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Home My WebLink About325 S Cobb St_BLD1564_2026 r DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington -.18204 59th Ave NE -Arlington,WA 98223 - Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPROVED AGENCY. Type of Permit:(check one) )�D Reside n ial Commercial ❑ Industrial Project Address: I " /I?O I I d Parcel ID#: I Lot#: Subdivision: Valuation: Building Area(Sq Ft) No. of floors: Number of Buildings: Owner: -��Q�� `! '/� Phone Nu er: lz5-,V1,3a"��(D Address: (:Q1 1- l � d City: rq ` state: Zip Code: /v Contact Person: zv% "v1-40 / Phone Number: Cell Phone: -�/� �o/ E-mail: � �c7Snh 3_54? - t ClOvI Cu°-+ Address: �-(� city: State: Zip Code: Contractor: ✓C4b�sZ/��'y�� f� ft�-�,�` p�( y LL Phone Number: 5�,3��-�q�s Address: � -� ��✓t �9 / ity: �' °'b`✓ State: L(I Zip Code: Contractor's License Number: 7__T 40 Expiration: Scope of Work: / I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property 1 be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY Permit# J,�cq#p!tjab B Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:325 S.Cobb Street NE Permit#:1564 Parcel#:00411701101600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KNUDSON JOHN W EST Name:John Knudson Name:Magnum Excavating Address:C/O KNUDSON SANDRA L 4900 Address:325 S.Cobb Street NE Address:6727 164th Street SE PALMER-WASILLA HWY#108 City,State Zip:WASILLA,AK 99654 City,State Zip:Arlington,WA 98223 City,State Zip:Snohomish,WA 98296 Phone: Phone:425-232-2638 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: j CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OC PANCY HAS BEEN GRANTED. IBCI10/IRC110. SALES TAX Natimales to sting to onslruction and construction materials in tho City of Arlington must be reported on your sales tax return form and coded Sig a Print Name Date Released By Date CONDITIONS All ility connections must be disconnected and/or properly stubbed prior to start of demolition. If the demolition is not completed within 30 working days from the time of issuance,this permit will be forwarded to the city attorney for enforcement. There shall be no dust,water shall be misted over the demolition if needed. The demolition shall not effect surrounding properties. All debris shall be removed from the property in an expedited manner. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/26/2017 Demolition Fee $100.00 7/26/2017 Processingfrechnology Fee $25.00 Total Due: $125.00 Total Payment: $125.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:325 S.Cobb Street NE Permit#:1564 Parcel#:00411701101600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KNUDSON JOHN W EST Name:John Knudson Name:Magnum Excavating Address:C/O KNUDSON SANDRA L 4900 Address:325 S.Cobb Street NE Address:6727 164th Street SE PALMER-WASILLA HWY#108 City,State Zip:WASILLA,AK 99654 City,State Zip:Arlington,WA 98223 City,State Zip:Snohomish,WA 98296 Phone: Phone:425-232-2638 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: l OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1I0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the CiWo Arlington must be reported on your sales tax return form and coded City of Arlington#3101. { Signature Print Name Date -Glased By Date CONDITIONS All utility connections must be disconnected and/or properly stubbed prior to start of demolition. If the demolition is not completed within 30 working days from the time of issuance, this permit will be forwarded to the city attorney for enforcement. There shall be no dust, water shall be misted over the demolition if needed. The demolition shall not effect surrounding properties.All debris shall be removed from the property in an expedited manner. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/26/2017 Demolition Fee $100.00 7/26/2017 Processing/Technology Fee $25.00 Total Due: $125.00 Total Payment: $125.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:325 S.Cobb Street NE Permit#:1564 Parcel#:00411701101600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KNUDSON JOHN W EST Name:John Knudson Name:Magnum Excavating Address:C/O KNUDSON SANDRA L 4900 Address:325 S.Cobb Street NE Address:6727 164th Street SE PALM ER-WASILLA HWY#108 City,State Zip:WASILLA,AK 99654 City,State Zip:Arlington,WA 98223 City,State Zip:Snohomish,WA 98296 Phone: Phone:425-232-2638 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OC PANCY HAS BEEN GRANTED. IBC110/IRC1I0. SALES TAX ales to sting to onstruction and construction materials in the C WofArlinglon,must rted on your sales tax return form and coded C' Ar on t 01. I Z7, "/ Sig a Print Name Date Released'By Date CONDITIONS AI I ility connections must be disconnected and/or properly stubbed prior to start of demolition. If the demolition is not completed within 30 working days from the time of issuance,this permit will be forwarded to the city attorney for enforcement. There shall be no dust, water shall be misted over the demolition if needed. The demolition shall not effect surrounding properties. All debris shall be removed from the property in an expedited manner. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/26/2017 Demolition Fee $100.00 7/26/2017 Processing/Technology Fee $25.00 Total Due: $125.00 Total Payment: $125.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon DEMOLITION PERMIT APPLICATION Department of Community&Economic Development City of Arlington •.18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BYAN APPROVED AGENCY. Type of Permit:(check one) )�D Residential F-1 Commercial ❑ industrial Project Address: _396 67,')() V ` u' Par I • - 2z t t�o 110 160c) ce It#. Lot#: Subdivision: Valuation Building Area(Sq Ft) No.of floors: Number of Buildings: Owner: ��Q��^ � � Phone Nu Address: 6/ a " I d City: ( v+•- State: Zip Code: 9cL e3 Contact Person: Phone Number: Cell Phone: �ZS-o2� ?lo E-mail: 13K,,//NvC60n 350ff t c1ov/� Cvr-► Address: --rr City: State: Zip Code: Contractor: ✓;, h ��HS�� Aef -c;i` phone Number: Address' �� ✓► S+• C/ ity. fb'✓ State: �`� Zip Code: Contractor's License Number:Af-PoP A4 35`7_-3- P Expiration: Scope /off Work: I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above- described property be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature Date Print Applicants Name I FOR STAFF USE ONLY Permit# pt d Amount Received Receipt# Date Received P' ~ 40 "T • H a C ,i At g i qr Ai w � � r ` t � t 1S 8800 t � _ 1I MAGNUM Commercial•Resiclenuti: Ggncral Contractor CRAG RA Ti pWne.� Cali.(206) 10-9404 IAAGKUE i(',"R C.-,'I !Z'aG"JI SF 7/25/2017 MAGNUM EXCAVATING INC �,na �p>t Search L&I ,v-Y..fnd�_x f"Jr AyL&I safety&Health Maims&insurance Workplace Rights Trades & Licensing AAft Washington State Department of " Labor & Industries MAGNUM EXCAVATING INC Owner or tradesperson 6727164TH ST SE SNOHOMISH,WA 98290-8716 Principals 360-668-1202 RATTI,JULIANNE RAE,PRESIDENT SNOHOMISH County RATTI,CRAIG RICHARD,VICE PRESIDENT Doing business as MAGNUM EXCAVATING INC WA UBI No. Business type 601 396 446 Corporation Governing persons CRAIG RICHARD RATTI JULIANNE RAE RATTI; FLicense77 Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. MAGNUE1088LR Effective—expiration 06/19/1992—06/19/2019 Bond MERCHANTS BONDING CO(MUTUAL) $12,000.00 Bond account no. WA11298 Received by L&I Effective date 06/08/2004 06/15/2004 Expiration date Until Canceled Insurance Ohio Cas Ins Co $1,000,000.00 Policy no. BKO56538066 Received by L&I Effective date 05/17/2017 06/15/2016 Expiration date 06/15/2018 Insurance history Savings No savings accounts during the previous 6 year period. Help gas improve https://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=601396446&LIC=MAGNUE1088LR&SAW= 1/2 7/25/2017 MAGNUM EXCAVATING INC Lawsuits against the bond or savings No lawsuits against the bond or savings at—punts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 906,563-02 Doing business as MAGNUM EXCAVATING INC Estimated workers reported Quarter 2 of Year 2017"4 to 6 Workers" L&I account contact TO/DALE MCMASTER(360)902-5617-Email:MCMS235@lni.wa.gov Track this contractor 0 Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. J Washington State Dept,of Labor&Industries.Use of this site is subject to the laws of the state of Washington, e1is us improve hftps://secure.ini.wa.gov/verify/Detail.aspx?UBI=601396446&LIC=MAGNUE1088LR&SAW= 2/2 a u N � � 01 � ' s 40, Q cc CA al o o 0 u N � o NON-1 O M r7:3 lu Affordable Asbestos Abatement of WA. LLC Invoice 16410 84th St.NE.#D608 Lake Stevens,WA 98258 Date Invoice# (425)319-9965 7w2017 417 paleale 11 may07@yahoo.com Bill To John Knudson !r 325 Cobb Ave {� Arlington,WA.98223 P.O. No. Terms Project Due on receipt Quantity Description Rate Amount Remove approx_350sgtt of flooring from kitchen,laundry,and NW bedroom.Find and 1,795.00 1,795.00 locate all ACM duct tape in basement. tax 170.53 170.53 Out-of-state sale,exempt from sales tax 0.00% 0.00 Thank you for your business. Total $1,965.53 A-T Lt, 1429Ave.D.N/87,Snohomish,WA 98290 425-489-4040 N'tl'1{'.fAC/1['Slfl/CAI ' , ASBESTOS SURVEY Burned House Orly ar,325 S. Cobb Ave.,Arlington, WA 98223 Page 1 of 12 May 26,2017 B2170519 Heidi Knudson 20721 Apt.D204 Olympic PI NE., Arlington,WA 425-232-2637 Attn: Heidi Knudson heidiklinich@pmail.com On May 17,2017,Asbesto-Test personnel conducted an Asbestos survey(per U.S.E.P.A./A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of tite burned)rouse only (a;325 S. Cobb Ave.,Arlington, Snohomish County, Washington 98223. This survey purpose is to identify asbestos containing materials,prior to demolition. NOTE:THE GUEST HOUSE&GARAGE ARE NOT INCLUDED IN THIS INSPECTION PER CLIENT INSTRUCTION.THE GUEST HOUSE IS PARTIALLY BURNED ON THE OUTSIDE BUT IT IS NOT BEING DEMOLISHED.THE GARAGE WAS NOT DAMAGED IN THE FIRE. Note:This structure has burned.The structure is full of contents and debris.This is a limited survey due to the burn, inaccessibility,unsafe conditions,and contents. There may be additional ACM present that was not discovered in this survey. if any additional suspect asbestos containing materials are located(prior to or during demolition that were not included in this survey such as but not limited to those items listed on the last page of this report),those materials are presumed asbestos containing unless tested otherwise by laboratory analyses.There should be an AHERA building inspector on site during demolition to ensure there are no additional suspect asbestos containing materials present that are not identified in this inspection. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is a single-story on a basement foundation.The siding is wood shingle and wood lap.The siding vapor barrier materials were sampled. The roofing is composition.The composition roofing materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior construction is drywall and wood.The drywall/taping materials were sampled. The vinyl and tile flooring materials with their relating backings and mastics were sampled. The masonry tile and the associated mortar/mastic materials were also sampled. The misc.mastic materials were sampled. The masonry tile and mortar/mastic materials were sampled. The flooring felt and or "squeak paper"materials were sampled. INSULATION: The insulation was sampled. continue to page 2 •r BBB ' { Page 2 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only(a),325 S. Cobb Ave.,Arlin-ton, WA 98223 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be the kind to be ACM.The power may have been"on"at the time of the inspection,thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI(Thermal System Insulation)found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM:There is a gas forced air furnace in the house. There is ACM TSI taping visible on misc. ducting. This material was sampled (SEE PHOTO ON PAGE 7). THERE IS LIKELY ADDITIONAL ACM TSI PRESENT(ASSOCIATED WITH THE FURNACE AND/OR DUCTING)IN THE STRUCTURE THAT IS CONCEALED FROM VIEW(i.e. within the walls, ceilings, and/or floors,inside additional ducting areas, or within the furnace unit itself).Note:It was not possible to dismantle the heat ducting to locate and/or evaluate any additional suspect ACM which maybe concealed from view. Ifany additional relating suspect asbestos containing materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. ALL TSI THAT MAY BE LOCATED THAT IS NOT VISIBLY FIBERGLASS AND/OR FOAM MATERIAL IS PRESUMED ASBESTOS CONTAINING. • The chimney brick and mortar materials were sampled. MISC.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: None of the other structures on this property are included in this inspection. #of structures included in survey: One house only Requested by: Heidi Knudson �100N'N:rww.4,♦111 at¢,t4,1�119 H1GiE517�1 �! This Cc x wiujl R_Hubnn 11 has-ift—ly—.VW d &b6 t.6uihfi-s 105P - wn+lin v th 15CA I idn 11 f 40 CFR 761(AMPRA) CarbRaa x I6114 _— —� 0-0 1-feb 11 Ml7 JnP�Cr6<r.n l�R Cr,te._Fa6121�18 i I �- William R.Hutson II Inspector,Certified A.H.E.R.A. Accred.# 161243 exp.Feb.22,2018 continue to page 3 BBB CD _ 1429 Ave.D.I{I87,Snohomish,WA 98290 425-489-4040;f775-665-0420 lwni•arlxiunlrsl.corn,,fafo nsAte.v owo cam Page 3 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only Cad 325 S. Cobb Ave.,Arlington, WA 98223 THE ASBESTOS CONTAINING MATERIALS LISTED AS"NON-FRIABLE"REMAIN NON-FRIABLE(NOT EASILY AIRBORNE)UNTIL FORCES EXPECTED TO ACT ON THE MATERIAL WILL RENDER THE ACM AS FRIABLE(EASILY AIRBORNE).SUCH FORCES INCLUDE,BUT ARE NOT LIMITED TO,EQUPMENT USED IN THE DEMOLITION PROCESS,WEATHER INCIDENTS,AND OTHER DAMAGES THAT RENDER THE ACM FROM NON-FRIABLE TO FRIABLE ANY AND ALL MATERIALS IDENTIFIED AS ACM OR PACM IN THIS REPORT(AND/OR ADDITIONAL MATERIALS ASSOCIATED WITH THE STRUCTURE THAT MAY BE DISCOVERED AND LATER IDENTIFIED AS ACM OR PACM),MUST BE PROFESSIONALLY ABATED PRIOR TO DEMOLITION.ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION. SAMPLES#144 ARE ASBESTOS CONTAINING MATERIALS ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL BASEMENT: 1.0 ACM TSI TAPING yes//chrysotile H 65% non-fibrous materials, FRIABLE ACM cellulose THERE IS ACM TSI TAPING VISIBLE ON MISC. DUCTING. NOTE:ALL OF THE TSI TAPING/WRAPPING ASSOCIATED WITH THE FURNACE/DUCTING SYSTEM IS PACM UNLESS THE MATERIAL IS VISIBLY FIBERGLASS OR FOAM MATERIAL. QUANTITIES OF ACM TSI FOR ABATEMENT,ASSESSMENT,AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION. 2.0 FLOOR TILE yes//chrysotile//2% non-fibrous materials NON-FRIABLE ACM NW BEDROOM—COLOR:RED 3.0 BLACK MASTIC yes H chrysotile//2% adhesive,cellulose NON-FRIABLE ACM BENEATH PREVIOUS SAMPLE APPROX. 120 SQ. FT.ACM FLOOR TILE AND MASTIC ON CONCRETE MAIN FLOOR: 4.0 SHEET VINYL FLOORING yes//chrysotile//38% non-fibrous materials, FRIABLE ACM cellulose KITCHEN &LAUNDRY—COLOR: BROWN Note:The asbestos is in the gray/white vinyl backing. The mastic is also ACM as it cannot be separated from the friable vinyl backing material. APPROX. 235 SQ. FT.ON TAR PAPER NOTE:THE TAR PAPER(OR POSSIBLY OLD LINOLEUM/BACKING) IS ACM AS IT IS CONTAMINATED WITH THE FRIABLE VINYL BACKING. continue to page 4 /Y°3A s_r 1429 Ave.D.8187,Snohomish,WA 98290 425-489-4040;f775-665-0420 1t•Isutresbee'Io1G}Lsrnn;mfr'yiruslgrslo7•r4•l.rft/111 Page 4 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burnet!House Ottll'(&325 S. C'obb.Ave.,Arlington, WA 98223 NOTE:ANY ADDITIONAL COLORS OR KINDS OF VINYL FLOORING AND/OR TILE WITH ANY RELATING MASTICS/BACKINGS THAT WERE NOT DISCOVERED IN THIS SURVEY AND MAY LATER BE LOCATED IN THIS STRUCTURE ARE ALSO PRESUMED TO CONTAIN ASBESTOS UNLESS TESTED OTHERWISE BY LABORATORY ANALYSIS ANALYSIS ID ASBESTOS//TYPEHOUANTITY OTHER MATERIAL THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES BASEMENT: 5.0 sheet vinyl flooring NAD non-fibrous materials, bathroom—color:tan square cellulose,fiberglass 6.0 mastic NAD adhesive beneath previous sample 7.0 mastic NAD adhesive,cellulose holding vinyl panels over tub in bathroom 8.0 drywall/taping compound/paint NAD non-fibrous materials, walls&ceilings sample 1 composite cellulose,gypsum 9.0 drywall/taping compound/paint NAD non-fibrous materials, walls&ceilings sample 2 composite cellulose,gypsum 10.0 drywall/taping compound/paint NAD non-fibrous materials, walls&ceilings sample 3 composite cellulose,gypsum 11.0 drywall/taping compound/paint NAD non-fibrous materials, walls&ceilings sample 4 composite cellulose,gypsum 12.0 drywall/taping compound/paint NAD non-fibrous materials, walls&ceilings sample 5 composite cellulose,gypsum MAIN FLOOR: 13.0 flooring felt NAD tar,cellulose kitchen,laundry under plywood-color:black 14.0 mastic NAD adhesive,cellulose kitchen holding laminate on countertops continue to page 5 BBB �,20 CD 1429 Ave.D.0187,Snohomish,WA 98290 425-489-4040;J775-665-0420 uorw.nsh�uo�rstciun:n±! nrbresinrasr.curn ^ � 1 Page 5 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only(a)325 S. Cobb Ave.,Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL MAIN FLOOR font: 15.0 masonry tile NAD non-fibrous materials kitchen on walls 16.0 mortar/mastic NAD adhesive,cellulose, holding previous sample non-fibrous materials 17.0 decorative brick NAD non-fibrous materials living room fireplace 18.0 mortar NAD non-fibrous materials, holding previous sample 1 cellulose 18.1 mortar NAD non-fibrous materials, holding previous sample 2 cellulose 18.2 mortar NAD non-fibrous materials, holding previous sample 3 cellulose 19.0 masonry floor tile NAD non-fibrous materials main bathroom—color:white 20.0 mortar/mastic NAD adhesive,cellulose, holding previous sample non-fibrous materials 2 1.0 masonry tile NAD non-fibrous materials main bathroom lower walls—color:yellow w/black border 22.0 mortar/mastic NAD adhesive,cellulose, holding previous sample non-fibrous materials COMMON AREAS: 23.0 insulation NAD fiberglass,cellulose color:cream paper faced 24.0 window glazing NAD non-fibrous materials, cellulose 25.0 composition roofing NAD cellulose,tar, non-fibrous materials 26.0 vapor barrier NAD cellulose,tar beneath composition roofing 27.0 mastic NAD cellulose,adhesive holding composition roofing continue to page 6 BBB CD 1429Ave.D.W187,Snohomish,WA 98290 425-489-4040:f 775-665-0420 umtaahesrnlesfcryyi;ink) erbr�Lnrcacnpr I Page 6 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only 6 325 S. Cobb Ave.,Arlington WA 98223 ANALYSIS ID ASBESTOSHTYPEHOUANTITY OTHER MATERIAL COMMON AREAS cont: 28.0 chimney brick NAD non-fibrous materials 29.0 mortar NAD non-fibrous materials, holding previous sample 1 cellulose 29.1 mortar NAD non-fibrous materials, holding previous sample 2 cellulose 29.2 mortar NAD non-fibrous materials, holding previous sample 3 cellulose 325 S Cobb Ave is a house in Arlington, WA 98223.This 1,400 square foot house sits on a 0.26 acre lot and features 2 bedrooms and 1 bathroom. This property was built in 1909. '4 continue to page 7 1 BBB ,� . . CD 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 wmm.urlartn(rfa n;hr a 1lhIfMIoIVSLIYMJ Page 7 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only Ca)325 S. Cobb Ave.,Arlington, WA 98223 K AD/I zsa continue to page 8 BBB CD 1429 Ave,D.,9187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 11'II'II',R11lCf'!O rYl.['Ofi;(IJ�I�ASh((,S(WC;L CBLi . � 1 Page 8 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only Cad 325 S. Cobb Ave-,Arlington, WA 98223 if ■V T • continue to page 9 B88 . CD 1429 Ave.D.9187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 wxir.rasbrarnievGavmi;I �(tsh�cs�ulrstennl Page 9 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burred House Only Q,325 S. Cobb Avg Arlin u-[on WA 98223 I _ .j �t • K^ Y t continue to page 10 BBB ® CD 1429Ave.D.#187,Snohomish, WA 98290 425-489-4040;f775-665-0420 IC1P11•.U.CGG•S/q(C.1'!GYlAf;J(!�U!}fLCh7CYJUf1CI.G19111 Page 10 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only 0)325 S. Cobb Ave. Arlin«ton WA 98223 r 1 ` Ad— ti • continue to page 11 see d_T 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 L+'._isherHnustcrn�;ink rrl�syn�ast.aim Page 11 of 12 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House Only(a2 325 S. Cobb Ave..Arlington WA 98223 ti T continue to page 12 BBB. ntaly; I.T 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040,f775-665-0420 rr_w.nehr!.rlofaaLrmu;11,6 1ashleshuestrnnr Page 12 of 12 1 May 26,2017 B2170525 Asbesto-Test,Inc. 425-489-4040 Burned House On[00025S. Cobb Ave..Arlin Eton, WA 98223 Samples taken are listed with their corresponding analyses.If asbestos is detected,those samples containing asbestos are listed first and noted with the initials ACM". Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials,as prescribed byA.H.E.R.A.guideline. If,during demolition or renovation,any additional suspect asbestos containing materials are located[may include but not limited to: sheet vinyl flooring,the flooring,wall or ceiling texturings or paints,concrete siding or skirting,cement pipes,cement wallboard, electrical cloth,electrical wiring insulation,thermal paper,wallboard,joint compounds,vinyl wall coverings,spackling compounds,or any othersuspect TSI(Thermal System Insulation)],those materials are presumed Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. Asbesto-Test Inc.does not guarantee approximations of quantities of ACM,which may be listed with the analyses.It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material(i.e.square or linear foot etc.),or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance in renovation or demolition. PLM(polarized light microscopy)has been known to miss asbestos in small percentages of some samples,which contain asbestos, thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM(scanning electron microscope)or TEM(transmitting electron microscope),to insure analytical accuracy when asbestos is reported in small percentages Analytical test method:USEPA 600/R93/116'•(PLM);WAC296-62-07753 App.J "'One percent is the USEPA regulatory limit for asbestos in bulk samples. Key: 'FRIABLE"signifies"Easily Airborne" ACM signifies Asbestos Containing Material" PACM signifies'Presumed Asbestos Containing Material" CAB sign fes"Concrete Asbestos Board" < signifies"less than" TSI signifies"Thermal System Insulation" HVAC signifies"Heating Ventilating Air-Conditioning" NAD signifies"No Asbestos Detected" END OF REPORT Ar ynn ond, , BS Ana y6ca Chemist, AIHA proficient\ Inspect r, ce ified A.H.E.R.A. accred;1553 (Expires July 27,2017) BW8 nvaa t_I 1429Ave.D.ffI87,Snohomish,WA 98290 425-489-4040:f 775-665-0420 wwtnmba.+tatesl.amr w� 'hichtrts nt sI cow Permit#: 1564 Permit Date: 07/24/17 Permit Type: DEMOLITION Project Name: Knudson Applicant Name: John Knudson Applicant Address: 325 S. Cobb Street NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: John Knudson Phone: 425-232-2638 Email:jknudson3549@icloud.com Scope of Work: Demo Fire Damaged Home Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/15/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00411701101600 325 S COBB ST KNUDSON JOHN 111 Single Family W EST Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# 6727 164th Street CONSTRUCTION Labor and Magnum Excavating Craig Ratti MAGNUEI088LR SE CONTRACTOR Industries Plan Reviews Date Review Type Description Assigned To Review Status 07/25/2017 DEMOLITION z.Rick Karns Fees Fee Description Notes Amount Demolition $100.00 Processing/Technology $25.00 Total $125.00 Attached Letters Date Letter Description 07/25/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/24/2017 John Knudson 65651182 cc $125.00 Outstanding Balance $0.00 Notes Date Note Created By: On 8/14/2017 the seewer department spoke with Mrs.Knudson and let her know the side sewer 08/21/2017 needed to be cut and capped prior to demoing the house and a representative from the sewer JayLemke department needed to be on-site.Mrs.Knudson informed us that Magnum Excavating would contact us.The house has been demoed and the sewer department received no phone calls.JL 07/26/2017 Emailed permit for signature. Kristin Foster Uploaded Files Date File Name 08/16/2017 2531910-1564 Issued Permit.pdf 07/25/2017 2475079-1564 Apnlication.pdf