2007, 07-10 Permit App 07002646 Demo House, GarageSt7TS k
Permit Center
ne 11707 E Sprague Ave, Suite 106
Valle
Y Spokane Valley, WA 99206
(509)688-0036 FAX:(509)688-0037'
Community Development www.spokanevalley.org
Demolition
Permit Application
0
Q
Notice of Intent
# 07-0196
Commercial
Residential
SITE ADDRESS: 6 02 S . Evergreen
ASSESSORS PARCEL NO:
Building Owner:
Name:
Vera Water &
Power
Address: P.O. Box 630
City: Veradale
State: WA
Zip: 9903 i
Phone: 509 475-51 26
Fax:
509
922-3929
Contact Person
Name: L. Jeff Larson
Phone: 509 994-3995
Contractor:
Name:
T,arsc-n' S npmn1 i ti nn
Tnn
Address: p. 0. Box 4535 .
City: State:
Spokane WA
Zip: 9922(1
Phone: Fax:
509 535-7944 509
535-8087
Contractor Lic No: Exp Date:
City Business Lic. No: 600556997
Describe the scope of work in .detail* * * *NOTICE OF INTENT REQUIRED* * * *
Demolition Hrnlsra/Garage am Shed
Cost of project: $ 5460.00
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
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
® Check
granted by any issued
ermit inure to the property owner.
/ Date
7109,2007
❑ Mastercard ❑ VISA
Expires: VIN#:
Project Number: 07002646 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DEMOLITION OF HOUSE -GARAGE AND SHED
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: VERA
Parcel Number: 45221.9080
SiteAddress: 602 S EVERGREEN AVE
Location:: SPO
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA
Area: .06 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Date: 7/11/2007 Page 1 of 2
Contact: LARSON'S DEMOLITION
Address: PO BOX 4535
C - S - Z: SPOKANE, WA 99202
Phone: (509) 535-7944
Group Name:
Project Name: NOTICE OF INTENT #07-0196
District: Sout
Block: Lot:
Owner: Name: VERA WATER & POWER
Address: PO BOX 630
SPOKANE VALLEY, WA 99037-06
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Sewer Review
Permits:
Originally Released:
7/11/2007 By: JLMain
Released By:
OK PER LOUIS YORK-CTY UTILITIES VIA EMAIL.
Originally Released: 7/11/2007 By: JLMain
Contractor: LARSON'S DEMOLITION INC
Address: PO BOX 4535
SPOKANE WA 99220
Item Description
DEMOLITION - RESIDENTIAL
DEMOLITION ACCESSORY
Demolition Permit
Firm: LARSON'S DEMOLITION INC
Phone: (509) 535-7944
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
Fee Amount
$44.00
$40.00
Permit Total Fees: $84.00
Operator: jmm Printed By: jmm Print Date: 7/11/2007
Project Number: 07002646 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Demolition Permit
Fee Amount Invoice Amount
$84.00 $84.00
Date: 7/11/2007 Page 2 of 2
Amount Paid Amount Owing
$0.00 $84.00
$84.00 $84.00 $0.00 $84.00
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: jmm Printed By: jmm Print Date: 7/11/2007
Project Number: 07002646 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DEMOLITION OF HOUSE GARAGE AND SHED
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: VERA
Date: 7/10/2007 Page 1 of 2
Contact: LARSON'S DEMOLITION
Address: PO BOX 4535
C - S - Z: SPOKANE, WA 99202
Phone: (509) 535-7944
Group Name:
Project Name: NOTICE OF INTENT #07-0196
District: Sout
Parcel Number: 45221.9080 Block: Lot:
SiteAddress: 602 S EVERGREEN AVE Owner: Name: VERA WATER & POWER
Address: PO BOX 630
SPOKANE VALLEY, WA 99037-06
Location:: SPO
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA
Hold: 0
Area: .06 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,... zgf
Review
Building Plan Review
Sewer Review
Permits:
Released By-
.
`10\�'�!�
Contractor: LARSON'S DEMOLITION INC
Address: PO BOX 4535
SPOKANE WA 99220
Demolition Permit
Firm: LARSON'S DEMOLITION INC
Phone: (509) 535-7944
Item Description Units Unit Desc
DEMOLITION - RESIDENTIAL 1 NUMBER OF
DEMOLITION ACCESSORY 2 NUMBER OF
Fee Amount
$44.00
$40.00
Permit Total Fees: $84.00
Operator: jmm Printed By: jmm Print Date: 7/10/2007
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06-26-07 01:46PM FROM -Spokane Clean Air
509 226 0186 p.1
5094776828 T-750 P.01/03 F-865
to AnV
A. Project Type: 11- Li Asbestos Removal J
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1iy ure13 9ue>IaaS-Ol 9810 9Z2 605-NiOai
utNOTICE tOF �f TEN'
2O P'ERFOgM_
As ms Rrmoral & Demolitissts 3. 1..3 ]ialinon, No Asbestos Removal
none c7.2fir
Eot VEDO3d
jut 2 2.2007
AgenrY uu
Cifxvaialis ? ��
Fax: 72 7._
Pr . Owner's d
;vl Address: (7/ /V ix i 6eL;c ✓ Cii .��° e'' E SiZTe: fr 2;
City: Pe KI-A'7-1S,ate:G44_ zip: 2/
Address: 60
R�poutSite
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COIItsCr�iCirref Sd0. lG
ID_ Asbestos Survey or If ed, was asbci4os found? Datc Survey.
Conducted:
0 Material Presumed Ye 0 IfNo. Survey
Number � (see back if�l
Certification EP-
Number. ' �� 2 C Die:iv
Job Site
Phone_
AI-1E'RA I nitt/isig
cetor Name:
/-//L ' V,-
Nv. oS Sretiftu"Gti'
f
Stsrt
pates ? ✓fC/%
Completion
Deic
'Alf,. l Su T W Th I'5a
Y-ia.arn- ---- .
-.. 7 Sri :-:': r4 .�^, No. of-Strwte,i- :
information: 1 (see beet if>-1
^�
-.7- G -
-
Teal cruannty Ln. fi scs. ) asbestos
to be rernenerb i Feet / / t Fccr rent -, u • r 1
manual
be l-f-Yes
Q 240
Will work st'it¢du1c
fancernria. be its-e
D Yes
Cl No_
Completion?
e..7...e.)li1'/✓J--?
List inci-v;ciirrf . jne =ad cjtr-7rity of materials ro
be removed orprovide an onion lent of some:
6 0
+ /2Q ie,m, .
f
Aateme
Con toor: ::: D/IS i-i=z ,/ . 46--
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?bone.
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Fax: 5 --%
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ng
Address; f.�/ �/ <�' k LG`/�l
/
Citr
/ irW,-1lJ'ti` I "I
Stale; 40f^
Zip
2--5
P. Demolition
ltriformutxon:
Demolition
Contractor.
lVf:iiling
Address:
No. of Structures:
(scc bade if- 1)
start
Date: 7 Z �7oigz
L7 Training Fite (List Eire Dept_ as demo. contractor below)
❑ Ordered Demolition (attach copy oUOrderj
1'hauc: Fvx:CZ 2 - 3 52--
Li%GCi' t/ Z-2_0
.o..A,a
G. AsbestoaD olito.,;%. Project Cstegories:
Does this project tavolve s Ere zsrd m„rnirr? 0 Yes No
_ Nctttiea&n r Nan-Refuncsblc
q,/g;:ino Period Proiect Fee
i - 1.-r OwtrZe-Occupied is .:acti .t Asbeta s Removal & Demolition Project "
esidanal Demolition Project Only 4
0 Owner-Oceopied R:.
Prior Notice
$30
2. Ca All Ot3i�Demobiies= Witb No Asbestos Removal Project
10 Days
S250
�
3. L.r 59 IL -ear ix or 48 - 159 square rem (see bads of farm % options)
3 a • .+:
W
�f_ LIT'flr 260 - 999 ?imFeet es 163 - 4_999 square fleet
Ln)- _
...5'2-
r(S5t10
''
10 Days
5. 0 > 1.000 lire— feet a.- S,th tiate safeet
Li Ent
,?riot Notice
Twice Project Fee
6- ev Asbestos Project or tc , yDemolition Project
7. ID Alt>~naatc Maims ofC Bonne for Friable Materials or L.J_Demolition
10 Days
Twice Prat Fee
E. Altaaate Mraras of Catnaiiance for Nortrelble A:basuis MVl2reaials
10 Days
Twice Project Fee
9.LSEiceTtioafor HazardvasConditions
_
Concurrent with Project
Regular Project Fee
r The two t: tcgt ies in G. cpply only w aamen-oenulnc1, asngie-3sni-ly residences, bic2 means :any con -multiple unu building containing twin{
space that is crnrre,uy ct pied (prior co and aft= renovation/demolition) by one firmly who mutts the property as their domirila One of thf
=;csoric= :n Cn-2-R wirer Se urn for all other renovarionicletneiitiOn projec e. Far more information. corn= SCAPCA 5C9) 477- 77_7.
53_ Optional: List additional patties you wciufd like copies of this NO1 and/or *dated notice, Font to (list name Sr fax number and/or trail inL add):
L I crn`t y-e r
at co 3 n n&t in this morkEtcznion . y szipptcnaeaul data prr3 uk d is, co the b=t
a` �y Innaaccinam :yd cotspicte.
anarp
Reprierenfin
Nieleacss Review
QX. coo to
NOT iseSetent -
See A.ttztctd
-�,� ram„ vrr ar.Jy
;rote. advance notification period vritt begun wean a samokaL34 NO1, including required fees, is received by SCAPCA. p
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9810 922 SOS
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Jul 09 07 04:33p
PHIL BERG
07-02-07 01:46PM FROM -Spokane Clean Air
509 226 0186 p•2
509476829 T-792 P.01/01 F-956
Agency use Oaly
Case 4:
Amendment II:
THAT CHANGES THE gR07ECT "TYPE OR PROJECT CATEGORY IS SUBJECT TO THE NEW NOTIFICATION
C'1- CATEGORY IS ASSOCIATED �'I� 'i RICHER
REY AD. FOR
ANY TYPE OR PRATE ASSOCIATED IS SSOWITTHE MOST A RICHER
PERICA. FOR AMENDMENT TO1ERE PROJECT
BETWEEN THE i I PROJECT I.E CATEGORY
CA'1'&GORY b A FEE AND THE DIFFERENCES0CINCREASED PROJECT' TYPELAST
HE ACCEPTED 09 APPROVED IF 1T IS FILED AFTER T10
SHALL RE s NOTIFICATION CASC SHALL
A XvEE TFD PITCH THE
SHALL 1� SL38A+1i'I7T,D- IN No SHAi..L AN A1vIElYAMH.IV'I'
CO-mt L TION DATE ON BEcouto-INSTEAD. ANEW NOTICE OF INTENT MUST liE LE XICII` PROJECT
CI ASBESTOS PROJECT
Mailin
City11` Ili 1. . State.
PLEASE ENTER C17RRENT NOTIFICATION ORMA'T1ON SI .0
AGENCY CASE # (upper left-hand earner of Notice- of Intent) __— /� `f
SPOKANE COUNTY AIR POLLUTION
CONTROL AUTSORTTY
1101 W. College, Suite 403, Spokane, WA 99201
Phone 009) 477-4727, Fax (sag) 477-682S
NQTWZCATYON AMENDMENT
J0)3 SrTE ADDRISSS (refer to NOT Section C): -
PROTECT CATEGORY # (refer toNOI Section G):
PLEASE ENTER MANDATORY AMENDMENT CHANGES BELOW:
(Pursuant to SCAPCA Regulation I, Article IX, Section 9-04.)3)
C3 Change in the project typs: that increases the fee or changes the advance notification period (refer to NOI Scalar% A)
New Project Type (circle one): Asbestos Romoval / Asbestos Removal & Demolition / Demolition, No Asbestos Remove!
0 Change in the typo of asbostoc-containing materiel that will be removed (refer to NOI Section E) and/or increase in the job size category
that increases the fee or changes the advance notification period (rofcr to NOI Quantity'etion )
a Additional I New Material Type: Quantity:
— Additional f New Material Type: ; Quantity=
Additional / —New Mautiel Type:
. senate fear; linear feet
Addirinnal Notification Fee to
1:r
ij:.tc (refer lc. NOI f:e_CO:: V & F)
G7
1etian date (refer to NOT Section E)
Y Change to The asbestos p
Ncw Start Date:
0 Change in the asbestos
.New Completion Date:
Li Change in the asbestos project work schedule
New Wogs Schedule...Days, M T W T
NOT Section £)
Su; Work Shift Hours:
Refer to SCAPCA Regulation 1, Article IX, Section 9.04-Ei.2 for Optional Amendrlients. _�___ ___R
^I DO NEW' TTHE INFORMATION CONTAINED IN THIS AITLICATrOPt AND SUYPLEMENTAL DATA
ED tua:9PIN IS. TO THE BEST OE M KN9R'I.EDGE . ACCURATE AND COMPLETE_
...—_—_- .
CONTRACTOR
TELEPHONE: 1,
Norilrcarlo,tAeterulmen? Form-- Revisal tV06
RF..CtlVtD 07-02-07 06 2TAM
FROM-508 2aG 018G
10-5paicane Clean A, r
PAGE 01
rab'G 1 V1 1
Jodi Main
From: York, Louis [LYork@spokanecounty.org]
Sent: Wednesday, July 11, 2007 4:07 PM
To: Jodi Main
Subject: RE: Demolition Permit
Hi Jodi, No sewer abandonment required, not connected per our records.
Louis
From: Jodi Main[mailto:jmain@spokanevalley.org]
Sent: Tuesday, July 10, 2007 4:34 PM
To: York, Louis
Subject: Demolition Permit
Thanks :)
Jodi Main
Commercial Permit Specialist
City of Spokane Valley
Permit Center
11703 E Sprague, Ste 8-3
Phone: 509-688-0203
Fax: 509-688-0037
7/11/2007