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Home My WebLink About117 W Gilman Ave_BLD2156_2026 I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:117 W Gilman Avenue Permit#:2156 Parcel#:00461801701400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GALLOWAY BRUCE C&KARIN L Name:Eagle Country Construction Name: Address: 117 W GILMAN AVE Address:P.O.Box 1304 Address: City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:, Phone: Phone:360-548-3067 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: I 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 AC RTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. S LE TAX N TI WIcrelationsttuction and construction materials in the City of Arlin n n reported on your sales to return f nnded City o n - IN119 Signature Print Name Date Rcicased By D c CONDITIONS Keep street and sidewalk open. If closure required a traffic control plan needs to be submitted and approved. 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 9/19/2018 Building Permit Fee $100.00 9/19/2018 Processing/Technology Fee $25.00 9/19/2018 State Building Code Surcharge Fee $6.50 Total Due: $131.50 Total Payment: $131.50 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 BY AN APPROVED AGENCY. Type of Permit:(check one) ® Residential ❑ commercial ❑ Industrial Project Address: 117 W Gilman Ave Parcel ID#: 004618-017-014-00 Lot#: Subdivision: Valuation: Building Area(Sq Ft) 1,751 No.of floors 1 Number of Buildings 2 Owner: Bruce & Karin Galloway Phone Number: 360-548-3067 Address PO Box 425 City:Lake Stevens State: WA Zip Code: 98258 Contact Person--('a rl SPt7Pr Phone Number: ,160-548-3067 Cell Phone: 206-265-3894 E-mail: csetzer.ecc@gmail.com Address: PC) Roy 130A City. Marysville State: WA Zip Code 98270 Contractor: Eagle County Construction Phone Number: 360-548-3067 Address: PO Box 1304 City: Marysville State: WA— Zip Code 98270 Contractor's License Number: EAGLECC942NZ Expiration: 8/9/20 Scope of Work: Removal of existing 1,148 sqft house with 603 sgft garage 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 will be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature Date Carl Setzer Print Applicants Name FOR STAFF USE ONLY �I Permit# Acce y Amount Received Receipt# Date Received Certification Of Abatement April 17, 2018 Attention: Eagle Construction, Inc. Project: 117 Gilman Ave., Arlington WA This letter is to certify that all Asbestos containing material was removed and disposed of from the property located above per the home owners request. All work was performed in strict compliance with all federal, state and local regulations. If you have any questions, please do not hesitate to give us a call. Sincerely, Annemari Kallai Above & Beyond Asbestos Removal, LLC CC ABOVEBA842PE Received )E'P,\ ?alp ABOVE & BEYOND ASBESTOS REMOVAL LLC �w�`—' .jti'}� � � A-T Asbesto-Test, Inc. 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040 vncosLrstufrsf.ronr jn&ragshestokatrom ASBESTOS SURVEY House and Detached Garage 0)117 Gilman Ave..Arlington WA 98223 Page I of 8 September 4,2018 M2180818 FDW Construction POB 1178 Lake Stevens,WA 98258 425-529-7774 Attn.: Randy Ferguson feriusondirtworks(a)P-mail.com On August 28,2018,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 the house and detached garage(a?117 Gilman Ave., Arlington,Snohomish County, Washington 98223. This survey purpose is to identify Asbestos Containing Materials that are present and will require professional removal prior to demolition. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is a single-story wood frame on a crawlspace foundation.The siding is wood. The siding vapor barrier materials were sampled.The roofing is composition. The composition roofing materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall and wood. The drywall and taping compounds were sampled. The vinyl and tile flooring materials,with relating backings and mastics,were sampled. The masonry tile materials with the relating mortar/mastics were sampled. The misc. mastic materials were sampled. INSULATION: The insulation was sampled. continue to page 2 ReCe1Ved sEP 19 2018 r'� zc'�a .� $�, BBB , Page 2 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage Ca.117 Gilman Ave. Arlington, WA 98223 ELECTRICAL SYSTEM: 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: Heating throughout is baseboard/wall electric.There was no visible suspect ACM located associated with any of the electric heating units. It was not possible to dismantle the electric heating units to locate and/or evaluate any additional suspect ACM which may be concealed, inside the units,or associated in hidden areas. It is our opinion any further handling of the heating units should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect ACM is located prior to and/or during any demolition or renovation,those materials are PACM(Presumed Asbestos Containing Material),unless determined to be otherwise by laboratory analysis. MISC.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: The garage is a wood framed structure with composition roofing The composition roofing materials were sampled. There is vapor barrier on some interior walls. This material was sampled. The insulation was also sampled. #of structures included in survey: one house, one garage Requested by: Randy Ferguson Certifitate of QCOltipletloll tnm o .Wy" Matthew G.Hutson has salWagr,. ftm ff 34 taUn 6�trAafNa1 05 N� AHERA Bullding Inspector t0Onpy"IhQSwurpMWhr. ftd TSCA TO II,40 OFR 763(At-ERA) I.v Matthew Hutson Inspector, Certified A.H.E.R.A. Accred. #167808 EXP.May 30,2019 continue to page 3 B A vlziw CE) ...... 1429Ave.D.#187,Snohomish,WA 98290 1 y r �n Page 3 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Gartme n 117 Gilman Ave.,Arlin—aton, 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 DEMOLITON 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#1.042.0 ARE ASBESTOS CONTAINING MATERIALS ANALYSIS ID ASBEST05//TYPE//QUANTITY OTHER MATERIAL 1.0 FLOOR TILE yes H chrysotile H 3% non-fibrous materials NON-FRIABLE ACM HOT WATER HEATER ROOM UNDER PRESSBOARD SUB FLOOR -COLOR: OFF WHITE 2.0 MASTIC yes H chrysotile H 2% non-fibrous materials NON-FRIABLE ACM BENEATH PREVIOUS SAMPLE LISTED APPROX.25 SQ. FT.ACM FLOOR TILE AND MASTIC ON WOOD 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 THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN 3.0 the covering NAD non-fibrous materials kitchen backsplash-color:tan 3.1 mastic NAD adhesive beneath previous sample listed 4.0 mastic NAD adhesive,cellulose kitchen holding tan laminate on countertop 4.1 mastic NAD adhesive,cellulose kitchen holding tan laminate on backsplash 5.0 insulating material NAD non-fibrous materials, kitchen on underside of kitchen sink cellulose,polymers continue to page 4 BBB aa8 i® 1429Ave.D.#187,Snohomish,WA 98290 Page 4 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage 0,117 Gilman Ave.,Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL 6.0 floor tile NAD non-fibrous materials hot water heater room,bathroom,cabinet bottoms -surface color:white w/blue diamonds 6.1 mastic NAD adhesive beneath previous sample listed 7.0 sheet vinyl flooring NAD non-fibrous materials kitchen surface-color:gray cellulose, fiberglass 7.1 mastic NAD cellulose,adhesive holding previous sample 8.0 sheet vinyl flooring NAD non-fibrous materials kitchen&bathroom 2nI layer-color:tan cellulose, fiberglass 8.1 mastic NAD cellulose,adhesive holding previous sample 9.0 masonry tile NAD non-fibrous materials front entry-brown 9.1 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 9.2 backer board NAD concrete beneath previous sample 10.0 masonry tile NAD non-fibrous materials bathroom backsplash-color:tan 10.1 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 11.0 masonry tile NAD non-fibrous materials on walls around tub-color white&gray with red diamonds 11.1 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 12.0 drywall/taping compound NAD non-fibrous materials kitchen composite cellulose,fiberglass 13.0 drywall/taping compound NAD non-fibrous materials hot water heater room composite cellulose, fiberglass 14.0 drywall/taping compound NAD non-fibrous materials bathroom composite cellulose,fiberglass 15.0 drywall/taping compound NAD non-fibrous materials hall cellulose,fiberglass 16.0 drywall/taping compound NAD non-fibrous materials LR cellulose,fiberglass continue to page 5 e_•r 1429Ave.D.#187,Snohomish,WA 98290 425-489_404m r775_Fs5_n45)n Page 5 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage Q,117 Gilman Ave Arlington WA 98223 ANALYSIS 11) ASBESTOSI/TYPEHOUANTITY OTHER MATERIAL 17.0 popcorn ceiling NAD non-fibrous materials, hall/front entry cellulose,paint 18.0 popcorn ceiling NAD non-fibrous materials, left corner BR cellulose,paint 19.0 popcorn ceiling NAD non-fibrous materials, right corner BR cellulose,paint HOUSE COMMON AREAS: 20.0 insulation NAD cellulose blown cellulose-color:gray 21.0 composition roofing NAD cellulose,tar, non-fibrous materials 22.0 mastic NAD non-fibrous materials, holding composition roofing cellulose 23.0 vapor barrier NAD cellulose,tar beneath composition roofing 24.0 vapor barrier NAD cellulose,tar beneath pressboard siding GARAGE: 25.0 insulation NAD cellulose paper faced-color:cream 26.0 vapor barrier NAD cellulose,tar on some walls&ceilings-black 27.0 composition roofing NAD cellulose,tar, non-fibrous materials 28.0 mastic NAD non-fibrous materials, holding composition roofing cellulose 29.0 vapor barrier NAD cellulose,tar beneath composition roofing continue to page 6 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 Page 6 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Gara a a,117 Gilman Ave. Arlington, JVA 98223 r d I f r/t S 1 w continue to page 7 BBB .n..wr CD 1429 Ave.D.#187,Snohomish,WA 98290 • i .` Page 7 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage 0,117 Gilman Ave.,Arlington, WA 98223 IL !ehi! b!" • 1 Beds 2 Style Single Family Residential Baths 1 Year Built 1925 Sq.Ft. 840 Year Renovated 1980 Stories 1 County Snohomish County Lot Size 5,663 Sq.Ft. APN 00461801701400 continue to page 8 I g1 1 ® � r 1429 Ave.D.#187,Snohomish,WA 98290 ! I Page 8 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Gar•aee(a? 117 Gilman Ave.,Arlington, WA 98223 Bedroom Information • Utility Room on Main Level #of Bedrooms(Main):2 Flooring Information Master Bedroom on Main Level • Vinyl Floor Bathroom Information Equipment #of Baths(Full):1 Range/Dven #of Main Baths(Full):1 Heating&Cooling Room Information • Baseboard Heat Kitchen with Eating Space on Main Level Living Room on Main Level Parking/Garage,Exterior Features,School/Neighborhood,Utilities Parking Information School Information #of Covered Spaces:l Elementary School:Buyer To Verify Detached Garage Junior High School:Buyer To Verify Building Information Senior High School:Arlington High Building Condition Fixer School District:Arlington Built On Site Utility Information Wood Products Exterior Energy Source:Electric Poured Conciete Foundation Public Water Source Composition Roof Sewer Connected • Power Company:pud • Water Company:arlington • Sewer Company:ariington 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 ore 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 other suspect 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 500/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 signifies"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 ArLynn Hammond, Pres., BSc. Analytical Chemist, AIHA proficient Inspector, certified A.H.E.R.A. accred.#168598(Expires July 18,2019) BBB CD 1429 Ave.D.#187,Snohomish,WA 98290 IWORQ Systems Inc. Page 1 of 2 Mike Hansen - Permit Information Owner Mike.hansen@kw.com Date 4/30/2018 Permit Number 1942 P.O.Box 1304 Project Namel Eagle Country Construction Marysville,WA 98270 Applicant Namel Mike Hansen , Applicant Addressl PO Box 1304 Eagle nstruction, Inc. City,State,Zipl Marysville,WA 98270 425-330-9104 Contact)Mike Hansen Phone 425-330-9104 Email)mike.hansen@kw.com Permit Typel ZON Site Addressl 117 W Gillman Valuation l 0.00 Status l Applied Permit Issued) Permit Expires) Square Feetl0 Type of Construction/Occupancy Load l Number of Stories)0 Proposed Usel Demo existing SFR for 2 unit townhomes Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 00461801701400 117 W GILMAN GALLOWAY BRUCE C& 111 Single Family Residence- AVE KARIN L Detached Review Date Type Description Target Completed Assigned Status Date Date To 4/30/2018ZON 5/3/2018 Building In Review 4/30/2018ZON 5/3/2018 Marc In Hayes Review 4/30/2018ZON Pave driveways,drainage shall be infiltrated 5/3/2018 5/1/2018 Nova In Heaton Review One 5/8"water&sewer connection fee credit will be issued for one of the 4/30/2018ZON new townhomes with a side sewer inspection fee being required.The other 5/3/2018 5/3/2018 PW Admin Complete townhome will be required to pay the full water&sewer connection fees. Rev LT 4/30/2018ZON 5/3/2018 PW-Sew- In Rev Review https://www.iworq.net/iworq/Permit/popupPerrnitEditPrint.asp?sid=MMOOHKFAKJDCF... 5/4/2018 IWORQ Systems Inc_ Page 2 of 2 4/30/2018ZON Prior to Demolition contact COA Utilities to remove existing meter.Two(2) 5/3/2018 5/2/2018 PW-Wat- Complete New water services per COA Std.Detail W-040 will be required.These will Rev be long side services. Uploaded Files Upload File Date File Uploaded By 4/30/2018 4:37:11 PM 1942 Site.odf Foster, Kristin X 4/30/2018 4:37:11 PM 1942 Application.pdf Foster, Kristin X https://www.iworq.net/iworq/Permit/popupPermitEditPrint.asp?sid=MMOOHKFAKJDCF... 5/4/2018 IWORQ Systems Inc. Page 1 of I Permit Information Date 4/30/2018 Permit Number 1942 Project Name l Eagle Country Construction Applicant Name Mike Hansen Applicant Address)PO Box 1304 City,State,Zipl Marysville,WA 98270 Contact Mike Hansen Phone 425-330-9104 Email I mike.hansen@kw.com Permit Typel ZON Site Address)117 W Gillman Valuation 10.00 Status I Applied Permit Issued Permit Expiresl Square Feetl0 Type of Construction/Occupancy Load Number of Stories)0 Proposed Usel Demo existing SFR for 2 unit townhomes Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 00461801701400 117 W GILMAN GALLOWAY BRUCE C& 111 Single Family Residence- AVE KARIN L Detached Review Date Type Description Target Date Completed Date Assigned To Status 4/30/2018 ZON 5/3/2018 Building In Review 4/30/2018 ZON 5/3/2018 Marc Hayes In Review 4/30/2018 ZON 5/3/2018 Nova Heaton In Review 4/30/2018 ZON 5/3/2018 PW Admin Rev In Review 4/30/2018 ZON 5/3/2018 PW-Sew-Rev In Review 4/30/2018 ZON 5/3/2018 PW-Wat-Rev In Review Uploaded Files Upload File Date File Uploaded By 4/30/2018 4:37:11 PM 1942 Site.pdf Foster,Kristin X 4/30/2018 4:37:11 PM 1942 Application.pdt Foster, Kristin X https://www.iworq.net/iworq/Permit/popupPermitEditPrint.asp?sid=DLEELPDJECPQMH... 4/30/2018 I IWORQ Systems Inc. Page 1 of 2 Permit Information Date 4/30/2018 Permit Number 1942 Project Namel Eagle Country Construction Applicant Namel Mike Hansen Applicant Address)PO Box 1304 City, State,Zipl Marysville,WA 98270 Contactl Mike Hansen Phone 425-330-9104 Email)mike.hansen@kw.com Permit Typel ZON Site Address)117 W Gillman Valuation l 0.00 Status l Completed Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load l Number of Stories l 0 Proposed Use Demo existing SFR for 2 unit townhomes Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 00461801701400 117 W GILMAN GALLOWAY BRUCE C& 111 Single Family Residence- AVE IKARIN L Detached Review Date Type Description Target Completed Assigned Status Date Date To 4/30/2018ZON 5/3/2018 BuildingIn Review 4/30/2018ZON 5/3/2018 Marc In Hayes Review 4/30/2018ZON Pave driveways,drainage shall be infiltrated 5/3/2018 5/1/2018 Nova In Heaton Review One 5/8"water&sewer connection fee credit will be issued for one of the 4/30/2018ZON new townhomes with a side sewer inspection fee being required The other 5/3/2018 5/3/2018 PW Admin Complete townhome will be required to pay the full water&sewer connection fees. Rev LT 4/30/2018ZON See notes JL 5/3/2018 5/11/2018 Rev Sew Complete https://www.iworq.net/iworq/Permit/popupPermitEditPrint.asp?sid=BENMRQCMEOLEP... 5/11/2018 IWORQ Systems Inc. Page 2 of 2 4/30/2018ZON Prior to Demolition contact COA Utilities to remove existing meter.Two(2) 5/3/2018 5/2/2018 PW-Wat- Complete New water services per COA Std.Detail W-040 will be required.These will Rev be long side services. Uploaded Files Upload File Date File Uploaded By 4/30/2018 4:37:11 PM 1942 Site.pdf Foster,Kristin 4/30/2018 4:37:11 PM '1942 Aoollcationdf Foster,Kristin https://www.iworq.net/iworq/Pennit/popupPermitEditPrint.asp?sid=BENMRQCMEOLEP... 5/11/2018 IWORQ Systems Inc. Page 1 of 1 Permit Details Date 4/30/2018 Permit Number 1942 Review Information Review Date4/30/2018 TypeZON Target Date5/3/2018 Completion Date5/11/2018 Description See notes JL StatusComplete Assigned ToPW-Sew-Rev Notes/Conditions Date Notes Per standard 5-1 13,each unit shall have its own separate sewer stub.The sewer department must inspect the 2018-05-11 existing sewer stub to determine if it can be used for one of the new units.A new sewer tap and sewer stub must me installed,see standard detail SS-100. Prior to demolition,existing side sewer must be cut and capped at the sewer stub,contact the sewer department for inspection.JL Property Information Parcel#:00461801701400 GALLOWAY BRUCE C&KARIN L GALLOWAY BRUCE C&KARIN L 117 W GILMAN AVE 117 W GILMAN AVE ARLINGTON WA 98223 111 Single Family Residence-Detached https://www.iworq.net/iworq/Permit/popupPermitReviewEditPrint.asp?sid=BENMRQCM... 5/11/2018 I :. RESIDENTIAL ZONING VERIFICATION APPLIC ATION 4 Department of Community& Economic Development City of Arlington• 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 (Please allow 72 hours for review) Project Address: 11�� Plat: Owner/Applicant: � �/ C Uv-i�J Y �G�1�`r yC .0.1 i�C Address: 1�p,0, V o x- City:MwPrrvJwe- State: 6-.1,* Zip Code: i}� —7o Phone: 4z�--3,)) a Email: In han7cA Describe Proposal (include cross street): Please check one: ❑Single-family dwelling ❑i Duplex ❑ Addition ❑ Accessory structure AfTcxinllom(�- Z/� 21 000 1. Proposed Dimensions: W) 44 L) �6 H) `7` Total SF) 2. Allowed Lot Coverage: Total Lot Size 5'700 SF x131= �76° SF toort 3. Actual Lot Coverage: (SF of all structures') 3�d� -- _ ?bc- (lot size) _ < % 4. Septic Tank? L]:Yes No Private Well on Site? Q Yes 6rNNo If so,please provide Snohomish County Health Department approval and indicate on site plan. 5. How many trees greater than 12" diameter will be removed? �if any, please indicate on site plan. 6. Appliances permanently connected to water service may require Cross-Connection-Control. (Check all that apply) U Fire Sprinkler System 4J Medical Equipment El Lawn Sprinkler System 01 Livestock Drinking Tanks Decorative Pond/Fountain 1J. Hot Tub Re-circulating Heating System Swimming Pool Received [� Other APR 2 Q `1.N18 Applicant Signat Date: ec) A f This square footage should include the footprint area of all structures on the property including:house, garages, sheds, covered patios, and decks permitted by the building code. Rev 04/2013 Snohomish Parcel Information Chicago Title Parcel #: 00461801701400 Old Parcel#: 46180170140004 Owner 111foi•mation Owner: Galloway Bruce C&Karin L 117 W Gilman Ave r Arlington, WA 98223 Phone: Parcel Information TRS-Qtr: 31NO5EO2-SW Site Address: 117 W Gilman Ave Arlington,WA 98223 Parcel Acres: 0.13 Parcel SgFt: 5,663 Treasurer Information Taxpayer: Galloway Bruce C&Karin L Use Description: Single Family Residence PO BOX 425 Instrument: 200903060502 Lake Stevens, WA 98258 County Sale Date: 03/06/09 Amount: $114,500 Taxes Excise#: Year: 2017 Amount: $1,720.15 Exemption: Plat Volume/Page: 2/22 Assessments Year: 2017 Lot/Block: 14/ 17 Waterfront: Improvement Value: $69,400 School District: Arlington School District 16 Land Value: $80,500 Neighborhood Code: 5203000 Total Value: $149,900 Zone: Arlington-OTBD-3-Old Town Business District-3 Legal HALLER CM BLK 017 D-00-E 2OF7 OF LOT 14&W 37 I/2Ff LOT 15 TCA: 00110 Levy Rate: 11.44193160793 Census Tract: 053508 Census Block: 2016 Map Grid: 317-C1 Utilities: Sentry Dynamics,Inc.and its customers make no representations,warranties or conditions,express or implied,as to the accuracy or completeness of information contained in this report. i OUAPTER_ - 11lCTIONTOMPOPIUVAL RANGl.WJA. ......-•,.. ....... ...........,_..r.............••.. 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A� 1 1 OC. I 2.02e NW-11J1.05 v II y a —W [Burke Ave- --.SR 530— -- -W Burke Ave—SR 530--- 57.39 �999.81 t/- 100.31 57.4 + - - W Gilman Ave FTT this niap/plat k being furnished as en ald In locating the herein described land In relation to adjoinlnq streets,natural boundaries and other,land,and Is not a survey of the land depicted. E vicept to tiro extent a policy of title Insurance Is expressly modified by endorsement,If any,the company does not Insure dhnerulons,distances,locahon of easnmenls,atreage or other marten Chicago Title °^°vrn thereon geoAdvantage �� i I 200903060602.001 l/y sa6 1 126829 .. I � i AFTER RECORDING MAIL TO: IIIIIIIINIIIIINIIINIIIIII�IlIIIIIIINI�IIlI�III 17 Galloway de Kai 1 in L.Cnllosvny 17 Wesesl C:Gallowayn Avee Ar11ng10 ,WA 98 nu223 k0 N�T�N Filed for Record ill Request of:Plnuacle Northwest Escrow,LLC Esermv Number: 09807739 s TitleNumber:680129792-1 **ChleagoTitlelosura nee CompaayLSIDivision** Statutory Warranty Deed Craotor(s):U.S.Book National Association,successor-In-Inlerest Cranlce(s):Bruce C.C11110nrey and Karin L.Calloway Asscssor's TRs Parcel Nunlber(s):00461801701409 THE GRANTOR, U.S. BANK NATIONAL ASSOCIATION, SUCCF,SSUat-IN-INTEREST TO WACIIOVIA BANK,N.A.,AS TRUSTEE FOR THE REGIS11RED IIOLDF,RS OF AEGIS ASSET BACKED SECURITIES TRUST, l\'iOwrGAGE PASS-TUROUCH CERTIFICATES, SERIFS 2005.5, for and in comAderalion of S114,500.00 in hand pnkL conveys and %variants to BRUCK C. CALLOWAY AND KARIN L.GALLOWAY.HUSBAND AND WIFE the following described real estate,sdnated in the COunrynfSuahOntish,sinir or Washington: Legal Descriptlun: THE EAST 20 FEET OF LOT 14 AND TFIE\VEST 37.5 FEET OF LOT Is,BLOCK 17,I IALLER CITY.ACCORDING TO THE PLAT I•IIE RKOF RECORDED IN VOI,IINIE 2 Ole PLATS,PACT 22,IN SNOIION-11811 COUNTY,WASHINCTON. SUBJECT'I.O:Any and a0 Items disclosed of the public record or all a emnudimenl of lode,btcinding lvilhntlt lindoltlon any agreements,conditions,rnvenants,declnralioaa,easentenls,notices,rights, reservations, and/or resirleltons which are htenrporated herein ns if fully gel forth. U.S.RANK N,1'r1UNAl,ASSOCIATION, SUCCESSOR-IN-IN'rERES'I'TO WACHOVI.\ KEITH CHAPMAN BANK,N.,\.,AS 7'li0s'1'F,E I-OR Tlli:RF.GIS'I'F,RED Gln5in0 ManegOr.VA REO HOLDERS OF AEGIS ASSET BACKED %%%pU1 Ugtrr SE-CURITI STRUST,MORTGAGE 1 I'IIROUG11,CERIIFICATES.SERIESASS-2005.5,BY 0�,,'`QAN•5a9�� I UCWEN LOAN SVRVICING.LLC,AS Ki-rORNEY : t�.• pPO O .' IN FACT (!� A9� y I =(� SEA m .12 O L ' Dated' I�t.W �2 2 s I STATCOF VIAp�/11Jt`t I 1111111111111"111110 COUNTY OF (��11�(lss: I certify that 1 krmw or have satisfactory evidence that_fib 1e�Tp C oHeA-PM�Ap�N _ IsLm the persons)who appeared bel'o t c.and said persons)nc .141q cOgch I(>df I[t7 iIm.Lkhey signed tills instnnnem nod ockonwledge 11 In b frm and voluntary act fo the uses Will pu to e mcoliotcd in dux imiroment.And 11 Ila3lit.L ark Ihc_ 6�}_ ol'Ocwen 1 amn Servicing,LLC,and is authorized to sip on its behalE Dated ,!a-1 Lgr 1 Aff w eft Ndsry iubac Stile of Pbode Nol Public tl fi.r the Sf Mr ce ine of l�•' Main AV%s a n,Ralelen DD7ga2a7 Residing at �i«r,� taroe�nowrno,g MynFpoinbncnlexpires• Snohomish Parcel Information Chicago Title (Parcel 00461801701400 continued) Improvements Type: DWELLING Identifier., R01 Use: Single family Date: 09/01/2010 Bldg Type: 11 1 Sty Type I Stories: 1.0 Construction: Wood frame w/sheathing Year Built: 1925 Foundation: Full Crawl Quality: Fair Floors: Carpet Vinyl sheet Condition: above normal for age Interior Walls: Drywall Exterior: Siding-Lap Roof Type&Cover: Gable Comp sh to 235# Fireplace: Central Air: Heat: Forced hot air Bedrooms: 2 Baths: 1.00 Total SgFt: 840 1 Outbuildings: Residential Detached Garage Open Porch SgFt: 0 Wood Deck SgFt: 0 Att.Gar.SgFt: Det.Gar.SgFt: 384 Basement SgFt: 0 Basement Fin.SgFt: 0 Lower Level SgFt: 0 Lower Level Fin:SgFt: 0 Miscellaneous Sidewalk: Topographyl. Level Topography2: Topography3: Land Docs Date Doc Type Description Doc# Volume Page 4/24/1890 1 HALLER CITY 189004245001 2 22 Transfer Information Loan Date: 5/14/2013 Loan Amt: $100,000 Doc Num: 0000000514 Doc Type: Trust Deed-Deed of Trust Loan Type: Variable Finance Type: Lender: BOEING EMPLOYEES CU Rec. Date: 03/06/09 Sale Price: $114,500 Doc Num: 200903060502 Doc Type: Warranty Deed Owner: GALLOWAY, BRUCE C&KARIN L Grantor: AEGIS ASSET BACKED SEC 2005-5 Orig. Loan Amt: Title Co: CHICAGO TITLE Finance Type: Loan Type: Lender: Sentry Dynamics,Inc.and its customers make no representations,warranties or conditions,express or Implied,as to the accuracy or completeness of information contained In this report. f I �� I O t ♦ L 9 91 SI AV1 41 fi 1 L v UP"! v?em 12 2112 ,� I 1 Certification Of Abatement April 17, 2018 Attention: Eagle Construction, Inc. Project: 117 Gilman Ave., Arlington WA This letter is to certify that all Asbestos containing material was removed and disposed of from the property located above per the home owners request. All work was performed in strict compliance with all federal, state and local regulations. If you have any questions, please do not hesitate to give us a call. Sincerely, Annemari Kallai Above & Beyond Asbestos Removal, LLC CC ABOVEBA842PE Received ter.P 1 9 20m ABOVE & BEYOND ASBESTOS REMOVAL LLC '"I-->2,J c,-30 ' 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) ® Residential ❑ Commercial ❑ Industrial Project Address 117 W Gilman Ave Parcel ID#: 004618-017-014-00 Lot#: Subdivision Valuation Building Area(Sq Ft) 1.751 No. of floors 1 Number of Brnldings 2 Owner: Bruce & Karin Galloway Phone Number: 360-548-3067 Address. PO Box 425 City:Lake Stevens State: WA Zip Code: 98258 Contact Person:—(',q rl Setzer Phone Number: _3150_548-1067 Cell Phone: 206-265-3894 E-mail: csetzer.ecc@gmail.com Address PCr ROX 1 R(14 city: Marysville State: WA Zip Code: 98270 Contractor: Eagle County Construction Phone Number: 360-548-3067 Address: PO Box 1304 City: Marvsvill�_State: WA Zip Code: 98270 Contractor's License Number: EAGLECC942NZ Expiration 819120 Scope of Work: Removal of existing 1,148 sqft house with 603 sgft garage 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 will be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature Date Carl Setzer Print Applicants Name FOR STAFF USE ONLY �I Permit# Acce y Amount Received Receipt# Date Received A-T Asbesto-Test, Inc. 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040 NM'NtpYlx:97Olt•St.funl:t!i o QtlP CSlO1P.N.C'O/R ASBESTOS SURVEY House ttud Detttc•ltetl Garage a 117 Gibuan Ave. Arlington IVA 98223 Page I of 8 September 4,2018 M2180818 FDW Construction POB 1178 Lake Stevens,WA 98258 425-529-7774 Attn.: Randy Ferguson ferausondirhvorks(a gmail.com On August 28,2018,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 the house and detached Qaraee a,117 Gilman Ave., Arlington,Snohomish County, Washington 98223. This survey purpose is to identify Asbestos Containing Materials that are present and will require professional removal prior to demolition. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is a single-story wood frame on a crawlspace foundation. The siding is wood. The siding vapor barrier materials were sampled.The roofing is composition. The composition roofing materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall and wood. The drywall and taping compounds were sampled. The vinyl and tile flooring materials,with relating backings and mastics,were sampled. The masonry tile materials with the relating mortar/mastics were sampled. The misc.mastic materials were sampled. INSULATION: The insulation was sampled. continue to page 2 RQCBlVQd SEE 9nf�, B 42 Page 2 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Gara-ae a,117 Gibnan Ave.,Arlinyou WA 98223 ELECTRICAL SYSTEM: 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: Heating throughout is baseboard/wall electric. There was no visible suspect ACM located associated with any of the electric heating units. It was not possible to dismantle the electric heating units to locate and/or evaluate any additional suspect ACM which may be concealed,inside the units,or associated in hidden areas. It is our opinion any further handling of the heating units should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect ACM is located prior to and/or during any demolition or renovation,those materials are PACM(Presumed Asbestos Containing Material),unless determined to be otherwise by laboratory analysis. MISC.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY:The garage is a wood framed structure with composition roofing The composition roofing materials were sampled. There is vapor barrier on some interior walls. This material was sampled. The insulation was also sampled. #of structures included in survey:one house, one garage Requested by:Randy Ferguson Certificate of Completiou Ihri s W co.ey ma Matthew G.Hutson f.:o"Vam* ..dew le Pours of eanhs a M AHERA Bullding Inspector Po comp,01.9w y—V mwoawm a T6G Tire II,40 0FR 76]IAHERA) Matthew Hutson Inspector, Certified A.H.E.R.A. Accred. #167808 EXP.May 30,2019 continue to page 3 B CD „r..M 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 Page 3 of 8 September 4, 2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage n 117 Gilman Ave.,ArlimQton, 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 DEMOUTON 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 MAYBE 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#1.042.0 ARE ASBESTOS CONTAINING MATERIALS ANALYSIS ID ASBESTOSHTYPEflQUANTITY OTHER MATERIAL 1.0 FLOOR TILE yes H chrysotile//3% non-fibrous materials NON-FRIABLE ACM HOT WATER HEATER ROOM UNDER PRESSBOARD SUB FLOOR -COLOR:OFF WHITE 2.0 MASTIC yes H chrysotile//2% non-fibrous materials NON-FRIABLE ACM BENEATH PREVIOUS SAMPLE LISTED APPROX.25 SQ. FT.ACM FLOOR TILE AND MASTIC ON WOOD 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 THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN 3.0 the covering NAD non-fibrous materials kitchen backsplash-color:tan 3.1 mastic NAD adhesive beneath previous sample listed 4.0 mastic NAD adhesive,cellulose kitchen holding tan laminate on countertop 4.1 mastic NAD adhesive,cellulose kitchen holding tan laminate on backsplash 5.0 insulating material NAD non-fibrous materials, kitchen on underside of kitchen sink cellulose,polymers continue to page 4 BBB : GEEM CD 1429Ave.D.#187,Snohomish,WA 98290 A?a_ARo_Anen rns_AAi_ne?n Page 4 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garake 4i.117 Gilman A►w., Arlin ton, TVA 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTIIFR MATERIAL 6.0 floor tile NAD non-fibrous materials hot water heater room,bathroom,cabinet bottoms-surface color:white w/blue diamonds 6.1 mastic NAD adhesive beneath previous sample listed 7.0 sheet vinyl flooring NAD non-fibrous materials kitchen surface-color:gray cellulose,fiberglass 7.1 mastic NAD cellulose,adhesive holding previous sample 8.0 sheet vinyl flooring NAD non-fibrous materials kitchen&bathroom 2"a layer-color:tan cellulose, fiberglass 8.1 mastic NAD cellulose,adhesive holding previous sample 9.0 masonry tile NAD non-fibrous materials front entry-brown 9.1 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 9.2 backer board NAD concrete beneath previous sample 10.0 masonry the NAD non-fibrous materials bathroom backsplash-color:tan 10.1 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 11.0 masonry tile NAD non-fibrous materials on walls around tub-color white&gray with red diamonds 11.1 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 12.0 drywall/taping compound NAD non-fibrous materials kitchen composite cellulose,fiberglass 13.0 drywall/taping compound NAD non-fibrous materials hot water heater room composite cellulose,fiberglass 14.0 drywall/taping compound NAD non-fibrous materials bathroom composite cellulose,fiberglass 15.0 drywall/taping compound NAD non-fibrous materials hall cellulose, fiberglass 16.0 drywall/taping compound NAD non-fibrous materials LR cellulose,fiberglass continue to page 5 CD 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;(775-665-0420 Page 5 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Gara_ee C&117 Gilman Ave Arlington WA 98223 ANALYSIS ID ASBESTOSHTYPEHOUANTITY OTHER MATERIAL 17.0 popcorn ceiling NAD non-fibrous materials, hall/front entry cellulose,paint 18.0 popcorn ceiling NAD non-fibrous materials, left corner BR cellulose,paint 19.0 popcorn ceiling NAD non-fibrous materials, right corner BR cellulose,paint HOUSE COMMON AREAS: 20.0 insulation NAD cellulose blown cellulose-color:gray 21.0 composition roofing NAD cellulose,tar, non-fibrous materials 22.0 mastic NAD non-fibrous materials, holding composition roofing cellulose 23.0 vapor barrier NAD cellulose,tar beneath composition roofing 24.0 vapor barrier NAD cellulose,tar beneath pressboard siding GARAGE: 25.0 insulation NAD cellulose paper faced-color:cream 26.0 vapor barrier NAD cellulose,tar on some walls&ceilings-black 27.0 composition roofing NAD cellulose,tar, non-fibrous materials 28.0 mastic NAD non-fibrous materials, holding composition roofing cellulose 29.0 vapor barrier NAD cellulose,tar beneath composition roofing continue to page 6 I 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 Page 6 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage I<.117 Gilman At rlituaton, WA 98223 i !I f i 7 r a continue to page 7 1 IBfB •.T 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040:f775-665-0420 Page 7 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 House and Detached Garage A 117 Gilman Ave..Arlington, WA 98223 rYl VG4 I;m • . _ I f. . Beds 2 Style Single Family Residential Baths 1 Year Built 1925 Sq.Ft. 840 Year Renovated 1980 Stories 1 County Snohomish County Lot Size 5,663 Sq.Ft. APES 00461801701400 continue to page 8 ii �rc I_T 1429Ave.D.#187,Snohomish,WA 98290 Ala Ann_Anen.r77c,cas_nAIA Page 8 of 8 September 4,2018 M2180818 Asbesto-Test,Inc. 425-489-4040 Himse wid Detached Garof,,e W,, 117 Gilman Ave.,Arllnl ton, WA 98223 Bedroom Information • Utility Room on Main Level e of Bedrooms(lill 2 Flooring Information Master Bedroom on Main Level • Vinyl Floor Bathroom Informatlon Equipment 0 of Baths(Full):t Range/Oven $of Main Baths(Full);I Heating&Cooling Room Information • Baseboard Heat • Kitchen with Fating Space oil Main L,,rc Living Room on Main Level Parking/Garage,Exterior Features,School/Neighborhood,Utilities Parking Information School Information A of Covered Spaces:1 Elementary School:Buyer To Verify Detached Garage Junior High School:Buyer To Verify Building Information Senior High School:Arlington High Building Condition.Fixer School District:Arlington Built On site Utility Information Wood Products Exterior Energy Source:Electric Poured Concrete Foundation Public Water Source Composition Roof Sewer Connected • Power Company:pud Water Company:arlington Sewer Company:arlington 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 maybe 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 other suspect 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 cf 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 PALM 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);WAC 296-62-07753 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 signifies"Concrete Asbestos Board" < signifies"less than" TSI signifies'Thermal System Insulation" HVAC signifies"Heating Ventilating Air-Conditioning" NAD signifies"IVo Asbestos Detected" END OF REPORT ArLynn Hammond, Pres., BSc. Analytical Chemist, AIHA proficient Inspector, certified A.H.E.R.A. accred.#168598(Expires July 18,2019) B I-T 1429Ave.D.#187,Snohomish,WA 98290 d1 t_dR0_encn•r rrs_AA;_nd1n CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:117 W Gilman Avenue Permit#:2156 Parcel#:00461801701400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GALLOWAY BRUCE C&KARIN L Name:Eagle Country Construction Name: Address: 117 W GILMAN AVE Address:P.O.Box 1304 Address: City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:, Phone: Phone:360-548-3067 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: I CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 1 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 C•RTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. S E TAX N TI Ie: relating tw.construction and construction materials in the City of Arlin n m a reported on your sales to return f nn ded Jv Signature Print Name Date Released By D c CONDITIONS Keep street and sidewalk open. If closure required a traffic control plan needs to be submitted and approved. 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 9/19/2018 Building Permit Fee $100.00 9/19/2018 Processing/Technology Fee $25.00 9/19/2018 State Building Code Surcharge Fee $6.50 Total Due: $131.50 Total Payment: $131.50 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 Permit#: 2156 Permit Date: 09/19/18 Permit Type: DEMOLITION Project Name: Galloway Applicant Name: Eagle Country Construction Applicant Address: P.O. Box 1304 Applicant, City, State, Zip: Marysville,WA 98270 Contact: Carl Setzer Phone: 360-548-3067 Email: csetzer.ecc@gmail.com Scope of Work: Demo existing house Valuation: 0.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/19/2018 Permit Expires: Form Permit Type: Status: IN PROCESS Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GALLOWAY 00461801701400 117 W GILMAN AVE BRUCE C&KARIN Residence Single Family sidence-Detached L Fees Fee Description Notes Amount Building Permit Table 4-1 $100.00 Processing/Technology $25.00 State Surcharge- 1st DU Residential- 1st Unit $6.50 Total $131.50 Attached Letters Date Letter Description 09/19/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/19/2018 Galloway check#3117 Launa Black $131.50 Outstanding Balance $0.00 Notes Date Note Created By: Made contact with contractor and let him know that the sewer department must inspect the 10/05/2018 existing side sewer to determine it's condition for reuse.I also informed the contractor that each Jay Lemke unit in a duplex must have its'own sewer stub and that a sewer tap would be required.JL 09/19/2018 Refer to permit number 1942 for water department comments. Kristin Foster Uploaded Files Date File Name 09/19/2018 3954528-2156 Asbestos Survey-.pdf 09/19/2018 3954525-2156 Issued Permit.pdf 09/19/2018 3954526-2156 Abatement.pdf 09/19/2018 3954527-2156 Application.pdf