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2008, 09-19 Permit App: 08003612 Demo Residence Project Number: 08003612 Inv: 1 Application Date: 9/19/2008 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In ormation: Permit Use: DEMO HOUSE Contact: ASPEN VILLAGE APARTMENTS,LLC Address: 3418 S CHAPMAN RD C-S-Z: SPOKANE VALLEY,WA 99016 Setbacks:Front Left: Right: Rear: Phone: (509)000-0000 Group Name: Site Information: Project Name: NOTICE OF INTENT 08 0304 Plat Key: 002748 Name: VERA District: East Parcel Number: 45242.0741 Block: 39 Lot: SiteAddress: 16025 E 4TH AVE Owner:Name: ASPEN VILLAGE APARTMENTS, Address: 3418 S CHAPMAN RD Location::CSV SPOKANE VALLEY,WA 99016 Zoning: MF-2 MF HDR District Water District: 010 VERA Hold: ❑ Area: 45,760 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Septic Sys Review Released By: Originally Released: 9/17/2008 By: LHALSEY Sewer Review Released By: Originally Released: 9/17/2008 By: jdavis Permits: ,3„/.. , T .�« „' _ •:ice " = �... ,,. . ...: �.A�_ , Demolition Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount DEMOLITION-RESIDENTIAL 1 NUMBER OF $44.00 Permit Total Fees: $44.00 Operator: JD Printed By: jmm Print Date: 9/19/2008 Project Number: 08003612 Inv: 1 Application Date: 9/19/2008 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Will connect to public sewer in near future. Septic tank abandonment will be required at that time. 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: JD Printed By: jmm Print Date: 9/19/2008 Community Development Department (Staff Use Only) Permit Center '-, S�Ty OF 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: e Spokane Valley, WA 99206 Valley Tel: (509) 688-0036 PERMIT FEE: Fax: (509) 688-0037 permitcenter@spoka nevallev.orq DEMOLITION PERM�IIT APPLICATION �� PROJECT ADDRESS: ��®•�c / tom- /1k/2.- t.57o ' -t//% V4I- ASSESSORS PARCEL NO.: BUILDING OWNER NAME: ,4 , i''-s` G MAILING ADDRESS: 1/eX /9/o g CITY: �� STATE: (.A/))j9- ZIP: 9 A2/9 CONTACT PERSON NAME: �j 7,g)fi~C..e_ PHCRWEC g/6, - 6 / s FAX: CELL: `S} y„ As CONTRACTOR NAME: MAILING ADDRESS: 01.00 4, CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: PROJECT DESCRIPTION (Please Provide Site Sketch) ❑ Site Plan Provided 0 Notice of Intent # ' 3 — ©� ❑ Spokane County Utilities has approved the disconnection Describe the scope of work in detail 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 ..y violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be re ' d to be submitted a•- u• -quently approve of e this application can be processed. Signature Date: 9 -i2-48 Method of payment: Elj Cash ❑ Check ['Visa 0 Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 1 of 1 http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Demolition Permit App.1.doc ._94,,, ryt. / 3 �,J I . I 74, - /4/ —54e762 '-7 ••••••\ft,.., Sjok ane .0000Valley 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 • 509.688.0036 ♦ Fax: 509.688.0037• Transmittal Date: 9/15/2008 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: 16025 E 4TH PERMIT PURPOSE: DEMOLITION OF HOUSE RECEIVED 09/12/2008 15:16 5096880037 SV PERMIT CENTERFR , 12/09 2008 15:21 FAX 5095355304 SPECIALTY EI001/001 008 2:26PM SPOKANE CLEAN AIR 5:4.-7 No. 5 785 F'. 1/j From:Debbie Riley 05/09 2008 11;17 MX 5095355304 SPECIALTY it001/001 4 ' l<+1['4t Mi I'M, 06 - 003 NO. orviti'uYn rtavi,Vpw .%,i.nrirr Alit P U. jNl.Z kott . trom-- ,-,:abre �q y• . . ma0 1101 We't,Cdfegc,kite 403,Spokane,WA 99201 L � 'V"L�• f NOr w SEP 05 R . �+ ri (+Py sECNth F.or Asbestos.Projeete�udTSan;olitioprot),o acts . cy(Mt. • „..4*.E' esi -'k, A•lbestoe Removsrt .;2.Q Aabeatou.Ren o l&Demolition ..3.011 �;��.`t;,��;;,x:14: ` -'. '. e ,. 761 - L ay.'a= e . Owner: . C l (I1{��` Phone: -(o - S Fax: -Li - 3 Property Owatsr'a - , Marlin: Address: ,O �X 1 "l ( �....., " City: S(X? pv(1,wt1 state:l�W/T N: �'t ' lq . C, Site Addrets: , � ( 2 Sr �. i-`, City: Gqpato:� (' z�:F • R0.31tepn01aSiteJobSe CoPt.P onS LWr7 %fo� Plineigq t - A :�'Aabestoi Surveyor. If carve erformed,was asbestos found? Date Survey Ne.of Struee res: . Q. ]�sterial Presumed j,Yoe yW If`No"for any stricture,attach survey Conducter10-2s'u_ (see back.if>1Z .. j AH�R71'ltrrilding Certification Exp. ,0 le •Itts�rector Name: ham C�vv tiS RNumber%-0,6 02,--oz,-5103 - D.teb'(P E. Asbeatoo Project No.of Structures; start Completion Wk.Days:Sr u;ire W 11h F t Informations see back if>1 _ J Date:q-1 ) -1 ) Dateryy S � �."1�-� Hours: Sam-5 vv-� Total quantity Lu. (Cl5 Sq. Will all asbestos material be M'Yea Will work schedule Li Yes to be_zemgved;. Feet Feet removed byproiect orppletian7 0 No , 'fix pgrn,be used? lU Nti, List•ind3Vidtial type and quantity of materials to Vrs f r --) S bo removed or provide art attachment of same: abatement <j • pp . . C�Qtttracier: eel) tv.1 En vi vvtit (L"ID1.,l Phone,5 ecI-s-35-11.3 Pax:$0cr S 55--s-RO.( Msiliu$ Address:V021st~Yti'�' City:SpUXAXvL� _ S.tatci zip:g9{2Q1 F, Demolition No.of Structures: I Start i7 Training Fire(List Fire Dept.as demo.contractor beim_Iufor,natiort: (see back if> 1) Date: 0 Ordered Demolition(attach copy of Order). Demolition COnfractor: o ,� Phone: Fax: Meiling . Adddcss;. -... State Zip; G. Asbestos/Demolition Project Categories: T Notification Non-Refundable .Does this project involve a furs-damaged structure? U Yes ❑No Waiting Period Project Fee 1. 0 Owncr=Oocupied,Single-Paridly Residence Asbestos&Demolition Project Prior Notice $30 0 Owner-Occupied,Sinile-Pamily Residence Demolition Project e 2.q All Other Demolitions With No Asbestos Removal Project _ ________192) Lay $250 3..,._ .. . 10-259 linear feet or 48- 159 square feet(see back of form for options ) 3 b $250 4. 10-1 -999 linear feet or 160 •4x999 square feet• 0 Da 5. 0 >1,000 linear feet or.>,5,000 square feet 1 ays $1,250 6.Li.Emergency Asbeatoa/Demolition Project(attach"owner's letter") Prior Notice Twice Project Fee 7.i Alternate Means of Conaplianbe for Friable Mater-iale(attach plan) 10 Days _ Twice Project Fee 8? Alternate Me of Courelienee for N_ozAiable Materials(attach plan) 10 Days Twine Project Fee 9. • /3Xcention for Hazardous Conditions (attach plan) Concurrent with Project Regular Project Fe 10,q Demolition with Nonfriable RO_.-fig Left in Place 10 Days 'lance Project Fee • *The two categories in 0,1 apply only to owner-occupied,Ennio-family residences,which means any non-multiple untt building containing living apace That is currently occupied(prior to and atter renovation/demolition)by one family who owns the property as their domicile.One of the categories must be used for all other asbesto&dernolition projects.For more information,contact SRCAA et(509)417,4727. 11. Optional:List additional parties you would like copies of this NOI and/or related notices sent to(list name&itx number and/or Mailing address): - •C9 R••*tetteae�lteVii I. 1 certit that the intbrmation contained in this notification end any supplemental data provided is to the best of mi @tC • my owl a curate and conmp/et:e, • ® . doubt* See AliftAalli 3YasOitre eprafelli ng . Dare For demolition projects,this NOI expires 12 months ora the earliest listed eabeetos/demolition prgjeet start data, cz.V.9/51,0€ • ,UTenney Uss Anis Your advance notification period will begin when a completed NOT,.including required fees, ie received by SRCAA• rcnW nfehn rot,_yt,..o..,...., cw et ,.n.:�-.ar.., a n uoendments must be available for inspection at all times at the job site. rr01 7/i ace i ved Time Sep, 5. 2i 1 ; 11AM No, 5716 RECEIVED 09/16/2008 16:50 5096880037 SV PERMIT CENTERFR Sep 16 2008 4: 50PM SPOKANE#COUNTY#UTILITIES 4777178 p. 1 09/15/2008 07:33 5096680037 SV PERMIT CENTERFR PAGE 01/06 •••••°\.... SWarte .00.0Valley 11703 E Sprague Ave Suite B-3$ Spokane Valley WA 99206 ♦509.688.0036♦ fax: 509.688.0037• Transmittal Date: 911512008 SPOKANE COUNTY UTILITIES ..g . c' Fax: 609.477-4715 . CSV PERMIT CENTER Cr Re: Review/Approval of Demolition Permit Application 111 Attn: Billy Urhausen -� AC Roger Rivers r n re i _a Colin Depner '(0 SITE ADDRESS: 16025 E 4TH PERMIT PURPOSE: DEMOLITION OF HOUSE .�61 +° t r, si r '�'rePtiv'�',l 5 no Gtcrwn*lZr Gorlvlei ,SGLr-'CY CC422 J'►cO� r s n� 1 S 1'loT 14%1 V t,YS - fCol z