2008, 05-30 Permit App: 08001921 Demolition GarageProject Number: 08001921 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/30/2008 Page 1 of 2
Project Information:
Permit Use: DEMOLITION OF BURNT GARAGE Contact: JOHNSON, LOWELL & BARBARA
Address: 4510 S FREYA ST
C - S - Z: SPOKANE, WA 99223-7108
Setbacks: Front Left: Right: Rear: Phone: (000) 000-0000
Group Name:
Site Information: Project Name: NOTICE OF INTENT #08-0143
Plat Key: Name: CAROLINE ADD District: West
Parcel Number: 35231.1219
SiteAddress: 5219 E 5TH AVE
Location:: CSV
Zoning: R-4
Block: Lot:
SF Res Urban District
Owner: Name: JOHNSON, LOWELL & BARBARA
Address: 4510 S FREYA ST
SPOKANE, WA 99223 -7108 -
Water District: 003 CARNHOPE Hold: ❑
Area: 24,700 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
'cased
Sewer Review
Originally Released: 5/30/2008 By: JLMain
OK PER ROGER RIVERS VIA FAX 5/30/08 -JM
Originally Released: 5/30/2008 By: JLMain
Permits:
Demolition Permit
Contractor: OWNER
Item Description
DEMOLITION ACCESSORY
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Fee Amount
$20.00
Permit Total Fees: $20.00
Operator: jmm Printed By: jmm Print Date: 5/30/2008
Project Number: 08001921 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/30/2008 Page 2 of 2
Notes:
Title Lein lifted, see Chris Berg for any demolish permits.
Notice of Title filed (lien). Notice and Order zoning violations, unpaid civil monetary fines assessed.
See Ken Thompson for status. CB Property foreclosed, new owners, violations eliminated
Payment Summary:
Permit Type
Demolition Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$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: jnun Printed By: jmm Print Date: 5/30/2008
Community Development
Demolition
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Va11e4.0E_ D BY
(509)688-001 YFiAXg509)b& "LLEY.
www. spokanevalley,q
21 2008
IT CENTER
PERMIT NUMBER: - (92,/
PERMIT FEE:
n Commercial
Residential
SITE ADDRESS: 5a2/7 G i
ASSESSORS PARCEL NO: j 3 /
Building Owner:
Name:
Address: U6—/ 5
yr
".�
City: ,eri/2e
L O
L�r tsh
i -3
Phone: //yr_ 7,,,13 3
Fax: l /, /� _7,233
Contact Person
Name: , jrblP-4- 4h/9.5er./)
Phone: 4.,/./7T
7 I &e//
Contractor:
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Dgscribe the scope of work in detail .6,/_//—/-.2
his//e/7 /1,
o A site plan is provided.
o Spokane County Utilities has apgroved the disconnection.
o Notice of Intent # %-18 d /
The permittee verities, 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 result'
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
evelopment rights • e• by any issued permit inure to the property owner.
❑ Check
Date
❑ MasterCard ❑ VISA
Expires: VIN#:
Effective 10-28-07
Page 1 of 1
P:1Community Development\Forms\Building forms\Demolition Permit Application.doc
i
SRCAA NOI No.
o 9) - 01 CI 3
Agency Use Only
SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAA) 0
1101 West College, Suite 403, Spokane, WA 99201 00
NOTICE OF INTENT (NOI) ���
For Asbestos Projects and Demolition Projects 1
dell$te ZeC�v&n
MAY 21X088
eno_Use
e pOKAAgRH
By SRO
Only
it
11
is
A. Project Type:
1. 0 Asbestos Removal
2. 0 Asbestos Removal & Demolition
3 D
pli3'6?, �H�S
F^`cP mayal--1
B. Property // /' /
Owner: �/^pf/'_ �-2,,6/%o.Sor)
Phone: 4? -7233
(If available)
Fax:
Property Oe ��/Mailing Address:/6.--21a____
o r /_.
. • /2
State: Zi//a
Zip: 0223
C. Site
Address: 5;2r /9 c t - -
/ y
Ci : O,G/ ,�/`%e_
State: ith
', 2 ` o—
Zip:/ / /L
Responsible Site/�0�
Contact Person: .ar4�r� \/�-50`l
Rib Site $ —9.g3_3
Phone: ..71,,,— 392, ?
D. a -Asbestos Survey or
0 Material Presumed
If survey rfomred, was asbestos found?
❑ Yes PIIf "No" for any structure, attach survey
Date Survey p
Conducted: s/S1O
No. of Structures: /
(see back if>1)
AHERA Building/J�
//Inspector Name. /"
Certification
Number:
Exp.
Date:
E. Asbestos Project
Information:
,gr
No. of Structures:
(see back if>1)
Start
Date:
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 U Yes
removed by project completion? 0 No
Will work schedule U Yes
fax porn. be used? 0 No
List individual type and quantity of materials to
be removed or provide an attachment of same:
Abatement
Contractor:
Phone.
Fax:
Mailing
Address:
City:
State:
Zip:
F. Demolition
Information:
No. of Structures:/Start (,//
(see back if> 1) Date: l / ?t 'f
01 Training Fire (List Fire Dept. as demo. contractor below)
0 Ordered Demolition (attach copy of Order)
Demolition ��jj /�/
Contractor: � \/�O'
%4°7,233
Fax: 'VW —7-2
Phone:144°7,233 ✓
LYU�%'G� ////%SO/J
Mailing �/J /U (i vy 6Ii
Address: '�` L f ,
Ci ty:l/ic
/
,G/%/�
/
State/(/
/�
Zip: %5
G. Asbestos/Demolition Project Categories: `
Notification
Period
Non -Refundable
Project Fee
Does this project involve a fire -damaged structure? l'-4 Yes U No
Waiting
1. U Owner -Occupied, Single -Family Residence Asbestos & Demolition Project *
q Owner -Occupied, Single -Family Residence Demolition Project
prior Notice
$30
2. $ All Other Demolitions With No Asbestos Removal Project
10 Days
$250
3. Li 10 - 259 linear feet or 48 - 159 square feet (see back of form for options)
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> 5,090 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)
10 Days
Twice Project Fee
9. 0 Exception for Haaardous Conditions (attach plan)
Concurrent with Project
Regular Project Fee
10. U Demolition with Nonfriable Roofing Left in Place
10 Days
Twice Project Fee
* The two categories in 0.1 apply only to owner -occupied, single-family residences, which means any non -multiple unit building 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
m .'owledge,accurat c .. .mplete.
i,✓lt.- �ua-� ' Da(e
C leteness Review
NOI complete
❑ NOI deficient -
See Attached
s — Representing Dae
For demolition projects, . f,F OI expires 12 months from the earliest listed asbestos/demolition project start date.
ry 4 _�.
Agency Use Only
Your advance notification period will begin when a completed NOI, mcludmg requued fees, rs received by SRCAA.
A rnnv „a the ashestns c,rrvev. completed notification & all amendments must be available for inspection at all times a the job site. NM 7/07
May 30 2008 8:O1AM SPOKAMEUCOUMTY#UTILITIES 4777178
MAY 21 2008 16:27 FR SV PERMIT CENTER 5096880037 TO 94774715
Sfrikane
aonsalley
p.1
P.01/04
11703 E Sprague Ave Suite B-3 • Spokane VaUey WA 99206
0 509.688.0036 • Fax: 509.688.0037 •
Transmittal
68112008
Fax
SPOKANEcouNrrun mES - ti p't y)r. > ,Iver.
SOD -477.4716
CSV PERMIT CENTER
Re: Review/Approval of De
Attn: Billy Urha
Roger Riv
Glen Gres
Colon • . »
Lela Gall.
SITE ADDRESS: 5219 E
PERMIT PURPOSE: DEMOLITION OF GARAG
The. foropedrke 1oLAAc Dt.ty5W L. Stb) ?at -as\ it, 35231.1214)
is n0+ currently tortne.cAa4. }1+4 spekart. Gknty sevxr-
stsiteen"cl a o4ere. a- Awa}- a.6an/onnnen} rev- rn k Ana
In.sfe.c len byMc- Svokc4nee C.un}YT71vi51net lsr►et
sa,»ttevees
471- .74$ 2.-
MRY 30 2008 10:00
5/22/10
4777178
PRGE.01
Siciokane
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
• 509.688.0036 ♦ Fax: 509.688.0037 •
Transmittal
Date: 5/21/2008
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: 5219 E 5TH
PERMIT PURPOSE: DEMOLITION OF GARAGE
May 30 2008 9:01RM SPOKRMEBC0UMTYUUTILITIES 4777178
MAY 21 2008 16:27 FR SU PERMIT CENTER 5096880037 TO 94774715
W
s
aorsValle
Demolition _
Permit Application L� Residential
snt3 ADDRESS: 562/ f�•-- • •J
ASSESSORS PARCEL NO: 3S 3/• I.2/9
Pawn Ccncer
11703 B Sprague Ave, Suite B-3
SpokanavaiielC❑ BY
($O9)688-0034YRADC l 07R1Ei:
www.spokanevalley qgNAT 21 2009
T CENTER
P•2
P.02'04
PERMITNUMEER -111
It ? PERMIT FEE:
- Commercial
,� the ssty�ppe� of work in detail J_ _ 4/'
!ear eZnu�Yl cpee /'lr. b/fi/6..4 /S /017.0-790/.." , /
o A ate plan Is provided.
o Spokane County Utilities has ap roved the disconnection.
o Notice of Intent #
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 lira compliance with Ma City of Spokane Valley
Development Code. 4) This City of Spokane Valley Penult is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
Ownership of G , • evekrpment rights '^• by - ny Issued permit inure to the property owner.
Signature Date J/1,?// e
Method of Payment
❑ rah D Check 0 MasterCard ❑ visa
Bankcard is Expires:. VINI:
Authorized Slgnahrre:
Bftcaive 10.2a47
PRP 1 of 1
P\Commun DevelopmeafinenulBuildioa forms\Demalidon tenth AppEodtoadoc
MRY 30 2008 10:00
4777178 PRGE.02
Banding Dwain .
censer
Name 4 4r ce'freA.at "7
Nom:
���-
Ad4TOW 6-- ._
/—f
Address:
.J
City: 4e zrnth�' `! r/'- x
City: State: ZIP:
t
�/
Pham: 47�' fA �3 Pa>C %in -%�3
Pbone: Fax:
Contractor Llc No: Exp Dom:
Contact PersonT
City Business Lic. No;
NOla_ Cela Sao
Name: ,
Phone CM' 9.2Aa %6hd9�2F Sea
,� the ssty�ppe� of work in detail J_ _ 4/'
!ear eZnu�Yl cpee /'lr. b/fi/6..4 /S /017.0-790/.." , /
o A ate plan Is provided.
o Spokane County Utilities has ap roved the disconnection.
o Notice of Intent #
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 lira compliance with Ma City of Spokane Valley
Development Code. 4) This City of Spokane Valley Penult is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
Ownership of G , • evekrpment rights '^• by - ny Issued permit inure to the property owner.
Signature Date J/1,?// e
Method of Payment
❑ rah D Check 0 MasterCard ❑ visa
Bankcard is Expires:. VINI:
Authorized Slgnahrre:
Bftcaive 10.2a47
PRP 1 of 1
P\Commun DevelopmeafinenulBuildioa forms\Demalidon tenth AppEodtoadoc
MRY 30 2008 10:00
4777178 PRGE.02
May 30 2008 9:01RM
MA`( 21 2000 16:31
SPOKRMEIICOUMTYitUTILITIES 4777178 p.3
FR SV PERMIT CAJTER 5096E TO 94774715 P.031
T;N' v'A P.°1+-'41:
:e•.'n::•'a':y� . �i�..
F.IE= n�i.`��$n �� .',IQ71i� �?�?�SYir;.'.Aiy}, %A:'a' F�•�`:}��'.'R'.rt1Le .$:•Ah .Y. ri;r'�: . �!
k �v :f.'rc :l>�''.. .+113!_1✓±'.. £l.i. _ '1ikYk; .. u.;, .
MAY 30 2008 10:01
4777178
PRGE.03
Mau 30 2008 9:01111 SPOKRNEttCOUNTYItUTILITIES 4777178
MRY 21 2000 16:32 FR 3) PERMIT CENTER 5b96880037 TO 94774715
SRCAA NOI No.
06- 00
A. Project 11.0 Asbestos Removal
IL Property
OwnaS_f J�J//9.Se9/'J
tvaer= �- �'�- --
Prating= #576 �r
SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAA)
1101 Wed Caere. Sulo 409, Spokane, WA99201
NOTICE OF INTENT (NOl)
Por Asbestos Projects and Demolitionsets
2. ❑ Asbestos Removal &Demolition 3.
C. Site
Address: S�-
/� e
Responsade Site
a
11\I
P.04/b4
By SR
MAY 212008
dab
P.
Phans401, 7.2,33
(If available)
Fax:
State 4 zip: 99223
Contact Person: .47,00212-. ‘70:4/14.5e00•7
U Material
17.ateriAsbestos Survey or ❑ Ya Tt No" fa tmY rtntoffir0. ranch
ays�es [_
al Presumed1 If
Certification
Inspector NC /%[/ 4.Praf NISI
was asbestos found?
City:
_
oAw
Date Surveys
State:/9 zip:9WJ4
Job Site 8-7-2.33
Plwno: 4* -31./Z FJ
/p No. of Structures: /
lip , (son baric if>1)
Exp.
Datee
R. Asbestos Project
•
1set Ne. of Structural:on
Information: (see back if>1 Yr 1 Start Completion
Data: Data
Total quaattty In.
WS all asbestos material be
to be _ Iee a by teoicct conmletioa7
weds � Pettily
Lkt individual type and pointy of materials to I
be removed or provide en attachment of same
Abatement
Contractor:
MOMS
Address:
B. Demolition No. ofStrottnres:Start
Information: (sea backif> 1) � Date:
Demolition / J.
Cemtraeteu: grit- JJ s....../0/70.50.0s....../0/70.50.0`0/70%S0%%
Wk. Days: SuMTWThP3*
Hams:
LI Yea Will work schedule Yrs
0 N fax mat Lone
SWF
!hang
Address:
Cr. AsbestostDemolftloa Project Categoric= _� `/Ys L No
Does this protect involve a fuetdamaged stricture? SR
1. Q GeierOccupied, Siegl.PamilyRaid:mooAabertos &DetnolitionProject
C] Owers-Oexnitied, Stattlo-Pamlly Residence Demolition Project • i 0 Dave
2.1i1 M1 Other Demolitions With No Asbestos Removal Project
3. ❑ 10.259 linear feet or 48 -159 apnare feet (tee back of form for options) Days
4.0 260-999linarfeet co160-4.999squarefeet 10 10Days
5.0 ' 1,000 linear feet or > 5,000 Krum feet 10 Prior Notice
6. U Emergency Asbestos/Demolition Protect (attack "meet Mien
7. L7 ammo Mote of Compliance for Pliable Malniais ("dub pian) 1 o Dave
8. U Alternate Mea, of Cb»mb for Nonfriable Materials (oda& pian) Coaaus10t with Prosed ReRo]u Project Fee
9.11 Exception fox Hazardous Conditions (attachplin) f0Paye twice: FreiecPas_
10.11 DtanalitionwithNoa table Roof= Left IQPlaco toms any oo10 Duple wit bnlldtay Twice
t Pe
• The two categories to0-1ipplyonly toavaart-0orvpled,aingla dlyrestdeocs,wldch
t
spam that is currently occupted (prim to sad aEre =eaov+ri®18mnlidaa) by one 13mfy who owes the property's their domidle. One of the
categories mut be used for all eta adaataddereolitioa projects For roots information, oanbct SRCAA at (509) 477-4727-
H. Optional: List additional pori you woad like copies ofthisNO1 at=d!a related notices not to dist name Atex nabs ard/ornuilieg sdebvss):
�`•'...,.Laeuea Review
a to the best of ► •t40I � nnte.
1. 1 certify that the info rm contained in this notification and say aOpplemeanl dam provided ' , MOI dr
edva ta. See Attached
ar—ji"".
States
Training Fun (List Firs Dept as demo. contractor below)
0 Ordered Demolition (attach copy of Order)
Phone: 41'7293
art.oxe
Notification
Waiting Period
Prior Notice
Non -Refundable
Project Yee
$30
3 Days
10 Days
$250
$250
$500
S1,250
Twice Project Fee
Twice Protect Fee
Twice jfroiectPee
Fo
For demolitiondemolitionprojccm, OI expires 12 months from the earliest listedubeatos/detoolitian project start date. Sala t4b
ma, cwr
well bodge when a ccnioktcd NOI. *IUd= randred fees, is re braved by SRCAA.
** TOTAL PRGE.td4 Mc"
MAY 30 2008 10:02
4777178 PRGE.04