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Home My WebLink About102 Highland Dr_BLD2798_2026 psc eanaiir . org Puget Sound dean Aij Agency Single-Family Notification Case # : 201903 This page must be printed. A printout of the notification, all amendments to the noti times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $25.00 Credit Card Transaction - ALOF64049300 Transaction Date 07111/19 Owner's Name Michael Leon Phone Project Street Address 102 E Highlandl Dr City Arlington zip Contact Person Sam Grigoryan Phone Mailing Address This project includes asbestos rem,aval. Project Size -,ear fret 591 square feet Project Start Date 07120/19 Completion Date 07/21/19 "�,sbestcs v.i " be removed by a licensed asbestos abatement contractor I cert fy that: (V This is a single-family residence project. The structure is used by ore fan-lily whc (2) The information I have provided is to the best of my knowledge accurate and coi (3) I understand the fee for this Notificaticj:7 is nonrefundable. Create Another Notification View History_ P you have auesvons, contact us at asbestos@pscleanair.org or- 206.689.4058. 5 <I nvoice_894_from_Adva nced_Asbestos_Co_LLC.pdf> -"""" Asbl;!itoi Pmj tt Notification Form ___..._. Lahm & Indus I U . ............._._... ........................................____..............................-...................._................... Form ID: 14S644#SS230636 Completed by_Sarrtvel Grig ikn Subrrutted:Uzi 11 j2019 at 11:35M Indoors Removed Cords near ss. Critical Barriers Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods fosptratoq promotion 1+'2 mask - Air purif" respirator tic- SOO square feet Indoors Removed �CC�rtrC�f m�a_.:•_s Critical Barriers Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods prc:te•,t,.-n 1/2 mask-Air purifying respirator 3 7+1 L'1919 Cd1i111a�aU Asbestos Project Notification Form tabor & Industries ....._....................... . Form ID: 145644955230636 - Gngoryan __..._.___.__.._.._........_ __.........................____......................._.___......_ Project dates and notice type Work hours NOttLe date.07/1 W019 You will work these times: Notice type.Initial ...on these dates: Project dates.07I20/2019 to 07/2112019 - .-and Saturday from 720/2019 to 7/21/2019 ..........................---__.._...............................-- ....,._.__............_ ___._._._..__.__.._..__.._........___..-__,._.._.._...__.._.__.__...._......._._.._............ Jab she kmadw Contractor Address: ADVANCED ASBESTOS COMPANY LLC(LYNNWOOD) 102 E Highland Dr tNu,604284279 Arlington WA98223 ComficatiordABCN00001666 CewW.Snohomish rhww 206-919-0628 Conga imvu advancedasbestoscopgmait.com Ernesto Coronilia Cruz Cwtificatmrt:ABAS00036540 #bw 206-69B-36S8 SNOW Facility defer Compwy- Michael Leon Construction Y Residential Owner's agent Michael Leon Cvnstrt:rt-or^tiear 1915 Phone.206-299-4576 Slim1366 sq. feet Address: Prim use Home 526 North West Ave Construct,on ype: Unit 126 demolition I Arlington,WA 98223 r _ ___....____.._......_...................._._._...,,..,.,_.,...__.......,...,,_,_,._..._...._........_. _.__..............._............... .........._....._...._...._.,..._.......____. _._. Project details Oder Square Footage:Flee Atmrtar Packing.I square feet Indoors Remo,,-ed Cantro: meas.. -. Crrtical Barriers Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods Res-nratw,41 prc�teitl,wn. 1/2 mask - Air purifying respirator l�IR ti'i-ZIOt�1ae feat 4 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 BOA E• Rl ye_ Parcel lD#: .31 D 5'/(0 0-1041 3 60 ARLIMGT of o , \Ala, 9 g �; 3 1 Lot#: Subdivision: Valuation: 0201 Ooo Building Area(Sq Ft) o. of floors: C•��7 Number of Buildings: MGK Owner:0AA,RL_6TTrF L40-SEUL Phone Number: `fay-c?Q3- O57d TN Address: aoq q/11 /91? W. N rE City: State: \A/k Zip Code: qga a 3 Contact Person: M le-A Ar--t L a6 t� Phone Number: 40ev Cell Phone: Sam E-mail: M tci� 6_1 leQn • ty►�C 4ngyY1Ql OM Address: a 4719 55 AVC N E City:AR-U 11GTO N State: W_ Zip Code: q g a of 3 Contractor: MIcaA(-L Lr9t4 (_J:2tJ 5TRQ0—T(Ol�l bj 0— Phone Number: 34oQ_4-35"—p(ol6 Address: Flo At• WIPST V E `� iC AIR41616TQd State: 161A Zip Code: ` 2 a a 3 Contractor's License Number:M IC9l1 L-C-&.31 MC. Expiration: Scope of Work: t �Ef"�bLITI�� F REMOVAL. 6F 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. �1 —1 —1 f Appl nts Signature Date dIC14AEL LEozl Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 7111=19 C.16-1,- WaOwgw State Depxmwm of Asbestos Project Notification Form Labor& Industries Form ID-14S644+SS230636 farttpieeed by Sand Gn9pYr Submitted:07/11/2019 at 1135pm Indoors Removed control meawres Critical Barriers Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods Respiratory protection 12 mask-Air purifying respirator Maroc-500 square feet Indoors Removed Control--res Critical Barriers Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods Respiratory prote t- 12 mask-Air purifying respirator 22 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:102 E.Highland Dr Permit#:2798 Parcel#:31051100404300 Valuation:20000.00 OWNER APPLICANT CONTRACTOR Name:LACSEUL CHARLOTTE S Name:Michael Leon Construction Name:MICHAEL LEON CONSTRUCTION,INC Address:3732 COLBY AVENUE Address:526 N.West Ave PMB 67 Address:526 N.West Ave#126 City,State Zip:EVERETT,WA 98201 City,State Zip:Arlington City,State Zip:Arlington,WA 98223 Phone: Phone:206-799-4576 Phone:360-435-0610 LIC:MICHALC051MC EXP:08/01/2020 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: CONST,TYPE: DWELLING UNITS: 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. IBC110/IRC110. SALES TAX NOTICE:5dQ tax relating to construction and construction materials in the City of Arlington must be reporlied on your sales tax return form a c •d y Ar' #3101. / Signature Print Name Date Released By Dat CONDITIONS Call for inspections. THIS PERMIT AUTHORIZES 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 10/03/2019 Demolition Fee $100.00 10/03/2019 Demolition Fee $100.00 10/03/2019 Processing/Technology Fee $25.00 10/03/2019 State Building Code Surcharge Fee $6.50 Total Due: $231.50 Total Payment: $0.00 Balance Due: $231.50 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 R- z-7- � 9 t-I-Q0014) Permit#: 2798 Permit Date: 09/18/19 Project Name: Lacseul Demo Site Address: 102 E. Highland Dr Applicant Name: Michael Leon Construction Applicant Address: 526 N. West Ave PMB 67 City, State, Zip: Arlington Contact: Michael Leon Phone: 206-799-4576 Email: michaelleon.mlc@gmail.com Permit Type: Demolition Valuation: 20000.00 Status: Applied Permit Issued: Permit Expires: Square Feet: 0 Type of Construction/Occupancy Type: Demolition Number of Stories: 0 Proposed Use: Demolition& removal of house and garage MIC/Opportunity Zone: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning LACSEUL 111 Single Family 31051100404300 102 HIGHLAND DR Residence- CHARLOTTE S Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# MICHAEL LEON 526 N.West Ave Labor and MICHALCOSIMC CONSTRUCTION,INC MICHAEL LEON 360-435-0610 #126 CONTRACTOR Industries Plan Reviews Date Review Type Description Assigned To Review Status 09/18/2019 Demolition Building In Review 09/18/2019 Demolition PW Admin Rev in Review 09/18/2019 Demolition PW-Wat-Rev In Review AMk DEMOLITION PERMIT APPLICATION Department of Community & Economic Development City of Arlington e.18204 59th Ave NE •Arlington, WA 98223 • Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPYOF THE ASBESTOS/DEMOUTION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (ff applicable)COMPLETED BY AN APPROVED AGENCY. Type of Permit:(check one) ❑ Residential Commercial ❑ Industrial Project Address: /Oa E 1ck4--A,n RIVE Parcel lD# �I D 5S/(0 O'Y(Oq 30o ARLce�6TQN, WAI 9 8 3 I Lot# a�G73 Subdivision Valuation: 070, 0oo ` Building Area(Sq Ft) Lf �No of floors: -Number of Buildings: ' 6ATAACa) Owner: lmwL '7Z"� QCSEU L_ Phone Number: YAS-423— C 57O Address: JP yl I., /AY TEST. NE City:ARL19 G T64 State: \Alik Zip Code: q 8 a A 3 Contact Person:M irz- (AF—t L e6 tq Phone Number: _0?406- 799 &7(v Cell Phone: ��S&1E- TA E-mail: M I C�1C c?I I eO h `M-�/C ea Gi NY1 Q t I C'.O rn Address:-24714 59 A.yF. N City: AR-f-11� TOIL State: �" Zip Code: Q 9 2 2 3 Contractor: Ac4x_ _ (_-at.( nr► �TRL�CrT(OhI � PhoneNumber: Address: WEST A V E d (�'" A1PW AI 7_'Qd State: WAS Zip Code: 4 S A A 3 Contractor's License Number. M le-t4At_C..&Sr MC. Expiration: ��I�adaO Scope of Work: t REt-WkA OF '56TK I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above- described proper,y will be in accordance with the laws, rules and regulations of the Stat of Washington. 01, Aooi nts Signature Date dl i?W149L L961k! Print Applicants Name Received FOR STAFF USE ONLY SEP 18 2019 PAD ?�m�it x c:pred By Amount Received Receipt# Date Received pscIeanair.org Puget Sound, Ags?mc y Single-Family Notification Case #: 201903 This page must be printed. A printout of the notification, all amendments to the noti, times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $25.00 Credit Card Transaction # ALOF64049300 Transaction Date 07/11/19 Owner's Name Michael Leon Phone Project Street Address 102 E Highland Dr city Arlington zip Contact Person Sam Grigoryan Phone Mailing Address This project includes asbestos removal. Project Size linear feet / 591 square feet Project Start Date 07/20/19 Completion Date 07/21/19 Asbestos will be removed by a licensed asbestos abatement contractor I certify that: (1) This is a single-family residence project. The structure is used by one family whc (2) The information I have provided is to the best of my knowledge accurate and cot (3) I understand the fee for this Notification is nonrefundable. Create Another Notification View History_ If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. 5 <I nvoice_894_fro m_Adva nced_Asbestos_Co_LLC.pdf> �1t�t� GardM.�reo,, Asbestos Project Notification Form l A dldusUkS roeM a 145444"S220iM Submitted:0'1/11f2M9 at 11-3Spm Indoors Removed Ieeeted fflwawl F- Criticai Barriers Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods PWW'latury gfutacncr M2 mask - AK puniytng resp,rator 61IM c-we q%Uwq tew Indoors Removed 1_c'"tick llwaf_re% Critical Barners Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods R*Sorawre prc.wtion 112 mask-Air purifying respirator 3 7l71e"2�1F1 CanM+nrf�, Asbestos Project Notification Form loLabor& WUSUleS %M Nk 145"OSS2306M Cas+pMW br 501111111111 0n9"r Subnrttd 07/11/2o19 at 1135pfe hta* dos aad wodw t"* VAN&hours Name date 07/11/2019 rbn tail Work dWSO I' W- Notice type Initial ; 10,00am tD 6009m Noject dates 07/20/2019 to 07/21/2019 —as these doom — Sunday and Saturday from 712l)M191o2 7/21/2019 ,oe Sft kmadm - conftactor - Atldm's' ADVANCED ASBESTOS COMPANY LLC(LYNNWOOD) 102 E Highland Dr ust 604284279 Arlington.WA 98223 CeUScat)on ASCN00001666 County Snohomish Phorw ZW919-0628 Contact&rain:advarcedasbestosco@gmail com Supvrm-r Ernesto Corontlia Cruz Cvvhcjt:on!ABAS000365 t0 Ph" 206-898-3658 PTOPwty ow"W -Facity details Comtsany Michae+ Leon Construction F,u my tyw Residential Owners ager Michael Leon Co-isouct.on pear 1915 wore:206-799-4576 si-*:1366 sq, kwt address Prior Lno Home SM North West Ave Censm,crasn y Unit 126 demolition Arlington.WA 99223 Plow tdm& - - - - - - cow s4mm F..�ogre Miler�t�!.t ewe feeet Indoors Removed `Lx troi M*&Sunn Critical Barners Glove Bags Hepa Vacuum Negative pressure enclosure Wet methods RamR•ratcoy pr�tr,.:, 112 mask -Air puri6ying respirator Shw vinyl-so sRUM feet 4 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:102 E.Highland Dr Permit#:2798 Parcel#:31051100404300 Valuation:20000.00 OWNER APPLICANT CONTRACTOR Name:LACSEUL CHARLOTTE S Name:Michael Leon Construction Name:MICHAEL LEON CONSTRUCTION,INC Address:3732 COLBY AVENUE Address:526 N.West Ave PMB 67 Address:526 N.West Ave 4126 City,State Zip:EVERETT,WA 98201 City,State Zip:Arlington City,State Zip:Arlington,WA 98223 Phone: Phone:206-799-4576 Phone:360-435-0610 LIC:MICHALC051MC EXP:08/01/2020 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: CONST.TYPE: DWELLING UNITS: 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. IBC110/IRC110. SALES S X )TICE:SeI2 tax relating to construction and construction materials in the City of Arlington must be repo cd on your sales tax return form a c d Ar' #3101. l4.— ignaturc Print Name Date Released By Dat CONDITIONS Call for inspections. THIS PERMIT AUTHORIZES 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 10/03/2019 Demolition Fee $100.00 10/03/2019 Demolition Fee $100.00 10/03/2019 Processing/Technology Fee $25.00 10/03/2019 State Building Code Surcharge Fee $6.50 Total Due: $231.50 Total Payment: $0.00 Balance Due: $231.50 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:102 E.Highland Dr Permit#:2798 Parcel#:31051100404300 Valuation:20000.00 OWNER APPLICANT CONTRACTOR Name:LACSEUL CHARLOTTE S Name:Michael Leon Construction Name:MICHAEL LEON CONSTRUCTION,INC Address:3732 COLBY AVENUE Address:526 N.West Ave PMB 67 Address:526 N.West Ave#126 City,State Zip:EVERETT,WA 98201 City,State Zip:Arlington City,State Zip:Arlington,WA 98223 Phone: Phone:206-799-4576 Phone:360-435-0610 LIC:MICHALC051MC EXP:08/01/2020 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: CONST.TYPE: DWELLING UNITS: 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be repo ed on your sales tax return form and coded City of Arlington#3101. ' h, Signature Print Name Date Released By Dat CONDITIONS Call for inspections. THIS PERMIT AUTHORIZES 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 10/03/2019 Demolition Fee $100.00 10/03/2019 Demolition Fee $100.00 10/03/2019 Processing/Technology Fee $25.00 10/03/2019 State Building Code Surcharge Fee $6.50 Total Due: $231.50 Total Payment: $0.00 Balance Due: $231.50 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 Date: 03/30/2026 Permit#: 2798 Permit Date: 09/18/2019 Review Date: 09/18/2019 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 10/09/2019 Scheduled 00:00 Time: Completed Date: Description: Side sewer service must be exposed and capped at the property line prior to any demo work to be completed. Contact the Wastewater Department for coordinating inspection of work performed . for water we will need to disconnect the existing meter before demolition commence. Review Status: Assigned To: PW-SEW-REV Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31051100404300 LACSEUL CHARLOTTE S LACSEUL CHARLOTTE S 3732 COLBY AVENUE 102 HIGHLAND DR EVERETT,WA 98201 Zoning: 111 Single Family Residence - DetachedLot: Block: Permit#: 2798 Permit Date: 09/18/19 Permit Type: DEMOLITION Project Name: Lacseul Demo Applicant Name: Michael Leon Construction Applicant Address: 526 N. West Ave PMB 67 Applicant, City, State, Zip: Arlington Contact: Michael Leon Phone: 206-799-4576 Email: michaelleon.mlc@gmail.com Scope of Work: Demolition&removal of house and garage Valuation: 20000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/04/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051100404300 102 HIGHLAND DR LACSEUL 111 Single Family CHARLOTTES Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# MICHAEL LEON MICHAEL LEON 360-435-0610 526 N.West Ave CONSTRUCTION Labor d MICHALCO51MC CONSTRUCTION,INC #126 CONTRACTOR Industri anes Plan Reviews Date Review Type Description Assigned To Review Status 09/18/2019 DEMOLITION BUILDING 09/18/2019 DEMOLITION No comments,LT PW-ADMIN-GIS 09/18/2019 DEMOLITION PW-WAT-REV Side sewer service must be exposed and capped at the property line prior to any demo work to be completed. 09/18/2019 DEMOLITION Contact the Wastewater Department for coordinating pW-SEW-REV inspection of work performed. for water we will need to disconnect the existing meter before demolition commence. Fees Fee Description Notes Amount Demolition Garage $100.00 Demolition House $100.00 Processing/Technology $25.00 State Surcharge- 1 st DU Residential- 1 st Unit $6.50 Total $231.50 Attached Letters Date Letter Description 10/03/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/03/2019 Michael Leon 77353714 $231.50 Outstanding Balance $0.00 Notes Date Note Created By: 10/03/2019 Emailed permit for signature Raelynn Jones Uploaded Files Date File Name 01/22/2020 6141405-2798 Issued Permit.pdf 09/18/2019 5623937-102 L&I Asbesto Removal.png 09/18/2019 5623938-102 Asbestos Removel Reports-7-30-2019.pdf 09/18/2019 5623939-102 Demolition Permit Application.pdf (Asbesto-TeDst, Inc. 1429 Ave.D.9187,Snohomish,WA 98290 425-489-4040 www.asbestotest.com:infbawsbestotest.com ASBESTOS SURVEY House and Garage(d 102 E. Highland Dr.Arlington, WA 98223 Page I of 10 June 25, 2019 PAT2190605 The Special Delivery Company LLC 22416 128"Dr.DE., Arlington,WA 98223 425-280-8881 Attn.: Charlotte Lacseul charlottelacseul(&gmail.com On June 17,2019,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 garage A,102 E.Highland Dr.Arlington, Snohomish County, Washington 98223. ➢ This survey purpose is to identify Asbestos Containing Materials that are present and will require professional removal prior to complete tear down per client order. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is a two-story wood framed structure on a concrete basement foundation. The siding is wood. The roofing is composition. The composition roofing and roofing vapor barrier were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is wood and drywall. The drywall and taping materials were sampled. The tile and vinyl flooring with the relating backing and mastic materials were sampled. The misc.mastic materials were also sampled. The masonry tile with the associated mortar/mastic compounds were sampled. The acoustic ceiling tile materials were sampled. INSULATION: The insulation materials were sampled. 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. continue to page 2 .yEPA BB NAT-46033-I Page 2 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hikhland Dr.Arlington, WA 98223 HEATING AND VENTILATION SYSTEM: There is a gas forced air furnace in the structure. There was no relating suspect ACM located. Note:It was not possible to dismantle the furnace and ducting to locate and/or evaluate any additional suspect ACM that may be concealed, inside the unit, or associated in hidden areas. It is our opinion any further handling of the furnace system should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect 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. Any TSI that may be present inside or outside the furnace and/or ducting system including but not limited to all gaskets,joint compounds, sealants,and/or insulations, are PACM unless tested otherwise by laboratory analysis. • There is also a fireplace system in the house. The decorative brick and mortar materials from the fireplace front were sampled. The mortar holding the decorative stone at the hearth was also sampled. The fire brick was sampled from inside the fireplace. MISC.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: The garage is a wood framed structure with composition roofing that is homogenous with the house. There was no additional relating suspect ACM located. #of structures included in survey: one house, one garage Requested by: Charlotte Lacseul 21g05 MTwn ,WA ®_❑ 219M 64 -,WAg8g4S (3g6j]gS33]3 This ceases that *•^ Christopher L.Patterson has satlsfaotorlly completed 4 hours of refresher training as an AHERA Building Inspector to comply with the training requirements of TS,ICrA(Title II,40 CFR 783(AHERA) fiL-rtVJ�-- EPA Provider#1086 Matrutla fie:M W a,Wig Eapies in l YgY. Cot.Man:17WTS Christopher Patterson VP Operations/Analyst-Asbesto-Test,Inc. Inspector, Certified A.H.E.R.A. Accred. #173079 EXP. May, 2020 continue to page 3 1 gaga BBB CD 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;infoAasbtestotest.com Page 3 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hikhland Dr.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 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 PALM),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 FLUE MORTAR PACKING yes H chrysotile//2% non-fibrous materials NON-FRIABLE ACM CIRCLE OF PACKING MATERIAL AROUND HOT WATER HEATER EXHAUST PENETRATION INTO BRICK CHIMNEY LESS THAN 1 SQ. FT. MAIN FLOOR: 2.0 SHEET VINYL FLOORING yes H chrysotile//38% non-fibrous materials, FRIABLE ACM cellulose BATHROOM OFF BEDROOM—COLOR:ORANGE,TAN,WHITE PATTERN 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. 15 SQ. FT.ON WOOD TOP FLOOR: 3.0 BLACK MASTIC yes H chrysotile//2% adhesive,cellulose MASTIC IS NON-FRIABLE ACM RESIDUAL ON SIDE BEDROOM & BLUE "KIDS" BEDROOM FLOORS APPROX. 500 SQ. FT. ON WOOD 4.0 SHEET VINYL FLOORING yes H chrysotile//38% non-fibrous materials, FRIABLE ACM cellulose BATHROOM—COLOR: BROWN &WHITE DESIGN 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. 75 SQ. FT.ON WOOD continue to page 4 1 a9aa BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 4 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hizhland Dr.Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPEHQUANTITY OTHER MATERIAL 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 REMAINING SAMPLES BASEMENT: 5.0 insulation NAD fiberglass,cellulose around ducting—paper faced—color: cream MAIN FLOOR: 6.0 drywall/taping compound/paint NAD non-fibrous materials, dining room sample 1 composite cellulose,gypsum 6.1 drywall/taping compound/paint NAD non-fibrous materials, dining room sample 2 composite cellulose,gypsum 6.2 drywall/taping compound/paint NAD non-fibrous materials, dining room sample 3 composite cellulose,gypsum 7.0 floor leveling NAD non-fibrous materials, kitchen—color:painted rust fiberglass,cellulose 8.0 mastic NAD adhesive,cellulose kitchen holding blue laminate 9.0 decorative brick NAD non-fibrous materials behind kitchen stove 10.0 caulking/mastic NAD non-fibrous materials, holding previous sample 1 adhesive 11.0 masonry tile NAD non-fibrous materials trim above previous sample 11.1 mortar/mastic NAD adhesive,cellulose, holding previous sample non-fibrous materials 12.0 matting NAD non-fibrous materials, beneath previous sample polymers 13.0 floor tile NAD non-fibrous materials dining room&stairway room under pergo—top layer color:tan square pattern 13.1 mastic NAD adhesive beneath previous sample continue to page 5 1 a9aa BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 5 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hizhland Dr.Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL MAIN FLOOR cont: 14.0 floor tile NAD non-fibrous materials dining room&stairway room under pergo—2nd layer color:brown 14.1 mastic NAD adhesive beneath previous sample 15.0 linoleum flooring NAD non-fibrous materials, bedrooms—color:tan cellulose,tar 15.1 masticibacking NAD cellulose,tar beneath previous sample 16.0 skim coat NAD non-fibrous materials on surface of fiber paneling as listed next 17.0 fiber paneling NAD cellulose behind wood paneling 18.0 decorative brick NAD non-fibrous materials behind wood stove 19.0 mortar NAD non-fibrous materials, holding previous sample cellulose 20.0 drywall/taping compound/paint NAD non-fibrous materials, at wood stove area behind decorative brick composite cellulose,gypsum 20.1 drywall/taping compound/paint NAD non-fibrous materials, at wood stove area behind decorative brick composite cellulose,gypsum 20.2 drywall/taping compound/paint NAD non-fibrous materials, at wood stove area behind decorative brick composite cellulose,gypsum 21.0 pedestal brick NAD non-fibrous materials holding wood stove 22.0 mortar NAD non-fibrous materials, holding previous sample 1 cellulose 22.1 mortar NAD non-fibrous materials, holding previous sample 2 cellulose 22.2 mortar NAD non-fibrous materials, holding previous sample 3 cellulose 23.0 sheet vinyl flooring NAD non-fibrous materials, wood stove area under brick and mortar—color:tan mottled cellulose 23.1 masticibacking NAD adhesive beneath previous sample 24.0 decorative brick NAD non-fibrous materials fireplace continue to page 6 1 a9aa BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 6 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hizhland Dr.Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL MAIN FLOOR cont: 25.0 mortar NAD non-fibrous materials, holding previous sample 1 cellulose 25.1 mortar NAD non-fibrous materials, holding previous sample 2 cellulose 25.2 mortar NAD non-fibrous materials, holding previous sample 3 cellulose 26.0 firebrick NAD non-fibrous materials inside fireplace UPSTAIRS: 27.0 acoustic ceiling tile NAD non-fibrous materials, side bedroom&"blue"kids room cellulose 27.1 mastic NAD adhesive,cellulose beneath previous sample 28.0 insulation NAD cellulose in closet—color: light brown 29.0 linoleum flooring NAD non-fibrous materials, closet—color:painted white cellulose,tar 29.1 mastic/backing NAD cellulose,tar beneath previous sample 30.0 jute vinyl flooring NAD non-fibrous materials, bathroom closet with dead rat—color: gray cellulose 30.1 masticibacking NAD adhesive,cellulose beneath previous sample 31.0 drywall/taping compound/paint NAD non-fibrous materials, bathroom composite sample 1 cellulose,gypsum 31.1 drywall/taping compound/paint NAD non-fibrous materials, bathroom composite sample 2 cellulose,gypsum 31.2 drywall/taping compound/paint NAD non-fibrous materials, bathroom composite sample 3 cellulose,gypsum continue to page 7 1 a9aa BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 7 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hizhland Dr.Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPEHQUANTITY OTHER MATERIAL COMMON AREAS: 32.0 insulation NAD fiberglass,cellulose back of attic—color: cream 32.1 insulation NAD cellulose loose lay in attic—color:brown shreds 33.0 composition roofing NAD cellulose,tar, non-fibrous materials 34.0 vapor barrier NAD cellulose,tar,fiberglass beneath previous sample 35.0 mastic NAD cellulose,adhesive holding composition roofing GARAGE: 36.0 insulation NAD fiberglass,cellulose color:white continue to page 8 1 gaga BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 8 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hi,-hland Dr.Arlington, WA 98223 r ;y AiA I - e i- mww r s " Fw, continue to page 9 1 a9aa BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 9 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Gara,-e A 102 E. Hi,-hland Dr.Arlin,-ton, WA 98223 Beds 4 Style Single Family Residential Baths 1.5 Year Built 1915 Sq.Ft 2,267 Year Renovated 1940 Stories 1.5 County Snohomish County Lot Size 0.51 Acres APN 31051100404300 Home facts updated by county records on Apr 6,2019. 1 • i l I I 1 continue to page 10 _1 BBB �3�• 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com Page 10 of 10 June 15, 2019 PAT2190605 Asbesto-Test,Inc. 425-489-4040 House and Garaze A 102 E. Hikhland Dr.Arlington, 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,tile 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 600/R93/116**(PLM);WAC296-61-07753 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) 1 a9aa BBB 1429 Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 www.asbestotest.com;info(dasbtestotest.com