2006, 04-04 Permit App 06001435 Demo 3 StructuresHEIGHT TO PEAK:
MAIN FLOOR TO SQ.
FTG:
S-,,.,, '�- r cl lll1L l..eULGr
Q ne 11707 E Sprague Ave, Suite 106
Valle Spokane Valley, WA 99206
(509}68F 56V6
Community Development www.sookanevall .cti,=li
Residential Construction
Permit Application
Ai* 44
PERMIT NUMBER 61,
PERMIT FEE: /l.
❑ Ne \ \ction o Accessory Bldg
AiditionJRemodel ❑ Deck
1,<Qther: ,06ertil"rdk/
SITE ADDRESS
oPl a,c i �'Y S. doh o f,tr. f/2. ASS MC--
ASSESSORS PARCEL NO: 41,Soa 6 / / Vs / LEGAL DESCRIPTION:" rA4 514. 14-213 6Ye. s076 —into F-
•
v"
Building owner
Name: 4/2 ! . . Alelo*,
Address: /6—,aq g. p.d."./b Z T
off. ,
City: <Sft j *ice irhtta//Zip: 99&?
Phone: p2/ O . e/ L13 Fax: 5 o2. 5-$`.9
on;
fct:Person _,,
Name: 14 1-km-x.4c
Phone: / g, 6/
Ap ,Ertl.
.33
.Contractor,- .T,:,
:.. .. - ....,
Name:
Address:
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
Describe the scope of work in detail: Cost of Project:
!Jeri(v42'Tf On/ 614 (3)121.4e $ a Ai -reef* .sriRt iLb4 05 L d e.sTt, D,v Roes c_
1/S2o L 1 ir/ Rtil- iebvpi.vss a' e f 16 AvAk tz tIL* z- 3-ar
**************The following MUST be complete: (write N/A if not app
DIMENSIONS:
FINISHED BASEMENT
SQ. FTG:
# OF BEDROOMS:
DISCLAIMER
The permitee 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 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) This 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 subsequently approved before
this application can processed.
2'4" FLOOR SQ. FTG:
# OF STORIES:
$06 d o, od
licabler*******..*************
TOTAL HABITABLE SPACE:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
GARAGE SQ. FTG:
CONSTRUCTION TYPE:
DECK/COV. PATIO SQ. FTG:
HEAT SOURCE:
30% SLOPES ON
PROPERTY:
SEWER OR SEPTIC?
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: _ VIN#:
Authorized Signature:
REVISED 8/2512005
❑ Other
Sj�kne
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each h floor. Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
o Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
o 18" X 24" crawl space access:
o One -hour separation detail: between house and garage
o Floor framing details: Joist type, size, spacing and installation details
o Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation_ plan
❑ Insulation information
04-19-06 11:54 FROM-SCAPCA
5024776828
T-474 P.01/01 F-223
O
SCAPCA NOI No. -
�(��
( e,� A' my �
,9gency Se my
SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY
1101 West College, Suite 403, Spokane, WA 99201
NOTICE OF INTENT
(NOI) TO PERFORM:
i L7&M.HI j W Eq
A� LI
�n(�
ilgen`Ey dr
A. Project Type:
1. LI Asbestos Removal
2. LI Asbestos Removal & Demolition
3. 0 Demolgpiernhyksingqs Removal
B. Property
Owner: A�� .Sf.7+r}2p�
�Q
Phone:.:66% atilt
b
Fax: Fa0
f9 RI
Property Owner's
Mailing Address: /S"g/y it- aa-A/D cr
city:5Poa4vie. YA 4 4
e(Tate: 6rrA-
Zip; G¢..9637—
C. Site
Address: to f )— 5. Ft-4-4--
•
City ZeimojtrifzcEy
State: Y fr
Zip: Ft:2a(o
Responsible Site
Person: Af:4'j's'N-,e 0L1Q/41, 40-- ernAe,vif-
£g741 ' rsa t/
et) d. ae' 90.31
Job Site 5-0 I",Contact
Phone: a-/P.
01 0 3
D. tilrAsbestos Survey or
0 Material Presumed
If survey erfonned, was asbestos found?
0 Yes If No, Attach Survey
Date Survey /
Conducted: a/O/ O te
No. of Structures;
(see back if>1)
3
AHERA Building (� /�
Inspector Name: Pig/y Beg &
Certification Gj
Number: ,3r0%_
At/
D� a0L-u
Exp.
Dataa-ab-Cc;
E. Asbestos Project
Information:
No. of Structures:
(see back if>1) -
Start
Date:
Completion
Date:
WIc. Days: Su
Hours:
M T W Th F Su
Total quantity
to be removed:
Ln.
Feet
Sq.
Feet
Will all asbestos material be U Yes
removed by project completion? Q No
Will work schedule
fax Dem. be used?
U Yes
0 No
List individual type and quantity of materials to
be removed or provide an attaetunont of'same:
Abatement
Contractor:
,
Phone:
Fax:
Mailing
Address:
_ Li I I /11
1!
Cit :
State:
Zip:
F. Demolition
Information:
No. of Structures:
(see back if> ])
.3
Start?Fi'p
Date: IA, iryhid
S 04KS oFA//Ara
Nitd Training Fire (List
1?elow)
Ordered Demtition
Fire
(a
Dept. as demo.
ach copy of Orderpf
contractor
AA,rt
v
Demolition 400 Dr-
Contractor: 45 Cc. iv0O b Q ie-ttot1L SOaAisfr
2SePC (34
Phone:5;0? ash,
elk'
t 5y
Fax sal.
YZ,2 . 665
Mailing
Address: 376'4 t. p/}L(C6.-
City:5/9444..,rlt
Stare:4M
zip: I�R /7-
G. Asbestos/Demolition Project Categories:
Does This project involve a fire -damaged structure? 0 Yes 0 No
Notification
Waiting Period
Non -Refundable
Project Fee
1. U Owner -Occupied Residential Asbestos Removal & Demolition Project'
0 Owner -Occupied Residential Demolition Project Only'
Prior Nonce
$25
2. All Other Demolitions With No Asbestos Removal Project
10 Days
$150
3. 10 -259 linear feet or 48 - 159 square feet (see back of form for options)
3 Days
$150
4. LI - 999 linear feet or 160 - 4,999 square feet
10 Days
$300
5, U 1,000 - 9 999 linear feet or 5,000 -49,999 square feet
10 Days
$750
6. 0 > 10,000 linear feet or> 50 000 square feet
10 Days
$1.500
7. Li Emergency Asbestos Project or ❑ Emergency Demolition Project
Prior Notice
Twice Project Fee
8. 0 Alternate Means of Compliance for Friable Materials or 0 Demolition
10 Days
Twice Project Fee
9. U Alternate Means of Compliance for Nonfriable Asbestos Materials
10 Days
Twice Project Fee
10. U Exception for Hazardous Conditions
Concurrent with Project
Regular Project Fee
4 The two categories in G.1 apply only to owner -occupied, single-family residences, which means any non -multiple un t building containing living
space that is currently occupied (prior to and after renovation/demolition) by one family who owns the property as their domicile. One of the
categories in G.2-9 must be used for all other renovation/demolition prgjects. For More information. contact SCAPCA at (509) 477-4727. •
H. Optional: List additional panics you would like copies of this NO) anWor related notices sent to (list name & fax number and/or mailing address);
etry e4 SP6lca.vb rfit-L.t y p440e tr. Deer
I. I certify that the information contained in this notification and any supplemental data,prpvided is, to the best
of my a owledge, acc ate and complete.
�
, Cgmplet ss Review
01 complete.
ON eficent=
a
en tack
Signet ere Representing pp
my Use my
Your advance notification period will begin when a completed NOI, including required fees, is received by SCAPCA.
A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NO112/05
04/19/2006 41E0 11:56 [TX/RX N0 7439] RI 001