2014, 04-07 Permit App: BLD-2014-0744 Demo ResidenceCommunity Development Department
Permit Center
k.)®����`� 11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Valley- Tel: (509) 688-0036
,,,;0o*1 Fax: (509) 688-0037
permitcenter(&sookanevallev.or4
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
DEMOLITION PERMIT APPLICATION
PROJECT ADDRESS: 15?09 F.. 4th
ASSESSORS PARCEL NO.:45231 511
BUILDING OWNER NAME: Vim Oalsbarticn
MAILING ADDRESS. 2605 W. ?.JayiEn �Ue.
CITY: F$yCl STATE: IF) ZIP: 83835
CONTACT PERSON NAME: 9a)tt Nraiack
PHONE: tag 762-9106 FAX: 208 762-4507 CELL:
CONTRACTOR NAME: Tarsorl's Damliticn, Inc.
MAILING ADDRESS: M PcK 4535
CITY: STATE: TAA ZIP: 99220
PHONE: 509 535-7944 FAX: 535-9087 CELL: 509 994-3995
CONTRACTOR. LICENSE No.:TATECI164RCJ EXPIRES: 1231/15_ CITY BUSINESS LICENSE NO.: 600556997
PROJECT DESCRIPTION (Please Provide Site Sketch)
Z Site Plan Provided R✓r Notice of Intent # 2014-0114
Q Spokane County Utilities has approved the disconnection
Describe the scone of work in detail
Ckx 12te T Emliti m of Residzntial Hause aryl atta&eL9 garage
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done In full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be requIrA to be submitted and subsequently approved before this application can be processed. i
Signature
Date: )� / 7 //
Project
RECEIVED
APR 11 2014 y)'
CSV PERMIT CENTER
SUB # REV.
updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/fiilestorage/124/938!210/948/1496/Demolition_Permit 1-11-11.doc
Project #
--,20( 6
RECEIVED
APR 11 2014
CSV PERMIT CENTER
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S
NOT TO SCALE
15208 E. 4th
Charles Street
4)
En
E. 4th
SPOKANE COUNTY UTILITIES
PERMIT
Application Number: SW -14000277
Project Description: SEWER ABANDONMENT
Permit Issued Date: 04/01/2014
Expiration Date: 04/01/2015
Project Name: TOWNER
Primary Contact: LARSON'S DEMOLITION INC Applicant: LARSON'S DEMOLITION INC
Phone: 509-535-7944 Address: PO BOX 4535
SPOKANE, WA 99220
Phone: 509-535-7944
Email: larsons@nwadv.com
SITE INFORMATION:
Site Address:
15208 E 4TH AVE
Owner:
VIKING BUILDERS, LLC
Parcel Number:
45231.1511
Address:
2605 W HAYDEN AVE
HAYDEN, ID 83835
Phone:
509-735-9322
Assessor's Description:
(CITY OF SPOKANE VALLEY) VERA PTN OF
Email:
BLK 135 DAF: W128.84 FT OF E257.68FT
TOGETHER WITH VAC 5TH AVE (VAC ORD #08-
028)
Inspection Area:
:(509)-477-3675
Water District: Vera Irrigation District #15 Fire District: Spokane Valley Fire
Zoning: Land Area: 82458 Square Feet
CONTRACTOR INFORMATION:
LARSOD1164RU, Exp. 12/31/2015
LARSON'S DEMOLITION INC Project #
PO BOX 4535 SPOKANE, WA 99220
509-535-7944 - RECEIVED
/
larsons@nwadv.com
DETAILS: mrn I I LUI`i A}AMI
Class Type Qu ntity (% n� ar Value i
SEWER ABANDONMENT 1 $125.00 `$125-.00
SUB # `� REV,$?- 1
FEE DETAIL:
Processing - Utilities $26.64
Utilities Permit $125.00
Total Fee: $151.64
CONDITIONS:
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE
INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE
RELATED TO TRENCH SAFETY.
SEWER PERMITS ARE VALID FOR ONE (1) YEAR FROM THE DATE OF ISSUANCE. FOR SEWER INSPECTIONS CALL THE UTILITIES
DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT
ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES.
INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE REQUIRED
TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF
SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE
ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
Date Printed: 04/01/2014 08:39:11 Project Coordinator: Kathy Cummings
SPOKANE COUNTY UTILITIES
Application Number: SW -14000277
Permit Issued Date: 04/01/2014
Expiration Date: 04/01/2015
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE
LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF
UNDERGROUND FACILITIES.
Date Printed: 04/01/2014 08:39:11 Project Coordinator: Kathy Cummings
ACCT.No. c *' v u' ✓ s i
PIPE TYPE & SIZE : 4" PVC 0-3034 0 6" PVC 0-3034 0 OTHER :
• T- - 18 INSPECTOR : LY
L. /52 o 8 4 r/4i/E
SUBDIVISION / U.L.I.D. : 704,111-1
PERMIT No. : 98-S - -5¢3 OWNER :/.( 45- ,( zip ��3?
�
CONTRACTOR : O�E'E'% A-ULL, k o �O/1 ZLCY O "' 17
PARCEL No. : 45-231' /S// LOT • BLK :
S N 0 R SEWAGE CONTAINER(S) ABANDONED ? YES ® NO 0
COMPLETED APPROVED EXTERIOR CONNECTION & BY: "CONTRACTOR or 0 OTHERS 2-7Aq.vd'S
INTERIOR PLUMBING CHANGES ? YES ® NO❑ UNKNOWN
COMMERICIAL BLDG : 0 NEW 01 (RESIDENTIAL BLDG : NEW E. I (DOUBLE PLUMBING : ❑J
TO BE ABANDONED IN THE FUTURE
BY: ❑ CONTRACTOR or ❑OTHERS
IALL WASTEWATER SYSTEMS CONNECTED ? YEA® NO ❑ UNKNOWN❑
OKAY TO BACKFILL ? YES® NO❑
OwAWL -101-u081 , CN9.4 5. ,LAS- 8Uz'GT OA) ,�jf9C/S
Project ,A, -1),-.„)0H--00-7
RECEIVED
APR 1 1 2014
CSV PERMIT CENTER
SUB #1 J REV.
61
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ON UP -DATE : Er
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BILLING DATE :
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E.O.P. EDGE OF PAVEMENT
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Project #
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RECEIVED
APR 11 2014
CSV PERMIT CENTER
SUB #
REV.#
5,4'
74-0
-74 3
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2?'
3
495'
85'
f2`
4,7,5748
uA 04.r
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Spokane
RegionalAirAg'ency
Clean
A
Asbestos E -N01 (submit, pay online)
Back
E -N01 #2014-0114
Title
Price
260 - 999 In ft of asbestos removal and/or 160 - 4,999 sq ft of asbestos
$500.00
removal
Demolition
$0.00
$500.00 paid on 3/25/2014 12:01 pm
Property Information
Fire Damaged: No
Owner: viking construction
Phone: 208-762-9106
Fax:
Address: 2605 W HAYDEN AVE
hayden, id 83835
Contact Name: jared baker
Job Phone: 208-651-4390
Structures
Project - RD
RECEIVED
APR 11 2014
CSV P[+ MIT CENTER
suB # REV.
1. 15122 E 4th ST
» 225.00 sqft (floor tile)
2. 15208 E 4th ST
750.00 sqft (floor tile)
51.00 sqft (millboard and duct paper)
450.00 sqft (ceiling texture)
80.00 sqft (mirror mastic)
Asbestos Information
Material Presumed: No
Inspector Name: dave jones
Survey Company: mountain
Certificate Number: bir-13-039
Survey Date: 1/31/2014
Asbestos Identified: Yes
Disturbed/Non-Intact: No
Asbestos Removal: Yes
Nonfriable Removal: No
Start Date: 4/4/2014
Complete Date: 4/11/2014
Contactor: specialty
Job Number:
Contact:
Phone: 509-535-1313
Address: 2626 e trent
Spokane, wa 99202
Demolition Information
Start Date: 4/4/2014
Contactor: larsons
Job Number:
Contact:
Phone: 509-535-7944
Address: PO BOX 4535
SPOKANE, WA 99202