2009, 05-22 Permit App: 09001438 Demo Garage Project Number: 09001438 Inv: 1 Application Date: 5/22/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DEMO GARAGE Contact: WELTZ,SHARON K
Address: 6821 E 10TH AVE
C-S-Z: SPOKANE VALLEY,WA 99212-0166
Setbacks:Front Left: Right: Rear: Phone: (509)926-5813
Group Name:
Site Information: Project Name:
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Plat Key: Name: WOODLAWN PARK District: Sout
Parcel Number: 35244.0516 Block: Lot:
SiteAddress: 6821 E 10TH AVE Owner:Name: WELTZ,SHARON K
Address: 6821 E 10TH AVE
Location::CSV SPOKANE VALLEY,WA 99212-016
Zoning: R-3 SF Res District
Water District: 020 EAST SPOKANE Hold: ❑
Area: 9,450 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: y.,; ;
Review
Other Reviews Released By:
NOI 09-0185
Originally Released: 5/21/2009 By: jdavis
Sewer Review Released By: ,
PER ROGER RIVERS
Originally Released: 5/22/2009 By: jdavis
Permits:
Demolition Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DEMOLITION ACCESSORY 1 NUMBER OF $21.00
Permit Total Fees: $21.00
Operator: JD Printed By: JD Print Date: 5/22/2009
Project Number: 09001438 Inv: 1 Application Date: 5/22/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Demolition Permit $21.00 $21.00 $0.00 $21.00
$21.00 $21.00 $0.00 $21.00
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: JD Print Date: 5/22/2009
Permit Center
11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: I �Spokane Valley,WA 99206
jValley® (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 21
www.spokanevalley.org
Community Development
Demolition Commercial
Permit Application Residential
SITE ADDRESS: W g ( ,E1 1_,(341t
ASSESSORS PARCEL NO: 3 Lig ; 3 )4
Building Owner: KCentxctori
Name: Name: 14
` A_ Si ,�I /J
Address: g 1 E f )-7,4 Address: /�F (_ ,E'�,+vf'-� J
.
City: C(V State:/ WA ZipcN2 a City: joo
Stater Zip:
Phone: 5s 13 Fax: //``�� Phone: Fax: �Y
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: R 1 [° k ! I le v•-•
Phone: 9.93 -- 00_
Describe the scope of work in detail ��
e t v- c5I e) LL;i--- a Yl 1I r e ivt p Y P e
o A site plan is provided.
o Spokane County Utilities has approved the disconnection.
o Notice of Intent # Q c —
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 resulli g development rights granted by any issued permit inure to the property owner.
Signature ' 1 �` ffi Date
5 - 2/ (9?
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
CITY Or 5t'OK<.ANE VALLEY
Bankcard #: Expires: VIN#:
MAY 2 2009
Authorized Signature: tri0/11tri;,Cr,
REVISED 2/16/07
bY:__
CITY Ur ,: ;Ar, = VALLEY
MAY 2009 ie, IP (': WI iF Elt � "' NOTICE Or Iii"� LIST _ i l,',;^:;' 2 1 2009
Notice of Intent No. S Oiprie '- (`
pRegional FOP ASBESTOS PROJECTS/DENIM_II Si-Urv-olL ncuivroML
Agency Use Only
Clean Aires /a1tyai4
Refer to the Agency's Renovation,Demolition,and Asbestos Information Sheet as well as Regulation I,Article IX
A. Project Type: ❑Asbestos Removal ❑ Asbestos Remo al&Demolition [Demolition,No Asbestos Removal
Does this project involve a fire-damaged structure?: ❑Yes [ N. (If yes,refer to Sections 9.03.F.3 and 9.08)
Does this project involve demolition by fire training?: ❑Yes C'/ o (See Sections 9.02.R,9.03.F.4&9.04.A.6.f)
How many structures does this project involve?: I (If more than 1 structure,refer to Section 9.04.A.3)
B. Property Owner: v$' .0 A- cl-J l,t 0(L .Ke,1( j' Phone:gi3 .)/4'5 Fax:
Mailing Address: ({1 q...)-/ "`G. AO +A. City: /)pkr i t'/tom State:Vi5(i Zip:'f / _
C. Site Address: (.0a-1 ,e_.;/& • City: Jc - a// / State:(Ash- Zip: `/'y�/,L
Contact Person:• C 4.4_14 A,e I kt Job Site Phone:
D. VAsbestos Survey or Date survey performed:3 b''C),.f AHERA Bldg.Inspector Name:
Material Presumed Was asbestos found?❑Yes'No Company: Il 45tei`Pert.No.: q0 7!/1)l
E. Asbestos Removal Start Completi'n t'ement By
Information: Date: Date: known):
List individual type and
quantity of materials to be
removed.If>1 structure,list
materials for each structure • •1 Square Feet: Total Linear Feet:
by address/location. Will all asbestos materia be removed from the structure(s)by project completion?0 Yes ❑No
F. Demolition Start Date: Demolition By L / i
Information: (earliest) .'/Z5�1)7 (if known): '-i('�'ll-1`/� \g I ij
G. Asbestos Project and Demolition Notification Waiting Period and Non-Refundable Fee Categories
Owner-occupied,single-family residence(see the Renovation,Demo.,&Asbestos info.sheet) Waiting Period Fee
1. !A All Demolition(all asbestos must be properly removed and disposed of prior to demolition) C 3 Days L $371
Not owner-occupied,single-family residence Waiting Period Fee
2.❑ 10-2591n ft and/or 48-159 sq ft asbestos 3 Days $250
•
3.❑ 260-999 In ft and/or 160-4,999 sq ft asbestos 10 Days $500
4.❑ >_1,000 In ft and/or>_5,000 sq ft asbestos 10 Days $1,250
5.El All Demolition 10 Days $250*
Additional categories
❑ I have completed and attached the Supplemental Notice of Intent(NOI)for emergency,alternate asbestos project work practices,
demolition with nonfriable asbestos roofing,or exception for hazardous conditions.
*The$250 demolition fee is waived if demolition is performed in conjunction with asbestos project category 2,3 or 4,above.
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 information provided is, to Completeness
the best of my knowledge,accurate and complete. Review
_ NOI complete
Business Name: /UM-- Fax: Phone: %' NOI deficient-
Mailing Address: S KA_ ate/ ave (See AA Ihed
a,cc
Signature: �c e//te i 1 ././..!1.-k... Print Name: ;el,hAriq A i kpjlop I 1-2-dog
Agency Use Only
r
Spokane Clean Air,3104 E.Augusta Ave.,Spokane,WA 99207-5384/www.spokanecleanair.org/Ph.:(509)477-4727 Fax:(509)477-6828
Your advance notification period will begin when a completed NOI,including required nonrefundable fees,is received by SRCAA.NOI 11/08
RECEIVED 05/21/2009 12:21 5096880037 SV PERMIT CENTERFR
J1ay 21 2009 12: 25PM SPOKANE#COUNTY#UTILITIES 4777178 p. 1
Liu,oticnnJ SV PERMIT CENTERFR PAGE 01/84
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11703E Sprague Ave Suite 8-3• Spokane Valley WA 99206
♦509.688.0036♦ Fax 509.688.0037•
Transmittal
rod
Date: 512112009
SPOKANE COUNTY UTILITIES - ajar igti'J '-
Fax: 509477-4715
CSV PERMIT CENTER
5-4111*Re Review/Approval of Demolition Permit Application
-ra
Attn: Billy Urhausen
er Myers
olin Delmer
SITE ADDRESS: 6821 E 10TH
PERMIT PURPOSE: DEMOLITION OF GARAGE
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