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2006, 03-31 Permit App 06001120 Demolish Burned AreaPermit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 Y (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.org.com Residential Construction Permit Application PERMIT NUMBER: PERMIT FEE: ❑ New Construction ❑ Addition/Remodel ❑ Other: o Accessory Bldg o Deck SITE ADDRESS l .3i 23 E, 21tcaec ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building owner Name: v oCU?) Address: I/O / 3 rr City: ./%111/7/10.% Zip: % t2/ Phone: y y / ._ �`�L%/ Fax: 6lC�f'jij� Contact Per Name: Phone: Contracto Name: a i Address: , I `$ ...S.— City: .e/ji7 J Zip: -‘9 2C) Phone: '35y-7 > 46 Fax: . .3S --S6 Lic No: L A It5O JIA 4I Date: / �3 / 0 City Business Lic No: 4i 55-4 f-9 4- Describe the scope of work in detail: Cost of Project: $ 3So© **************The following MUST be complete: (write N/A if not ap licable}****************** HEIGHT TO PEAK: DIMENSIONS: P # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: mgr.!! AIMED CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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 adlitional information may be required to be submitted, and subsequently approved before this application can bprocessed. Signature Date Method of Payment: (Faxe permit applications will only be accepted with major bankcard) ❑ Cash Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 11,6 ❑ Other Spokane Valley 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhalt@spokanevatley.org Residential Plan Submittal Minimums O 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. O Show the height of any proposed buildings or accessory structures. ❑ Floor plan for each 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. ❑ 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 ❑ 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 ❑ Roof framing plan and details ❑ Furnace and hot water heater location. ❑ All header locations: type, size, and connections ❑ Foundation plan ❑ Insulation information 51 FROM-SCAPCA 5094TT8928 T-292 P DIM F-958 it®k.,scI V t:U j -17s N,I ce o�P Yn� "l.SSt�-.-bt -'tor' """Y' Y' � C.) Your advance notification period will begin when a camnlzted 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 rimes az the job site. x0112/05 SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY Date v C CA SCAPCA NOI No. ?Bye PIAi2 1101 West college. Sutte 403, Spokane, W A 99201 11R C NOTICT i7gr se my f`J TOYrRF<1Rl�i: SP0KAW urs r A. Puniest Type: 11. LJ Aebesros RemOvil 1 2. Asbestos Romovil & Demolition 3. paim B. Property C4 ant -1463 (Ifavailablc) UlCiditnlir k- Sve.tt&-c� lWp "5 phone: Sag $al `S 01 Fax: Owner: Property Owners 4Oli 5 C-ivtic.e_ Q�ol6 Qd Ci : G c�-n dv3 Starc: 1) M Zi Mailing Address: C. Site $la3 S Uvoc.c- R.d City! SFoka.w Uatta� Star tJf< Zi : g40[b Address: Yob Site Responsible Site Phonic�SoA� a(Q4'3445- �+� Contact Person: J 0 -9 - •rS of y D. Asbeswa Stuvoy lir if survey rformed, was asbestus found? Date Surveys to ob No. of Structures: -Yes SurveyConducted: sec back if> 1 ❑ Maurhl Presumed U If No. Attach Ceruliicanim ExP• AHERA Building Number. )3T ^ �� - O t s' Date: u n I of._ E. Ins atorNamr. Asbestos Project No. of Structures: Starr Completion Wk. Days: Su M T W Th F Sa Information: see back if >1 ( Daee: Date: Hours: Ln. Sq. Will all asbestos material be Yes Will work schedule Yes Total quantity to be removed: Feer d5 d Feet rcmovd_byjrwicpt coni letitrn? 13 No fax . be used? 12 No Ii, individual We and quantity of matetialc to i �g,)[}.terr _n L.i v:rtbe removed or provide an attachment of same: AbatemCP b At�r�4' Phone: $Rt-So1.01 Fax: gRl—SaOI Contractor: Mailing1 Unk-f- �1 Ci :Gr�er�aeee� stau:wl'k- zi: a4a!(e Address: 401'5 S F. Demolition No, of Structures: Stare2 /( Training Fire (List Fire Dept. as demo. contractor h1formztion: (see back if>1) t Date: ��31,1OP!p 1 below) ❑Ordered Demolition attach copy of Order) Demolition t Comrractor: Lo�.f Sova _Z4x phone:5b4-5'bS-Z4 ax: Sbet -T-bT• �E7 Mailing Address: t> CjaO t'i S3 S Ci `J �ka.ti State: W l� Zi : 9 �o G. AsbasMIDemulitiuu Project Categories: Notification Non -Refundable Does this project involve a fro-darmx ed structre7 Yes ❑ No Waiting Period Pr etc Fee 1. U Owner -Occupied Residential Asbestos Removal & Demolition Projectprior Notice $25 ❑ Owner -occupied Residential Demolition Project Only — 2. All -I Demolitions With No Asbestos Removal Project ]0 Da 15 3. 10.2591iuear feet or 98 - 159 s uarc fen see back of form for Options) Days $150 9. 260 - 9991inear feet or 160 - 4,999 rarefeet 10 s $3 0 5. 1.000 - 9,999 linear feet or 5.000 - 49999 s rare feet 10 D $750 6. > 10,000 linear feet or > 50,000 uarc feet 10 Da $1500 7. BmeELCBa Asbestos Pro'eet or Einer m Danolition Project Prior Notice Twice Project Fee & Alternate Means of Cam lien" for Friable Materials or Demolition 10 Das Twice Proiect Fee 9. Altcrmmc Means of Compliance for Nouii able Asbestos Materials SO Da Twice Project Fee 110. Encs tion for Hazardous Conditions Concurrent with protect Regular Project Fee • The two categories in 0-1 apply only in uvom-occupied, single-family residences, which means any non-inulnple unit building containing living space mar is nrrrentlY occupied (pttor to and after rmovatimNdemolition) by one family who owns the property as their domicile. One of the categories in G.2.9 must be used for all other ranovatiotldemolition ProicCIS. For more information, e0mict SCAPCA at (509) 477-4727. H.Optional: es imaddi would copies of this NO] andror mltued notices sem m (hst nacre & fax number und1w mailing address): List additional PT P y2.=li:apz Sol �Soal� 1/1 S z= I. I certify that the information contained in this notification and any supplemental data provided is, to the best tmpleteness Review of my knowledge, accurate and complete, �NOI oamplete l7 N0I deficient - G 0 6 � � see Arached 3 1y � ''�'�v/ gnome Representing Date ,t easy Uu Only j -17s N,I ce o�P Yn� "l.SSt�-.-bt -'tor' """Y' Y' � C.) Your advance notification period will begin when a camnlzted 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 rimes az the job site. x0112/05