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2014, 04-07 Permit App: BLD-2014-0747 Demp ResidenceCommunity Development Department Permit Center city®rs,� 11703 East Sprague Avenue, Suite B-3 j�� Spokane Valley, WA 99206 - Tel: (509) 688-0036 VaR��y Fax: (509) 688-0037 permitcenter(obsookanevalley.oro (Staff Use Only) PERMIT NUMBER: PERMIT FEE: DEMOLITION PERMIT APPLICATION PROJECT ADDRESS: 15122 F. 4th ASSESSORS PARCEL No.: 45231-1510 q � () J BUILDING OWNER NAME: Viking Calsbarticri MAILING ADDRESS: 2605 w. T-iayrtn Ate. CITY: T%dm STATE: 1T) ZIP: 83835 CONTACT PERSON NAME: -ja)t t Nraiack PHONE: tag 762-9106 FAX: 208 762-4507 CELL: CONTRACTOR NAME: T_arsm's T)emliticn, Irr. MAILING ADDRESS: 'PO Dtx 4535 CITY.-TAASTATE: zIP: 99220 PHONE: 509 535-7944 FAX: 535-9037 CELL• 509 994-3995 CONTRACTOR_ LICENSE NO.: TAREMIl64PTJ EXPIRES: 12/31/15. CITY BUSINESS LICENSE NO.: 600556997 PROJECT DESCRIPTION (Please Provide Site Sketch) [� Site Plan Provided © Notice of Intent # 2014-0114 Spokane County Utilities has approved the disconnection Describe the scope of work in detail Clete Damlitiaz Halse, 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 required to be submitted and silbsequently approved before this application can be processed. Signature Date: 67) ------- - ----- - - Project # RECEIVE IPPR 11 2014 CSV PERMIT CENTER SUB # REV. , vNuaLcu 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Demolition—Permit_1-11-11.doc S r 1 51 22 E. th NOT TO SCALE Project :;"�'/C)0(14) - RECEIVED APR 1 1 2014 CSV PERMIT CENTER SUB # REV. # E. 4th sseaboad S SPOKANE COUNTY UTILITIES PERMIT Application Number: SW -14000276 Project Description: SEWER ABANDONMENT Permit Issued Date: 04/01/2014 Expiration Date: 04/01/2015 Project Name: ELLIOTS ADDITION 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: 15122 E 4TH AVE Parcel Number: 45231.4701 Assessor's Description: ELLIOTT SUBDIVISION LT 1 BLK 1 (AFN# 6265003) Inspection Area: :(509)-477-3675 Owner: VIKING BUILDERS, LLC Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Phone: 509-735-9322 Email: Water District: Vera Irrigation District #15 Fire District: Spokane Valley Fire Zoning: Land Area: CONTRACTOR INFORMATION: LARSODI164RU, Exp. 12/31/2015 LARSON'S DEMOLITION INC PO BOX 4535 SPOKANE, WA 99220 509-535-7944 larsons@nwadv.com DETAILS: Class Type Quantity Unit Charge Value SEWER ABANDONMENT 1 $125.00 $125.00 $125.00 FEE DETAIL: Processing - Utilities $26.64 y Utilities Permit$125.00 Project Total Fee: $151.64 - RECEIVED CONDITIONS: app 11 2014 Inside Public Transit Benefit Area APR Plan review fee is required for all site plan reviews conducted by Spokane Valley Fire. CSV PERMIT CENTER Possible Habitat On Site SUB # REV. # CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKA IP GAYWT�zatf!RES 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. Date Printed: 04/01/2014 08:38:51 Project Coordinator: Kathy Cummings SPOKANE COUNTY UTILITIES Application Number: SW -14000276 Permit Issued Date: 04/01/2014 Expiration Date: 04/01/2015 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. 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 08:38:51 Project Coordinator: Kathy Cummings ACCT.No. 1(' -042--t570 SPOKANE COUNTY UTILITIES SIDE SEWER INSPECTION REPORT PIPE TYPE & SIZE : ® 4" PVC 0-3034 ❑ 6" PVC D-3034 0 OTHER : INC DATE : 11-'4-96 INSPECTOR : L/ ADDRESS : /,S/ 2 L 4 74' PERMIT No. : 9B S- 544 OWNER : CONTRACTOR : O&%y&'Z : Gu/GFo,eo /e7-/- -)' SUBDIVISION / U.L.I.D. : 7-0 a.1011 E� PARCEL No. : 45;Z3/* /5't) LOT : BLK • ZIP 99a37- YES NO DRY OTHER SEWAGE CONTAINER(S) ABANDONED ? IN YES ONO ❑ N/A H.D. TIME EXTENSION 0 APPROVED EXTERIOR CONNECTION ? ❑ 0 0 BY: ® CONTRACTOR 0 OTHERS INTERIOR PLUMBING CHANGES ? YES 0 NO BY: 0604/6°Z NOTE: DIVISION BUILDINGS INSPECTS ALL INSIDE PLUMBING. COMMERICIAL BLDG : 0 NEW 0 RESIDENTIAL BLDG : ill NEW 0 CONNECTED TO SUBSTANDARD PIPE? 0 YES TYPE: 0 2729 PVC EASEMENT AGREEMENT REQUIRED? 0 YES SEE ATTACHED HOLD HARMLESS AGREEMENT I 0 ORANGESBURG ON UP -DATE : PENDING : 11 START .5 0 BILLING DATE : LEDGEND E.O.P. EDGE OF PAVEMENT' G/M GAS METER ❑E ELECTRICAL ��S u 13 �P�45� u 4.a' E,o,P. X9' �G....-- 0 MANHOLE e, /5/21 4 rN / �N au B.L. BUILDING LINE !B. 4.Project � 4i Co Gs 2.4 � n A tiM ' • `i �:710 .,-,.• RECEIVED APR 1 1 2014 CSV PERMIT CENTER SUB #t REV. �= la�''rs< 6/51 1147' C DEPTH C.I. CAST IRON .-- /9 • 4 rN Ave ON UP -DATE : PENDING : 11 START .5 0 BILLING DATE : LEDGEND E.O.P. EDGE OF PAVEMENT' G/M GAS METER ❑E ELECTRICAL W(M WATER METER CLEAN-OUT POWER POLE 0 MANHOLE ■ STORM DRAIN Q HYDRANT CENTERLINE B.L. BUILDING LINE --- --)11.--)10— DASHED LINE YATH ARROWS INDICATES BORED SECTION OF SEWER UNE S/W SIDEWALK C DEPTH C.I. CAST IRON 0.B. ORANGEBURG = FITTING H.D. HEALTH DISTRICT • COPY TO BLDG CODES 31. -COPY TO: OWNER NORTH ARROW Ak Spokane . y. Regional V' g �- Clean 1 rAg"'ency 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 RECEIVED APR 11 2014 CSV PERMIT CENTER SUB # [:= REV. # q� 1. 15122 E 4th ST » 225.00 sgft (floor tile) 2. 15208 E 4th ST 750.00 sgft (floor tile) » 51.00 sgft (millboard and duct paper) 450.00 sqft (ceiling texture) 80.00 sgft (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 Demoliti®n Informati®n Start Date: 4/4/2014 Contactor: larsons Job Number: Contact: Phone: 509-535-7944 Address: PO BOX 4535 SPOKANE, WA 99202