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2012, 05-24 Permit App BLD-2012-0727 Demo HouseSpokane .000Valley Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perm itcenterCla sookanevallev.org DEMOLITION PERMIT APPLICATION PROJECT ADDRESS: 13810 E Broadway Ave Spokane Valley, WA 99216 ASSESSORS PARCEL NO.: 45154.0103 BUILDING OWNER NAME: Evergreen 711 LLC MAILING ADDRESS: 221 E Montgomery CITY: S PO k'c STATE: WA CONTACT PERSON NAME: / PHONE: s0',7' - 9 9` '��2 ivy FAX: CELL: CONTRACTOR NAME: Piersol Construction Inc. Zip: 99 z o 4 MAILING ADDRESS: 2233 S Garfield Road CITY: A (NGty 1-4 e C5 i T PHONE: 501 -. S3s - 2 9 d ( CONTRACTOR LICENSE NO.: 601463569 STATE: WA / /� ZIP: 99 O ( r FAX: J o y. - z ij - C.9 `( ��j CELL: EXPIRES: 5-31-201 2 CITY BUSINESS LICENSE NO.: PROJECT DESCRIPTION (Please Provide Site Sketch) ® Site Plan Provided © Notice of Intent # ® Spokane County Utilities has approved the disconnection Describe the scope of work in detail Remove house, foundation, shrubs, sod & trees. Remove, unhook and cap all existing utilities zo/Z - olyd 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 r .. fired + be submitted and subsequently approved before this application can be processed. Signature7'J)f' Date:.- ^ Z , 7/— o % Z Method of payment: ❑ Cash Bankcard #: Authorized Signature: ❑ Check ❑Visa ❑ Mastercard EXP: VIN#: Effective October 28, 2007 Page 1 of 1 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Demolition Permit App 10.28.07.doc J,� SPOKANE COUNTY UTILITIES SIDE SEWER INSPECTION REPORT ACCT .NryJ/�f/YG ✓?O PIPE TYPE & SIZE 4" PVC D-3034 ❑ 6" PVC D-3034 ❑ OTHER i p I �Kl 9' —7799 ZIP INSPECT. DATES: Od INSPECTOR : J;b-' PROJECT No. :po OWNER : 7 ADDRESS : /'�L- / J916 5 eo Abco`' ! CONTRACTOR : Cs Da a02 SEWER DISTRICT/SUB-DIV: 15�A-bWr '� S4rW,5,e �yLT" PARCEL No. : q-�� �+�' 9 lQ 3 LOT _ BLK EXTERIOR INSPECTION �S ❑NO ❑DRY []OTHER SEWAGE CONTAINER(S) ABANDONED ? �Y � ❑NO ❑N/A H.D. TIME EXTENSION ❑ CRUSHED El DEFICIENCY ❑ TANK:- OTHER: ❑ (SEE COMMENTS) BY: 7kONTRACTOR ❑ OTHERS DATE: INSP.: -1 INTERIOR PLUMBING CHANGES ? YES ONO BY: %/rGKSOA_-' COMMERICIAL BLDG : ❑ NEW ❑ RESIDENTIAL BLDG A NEW ❑CONNECTED TO SUBSTANDARD PIPE? ❑ YES TYPE: ❑ 2729 PVC EASEMENT AGREEMENT REQUIRED? ❑ YES SEE ATTACHED HOLD HARMLESS AGREEMENT ❑ ORANGESBURG COMMENTS: COMMERCIAL: El RES: DUPLEX ❑ TRIPLEX ❑ APTS: i C.o, Cf 3• BILLING DATE 10--/-W g L�•__� 4•Sr ry i i p I �Kl 9' E.O.P. EDGE OF PAVEMENT G t 7- ' 4,1 C.1 c "t GAS METER ❑E ELECTRICAL z/7' WATER METER 13510 ��G4vud POWER POLE O' i3 ® STORM DRAIN HYDRANT bS� As F3. L. BUILDING LINE DASHED LINE W9H ARROWS INDICA ES BORED SECTION X SEWER LINE S/W SIDEWALK C = DEPTH G� CAST IRON 0. B. ORANGEBURG S w FITTING d�eoAl%LUA'1 QuE. PENDING: ❑ LIVE: lk COMMERCIAL: El RES: DUPLEX ❑ TRIPLEX ❑ APTS: ❑ UNITS BILLING DATE 10--/-W ❑ SS BACKWATER VALVE/BWV SEWER STUB CONNECTION POINT E.O.P. EDGE OF PAVEMENT G M GAS METER ❑E ELECTRICAL W M WATER METER CLEANOUT POWER POLE O' MANHOLE ® STORM DRAIN HYDRANT CENTERLINE F3. L. BUILDING LINE DASHED LINE W9H ARROWS INDICA ES BORED SECTION X SEWER LINE S/W SIDEWALK C = DEPTH C.I. CAST IRON 0. B. ORANGEBURG = FITTING H.D. HEALTH DISTRICT FIND FOUNDATION ❑ COPY TO BLDG PLAN ❑ COPY TO: OWNER ❑ OTHERS: ARROW Spokane Regional Clean Air Agency - Print NO Page 1 of 3 Company: Owner: Contact: Specialty Environmental Norm Thomson Norm Thomson Email: Phone: 509-535-1313 Address: 2626 E. Trent Ave. Spokane, WA 99202 Licensed Asbestos YES Abatement Contractor: Demolition Contractor: NO Property Owner: NO Other: IDNUM: 2012-0190 Project Type: Not owner -occupied, single-family residence + 260 - 999 In ft of asbestos removal and/or 160 - 4,999 sq ft of asbestos removal + all demolition Add Itlo na I Info: Fee: Property Owner: Site Address 1: Site Address 2: Site Address 3: Site Address 4: $500.00 (PAID) EVERGREEN 711 LLC 509-994-4244 221 e montgomery spokane, wa 99206 711 N evergreen spokane 13820 E broadway Spokane 13810 E broadway house spokane 13810 E broadway garage https://www.spokanecleanai r.org/printnoi . asp? id=1389&template=false 5/23/2012 Spokane Regional Clean Air Agency - Print N01 Page 2 of 3 spokane Site Address 5: 13804 E broadway spokane Site Contact: sanford hall 801-710-3807 Multiple Structures: 5 Asbestos Survey: YES Material Presumed: NO Asbestos Found: YES Survey Date: 5/3/2012 Inspector: shawn ringo strata #113337 Project Dates: 6/1/2012 6/8/2012 Structure Quantity Type 1 300 sqft sheetvinyl 1 1400 sqft wall texture 2 60 sqft sheetvinyl 4 100 sqft tile 5 260 sqft tile Removal By: Abatement Contractor Removal Completed: NO Materials: Contractor: Norm Thomson Norm Thomson 509-535-1313 2626 E. Trent Ave.Spokane, WA 99202 Demolition Structures: 5 Demolition Date: 6/4/2012 Demolition By: Demolition Contractor r and o construction Job #na sanford hall 801-710-3807 933 wall ogden, UT 84404 Fire Damage: Emergency: Alternate: All asbestos to be removed by project completion: NOT Submit Date: 5/22/2012 11:52:39 AM NO YES Change in Type: https://www.spokanecleanair.or<= print_noi.asp2id=1389&template=false 5/23/2012 1 Spokane Regional Clean Air Agency - Print NOI Page 3 of 3 Other: demo contractor changed to piersol construction as listed in NOI 2012-0191 Structure Quantity Type 1 2 3 i 4 sqft Nonfriable Window Glazing 2 10 soft Nonfriable Window Glazing 2 2000 soft Nonfriable Roofing New Asbestos Start Date: New Asbestos End Date: New Demolition Start Date: New Demolition End Date: New Contractor: Reason: Amendment Date: 5/23/2012 https://www.spokanecleanair.orgiprint_noi .asp?id=13 89&template=fal se 5/23/2012 r Spokane Regional Clean Air Agency - Print NOI Page 1 of 3 Company: Specialty Environmental Owner: Norm Thomson Contact: Norm Thomson Email: Phone: 509-535-1313 Address: 2626 E. Trent Ave. Spokane, WA 99202 Licensed Asbestos YES Abatement Contractor: Demolition Contractor: NO Property Owner: NO Other: IDNUM: 2012-0190 Project Type: Additional Info: Fee: Property Owner: Site Address 1: Site Address 2: Site Address 3: Site Address 4: Not owner -occupied, single-family residence + 260 - 999 In ft of asbestos removal and/or 160 - 4,999 sq ft of asbestos removal + all demolition $500.00 (PAID) EVERGREEN 711 LLC 509-994-4244 221 e montgomery spokane, wa 99206 711 N evergreen spokane 13820 E broadway spokane 13810 E broadway house Spokane 13810 E broadway garage https://www. spokanecl eanai r.org/pri nt_noi.asp?id=13 89&template=fal se 5/23/2012 Spokane Regional Clean Air Agency - Print NM Page 2 of 3 Spokane Site Address 5: 13804 E broadway spokane Site Contact: sanford hall 801-710-3807 Multiple Structures: 5 Asbestos Survey: YES Material Presumed: NO Asbestos Found: YES Survey Date: 5/3/2012 Inspector: shawn ringo strata # 113337 Project Dates: 6/1/2012 - 6/8/2012 Structure Quantity Type 1 300 sqft sheetvinyl 1 1400 sqft wall texture 2 60 sqft sheetvinyl 4 100 sqft tile 5 260 sqft the Removal By: Abatement Contractor Removal Completed: NO Materials: Contractor: Norm Thomson Norm Thomson 509-535-1313 2626 E. Trent Ave.Spokane, WA 99202 Demolition Structures: Demolition Date: Demolition By: Fire Damage: Emergency: Alternate: All asbestos to be removed by project completion: 5 6/4/2012 Demolition Contractor r and o construction lob #na sanford hall 801-710-3807 933 wall ogden, UT 84404 NO YES NOI Submit Date: 5/22/2012 11:52:39 AM Change in Type: https://www.spokanecleanair.org/print_noi .asp7id=1389&template=false 5/23/2012 Spokane Regional Clean Air Agency - Print NOI Page 3 of 3 Other: demo contractor changed to piersol construction as listed in NOI 2012-0191 Structure Quantity Type 1 2 3 i 4 sqft Nonfriable Window Glazing 2 10 sqft Nonfriable Window Glazing 2 2000 sqft Nonfriable Roofing New Asbestos Start Date: New Asbestos End Date: New Demolition Start Date: New Demolition End Date: New Contractor: Reason: Amendment Date: 5/23/2012 https://www. spokanecl eanair.org/print_noi .asp?id=1389&tem plate=false 5/23/2012 \\ LF\\ \7S\ , EX. ACCESS -r- Ex. CONC. SIDEWALK 2045— _ _ F\RCC\T-s=c•C\R�l t\• COSTING BUILDING ;\a ;: ; 4 11..\_wnnmvvn\ynnt4 - DUSTING WATER MANHOLE TO BE ADJUSTED TO GRADE IX. CONC. SIDEWALK RICK —OF —WAY /I EOM IX�ACCE5 ETC ACCESS IX. ACCESS \ \7,\-7\ .7\ 7s. • \\ \\\\\\\ \,\\ \\\\\\ Ex. ACC65 - _ _ - - s = — = — = E7t. coNc. SIOWMJ^ ex 89`4'8'3 _-TO BE REMOVED J ' t - - IIsI ti �I�I /360 E ai-ecs , Mee �\\\\\RR\RRRR\ • h\` h\� IXISDNC BUILDING h\; TO BE REMOVED `\ { • ob 10 50 GR° m ti EC FENCE 20 25a '93.-45` COSTING WATER MANHOLE TO BE ADJUSTED TO GRADE EXISTING ACCESS TO BE REMOVED & REPIADED WITH NEW CURB. GUTTER & SIDEWALK MATCHING THAT WHICH 15 ADJACENT. 134i' c t3: A y ,ewe r\\\-- -7\RRCC\7\'C\c`'I ro BIXISTIENGRBUILDINGEMOVED F\� "\J • -•\\\\\\�7 :..\\\t\\\\\\\\\ 1 i - '�i\il• vn vvnLv�vn t\i \� \ `EOISIEJG MOVED \ ;to REM BE OVEDVED \\\\\\\\\\\\\\a 4 20 /3 57,20 6.c1w41.y A ti-e \ \ \\\\\\\ c m \\\\\ \\\ �6 t MONO BUILDING :\ TO BE REMOVED `\ 1" \JCX. CONC. DRNEWAT ro BE REMOVED \` Ala\1\11,V\1\J\]\1V?1\n\l�\�l�\1\1 ' / •EXISTING EDICTS TO BE REMOVED IX. FENCE DUSTING FENCES TO BE, REMOVED IX. FENCE 70( %'v,/ ,) ery - TO BE IXSTNG BUILDING REMOVED \1 `\1 �\1 40 C\: FENCF S89'48 30 W 313.37' 60 Scale: 1' = 20' Curve Data IXSRNG ACCESS TO BE REMOVED & REPLACED WITH NEW CURB. GUTTER & SIDEWALK MATCHING THAT WHICH S ADJACENT. outorod REMOVED • TO BE REMOVED COSTING ACCESS TO BE REMOVED & REPLACED WITH NEW CUREL GUTTER & SIDEWALK MATCHING THAT VARCH ADJACENE FENC COSTING BRAVEL SIDEWALK MATCNING THAT WHICH IS TO REMAIN EXISTING easviNc BUILDING Et. CONC. DRIVEWAY EX. FEN P9 I rsk\ 46. Caere ' NAL Id Ave. dixon + associates architecture. planning. interim 833 south 200 east sett lake city, utah 84111 Reeve & Associates, Inc. 4155 S. HARRISON BLVD., SATE 310, UM SUNDERS • WOK Doan NOTE: Net dcadnents Wald not te separated or issued as pertid sets to sabornlecdas Bidders are respensbe for al Nati= of the &cements that WW1 to the work unwed by sub -Nis &Mee mimes ful Pm use of partial sets ral Bang Ocarnalts by hell idamatim or errors found it Me atlantic.] of the crchited immediately 9] that ;enlists old °mons may be derified by addendum In the vent ol a =Ant M the droving; bidder Wald not maurne Mat the least weak option NI meet the project reqicernant. ADVENTURE'S FIRST STOP 880 WEST CENTER ST NORTH SALT LAKE CITY UT, 85054 MAVERIK, INC. 13820 E. Broadway Ave Spokane Valley, WA 99216 Property Owner: Evergreen 711, LLC Applicant Henrik, Inc. ISSUE: PROJECT NO: CAD DWG FILE: 11044 DRAWN BY: CHECKED BY: RWH JNR SHEET TITLE Demolition Plan Grading Permit EGR-2012-0007 CURVE RADIUS 20.00. LENGTH 31.41' 28.28' DELTA C3 ©2011, DIXON + ASSOCIATES