2007, 08-21 Permit App 07003204 Demo House, Garage, BarnProject Number: 07003204 Inv: J
Site Information:
Plat Key:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DEMO HOUSE, GARAGE/SHOP, SHED AND BARN Contact: LARSON'S DEMOLITION
Address: PO BOX 4535
C - S - Z: SPOKANE, WA 99202
Setbacks: Front Left: Right: Rear: Phone: (509) 535-7944
Group Name:
Project Name:
Name: PINECROFT
Date: 8/15/2007 Page 1 of 2
District: Nort
Parcel Number: 45093.0638 Block:
Lot:
SiteAddress: 11216 E INDIANA AVE Owner: Name: NEWSOM, JOHN C
Address: 11216 E INDIANA AVE
Location:: CSV SPOKANE, WA 99206-4713
Zoning: I-2 Light Industrial
Water District: 026 IRVIN
Area: 14,103 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: fl
Review
Building Plan Review
Released By:
Other Reviews
Originally Released: 8/15/2007 By: jdavis
Released By:
Sewer Review
Originally Released: 8/15/2007 By: jdavis
Released By:
Operator: JD Printed By: JD
Print Date: 8/15/2007
Project Number: 07003204 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Demolition Permit
Date: 8/15/2007 Page 2 of 2
Contractor: LARSON'S DEMOLITION INC Firm: LARSON'S DEMOLITION INC
Address: PO BOX 4535 Phone: (509) 535-7944
SPOKANE WA 99220
Item Description
DEMOLITION - RESIDENTIAL
DEMOLITION ACCESSORY
Notes:
Payment Summary:
Permit Type
Demolition Permit
Units Unit Desc
1 NUMBER OF
3 NUMBER OF
Fee Amount
$44.00
$60.00
Permit Total Fees: $104.00
Fee Amount Invoice Amount Amount Paid Amount Owina
$104.00 $104.00 $0.00 $104.00
$104.00 $104.00 $0.00 $104.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 8/15/2007
Rug 15 2007 8:27RM SPOKRNE4t000NTY#UTILITIES 4777178
RUG 15 2007 07:49 FR COSU
PERMIT CENTER 50E6880037 TO 4774715
p.2
P.02/03
Project Number: 0700321M
I Application Dam:8n5,2007
THIS IS NOT A PERMIT
Penalties will be assessed for commencing workwithout a permit
Page 1 of 2
proles Information: -Carat '^•!
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_ ...._-.._....
Permit Use: DEMO HOUSE, GARAGE/SHOP'SITED AND BARN Costar+' LARSON S DEMOLITION
.Address: PO BOX 4535
C - S - Z SPOKANE, WA 99202
Setbacks: Front LCl: Rigor. Rear.
Phone: (509) 535-7944
Group Name
Project Name:
we- ,:-,_- :':v
GF^'^=.�T�h:'K'=T.. '?,11T+.S....��_r;.sn... �.aka`.�'�%:'^�e^S�'r^eh:!.;::w::av-.;��rik:�.:.�`•-e'F.'.�=c: :',.. �...
Plat Key: Name: PINECROVF District: Mort
Sate Informutinn:
Parcel Number. 45093.0638 Block:
SittAddress: 11216 L INDIANA AVE
Location:: CSV
Zoning; 1-2 Light Industrial
Water Malec 026 1RVIN
Area: 14,103 Sq Ft Width: 0
2Tbr of Bldgs: 0 Nbr of Dwellings: 0
.Review Information: ..._-_r:w.is 3:.,,-,a.—_.-_w_�._‘t.s:a,:..,c=..x::_ _.
Review
Building Plan Review
...sir...,... .. _.., ._...
Released By:
Originally Released: BIISI2007 By jdavis
Other Reviews
I Released By:
Originally Released:
Lot
Owner: Name: NEWSOM, JOHN C
Address: 11216 E INDIANA AVE
SPOKANE, WA 9920d-4713
Hold: ❑
Depth: 0 Right Of Way (ft): 0
td /15ja
Sewer Review I Ref sed,B 0—"
t4 of CtAl-I-er,k-tV ConflG4il To County. 5ew'Lt---- Gr m
IS no'}' revAti-ti Cob- [lrry1oU*lon•�v
.Permits: : xtc-r_•-::.+ tte.m:ert: .r_.,.—.. ..�
Operator. JD Printed Sy: JD
sflS2007 By jdays
Print Date: 8l15/2007
RUG 15 2007 08:2S
4777178 PRGE.02
ti, « Permit Center
Spokane 11707 E Sprague Ave, Suite 106
.` V Talley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.or;
Demolition
Permit Application
Notice of Intent
# 07-0262
X
PERMIT NUMBER:
PERMIT FEE:
Commercial
Residential
SITE ADDRESS: 11216 E. In3iana
ASSESSORS PARCEL NO:
Building Owner: Ryan Idler (AEC Mini StoraGe)
Name:
Address:
421 W. Rivet -sire
City:
State: WA
SOcare
Zip:
99201
Phone:
509
951-0341 Fax: 866
212-2465
Contact Person
Name:
Phone:
Jeff Tarsal
509 994-3995
' Contractor:
Tarsan's DanD iticn., IX.
Name: L. Jeff Larsxi
Address: P.O. Ea< 4535
City: qmicam State: WA Zip: 99220
Phone: 509 535_7944 Fax: 509 535-8087
Contractor Lic No: Exp Date:
-r�1 e4gJ 12/31 /2007
City Business Lic. No: 600556997
Describe the scope of work in detail****NOTICE OF INTENT REQUIRED****
airoliticn use, y/grp an:5 l iT to i ml i rla mi cc-_ tisri s
Cost of project: $
$5420.00
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 be
processed.
Ownership of resulting development rig l s granted by any issued permit inure to the property owner.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
Date 8/14/2007
❑X Check ❑ Mastercard ❑ VISA
Pick up
Expires: VIN#:
08-14-07 10:39AM FROM -Spokane Clean Air
5094776828
T-083 P.01/01 F-545
3.-..-1144b7'*-7:-'1."- ; :- -I" • - ' ,L...-- - -41 1101 Wed Came, Su403.ite SPee,kenWA 887DI
-.• • •7:. ;•'-. a - .':::::.i:lt.,
filAg4MAN#C17:42L-.;.
. , .. - . • -.
NOTICE OF INTENT
A. Project Type I
L U Asbestos Removal AsbestosRemoval le Demolition
3. CI
-
.
E. Property
Omen Ryan
Daley
.
(lfavailable)
Fax: 866 21 2-246 5
Phone 951 -0341
Property OWner's
MliugMd. 421 W. Riverside
City: Spokane
Stare WA
Zip: 99201
C Site
Address: 1 1 21 6 E. Iriliana
cur Spokane Valley
gni= WA
zip: 9920 6
Respentable Site —
Comm pas= L. Jeff Larson
rob Site
Phone: 994-3995
D. U Asbestos Survey or
• CI Material Presumed
AillatA Braiding
ktspectorwesm Phil Berg
IfssiveYred, mas asbestos Srad2
U Yes lilt, Attach Survey
Date Survey -
Conducted: 5 /31 / 07
Certification
Number; 13 IR 06 0 6 9
No. of Structures
(sec back if>1 3
Dater /18/07
Exp.
R. - Asbestos Envier
luformadon:
No. of Strucaucs: - -- --
(=back if>r
Stint . - .
DM=
- _ -_. .__ -
Date
WIc-__ PM= Plitt! T w 713!_ §.
Dna=
Total quantity
to be removed:
La.
Feet
Sq.
Feet
Will all asbestos material be U Yes
removed by oredect completion? C1 No
Will work crbeybo• U Yes
fax ppm_ be used? 0 No
List individnal type and mortify' of materials to
be removed eir provide an atzaaaaaat of oat=
.
Abs
Contactor.
Phone
Fax:
Aholiit
Address
al -
Siam: I
Zp:
P. Demolition
' Infarmatiom
No. of Structures:
(see back if> 1) 3
Start
Date 8/20/2007
CI TrainingFire (ListFire
Dept. as demo. contractor below)
CI
Ordered DallailliDil (attach copy of Order)
Demolition
none: 509 515-7944
Fax: 509 535-8087
contractor Lary s Detalititn Irn
Mailing
Address: P.O. ax 4535
cur Strkane
Smte:Wk
Zip: 99220
G. Aabatosakamlitien Project Categories:
Does this project involve a rue -damaged structme? CI Yes tii No
Notification
Waiting Period
Non
-Refundable
Project Fee
1. LI Owner -Occupied Residential Asbestos Removal arDcmationPugax s
CI Owner -Occupied Residential Demolition Project Only*
Prior Notice
$30
2. 14 All Ofiicr ttemadons With No Asbestos Removal Picini
10 Dam
$250
3. LI lo - 259 linear feet or 48 - 159 square fret (see back of fixes fiorasticms)
3 Dam
$250
4. U 260 -999 linear feet or 160 - 4,999._vuare feet
10 Days
$500
.5. U > 1,000 linear feet or >5,000 sperereisr '
• - - 10 Days - -
$1,250
6- U Emergency Asbestos Project or U Emergency Demolition Project
Prior Notice
Twice Project Fee
7- LI Altemate Means ofthumliance for Friable Matedals or. la Demolition
10 Days
Twice Project Fee
8. LI Alternate Means ofComaliaoce for Nonfriable Asbestos Mambas
10 Days
TM= ProjecrFec
9. U—Exception fir flazaidous Condit- its
Context witb Project
Regalar Project Fee
*The two categories in G.I apply only to owneocoompied. fly midencas, which maws any nowmul6ple and building ,containing living
space that is airway occupied (prior to and utter tcnovidlinddemordion) by me foully who ovals the Foray, as their domicile. On of the
gars in G2-9 must be used for all other renmetion/demo06an ponects. Fencer iafizaaaiors. contact SCAPCA at009)477-4727.
0. OPfiamdt last &Minna, profit you would likecopies of thlsNOl =War related notices seat In Mot name & fax number andkit Tailing eddies*
L I certify' that the information •,.. —. , - in this notification and any supplemental data Provided is, to the best
tcadltStllig:e#W:
of flaviai -. i r-i-flf comlete.
li
Or cnpIeteef .
3‘1011c*IIM.I.t::.:
i a-40611 lartsn's Darciliticn, Dr. 8/08/2007
::$0.A*0011:i.":::.::
.2'7'
Reponse:law Date
t •:".
7
.01e
. mcchin, - • 1
'our advance floatation period will begin when a completedNM, incksliqg required frxa, is received by SCAPCA.
Sled
S
Garacp or SW
NJP 20 VALE
11216 E. Irrlia a N