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2000, 09-19 Permit App: 00008390 Demo Barn 6? ----C? 3?° •___s, I IPROJECT APPLICATION WORK SHEET ASPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 SPOKfll'COUNTY 509-477-3675 Project Description: TYPE OF APPLICATION CI Building Permit O Change in Use O Grading O Manufactured Home Permit CI Relocation O Sign O Tenant (New/Change) Other SPECIFIC SITE INFORMATION Street Address: 1 39/ 7 c'• /3Y-4__ Assessor's Tax Parcel Number(s): /� N/ � Legal Description: l ord � ,k ' v --- _ votk ?sr 3 t • te : .rrv Pi te ‘,1 hr , 1 stFr ill,ierwe . o� rfx • " f ,-SchoolDiricn FireDsict xg r . _ _ ., r . v Wa _ :gin, �� y,;�,.„'.'t -� ,<,i. �. '..a 3,•; �„. t.:h ,_.,h^r,. OWNER/APPLICANT INFORMATION El Indicate who should be contact d regarding this project XOwner: n Phone: // —11p �plliicannt� r / _ Phone: ,- —7r'(LA -6 /4 a/Lekvyi n airtza 74 Fax: s-Ss `- oR 7 Mailing Address: Mapg g Address: City,State,Zip City,Slate,Zip ❑ Con ctor Phone CI Architect/Engineer Phone r &//d-09/ U x Fax ail ng address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: 1-74-1z 5 o 1)...77/4,5.e/21;(-- PROJECT INFORMATION BuildinInformation s - 1 Building height to peak #of stories / Main floor Unfinished basement sq.ft. Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project Heat source(electric,gas,etc.) ��.� � ws a 4 �'�" 3 tea`'p � �� � 5` A�� `� �•�" w ::�,n n � •iw � e .�.0 �; Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs �-a�a.Y: ,y�,.. r�z:r r�::�"a e� a s� ,z� �•� ...b �. rw_`� vws-s�'� ,le�= .• �c�',�,,, e,,,.,`, '<?;, ... ,rn. �`': `a';":lcG,3 ,Cssar,,,,.s, „ f^.v„* ...4.; i. } Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value �” �, „ s .A�..,c f,r m PISTOL ,;`F ° k - r4-.:,44§%416;7 e.��.,a. ..,.-. ;.�._�.<_,.. .x. .:'�,. r -.,e ;.� ;aaux a,.: .....<:�.:• -� '' �:` �,>3',: ,�.,..r, ?z�a:.�r„�;..,� ,. .. "��x, � .t"�r. �.. Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No What is the current property size? If yes,identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,identify on site plan 0 Yes 0 No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No 0 Don't know O Yes 0 No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes O No O Maybe O Don't know O Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes O No If yes,identify on site plan O Yes O No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /%) O Yes O No O Yes O No DEPARTMENT USE ONLY d r1se property sn a des grated tar orate t pn arol Ares Ts poblt sewer avatlal le ro e sste © Y sk D p perms D N TS public water awtllle to rhe sits fl Yes � ria Is the property v the PSS 0 Yes D No Ts the�p;open located vy�thua 1000 feet of a N to aj A reap Date Received: Staff Representative: METHOD OF PAYMENT )UUC•VEs SUBTOTAL VISA . • ❑ CASH ❑ CHECK ❑ ❑ LI -- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: T©` AI t L BANKCARD NUMBER: MIN1MUMPFRUMITEI$IWOO,RT JL • MAKt CHECKS PAX.A.BL7 TC)5`I'ORAi AUTHORIZED SIGNATURE: Cot1NTY P&IhiT CENTER",; SEP-11-00 01:05P1 FROM-SCAPCA T-921 P.D1/02 F-036 • • Agency Case No. SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY Date lt.:ceivel ` y ^ 1101 West College,Suite 403.Spokane.WA 9920 i SEP A S N• l0f0 U S NOTICE OF INTENT V Agency UN Ono. TO PERFORM: .rtrrcy toe onp+ A. Project Type: I.U Asbestos Removal 12.7 Asbestos Remota'&Detoolitioa 3. Dcmohrlao,No Asbestos Removal B. Property SOPA Owner. t - Phone: )4z12ti Property Owners '- �` : 4 Mailing Address: 4.1., ,:(Z 5 1 N. r • 2,,' Ci State: at$ Zip:S C4 C. Asbestos .rraeyerewma .TiA.cMummy uueeog..Q - CoopaCA0f; • - . -, - Coattatc[ocz.PNDi ALOABATEMENT SERVICES, INC- -Ownor/CEO: TIM PHALON Contractor MaitineAddress: 2'.O-.. Boxy 3Q968 • 'phone: 1509 ) .928 8656 Job No.: • Citi: Spokane ' �:' _ :'State: WA I Zip; 99223' ` . Fax;' (5O9) 928 8785 -_113^ .. Site . ' -•+`•i t9 • __ TT Address. Project Malinger or T _________ <a >e. State: A . _ Zip: Connex Person: J IYh M me,,5 .� �Pbone:(Srp 456-74.28 r-y—Asbestos Survey or No.of i Date Survey was - • Was Asbestos Found?a Yes Q-Mat's Presumed: Smicnires. I Conducted: 844—oei 0 If No Attach Stirrer AHERA Building ••••• •s�om w s. e+.oe.erteee�e ds�.enna. s+wra l. - .nanoroaric .a py ,,-^...06.. � Expimtion�� Ins--- • .Name: . •• _,:.% I, BIq i4a Certification No.: . -.- Date: )1-7.4-O F. Demolition No.of StartU Training Fine(List Fire Dept.as detpoiition contractor below) Information: Structures: I Date: 9�2Q-QO Q Ordered Demolition(attach of Order) Dentolkiou •etaGoserna, -or.. ...or.nr.or• - farm, auw- - •nricntse Contractor: e ' O( [" t - Plum:(r • ) 53�.,` 'Ig4111 C. Asbestos Project No.of Since:47; Stott Q Completion, 4� l Dam 4R�W T t F Ss Su • laformation: see back ifa 1)• Der: f a 1$•QKms: 130A-y:oaf rn final •anti to be Removed: I�.3� Will all asbestos material be S Yes Linear Ft. - Ft. removed by nroiect completion? 0 No Mantel System Insulation: • Boiileawnees Ins. • Duct las. • Pipe las. Other: ;urfbcin Mall: CIF ma Paints Planer 'Teamed Caatiajts Oahcr Mise.Man Cement Bd. Cement Pipe Fleecing Matt Roofiag Mail other i. Aabatos/DetsolitioaProject Categories: jalntiiication Project Yea+~ 1. ClOwner;Occupied Residential Asbestos Remove!&Demolition Project Waiting Period• NOl4.R�UTQDAHL& 0 Owner-Oees t d Residential Demolition Project.No Asbestos Removal 2 U AB Demoltttans With it Asbestos Removal Pr a t..._ Prior Notice • . 525 10 Da 3150 3. 14- 91' ear feet or 49•159 . arc feet see back of form for•• '• s 3 • • S 0-" ' I. 260-999 linear feet or 160-4 999 square feet 10 Da . L © t 0• luteafest or -49:949 feet !0 Days $750 6 ' .a 1 000 linter feet or 30.OA0 are feel . 10 Da SI300 7- Em Asbestos:Project or Emencricy Demolition Project Prior Node:- Thine Project Pee 8. Ahett ate Means of Com•Bance far friable materials o ■ Demolitions • 10-Da Review Period Twice Pro eel Fee 9. • Ahem=Means of Compliance for nonfriabieasbestos materials Concurrent with Project , T iee Project Fee I do hhaeb7 cardrY thatthat site islronser,u aoraaiead le this aolirseseva.mea supkmrnW ago tea ibcd twek is to we hen et alp Ceepfsr ess Review 4 towladge scow&and complete. 1 shall ant causes or allow any a5Kstos rajea a deetaiiska.whiting to begin wtfl die ♦elm eedS: appropriate welapsed. Inn ' T-. - Phalan Abatement Services • C .ap - sem •---_. . Jthrpetasrtr,hrs arra nay Use Only kr eltrar 164f:1601M.7198 DO NOT • - OA-- . STROP