2008, 06-11 Permit App: 08002151 Demolition GarageProject Number: 080021 51 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/11/2008 Page 1 of 2
Project Information:
Permit Use: DEMOLITION OF GARAGE Contact: DANA, PAUL & SUSNA E
Address: 4501 E SUMAC DR
C - S - Z: SPOKANE VALLEY, WA 99223
Setbacks: Front Left: Right: Rear: Phone: (509) 994-5092
Group Name:
Site Information: Project Name: NOTICE OF INTENT #8-0161
Plat Key: Name: CARNHOPE ADD District: Sout
Parcel Number: 35232.3009
SiteAddress: 4607 E 5TH AVE
Location:: CSV
Block: Lot:
Owner: Name: DANA, PAUL & SUSNA E
Address: 4501 E SUMAC DR
SPOKANE VALLEY, WA 99223
Zoning: R-3 SF Res District
Water District: 003 CARNHOPE Hold: ❑
Area: 13,500 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Sewer Review
Permits:
Originally Released: 6/11/2008 By: JLMain
R�Itrisad$y>
NO SEWER CONFLICT PER BILLY URHAUSEN VIA FAX
Originally Released: 6/11/2008 By: JLMain
Demolition Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
DEMOLITION ACCESSORY
Units Unit Desc Fee Amount
1 NUMBER OF $20.00
Permit Total Fees: $20.00
Operator: jmm Printed By: jmm Print Date: 6/11/2008
Project Number: 08002151 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/11/2008 Page 2 of 2
Notes:
BLA requires survey.
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Demolition Permit $20.00 $20.00 $0.00 $20.00
$20.00 $20.00 $0.00 $20.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmr Print Date: 6/11/2008
Community Development
Demolition
Permit Application
Permit Center
11703 E Sprague Aver, Suite B-3 t BY
Spokane Valley, WA 99206 �1ALL
(509)688-0036 FAX: (509)688-0037 �$
www.spokanevalley.org J04 (} o 2�
VtNltt
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111Commercial
Residential
PERMIT NUMBER: g -2 IS -
PERMIT
J
PERMIT FEE:
SITE ADDRESS: ( 60 7 G J
ASSESSORS PARCEL NO: 35- 2 3 2.
3oa7
Building Owner:
Name: Som
Name:
AU L 1)a34C. --
Address:
Address:
Ito 7 E
.7
Phone:
Fax:
City:D
1, ��
11(«
State
r!1
P't
Zip: 9?z
Phone:
�9 it _ 5042
Fax:
Contact Person
Name: 5a*t P
Phone:
Describe the scope scope
-v '3-61ea-Cl/
Contractor:
Name: Som
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
o A site plan is provided.
o Spokane County Utilities has approved the disconnection.
o Notice of Intent # p 5- — o1 )
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 resulting development rights granted by any issued permit inure to the property owner.
c
Signature apt Date 6- - o
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
111 Check
❑ MasterCard
Expires:
❑ VISA
VIN#:
Effective 10-28-07
Page 1 of 1
P:1Community Development\Forms\Building forms\Demolition Permit Application.doc
SRCAANOINo.
r �/
agency Use Only
SPOICANE REGIONAL CLEAN AIR AGENCY SRSI ��
( �
1101 West College, Suite 403, Spokane, WA 99201
NOTICE OF INTENT (NOI)
For Asbestos Projects and Demolition ProjectspOKAt4E
�'D• 'ecervedBy'��I►,.
jl,'� 5 2008 �V
�¢83t1dN9�s Only
A. Project Type:
1. ❑ Asbestos Removal
2. U Asbestos Removal & Demolition
: ►4 '
��..`�t oy e� stns Removal
B. Property c.:.---
Owner: A. U V AN 1
Phone: '-, j dy' y
(If available)
Fax:
Property Owner's
Mailing Address: 2 GO
1111
t '-
City:
$1
c- /
1 `p
State: W IY
Zi.: 2-12-'
C. Site
Address: L
Ci
/ ♦ c t
PM
Zi.: of 2l 7i
Responsible Site //Job
Contact Person: at' ')\\
t
Site
Phone: • - 5,
D. g. Asbestos Survey or
Material Presumed
If survey performed, was asbestos found?
U Yes If"No"for an structure, attach surve
Date Survey
Conducted:-33--(.
No. of Structures:
see back if>1 /
AHERA BuildingCertification
.sector Name:
QS C- A V (CCM W' 1L
'�
Number: U Ik- 67-671
Exp.
Date: 7-2.-aa
E. Asbestos Project
Information:
No. of Structures:
see back if>1
Start
Date: -• -O g"
Completion
Date:
Wk. Days: Su M T W Th F Sa
Hours:
Total quantity
to be removed:
Ln.
Feet
Sq.
Feet
Will all asbestos material be • Yes
removed b .ro'ect com.letion? ❑ No
Will work schedule • Yes
fax . a .. be used? U No
List individual type and quantity of materials to
be removed or provide an attachment of same:
Abatement
Contractor:
Phone:
Fax:
Mailing
Address:
Ci :
State:
Zi.:
F. Demolition
Information:
No. of Structures:
(see back if> 1) /
Start
Date: £-7-d S
LITraining Fire (List Fire Dept. as demo. contractor below)
IJ Ordered Demolition (attach copy of Order)
Demolition
Contractor: Sec
Phone: S Wv.-Q
Fax:
Mailing
Address: Sows-2--
City:
State:
Zi.:
G. Asbestos/Demolition Project Categories:
Notification
Waiting Period
Non-Refundable
Project Fee
Does this .ro'ect involve a fire-dented structure? • Yes pro
1. • ewner-Occupied, Single -Family Residence Asbestos & Demolition Project *
Owner-Occu.ie. Sine-Famil Residence Demolition Pro'ect *
P orNotic30
2. • All Other Demolitions With No Asbestos Removal Pro'ect
10 Da s
$250
3. • 10 - 259 linear feet or 48 - 159 sstare feet see back of form for o.tions
3 Da s
$250
4. • 260 - 999 linear feet or 160 - 4 999 s.uare feet
10 Da s
$500
5. • > 1 000 linear feet or > 5 000 s. ware feet
10 Da s
$1 250
6. • Emer •enc Asbestos/Demolition Pro'ect attach "owner's letter"
Prior Notice
Twice Pro'ect Fee
7. • Alternate Means of Co..'Hance for Friable Materials attach .lan
10 Da s
Twice Pro'ect Fee
8. • Alternate Means of Co ss *Hance for Nonfriable Materials attach 'Ian
10 Da s
Twice Pro'ect Fee
9. • Exc- .tion for Hazardous Conditions attach . Ian
Concurrent with Pro'ect
Re: lar Pro'ect Fee
10. • Demolition with Nonfriable Roofin: Left in Place
10 Da
Twice Pro'ect Fee
* The two categories in 0.1 apply only to owner-occupied, single -family residences, which means any non-multiple unit bui ding containing living
space that is currently occupied (prior to and after renovation/demolition) by one family who owns the property as their domicile. One of the
categories must be used for all other asbestos/demolition projects. For more information, contact SRCAA at (509) 477-4727.
H. Optional: List additional parties you would like copies of this NOI and/or related notices sent to (list name & fax number and/or mailing address):
I. I certify that the information contained in this notification and any supplemental data provided is, to the best of
my knowle r-, a curate and complete.
C,-5'o
4111._
Co teness Review
OI complete
❑ NOI deficient -
See Attached
il &.S' t7p
ignature Representing Date
For demolition projects, this NOI expires 12 months from the earliest listed asbestos/demolition project start date.
'l. Use Only
Your advance notification period will begin when a completed NOI, including required fees, is received by SRCAA.
A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NOT 7/07
15094774715 Spokane Utilities
JURY 11 LtltlO 0 (•,17 rm OV rtn i l i LCIY I CR
09:28:49 a.m. 06-11-2008 1 t1
ou7000YJ/a)r IU J'$rr4r1J r.useum
11703 E Sprague Ave Suite B•3 • Spokane Valley WA 99206
• 509.688.0036 A Fax: 509.688.0037 •
Transmittal
Date: 61612008
To: SPOKANE COUNTY UTILITIES
Fax: 8094774715
From: CSV PERMIT CENTER
Re: Revlow/Approval 0 Demolition Permit Application
A • BiII l
Roger Rivers
Glen Gredvig
Colin Depner
Lela Gallert
SITE ADDRESS: 4607 E STH
ZLC&.,td
ud 51Z
Coruttcl
PERMIT PURPOSE: DEMOLITION OF GARAGE
JUN 11 2008 08:57 15094774715 PAGE.01
Q"ikane
a,,�Malley
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
• 509.688.0036 ♦ Fax: 509.688.0037 •
Transmittal
Date: 6/6/2008
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: 4607 E 5TH
PERMIT PURPOSE: DEMOLITION OF GARAGE
(Dille