2007, 03-23 Permit App 07000970 Demo 2 HousesMar. 23 07 01:31p
Larsons Demolition Inc 509 535 8097
7-0 776
Permit Center
Spone 11707 E Sprague Ave, Suite 106
j T Spokane Valley, WA 99206
' lley (509)688-0036 FAX: (509)688-0037
Community Development www.spolcanevalley.org
Demolition
Permit Application
SITE ADDRESS: S , r
ASSESSORS PARCEL NO: 35231.1111
Building Owner.
Name:
Address:
City:
Ri rharri F`11 i rr$t rrrl
P.O. Eta( 13037
Spare
Phone: 509 926_8366
State:
W99i?.
Fax: 509 892-6748
Contact Person
Name:
Phone:
L. Jeff_I nrFrn
509 994-3995
Notice of Intent
i
PERMIT NUMBER
PERMIT FEE:
❑ Commercial
Residential
Contractor:
Name: Iarsn's D;rrnliticn, Inc.
Address: P.O. Bcx 4535
City: Sgizre
Phone: 509 535-7944 Fax: 509 535-- 087
Contractor Lic No: Exp Date:
City Business Lic. No: 600556997
Describe the scope of work in detail****NOTICE OF INTENT REQUIRED****
State: TAR Zip: 99220
Cost of project: $
$6000.00
The pem'iitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a
dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane ealleyPPerrm t inure to the
property owner. 3) The signatory is the property owner or has permission to represent the property rtY Q1
ner 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) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local laws, codes
sor before this a ordinances -
ton can be
Plans or
additional information may be required to be submitted, and subsequently approved
processed.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Signature
Method of Payment:
❑ Cash
Bankcard #:
BE Check ❑ Mastercard
1111!?in / aiLt U.
Authorized Signature:
REVISED 8I23RW5
Expires:
Date
Nardi 23, 2007
❑ VISA
VIN#:
MAR 23 2007 12:41
509 535 8087 PAGE.02
Mar, 23 07 01:3Op
Larscns Demolition Inc 509 535 JlU13f
r.•
Fax Cover Sheet
LARSON'S DEMOLITION, INC-
P.O. BOX 4535
SPOKANE, WA 99220-0535
PH: 509 535-7944
FAX 509 535-8087
EMAIL ADDRESS: larsons@nwadv.com
Send to:
Spokane Valley Permit Dept.
From: Carol Larson
Attention:
Date: March 23, 2007
Office Location:
Office Location: 903 E. Pacific
Spokane, WA 99202
Mailing Address: P.O. Box 4535
Spokane, WA 99220-0535
Fax Number: 509 688.0037
Phone Number. 509 535-7944
Fax Number. 509 535-8087
❑ Urgent
❑ Reply ASAP
❑ Please comment
O Please Review
X For your Information
Total pages, including cover.
Comments:
Sent to you request for a demolition permit. SCAPCA NOI was filed on
3/22/07. Payment with a check at pick up after approval. Questions
Carol 995-1910
Please direct your questions to: Jeff Larson 509 994-3995
MAR 23 2007 12:40
509 535 8087 PAGE.01
Sj�1''
��Valley
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
♦ 509.688.0036 ♦ Fax: 509.688.0037 ♦
Transmittal
Date: 3/27/2007
To: SPOKANE COUNTY UTILITIES
Fax: 509-477-4715
From: CSV PERMIT CENTER
Re: Review/Approval of Demolition Permit Application
Attn: LOUIS YORK
Request:
SITE ADDRESS: 603 S HOWE
PERMIT PURPOSE: DEMOLITION (2) HOUSE
£0'3JHd 2,8OB SzS 60S
MAR/22/2007/TriH 04:30 P?( Elcon Construction FAX No. 5C9 892 674E
Tb:ET LOOS EE 8HW
P. 002
•�-- �1 0� 17 v, ro:71
F•d
/.RnR RFG Rng ouT 0014TTowa❑ suosJel
dIE=TO LO E2 JeW
Mar 23 07 01:3110
Larsons llemoiition Inc
JUG JJO aunt
--zif-sCAPCX14011.
SPDXANE COUNTY AIR POLLUTION CONTROL AUTHORITY
1101 West Cortege, Stritc 403, Spore; WA 992fl1
NOTICE OF INTENT
(NOT) TO PERFORM
ti l4w4By s on
A. Project Type 1. Li Asbestos Removal
2. L I Asbestos Removal & Demme
3..Q Demolition, No Asbestos Ramon
B. Property
Owner:
Richard Ellingwood
pho= 509 926-8366
Property Owner's
Mailing Address:
P.O. Bic 13037
Simkane
C. sites
Addreax 520 S. F -
Responsible Site jefit1_ 'S:11
Contact Person
CiSpzizire Valley
State
'n ' 1392-6748
99213
S1Bte
99212
ith Site 509 994-3995
D. 0 Asbestos Survey or
0 Material Pimbenae,I
Al RA Badding
Insrcctor Nam=
If surveyperformod, was asbestos found?
0 Yes 01 lfNo Attach Survey
Prat Erag
Date Survey -
CrindW 3/12/2007
Cctifrcation BIR-06-069
Nuu
No. of Stru
(sec back ef>1)
3
EV-11 /18/0'
Date:
E. - Asbestos Project
Information:
No. of Structures: - -. ----
(see bark if>1
Starr.. _
Diaz
Completion
Dart
Wk. Days; Su M T W TitF
How —
Total quantity
to be removed:
La
Feet
Sq
Feet
Will aI1 asbestos material be 13 Yes
eunnved by peroiect completion? ❑ No
Will work hPrfoir ❑ Yes
fax Pgnn- be god? ❑ No
List individual type and quantity of materials to
be removed or provide an attachment of saw
Abataneet
Contractor:
-
Phi
•
Fax;
Mailing
.Add:
City,
State:
Zip:
F. Demolition No. of StmctureK
Information: (sec back if> 1) 2
Stet
Date: 4/2/07
0 Training Fut (List Fire Dept as demo. for bed
❑ Ordered Demolition attach cop
y py of Order)
Demolition
Ire.
phone✓: 535-794.4
Fax 509 535-8087
Fax
Contractor: Lamm's Daroliticn,
Mailing P.O. Bat 4535
Addrux.
�e
City
,,,
State:
99L )
Zip:
t3. Asbestos/lhsenitti et Project Categuries=
Does this project involve a fire -damaged structure? ❑ Yes 0 No
Notification
Waiting Period
Non -Refundable
Project Fee
I . U Crwrier-Occopial Residential Asbestos Remo —yid s
Pciat Notice
$30
& Demolition Project
IDOwner-Oka pieei Residential Demolition Project Only s
2_ LI All Other Demolitions With No Asbestos Removal -oat
3_ 10 7_59 linear 6ert
10 Days
S250
3 Days
$250
- or 48 - 159 square feet (see back of firma for options)
4•
260 - 999 Noe= fret or 160 - 4 square feet
10 Days
3500
5_ > 1,Ut10lima feet or> 5.000 feet_ -
- - 10 Bays - • -
$1,250
6. 0 ErreageneyAsbestos Projector 1.J Emetramy Demolition Protect
Price Notice
Twice Project Fee
7. 0 Alternate Means of Compliance for Friable Malice or • Demolition
•
10 Days
Twice Project Fee
8. Alternate Means of Compliance for Nonfriabk Asbestos Material' _
9. ❑ Exception for Hazardous
I0 Days
Twice Project Fee
Cornramtffi with Penick./
Regular Project Fee
Conditions
•,•...�.,yucs m ii► a xy an eo v.na+o family tesid, which means eny non-entittipk mut ben -Wing containing tiv6
cjw that is currently oc pied (prior to and after rrnovatianldepotition) by one family who owns the property as their. domicile. One of II
cat cries in G2-9 mast be used for ell other renovatianldamo1;nm Amiecs For more information, contact SCAPCA at (509)477-4727
EL Optional: list sdd-itinoxl parties you would like dies of this NO1 and/or relate -id cortices serf to Qst zmmc & fax number and/or mailing a d/es*
L I certify that the information ation contained in this notification aaal any suppltancotal data provided is, to the best
of,Fty k wletige, aocu and com:plcin
&L.0 aryl L x n's Daraliticn, Ir- . 4/22/2007
Reprrsenthig Date
Cori Revicy
❑`NOT complete
a:NOt ate
See Atf c3tid
Agency llre O:ity
MAR 23 2007 12:42
509 535 8087 PAGE.04
Apr. 02 07 03:48p Larsons Demolition Inc
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NOTI •C E>OI INTENT 4 : s•L
.: a AmM.aw x...rd 2. ■ 1►�Lalta Il w:$ D - c ' ' t
B. L4 Wt7
Omen
Richard Ellingwaod
.509 92
ftwollytkilmes Pmadiviiimir.,O, Bet 4535
C. She 520 S. Fader -
Aaeee:
• rt ff 1
Sccicana
sine I
99213
Icier4cciono.lialleyyAran 9gQt2
Stelee
509 994-3995
lbw
D. I Asbrsha Sarm7 w s vm► was eeiensoi lbona7
Q hilltsrid Pter e.+d TO Yes QS Nitao,.Atmeli Stormy
Ai1801A Sai►iog
Imoomar Ninon
Ftri1 3
Date Sentry • No. of Stonier=
Cceadingeit 3/12/2007 - (aces bude 3
C ertaiiwks
Noube
BIR-Ofr0W
Dern
1i/18/07
1!.. -Asleessss ? xtt Na. p Samba= - - 1 Start. . ► — _ Wk• p Se M T W 'ib F S:
he�r�tiieaG (see back if�I Isar
Tasd gasatilr tali. f Si- U Wt ell asbestos sseieril 60 Yea Wi1f set tle CTYes
e be j1Bann
h+t ti°`t [� No air Q t�
11beirridM1limomid qpinstityofnalmieleb 1
A4drearc
lYstx
Sissc
L .....
-
F. Dts otitis
Iadbrmted=
-
No. dlileaemean:
lace beck i1'> 1) 2
'
Sleet
paw
4/2/07
II MOO& Foe Wet pier Dept. as damn wetemlat bed
Q Ordered Dominion (attach cap of Order)
Co mol sicioa=
Cye�racasr
now 509 535- 7944
535-8[B7
Fax
Ias 1�rnLiLzm; Ism.
rs'
• • hililin A
P.O.
Bac 4435
IA
S
99ZZ0
4.s
G. AalmolmaPisuelitios ?mice Camtjori
Does dmis_prleer livolvs s iRat4asged aarsesaee l Q Yee CI No
- Notifeatioa
Waiting Perm
23oe-1 efoccirble
Psuj. d Fen
1. U ChaimittiMalpiailiiiidaraial Milan Famed &ThareilidoisFaient o
_ El Ow Resideerind iFeta-ea a
?tao<Ncreea
>30
2-1 All Ogler De- Jtio s SWA No Aalicaus Resnonai Par t
10 Dew
�
.• 3_LL 10-759limey feet or49,13Mstamp kat(aoslack aim for optics)
3Dale
MO
4. U • 260 - 999 bores loll or 160 -4.999 *Wan feet
—11
10 Dos
5500
>1 OD Sneer fact or>S�tf(10s�jer ..- - - .., - - •
•- 10 Days - -
t12250
B oeeeepasovAdeeestns Pit= or ❑ �! Demoilifem FrOiert
PrirNatioe
Twins Preiem Fee
•A1 7. ' - )Oeass it•Creapititme for F�isiisisliserielo or U. Demoraion
10 Days
,
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to Dirp
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., 'Indic Pro*: Fee
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beiWbas Rua
apply ode, rtnee pied. uaiioent, voile
rpm Ng la-etomeKy mugged (peior se lid raw .i ) by olio fmmly
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a sass way +m.a—iple min
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tfeo(t-donfosa Om ail
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.cat as (rut coo A, fax Dort* make =gin addrm):
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and moopk1e .
e/1,4 •DY1 Ia:M=18 >Jsarplitjrn, It>r. 4/22/2037
Iligworeadm
t,,...r taoauy .
•
APR 02 2007 15:59
509 535 8087 PAGE.01