2007, 12-07 Permit App 07004791 Notice of Intent, Site PlanDec 05 07 04:32p Rob's Demolition
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DEC 05 2007 16:35
509 534 9404 PAGE.05
Dec 05 07 04:34p Rob's Uemolition
_Moe� 4° SPOKANE CLEAN AIRt�yr
bUy-,')J4-y4U4 P. i u
No. 1416 P. 3
509-929=Ui
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SPOIZANF- REGIONAL, CLP-4-14 ALR AGENCY (SRC.A,A)
99�20]
D e k5RC �
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e` Y%
1101 Wesi Cojlogv, Sbite 403, 9Po��WA
�. OrHCE*OF+ INTE (1� 1)
Agency vsdrt?rr{y
For Asbestos Pluf ects and l?emolition Proj mis
AN -
l. ]Project Type: j I. U AsbwtosRi irioYal 2. AsbestosYdamodaL Dernotitlon 3. ®DemoTltlan,Ai®Aabesto5 Rtmaval
Property
Owner: ! -�7-�
Inc,
Phone: 059 " q 9
a�liablo
Pax:3(K i
Property owner's
Site °
Addrress: 1,�01 1- 1
ci
State: VIA
tzi,pl99
Roslonsiplc S1tP '
Tt
'
101,
Ino
lob Site
CoataetPman!
a
Phone:6y4 q 9 012
). Asbestos Surwy or
ifsurvvy peztofmed, team ■sbestns found?
Dale Surt'cy
No. of Struch[rc5;
a Material Presumed
Yea 0 If' NO" for =2 atructure attach survey
Ceaducted°
(see back if -:-I)
AHED-k Building
o Ccrt:licati
Exp.
cctor Nance: / Number:
Date
?. AsbastoQ.F jest
No. ofStnictsdres:
Start' �/�y Campi�t!
Wk. Das:9u. Sa
lnforrnaUnnt
saobacJ if>2
Date: `10 Date; 107
Horra; :Ain
'Will werksche''"e Yes
Total quantity
I;u:
Sq.
W0 ell �bootas mut rtel be Yee
to boremvcd;
cot
�Jr Jr.� Feet
I removed 6 to :ct otdon? ❑ No
fix Pzm. be'ueed? V No
-Ustiadividua! typeand gnam*yefirntelints to _Icslj r-VF Q G `
be rzrroved-orproyide am attachment--
AtWa,rent Phalan Abatemernt Services Inca
>rontra-rqr:
Phor o: 92t3 8656
Fax^
928 8785
Address: P.D. Sox 30966
City. 9p-okane
S[a;o, WA
kp:9922-77'
Dez>lolttlou
7nlarclatlou.
No. ofStructwc3l
(acc back if}'1
StartLJT7airing
Date: ~�
�irc (Y,istgi[o ®cpr. usdcmn, cnntrvctorbclow)
❑ Orde;cd De[nolition la'ttaoh cb' of order).
Dornallcton (� 99
CCn4--CtA[:" Rc8 ncF t�i Znc-,
p
Phatc° ( '1
Fax; 53eq"ggc
Aad<ene: aid. r
ci
zi !
�. A3beatoslDemoliticn ectCategortea:
Notificatioa
Waiting Period
I�'on•I?cf�:d blc
Projcc: Feb
Does 11�ls ro <-" involyeaf ze-dams edst-attune? U Yes N No .
1, LJ Owca -i-0c"picd, Sing Ie-Fa.rnilyR=1doncc Asbestos &Detnalition Project }
❑ Ownnr-C)ecu ie Sin Is-Fwni1 RevldcnceAomolit�onFro'sct 8
1?rioll�lotive
130
2. .4 l Otaer Dc=btion9 With No .Aebege Removal Pro rat
10 1)e 9
$250
3. Ll 10 - 259 linear feat or 49 - 159 m uatc feet sae back of form for o tionm
3 Ua
¢ SO
CS5061
4. 260 -999 linear feet or t 6a- 4 999 a erafeel
10 Days
5• Lj P! 1,000 Hofer foot os a 5;000 a usry feat
10 DsXL_
S.175C
6. Em c bestoslDamolitionPro act atmclL"ovmer's letter"
PriorNofc.e
cepro'eccFee
7. W A tcauto Moans of Co dance for Friable Matarisla attachplan)
10 Days
Twico Pro ject Fee
a. AIN=to McAsm of ComiMancc for Nonfriab v terials attachplan)
lorrys
Tevico Pre'eot Fee
9. 8xc ors !or Hazardous Conditions Ottachplan)
Concurrent with PXo act
Re lar Project Fee
I 0:U DemolitioawlthNombriable Ro❑5ng Left in Place
10 Days
Twice Pro;vc[ Fec
" T'r.e two atoganice in Ct,! apply only to owner-QC.upicd, singlo-Emily mideaccs, which mans any [son -multiple unit bU;tding curtaining lk ing
ep,wr Lhu Is camnlly oecupi ed (prlor to and efier renowticv+/demotition) by a" fam ly wbo c wm the property az their dcrr dells. Ono cf the
ea:cjories roan bo oaed far all other Lsbwas!d Cmtttion prgJats. For more infuT alton• eant&V SRCAA ai (50,9) 4774727.
i° C�t��neJi Llat a5ditiomJ pWilps.you would Like coplo ofthl X01 andlorrclUed notices ml to (list Hance & flx number and/or rn: iI ne addr:u);
rdpletcnc3s Review
] eorti�° that tha &omaaden gontnined in flrls=Uloadan and any sgpplcmental data provided is, to the beat of NOZ complete
NQY d6fi lent-
raylmowledge, accu[ateedd mpleteo. See Attached
r a,Phalcm Ataatemen_t 8erv� �1" �-- •^��
m2wruw dtgMUdA04g mere
of derrx7litionprDjccl$, US No] cxpirea 12 months from the earheatiistedasbestos/demolftionprojc0 start date, Ftrj
' ,teeny''✓ae Daly 51_
>ur advance notificationperiod s"i1) begin when a yoma N04 woluding requiredfees, is received by SRCA.A.
r• - .�•�• av r-n.,�7etrdnot�' cation &nitemendWWI
ust be avasbi t]c for irUpeCHOn et all times at the job sit .�1�0� 7lOT
�FReG�-ived Timt�'�'oy, 29. 20Q� 3:33?M No. 1321 ��
DEC 05 2007 16:39 509 534 9404 PPOE.10