was asbestos ❑ Yes,(, No Company: c,t r ;i Cert.No.:
found? itr i k Ae,— .4 rT/iS. — 'ICIC
E. Asbestos Removal Start Completion Abatement By
Information; Date: Date: if known :
List individual type and .
quantity of materials to be
removed.If>1 structure,list
materials for each structure Total Linear Feet: Total Square Feet:
by address/location. Will all asbestos material be removed from the structure(s)by project completion?❑Yes ❑No
F. Demolition Start Date; �L,,&„.0,.,,6„., Demolition>3y .e
Information; (earliest) Ti (if known): L` '
G. Asbestos Project and Demolition Notification Waiting Period and Non-Refundable Fee Categories
Your advance notification period will begin when a completed NOI,including required nonrefundable fees,is received by SRCAA.
(.honer-occupied.single-lainily residence(see the Renovation,limn.,&Asbestus into.sheet) Waiting Per kid Fee
I.❑ 10 In ft and/or?48 sq ft asbestos project not performed by residing owner Prior Notice $0
2.0 All Demolition(all asbestos must be properly removed and disposed of prior to demolition) 3 Days $30
Not ooner'-ovcnoted,cingle-f.tmily residence \Vatting l'crlott Fee
3.❑ 10.259 In ft and/or 48-159 sq ft asbestos 3 Days $250
4.❑ 260-999 In ft and/or 160-4,999 sq ft asbestos 10 Days .$500
5.❑ 1,000 In ft and/or i 5,000 sq ft asbestos 10 Days $1,250
6.K1 All Demolition • 10 Days $250*
*The$250 demolition fee is waived if demolition is performed in conjunction with asbestos project category 3, 4 or 5, above.
Additional Categories Which May Apply to the Project Categories in 1-6,Above
Erne,gem) Notification Reference %Vaiting Period Non-Refundable FCO
7.❑ Emergency Section 9.04.A.6.h Prior Notice Twice the Regular Fee
Select the reason that best describes your situation:
❑Sudden,unexpected event that resulted in a public health or safety hazard.
❑The project must proceed immediately to protect equipment,ensure continuous vital utilities,or minimize property damage.
[]Asbestos-containing materials were encountered that were not identified during the asbestos survey.
0 The project must proceed to avoid imposing an unreasonable financial burden.
Alternate Asbestus Pro)cc.t NVoiIt Practices Reference Waiting Period Non-Refundable Fee
8.[1 Alternate Asbestos Project Work Practices Section 9.08.A 10 days Twice the Regular Fee
Page 1 of 2
Spokane Clean Air,3104 E.Augusta Ave.,Spokane,WA 99207/www.spokanecleanair.ggg/Ph:(509)477-4727 Fax:(509)477-6828 09/09
Oct. 22. 2009 7:46AM :SPOKANE CLEAN AIR No. 1760 P. 2
Exception tor Haz:irdou.Condition,. Refer elm Waiting 1'ciiod Non-Refundable Fee
9.0 Exception for Hazardous Conditions Section 9.08.0 10 days Regular Pee
Name of person that prepared the Alternate Work Plan:
Company he/she represents: ,
His/her certified AHERA Project Designer No.:
His/her Certified Industrial Hygienist(CII-1)number or •
Professional Rn:ineer PE)license number:
Ucuiulilion with N'onniable Asbcslos 1.toolia Reference Waiting Period Nnn-Refundable Fee
10.❑ Demolition with Nonfriable Asbestos Roofing Section 9.08.E 10 days Twice the Regular Fee
Name of person that determined that nonfriable asbestos
roofing material could be left in place per Sect.9.08.5:
Company he/she represents: 4 -_
His/her certified AHERA Project Designer No.:
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):
•
I. Acknowledgement
The Control Officer,or duly authorized representative,shall be allowed to access property at reasonable times to inspect projects
specific to the control,recovery,or release of contaminants into the atmosphere,in accordance with SRCAA Regulation 1,Article ll
and RCW 70.94.200. For the purposes of renovation,demolition,and asbestos projects,reasonable times include,but are not limited
to,any of the following;when renovation,demolition,or asbestos removal appear to be occurring or are scheduled to occur,and times
when the Control Officer or duly authorized representative are investigating air quality complaints filed with agency and/or have
reason to believe that air quality violations have occurred or may bo occurring.No person shall obstruct,hamper or interfere with any
such inspection.
' I certify that the information contained in this notification and any supplemental information provided is,to the best of my knowledge,
accurate and complete.
Business Name: wZ16 4`5I �`~Z Fax: V6 P-.? 16 6 Phone: F q-00A'-`)
Mailing Address: (6- `c -_ A(- 1`r..d cti,1LQQl 4'C `2 o t, (
Signature: _ ` '� Print Name: Det-,4 a /i/ a e `F
J. Agency Use Only. f,."."1
Q NOI Deficime
❑ NW Complete
Date&Initial
• Page 2 of 2
Spokane Clean Air,3104 E.Augusta Ave.,Spokane,WA 99207/www.spokanecleanair.org/Ph:(509)477-4727 Fax:(509)477-6828 09/09
Heather Morris
From: Rivers, Roger[RRivers@spokanecounty.org]
Sent: Friday, October 30, 2009 11:09 AM
To: Permit Center
Cc: York, Louis; White, David; Depner, Colin; Knudson, Chris; Urhausen, Billy; Stiltz, Mark
Subject: 11205 w 4th
According to our records,the garage that is scheduled for demolition at 11205 E.4th avenue IS NOT connected to county sewer.
Therefore a sewer abandonment/modification permit and inspection by the Spokane County Utilities Division IS NOT REQUIRED.
Please call me @ 477-7682 if you have any questions.
Roger Rivers
Customer Service Representative,Spokane County Division of Utilities
1