2009, 06-18 Permit 09001807 Site Plan, Notice of IntentMapOptix 5.2 Interface
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http://maps.spokanecounty.org/index.cfin?action=mox52_if Prism
6/17/2009
06/03 2009 04:57 FAX 5095355304
SPECIALTY
RI 002/006
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Agency Use Only
NOTICE dTEN
tentA'� '' FOR 1s11:P.:1- 0�, ".� :i:. 1.:'i\i6[ 11(1\
i /1f�Agercy
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Refer to the Agency's Renovation, Demolition,Date
and Asbestoslnformation Sheet as w` atigra ............. '
e'Il'ts'Itegui nl�t^r�ele7X
A- Project Type: ( 0 Asbestos Removal
l I Asbestos Removal & Demolition
I 0 Demolition, No Asbestos Removal
Does this project involve a fire -damaged structure?: 0 Yes ANo (If yes, refer to Sections 9.03.F.3 and 9.08)
Does this broject involve demolition by fire training?: 0 Yes No (See Sections 9.02.R, 9.032.4 & 9.04.A.61)
How many structures does this project involve?: i(If more than I structure, refer to Section 9.04A3)
,.�r�r
B. Property Owner: l rn
1.163vi
Avw
Phone: 4071- (
Fax:
Mailing Address: . pO Ia..
Ci
C. Site Address:' tit G- ileb - Add/' Ci
�s �
ty: � 'l�rl>r UA
Contact
te: �,�
zip;
Pelson: ! m j_,J/ f.
Yob Site PhoneQ�
D.'Asbestos Surveyor
Date surveyperformed: /--(lAIERABldg,InspectorName:
l ,..44,7
Material_Preessumot.
r � �� •` IW Yes ❑
Company
.---^ G,
c&rep
Cert. No.:
E. Asbestos Removal
Information:
:rt
Date.
— , ^
Co.•.letign �%
s ate: 4 - / /'1
A.batementB
(if lmown): ej a
t j7i/,
List individual type and
quantity of materials to be
F./t ell ,2 D ?65
j
removed If>I structure, list
materialsfor each structure
.
�" Q
Total Square Feet:/4'473 I Total Linear Feet: /$'3
by address / location.
Will all asbestos material be removed from the structure(s) by project completion? ,RI Yes 0 No 1
F. Demolition
Information:
Start
Date �f/�
D.emolitioaBy
(if !mown): RpZS TDE JPt
G. Asbestos Project and Demolition Notification Waiting Period and Non -Refundable Fee Categories
Owner -occupied, single-family residence (sec (he Renovation, Demo., & Asbestos info. sheet) Wailing Period Fcc',.
1. 0 All Demolition (all asbestos must be properly removed and disposed of prior to demolition)
3 Days
S30
Nor owner -occupied, single-tamih' residence ',..,. _
Waiting Period
Fee
2. ❑ 10-259 In ft and/or 48-159 sq ft asbestos
3 Days
$250
3.0 260-999 In ft and/or 160-4,999 sq ft asbestos
10 Days
$500
4.1
z 1,0001n ft and/or z 5,000 sq ft asbestos
10 Days
1,250
5. 0 All Demolition
10 Days
$250*
Additional categories
❑ I have completed and attached the Supplemental Notice of Intent (NOI) for emergency, alternate asbestos project work practices,
demolition with nonfriable asbestos roofing, or exception for h'Tardous conditions.
* The $250 dos fe d ' '
bon cr performed con/tmcnon vnm asbestos project category 2, 3 or 4, above.
E. Optional: List additional parties you would like copies of this NOlandlor related notices sent to (Iist name & fax number and/or mailing address):
L I certify that the information contained in this notification and any supplemental information provided is, to
the best of my knowledge, accurate and complete.
Business Name:
Mailing Ad
Signature:
Spokane CI
Your adv
.- Pnviremmant x:54S_5304 Phone: sis-1313
2
,� i
i/�i%► t
Air,1 uite 403, Spokane, WA 99201 / www.spokanecleanair org / Ph.: (509) 477-4727 Fax: (509) 417-6828 l"
notification penos will begin when a completed NOI, including required nonrefundable fees, is received by SRCAA. ROI 11/08
'Trent Ave
Spokane, WA 99202
Print Nance: V t N` CiLi it n
Completeness
Review
NOI
complete
OI deficient -
See Attached
/C di
IR
n(.n 9 PAIN.. .1 A1(,.
'06/032009 04:57 FAX 5095355304 SPECIALTY CU003/006
SPRA G UE & PINES PROPERTIES
r1
12210 E. Sprague $/
2212-14 E. Sprague ✓-
Current Tenant
12216-18 E. Sprague V
12220 E. Sprague ` .
Owned by Thomas D. Hamilton
5)ui1�1,
fo rmer bicycle shop entrance on alley sideSr
fr
former Valley Reparatory Theater entrance on alley side S�
Tattoo Shop — Aaron Ocheltree entrance on alley side y-4
fronting Sprague �'
Army Surplus - Dave Arnold entrance on alley
2 vacant apartments above
Spokane Dream Center Resource Center
(former Walgreens)
Sticker Shock upstairs - Cip Paulsen entrance on alley side
20 S. Pines Rd. North Building only currently used for TDH properties
as warehouse/storage space
122071/2 E. 1a Ave. Rental house— access on south side of alley
-6&trdey Schedwtea- -I t i5 Weet .
l„9! tIt Acme vlt✓ 1.9A-i 4195
9nfti D.CADOA 01_ 0A01