2008, 09-05 Permit App: 08003485 Demolition ShopSpokane
#Valley.
Community Development
Permit Center
11703 E Sprague Ave, SuiteRBCEIVED BY
Spokane Valley, WA 9W16( OF SPOKANE VALLEY
(509)688-0036 FAX: (509)688-01.7
www.spokanevalley.org juju 05
2006
Demolition
Permit Application
T CENTER
PERMIT NUMBER: 3/ "01')
PERMIT FEE:
n Commercial
Residential
SITE ADDRESS: iszcz: e. $
ASSESSORS PARCEL NO: 45 -5 -jai(. o&34
Building Owner:
Name: t
.. 1.1
4,1-,--
. re,..._Address:
''
Z/ N,
�n(�i. �,
City:
Fax:zez; , 413,1./536
Contractor Lic No:
State:, Zip
Phone:
.72,Z_
oo Fax: el 2(4._
(4erns
Contact Person
Name: -�j L€ 1
Phone: Z" , Zc/(,,O
Contractor:
Name: a -#4144f7/,./41.
Address: v3 %1 Z
,..r. 7
CityrZ-s r L
State: 1T7, Zip:�-.a11P57
Phone: , , c f3,,Z2l
Fax:zez; , 413,1./536
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail
0-kt>sitS- A 3 Co' x 44131 ATA401-is 1-i . +-i
j 1 S G, -€ -Trioo� r .ice, c e ci-r+ri
y, A site plan is provided.
' Spokane County Utilities has approved the disconnection. (i t4)
Notice of Intent # cg -
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.
Signature`Wu�r 4-. Date rink,
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
❑ Check
REVISED 2/16/07
❑ MasterCard ❑ VISA
Expires: VIN#:
;ant By: mike Sackett, Inc.;
FAX
208 443 8530;
DATE: 9/02/08
ATTN : Bruce Howard
COMPANY : Landworks Development
FAX : 509-924-9723
# OF PAGES Including Cover: 1
SUBJECT: Busin3ss Information
Sep -2-08 12:4BPM; Page 1/1
P.O. Box 368 Nordman, ID 83848
(208) 443-2297 Phone
(208) 443-8530 Fax
Sackett@moosebytes.net E-mail
Message:
Good afternoon,
Let me know if you need any other information
Mike Sackett Inc. DBA Sackett Contracting & Excavating
Business License ]do. MIKESI.970QC Exp: 11/03/2009
WA UBI No. 601 905 5420 Exp: 11/30/2008
Have a wonderful day,
Kim
09/02/2008 TUE 12:80 [TI/RI NO 7672] 2h001
6Augo26.. 20089 4:14PM5B99SPOKANE CLEAN AIR 00 cos
TRS FNUfRCNI•ENTAL No. 5547 P,HU1. 01
From: Debbie Riley.-:
SRCAA NO1 No.
Off — OVfl -
Agency Use any
SPOKANE REGIONAL CLEAN AIR AGENCY
1101 West College, Suitt 403, Spokane, WA
NOTICE OF INTENT
For Asbestos Projects and Demolition
(SRCAA)Da
99201
NOI)
Projects
`e �v N
Date Received B SRCAA'
AUG 2 6 LOdB
�[r�y�a
SPoKvidiasttifrr�ln�
A. Project Types
1, 0 Asbe tos Removal
2. El Asbestos Removal & Demolition
3. 0 Demolition,
Na Ashestos Removal
B. Property
Owner: Landworks Development
Job/ 11064
Phone: 209-2555
(if available)
Fax: 924-9728
Property Owner's
Mailing Address: 721 N Pinto Rd •
City: Spokane Valley
State: Wa
Zip: 99306
C. Site
Address: 18223 E 8th
city: Greeneeres
State: Wa
Zip: 99016
Responsible Site
Contact Person: Bruce Howard
Job Site
Phone: 209-2555
D. E/ Asbestos Survey or
0 Material Presumed
If survey performed, was asbestos found?
in Yes 0If"No" for any structure attach
urvey
Date Survey
Conducted: 7/26/08
No. of Structures:
(see back
if>i)
AHERA Building
Inspector Name: Kevin McCrink
Certification
Number: 131R -06-0D8
Exp.
Data: 6/10/09
t.. -E. Asbestos Project
a u Information:
No. of Structures:
(sea back if>1
Stan
Date: 9/8/08
Completion
Date: 9/9/08
Wk. Days: Su
Hours: 7:30 AM
M T W Th P Sa
- 5:30 PM
a n Total quantity
to a •u. ed:
Ln. Sq. Will all asbestos material be ® Yes
Fut 4,000 Fcet removedb •roectc. 'lotion? ■ No
Will
work schedule
,. . be u.
0 Yes
ed s. No
List individual type
and quantity of materials to 4•oansPCoetonimeucd.sell
- be removed or provide
'�� - -•�- -`--`—--•""-'—"""---
an attachment of same:
Abatement
Contractor: TRS
Environmental of WA, Inc.
Phone: 927-7867
Fax: 928.3933
Mailing
Address: PO Box
15216
City: Spokane Valley
State: Wa
Zip: 99215
re. Demolition
Information;
No• of Structures:
(see back if>1) 1
Start
bate: done
■
0
'raining Fire (List Fire Dept as demo,
Orderedtlemolition (attach copy of Order)
contractor below)
Demolition
Contractor: Landworks Development & Engineering
Phone: 209.2555
•
Fax: 924-9728
Mailing
Address: 721 N Pines Rd
City: Spokane
Valley
Stere: Wa
Zip; 99206
G. Asbestos/Demolition Protect Categories:
Notifcatlpn
Non-Rcftmdable
Does this project involve a firc-damaged stmcture7 0 Yes ®No
Walling Period
Project Fee
1. 0 Owner -Occupied, Single -Family Residence Asbestos & Demolition Project •
0 Owner -Occupied, Single•Famlly Residence Demolition Project •
RiorNotice
$30
a 41 2.0 All OtherDemolltlons With No Asbestos Removal Prosect
10 Days
$250
3.■
10.259 linear feet or 48. 159 square feet (see back of form for options)
3 Days
$250
4. r21
260 - 999 linear feet or 160.4,999 square feet
10 Days
S500
5. •
> 1,000 linear feet or> 5,000 square feet -
10 Days
$1,250
C 6. 0 Emergency Asbestos/Demolition Project (attach "owner's letter •')
Prior Notice
Twice Pro
ect Fee
7.0 Alternate
Means of Compliance forFriableMaterials (attach_plan)
10 Days
Twice Pro
act Fee
8, E Alternate
Means of Compliance for Nonfriablc Materials (attach plan)
10 Days
Twjee Pro
cot Fee
9.0 Exception for Hazardous Conditions (attach plan)
Concurrent with Prefect
Regular Project Fee
10.0 Demolition with Nonfflable Roofing Lot in Place
10 Days
Twice Pro act Pee
( • The two categories In 0.1 apply only to owner-ocoupled, single -Nall ly residences, which means any non -multiple unit bui ding containing living
space that Is ourrently occupied (priorta and eget rcnovation/domolition) by one family who owns the properly at their domicile. One of the
categories mug be used for all other nsbesmddemollfon projects. For more information, tented SRCAA at (509) 477.4727.
lff. Optional: List additional parties you would like copies nfrh is NO1 and/or related notices tent to (list mime & fax number and/or mailing address):
-
-(Jd+/
1
aertily
y
thattho informaton
o owled$e ac atom
\.
con
end corn
ained
late.
in this notification and any supplemental data provided is, to the bort of
r, r 'e9
IRS Environmental of WA, Ina. �Jl
WNleteness Review
OI complete
Q NOI deficient -
Sec Attached
FOCOMill
or d -
oiltion projects, this NCI expires
Delo
12 months from the earliesSlielenwe t listed asbestos/demolition projeo( start date.
Am
ur advance nonfioanon period wile begin when a completed NOT including required fees, Is received by SRCAA. Al!Rtcejved TimeeAug.26.W2008'd10:44AMs'No.5517endmcntsmustbeavailable for Inspectionatall times athe Job site. Not 7/
08/26/2008 TUE 16:15 [TX/RX HO 7545] frit 001