HomeMy WebLinkAbout525 N Olympic Ave_BLD2898_2026 CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:525 N Olympic Avenue NE Permit#:2898
Parcel#:00529901001601 Valuation:8000.00
OWNER APPLICANT CONTRACTOR
Name:ARLINGTON OLY1vIPIC PROPERTY
LLC Natne:[Company Name] Name:Coast Construction Group
Address:PO BOX 12220 Address:[Company Address] Address:328 N Olympic Ave
City,State Zip:EVERETT,WA 98206 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-220-0823 Phone:360-474-0600
LIC:COASTCG965CG EXP:02/18/2020
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phony
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: De1TIO11t1OI1 CODE YEAR: 2015
STORIES: 1 CONST,TYPE:
DWELLING UNITS: 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 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER 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. IBC1 10.%IRCI 10.
SALES 1:1X NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and coded City ofArtington#3101,
,7 ¢�nea KathyDemoors 1216/19
Stgnature Print Name Date Released By D c^r
CONDITIONS
PERMIT IS FOR THE INTERIOR DEMOLITION. INSPECTIONS REQUIRED.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERIv1IT 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
12/05/2019 Demolition Fee $100.00
12/05/2019 Processing/Technology Fee $25.00
12/05/2019 State Surcharge-Commercial $25.00
12/05/2019 Credit Card Surcharge $4.50
Total Due: $154.50
Total Payment: S 154.50
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
t
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
` PHONE; (360) 403-3551
BUILDING PERMIT
Address:525 N Olympic Avenue NE Permit#:2898
Parcel#:00529901001601 Valuation:8000.00
OWNER APPLICANT CONTRACTOR
Name:ARLINGTON OLYMPIC PROPERTY Name:[Company Name] Name:Coast Construction Group
LLC
Address:PO BOX 12220 Address:[Company Address] Address:328 N Olympic Ave
City,State Zip:EVERETT,WA 98206 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-220-0823 Phone:360-474-0600
LIC:COASTCG865CG EXP:02/18/2020
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: 1 CONST.TYPE:
DWELLING UNITS: 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 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 reported on your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date 1106ased B
CONDITIONS
PERMIT IS FOR THE INTERIOR DEMOLITION. INSPECTIONS REQUIRED.
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
12/05/2019 Demolition Fee $100.00
12/05/2019 Processing/Technology Fee $25.00
12/05/2019 State Surcharge-Commercial $25.00
12/05/2019 Credit Card Surcharge $4.50
Total Due: $154.50
Total Payment: $154.50
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
..: . i
'- -
1
I
M
Performance Abatement Services
VPAS 7415 W.Bostian Rd.
Woodinville, WA98072
PERFORMANCE P:425.806.8404 F:425.806.7404
ABATEMENT SERVICES pciseattlebids@nca.com
CERTIFICATE OF VISUAL CLEARANCE
AND FINAL COMPLETION FOR<1%ASBESTOS ABATEMENT
DISTRIBUTED TO: Coast Construction Group
ATTN: Mike Lindberg
PROJECT: Coastal Community Bank<1%ACM Sheetrock Demo
FROM: Performance Abatement Services
7415 W Bostian Rd
Woodinville,WA 98072
DATE OF ISSUANCE: 12/5/2019
The <1% asbestos demo work for the above referenced project has been completed in accordance with
the project specifications,drawings and current regulations; as well as all applicable asbestos abatement
requirements of federal, state, county and local agencies. The scope was based off of composite results
of drywall systems and confirmed in reports 2019-025B and 2019-025C provided by Coast Construction.
The work performed under this contract has been removed and found to be 100%complete.
<1%ACM removed:Sheetrock walls from the east end of the bank in the conference room,storage room,
access hallway, break area, electrical room and along the south wall of the entire building up above the
suspended ceiling, including detail fastener removal from the studs.
Sincerely,
;i ee I`vo,,, l ,,,
Reese Thompson
Estimator/Project Manager
Received
DEC 0 5 2019
or7 2jm b
CITY OFARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:525 N Olympic Avenue NE Permit#:2898
Parcel#:00529901001601 Valuation:8000.00
OWNER APPLICANT CONTRACTOR
Name;ARLINGTON OLYMPIC PROPERTY
LLC Name:[Company Name] Name:Coast Construction Group
Address: PO BOX 12220 Address:[Company Address] Address:328 N Olympic Ave
City,State Zip: EVERETT,WA 98206 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-220-0823 Phone:360-474-0600
LIC:COASTCG865CG EXP:02/18/2020
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: 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
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SAI.MS TAX NOTWEi:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and coded City of Arlington 83101.
T>ayizee� Kathy Demoors 11/26/19
Signature Print Name Date Released By Da
CONDITIONS
PERMIT IS FOR THE DEMOLITION OF THE STOREFRONT ONLY. INSPECTION REQUIRED,
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
11/26/2019 Demolition Fee $100.00
11/26/2019 Processing/Technology Fee $25.00
11/26/2019 State Surcharge-Commercial $25.00
Total Due: $150.011
Total.Payment: $0.00
Balance Due: $150.00
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
- ;
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' CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:525 N Olympic Avenue NE Permit#:2898
Parcel#:00529901001601 Valuation:8000.00
OWNER APPLICANT CONTRACTOR
Name:ARLINGTON OLYMPIC PROPERTY LLC Name:[Company Name] Name:Coast Construction Group
Address:PO BOX 12220 Address:[Company Address] Address:328 N Olympic Ave
City,State Zip:EVERETT,WA 98206 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-220-0823 Phone:360-474-0600
LIC:COASTCG865CG EXP:02/18/2020
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: 1 CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: l 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 reported on your sales tax return form
and coded City of Arlington 0101.
Signature Print Name Date Released By Da(c
CONDITIONS
PERMIT IS FOR THE DEMOLITION OF THE STOREFRONT ONLY. INSPECTION REQUIRED.
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
11/26/2019 Demolition Fee $100.00
11/26/2019 Processing/Technology Fee $25.00
11/26/2019 State Surcharge-Commercial $25.00
Total Due: $150.00
Total Payment: $0.00
Balance Due: $150.00
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
:,
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Permit#: 2898
Permit Date: 11/14/19
Project Name: Coastal Community Bank
Site Address: 525 N Olympic Avenue NE
Company/Applicant Name: Coast Construction Group
Company/Applicant Address: 328 N Olympic Avenue NE
City, State, Zip: Arlington, WA 98223
Contact: Mike Lindberg
Phone: 425-220-0823
Email: mikel@coast-group.com
Permit Type: Demolition
Valuation: 8000.00
Square Feet: 5448
Number of Stories: 1
Type of Construction: VB
Occupancy Type:
Proposed Use: Demo drop ceiling,minor drywall, storefront and flooring
MIC/Opportunity Zone:
Permit Issued:
Permit Expires:
DNU:
Status: IN PROCESS
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
ARLINGTON
00529901001601 525 N OLYMPIC AVE OLYMPIC Related
Banking&Bank
ated Functions
PROPERTY LLC Rel
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Coast Construction Trevor Gaskin 360-474-0600 328 N Olympic CONTRACTOR Labor& COASTCG865CG
Group Ave Industries
Plan Reviews
Date Review Type Description Assigned To Review Status
11/14/2019 Demolition Building In Review
11/14/2019 Demolition PW-Sew-Rev In Review
11/14/2019 Demolidi PW-Wat-Rev In Review
11/14/2019 Demolition PW Admin Rev In Review
Fees
Fee Description Notes Amount
Demolition Fee 322.10.00.00 $100.00
Processing/Technology Fee 341_43.00.02 $25.00
State Surcharge-Comtnercial 386.00.01.00 $25.00
Total $150.00
Uploaded Files
Date File Name
1 I;Id,2019 5882707-2898 AR lication.pff
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 ASBESTOSIDEMOL177ON NOTIFICATION FROM PUGET
SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT
(1f applicable)COMPLETED BY AN APPROVED AGENCY
Type of Permit:(check one) ❑ Residential ✓❑ Commercial ❑ Industrial
Project Address: 525 N Olvmpic Ave Arlington WA 98223 Parcel ID#: 00529901001601
Lot#: Subdivision: Valuation: $8,000
Building Area(Sq Ft) 5,448 No.of floors: 1 Number of Buildings:1
Owner: Coastal Community Bank Phone Number:
Address:
5415 Evergreen Way City:Everett State: WA Zip Code:98203
Contact Person Mike Lindberg Phone Number: 425-220-0823
Cell Phone: 425-220-0823 E-mail: mikel@coast-group.com
Address: 328 N Olympic Ave C; Arlington City: 9 State: WA — Zip Code:98223
Contractor:Coast Construction Group 360-474-0600
Phone Number:
Address: 328 N Olympic Ave City:Arlington State: WA Zip Code: 98223
Contractor's License Number:COASTCG865CG Expiration:2/18/2 02 0
Scope of Work:
Drop ceiling
Minor drywall
Storefront
Flooring
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.
11/13/2019
Applicants Signature Date
Kathy Demoors
Print Applicants Name
FOR STAFF USE ONLY Received
��2 NOV 13 2019
Permit# AcceIA&By Amount Received Receipt# Date Received
SEATTLE ASBESTOS TEST
Lynnwood Laboratory:19701 Scriber Lake Road,Suite 103,Lynnwood,WA 98036,Tel:425.673.9850.Fax:425.673.9810,NVLAP Lab Code:200768-0
Disclaimer This report must not be used by the Client to claim product certification,approval,or endorsement by Sealtle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA16001R-931116
Attn•: Stafford Larsen client The Riley Group,Inc. Addreea: 17522 Bothell Way NE,Bothell,WA 98011
J-b#: 92019-025B Batch#: 201910366 Date Received: 4/2 912 0 1 9
samples Rec'd: 28 Date Anatyred: 512/2019 &•tmptos'n red:
28
Projecl Loc.: Arlington MUFG
Analyzed eyi f ni Ynrct Reviewed by: Stmw(Fanyao)Zhanq.Prescom
Lab ID Client Sample ID Layer Description % Asbestos Fibers
Non-fibrous Components % Non-asbestos Fibers
1 Al 1 Gray fibrous None
material with paint detected Paint, Filler, Perlite 68 Cellulose
2 A2 1 Gray fibrous None Paint, Filler, Perlite, 65 Cellulose, Glass
material with paint detected Glass beads fibers
1 White powdery None
material with paint detected Binder/filler, Paint 3 Cellulose
3 A3 2 White powdery None
material with paper detected Binder/filler 31 Cellulose
3 Off-white chalky None Binderlfiller, Cellulose,Glass
material with paper detected G sum/binder 27 fibers
1 White powdery None
material with paint detected Binder/filler,Paint 4 Cellulose
4 A4 2 White powdery None Binderlfiller 29 Cellulose
material with paper detected
3 Off-white chalky None Binderlfiller, 25 Cellulose, Glass
material with paper detected Gypsum/bin der fibers
A5 l Beige powdery 2 Chrysotile Binder/filler,Paint 3 Cellulose
5 material with paint
Composite 2 White chalky None Binder/filler,
result<1% _ material with paper J2ChSrysotile
etected G sum/binder 21 Cellulose
1 White powdery Binder/filler, Paint 5 Cellulose
A6 material with paint
6 2 White powdery Binder/filler 35 Cellulose
material with a erComposite 3 White chalky one Binder/filler,
result<1% material with paper detected G sumlbinder 28 Cellulose
1 White powdery None
material with paint detected Binder/filler, Paint 3 Cellulose
7 A7 2 White powdery None Binder/filler 30 Cellulose
material with paper detected
3J�ma
ff-white chalky None Binder/filler, 23 Cellulose, Glass
terial with a er detected G sum/binderfibers
1hite powdery None
aterial with aint detected Binderlfiller, Paint 4 Cellulose
8 A8 2hite powdery None
material with paper detected Binder/filler 25 Cellulose
3 Off-white chalky None Binder/filler,
material with paper detected G sumlbinder 27 Cellulose
1 White powdery None
material_with paint detected Binder/filler, Paint 3 Cellulose
g qg 2 White powdery None
material with paper detected Binder/filler 30 Cellulose
3 Off-white chalky None Binder/filler,
material with paper detected -Gypsum/binder 25 Cellulose
1 Gray woven fibrous None
10 A10 material detected Filler, Binder 81 Synthetic fibers
2 Clear mastic None detected Mastic/binder 2 Cellulose
Received
1 of 3
INp M'00
� t 4 � i � # + � ;� � �
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SEATTLE ASBESTOS TEST
Lynnwood Laboratory:19701 Scriber Lake Road,Suite 103,Lynnwood,WA 98036,Tel:425.673.9B50,Fax:425673.9810,NVLAP Lab Code:200768-0
Disclaimer I his report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency o1 the
goderal rrtovemment.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA1600IR-931116
Attn.: Stafford Larsen client: The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
Jana: #2019-025B satch* 201910366 Date Received: 4/29/2019
samples Rec'd: 28 Date Analyzed: 5/2/2019 Simplos natyzad: 28
Prolact Loa, Arlington MUFG
Analyzed by: Y Reviewed by: $Iwe(Fanyao).rlWC.proaldartl
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non-fibrous Comp
onents % Non-asbestos Fibers
1 Light gray ceramic None Ceramic/binder None detected
detected
11 All 2 Gray brittle/sandy None Binder, Sand
material detected 2 Cellulose
3 Trace yellow None
mastic detected Mastic/binder 2 Cellulose
1 Yellow sheet vinyl None Vinyl/binder None detected
detected
12 Al2 2 Yellow/clear mastic None Mastic/binder 2 Cellulose
detected
3 Gray sandy/brittI None
material detected Sand, Filler,Binder 3 Cellulose
1 Gray tile None Vinyl/binder, 4 Cellulose
13 A13 detected Mineral rains
2 Yellow mastic None Mastic/binder 2 Cellulose
detected
1 White file None Vinyl/binder,
14 A14 detected Mineral rains 3 Cellulose
2 Yellow mastic None detected Mastic/binder 2 Cellulose
1 Gray sheet vinyl None Vinyl/binder
detected None detected
Gray fibrous
15 A15 2 material with None Binder/filler, 68 Cellulose
mastic detected Mastic/binder
3 Gray soft material None Filler,Binder
detected 4 Cellulose
1 Gray woven fibrous None
16 A16 material detected Filler, Binder 85 Synthetic fibers
2 Yellow mastic None
detected Mastic/binder 2 Cellulose
1 White/gray tile None Vinyl/binder,
17 A17 detected Mineral grains t2Cellulose
lose
2 Trace yellow None
mastic detected Mastic/binder lose
1 Beige/gray the None Vinyl/binder, lose
detected Mineral rains
2 Yellow mastic None Mastic/binder detected
18 A18 3Yellow/beige sheet None
vin I detected Vinyl/binder detected
4 Yellow/clear mastic None detected Mastic/binder 2 Cellulose
5 Gray sandy/brittle None
material detected Sand, Filler, Binder 2 Cellulose
19 A19 1 Gray rubbery None dubber/binder 3 Cellulose
material detected
20 Al9.5 1 Brown/tan rubber, None
material detected Rubber/binder 2 Cellulose
2of3
n
SEATTLE ASBESTOS TEST
Lynnwood Laboratory:19701 Scriber Lake Road,Suite 103,Lynnwood,WA 98036,Tel:425.673.9850,Fat:425.673,9810,NVLAP Lab Code:20076&0
Disdairner.Ttus report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal govennnent.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/111-93/116
Ann.: Stafford Larsen client. The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
deb#: #2019-025B Batch#: 201910366 Date Received: 4/29/2019
Samples R—d: 28 Date Analyzed: 5/2/2019 Samples Analyzed:
28
Project Loc,: Arlington MUFG
Analyzed by: ui mq Reviewed by: Stavo IFanyaul Zhargl,rheaidAW
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non-fibrous Components % Non-asbestos Fibers
20 A19.5 2 Brown mastic None detected Mastic/binder 3 Cellulose
1 Tan/white rubbery None Rubber/binder 2 Cellulose
21 A20 material detected
2 White mastic None detected Mastic/binder 2 Cellulose
1 Black rubbery None
material detected Rubber/binder 2 Cellulose
22 A20.5
2 Beige mastic None Mastic/binder 2 Cellulose
detected
23 A21 1 Pink fibrous None
material detected Filler 95 Glass fibers
24 A22 1 Yellow fibrous None
material detected Filler 91 Glass fibers
25 r423 1 White softAoose None
material detected Filler,Fine particles 6 Cellulose
1 Black asphaltic None Asphalt/binder,
material with sand detected Sand J70Cellulose
lass fibers
2 Black asphaltic None Asphalt/binder,
26 A24 fibrous material detected Binder/filler
Multi-layered black
3 asphaltic material None Asphalt/binder,
with sand
detected Sand 69 Cellulose
1 Black asphaltic None Asphalt/binder,
material with sand detected Sand 25 Glass fibers
2 Black asphaltic None Asphalt/binder,
27 A25 fibrous material detected Binder/filler 70 Cellulose
Multi-layered black
3 asphaltic material None Asphalt/binder,
E2matenal
th sand
detected Sand 72 Cellulose
ack asphaltic None Asphalt/binder,
aterial with sand detected Sand 26 Glass fibers
ack asphaltic None Asphalt/binder,with 70 Cellulose
28 A26rous material detected Binder/filler
3 Black asphaltic None
material detected Asphalt/binder 3 Cellulose
4 Brown wood block None Wood aggregates 5 Cellulose
detected
3 of 3
SEATTLE ASBESTOS TEST
Seattle Laboratory:4500 9th Ave.NE,Suite 300,Seattle,WA 98106,Tel:206.633A 111,Fax:206.633.4747,NVLAP Lab Code:201057-0
Disclaimer:This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government
ANALYTICAL LABORATORY REPORT
PLM by Method EPA16001R-931116
Attn.: Stafford Larsen Cllont: The Riley Group,Inc Address: 17522 Bothell Way NE,Bothell,WA 98011
Job#: #2019-025C eateh#: 201912672 Date Received: 1 0/1 7120 1 9
Samples Reed: 12 Date Analyzed: 10/17/2019 Samples Analyzed: 12
Prolact Loc.: MUFG Adington
Analyzed by: Y - Reviewed by: Slave(Fanyao)2hang,President
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non fibrous Components % Non-asbestos Fibers
1 White powdery None Binder/filler, Paint 3 Cellulose
1 1 material with paint detected
2 White chalky None Binder/filler, 26 Cellulose,Glass
material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 2 Cellulose
2 material with Daint detected
2 2 Tan powdery 2 Chrysotile Binder/filler, Paint 3 Cellulose
material with paint
Composite 3 White chalky None Binder/filler, 24 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 2 Cellulose
material with paint detected
3 3 White chalky Binder/filler,2 material with paint None Gypsum/binder, 35 Cellulose,Glass
d
and paper etected Paint fibers
1 White powdery None Binder/filler, Paint 3 Cellulose
4 material with paint detected _
4 2 Tan powdery 2 Chrysotile Binder/filler, Paint 3 Cellulose
material with paint
Composite 3 White chalky None Binder/filler, 22 Cellulose,Glass
result<1% material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 4 Cellulose
material with paint detected
5 5 White chalky Binder/filler,
2 material with paint None Gypsum/binder, 34 Cellulose, Glass
and paper detected paint fibers
1 White powdery None Binder/filler, Paint 3 Cellulose
material with paint detected
6 2 White powdery None Binder/filler 32 Cellulose
6 material with paper detected
3 Tan powdery 2 Chrysotile Binder/filler, Paint 2 Cellulose
material with paint
Composite 4 White chalky None Binder/filler, 24 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
Tan powdery
7 1 material with multi- 2 Chrysotile Binder/filler, Paint 4 Cellulose
7 layered paint _
Composite 2 White chalky None Binderlfiller, 25 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 3 Cellulose
material with paint detected
3 8 2 White powdery None Binder/filler 33 Cellulose
material with paper detected
3 White chalky None Binder/filler, Cellulose, Glass
material with paper detected G sum/binder 22 fibers
Tan powdery
9 9 1 material with green 2 Chrysotile Binder/filler, Paint 3 Cellulose
paint
1 of 2
� �� °� m � � 1 � � � �
� t � i � � � � � � �
� � ! � � i � i t � � � � �
� � i � � 1 i 1 � � � �
f ;
1 `'1
SEATTLE ASIBES TOS 'TES T
Seattle Laboratory:4500 9th Ave,NE,Suite 300,Seattle,WA 98105,Tel:206.633,1111,Fax:206.633.4747,NVLAP Lab Code:201057-0
Disdaimer.This roport must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,I_LC,NVLAP,NIST,or any agency of the
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/R-93/116
Att.: Stafford Larsen client: The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
dww_ #20,19-025C Batch#: 201912672 Data Recelved: 1011712019
Samples Reed: 12 Date Analyzed: 10/17/2019 Samples Analyzed: 12
Project Loc.: MUFG Arlington
Analyzed by: Yarun Gun Reviewed by: Slave(Fanyeo)Zthdr,q Pro.lctem
9 Composite 2 White chalky None Binder/filler, 25 Cellulose, Glass
result<1% material with paper detected G sum/binder fibers
3 White powdery None Binder/filler, Paint 3 Cellulose
g 9 material with paint detected
4 White chalky None Binder/filler, 26 Cellulose, Glass
material with paper detected —.Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 2 Cellulose
10 material with paint detected
10 2 Tan powdery material with paint 2 Chrysotile Binder/filler, Paint 2 Cellulose
Composite 3 White chalky None I Binder/filler, 25 Cellulose, Glass
result<1% material with paper _ detected Gypsum/binder fibers
1 White powdery None
material with aint detected Binder/filler, Paint 2 Cellulose
11 2 White powdery None Binder/filler 35 Cellulose
11 material with paper detected
3 Tan powdery material with paint 2 Chrysotile Binder/filler, Paint 3 Cellulose
Composite 4 White chalky None Binder/filler, 23 Cellulose, Glass
result<1% material with a er detected G sum/binder fibers
White chalky None Binder/filler,
1 material with paint Gypsum/binder, 32 Cellulose, Glass
and paper detected Paint fibers
12 12 2 White powdery None
material with paint detected Binder/filler,Paint 2 Cellulose
3 White chalky None Binder/filler, 24 Cellulose, Glass
material with paper detected G sum/binder fibers
2of2
r i 41
z
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) ❑ Residential ✓❑ Commercial ❑ Industrial
Project Address: 525 N Olvmr)ic Ave Arlington WA 98223 Parcel ID#: 00529901001601
Lot#: Subdivision: Valuation: $8,000
Building Area(Sq Ft) 5,448 No.of floors: 1 Number of Buildings:1
Owner: Coastal Community Bank Phone Number:
Address: 5415 Evergreen Way City.Everett State: WA Zip Code:98203
Contact Person:Mike Lindberg Phone Number: 425-220-0823
Cell Phone: 425-220-0823 E-mail: mikel@coast-group.com
Address. 328 N Olympic Ave C; Arlington city: g State: WA— Zip Code: 98223
Contractor:Coast Construction Group Phone Number: 360-474-0600
Address: 328 N Olympic Ave City:Arlington State: WA Zip Code: 98223
Contractor's License Number:COASTCG865CG Expiration:2/18/2020
Scope of Work:
Drop ceiling
Minor drywall
Storefront
Flooring
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.
sezz'l&� 11/13/2019
Applicants Signature Date
Kathy Demoors
Print Applicants Name
FOR STAFF USE ONLY Received
NOV 13 2019
Permit# AoceiA&By Amount Received Receipt# Date Received
N
PAS Performance Abatement Services
7415 W.Bostian Rd.
M Woodinville, WA 98072
PERFORMANCE P:425.806.8404 F.425.806.7404
ABATEMENT SERVICES pciseattlebids@pcq.com
CERTIFICATE OF VISUAL CLEARANCE
AND FINAL COMPLETION FOR<1%ASBESTOS ABATEMENT
DISTRIBUTED TO: Coast Construction Group
ATTN: Mike Lindberg
PROJECT: Coastal Community Bank<1%ACM Sheetrock Demo
FROM: Performance Abatement Services
7415 W Bostian Rd
Woodinville,WA 98072
DATE OF ISSUANCE: 12/5/2019
The <1% asbestos demo work for the above referenced project has been completed in accordance with
the project specifications, drawings and current regulations; as well as all applicable asbestos abatement
requirements of federal, state, county and local agencies. The scope was based off of composite results
of drywall systems and confirmed in reports 2019-025B and 2019-025C provided by Coast Construction.
The work performed under this contract has been removed and found to be 100%complete.
<1%ACM removed:Sheetrock walls from the east end of the bank in the conference room, storage room,
access hallway, break area, electrical room and along the south wall of the entire building up above the
suspended ceiling, including detail fastener removal from the studs.
Sincerely,
Reese Thompson
Estimator/Project Manager
CITY OF ARLINGTONpv
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:525 N Olympic Avenue NE Permit#:2898
Parcel#:00529901001601 Valuation:8000.00
OWNER APPLICANT CONTRACTOR
Name:ARLINGTON OLYMPIC PROPERTY Name:[Company Name] Name:Coast Construction Group
LLC
Address:PO BOX 12220 Address:[Company Address] Address:328 N Olympic Ave
City,State Zip:EVERETT,WA 98206 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-220-0823 Phone:360-474-0600
LIC:COASTCG865CG EXP:02/18/2020
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: 1 CONST.TYPE:
DWELLING UNITS: 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 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 reported on your sales tax return form
and coded City of Arlington#3101.
KathyDemoors 11/26/19
Signature Print Name Date Released By Da a
CONDITIONS
PERMIT IS FOR THE DEMOLITION OF THE STOREFRONT ONLY. INSPECTION REQUIRED.
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
11/26/2019 Demolition Fee $100.00
11/26/2019 Processing/Technology Fee $25.00
11/26/2019 State Surcharge-Commercial $25.00
Total Due: $150.00
Total Payment: $0.00
Balance Due: $150.00
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
op PHONE; (360) 403-3551
BUILDING PERMIT
Address:525 N Olympic Avenue NE Permit#:2898
Parcel#:00529901001601 Valuation:8000.00
OWNER APPLICANT CONTRACTOR
Name:ARLINGTON OLYMPIC PROPERTY Name:[Company Name] Name:Coast Construction Group
LLC
Address:PO BOX 12220 Address:[Company Address] Address:328 N Olympic Ave
City,State Zip:EVERETT,WA 98206 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-220-0823 Phone:360-474-0600
LIC:COASTCG865CG EXP:02/18/2020
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: I CONST.TYPE:
DWELLING UNITS 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 CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI I0.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and coded City of Arlington#3101.
7�a�-rree� KathyDemoors 12/6/19
Signature Print Name Date Released By Dafe
CONDITIONS
PERMIT IS FOR THE INTERIOR DEMOLITION. INSPECTIONS REQUIRED.
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
12/05/2019 Demolition Fee $100.00
12/05/2019 Processing/Technology Fee $25.00
12/05/2019 State Surcharge-Commercial $25.00
12/05/2019 Credit Card Surcharge $4.50
Total Due: $154.50
Total Payment: $154.50
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
SEATTLE ASBESTOS TEST
Lynnwood Laboratory:19701 Scriber Lake Road,Suite 103,Lynnwood,WA 98036,Tel:425,673.9850,Fax:425,673.9810,NVLAP Lab Code:200768-0
Disclaimer.This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA16001R-931116
Attn.: Stafford Larsen client: The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
Job#: #2019-0258 eatctwr: 201910366 Date Received: 4/29/2019
Samples Reed: 28 Date Analyzed: 5/2/2019 samples ad: 28
Project Lec.: Arlington MUFG —
Analyzed b ui Yang Reviewed by: Steve(Fanyao)Zhang,President
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non fibrous Components % Non-as estos Fibers
1 Al 1 Gray fibrous None Paint, Filler,Perlite 68 Cellulose
material with paint detected
2 A2 1 Gray fibrous None Paint, Filler, Perlite, 65 Cellulose,Glass
material with paint detected Glass beads fibers
1 White powdery None material with paint detected Binder/filler, Paint 3 Cellulose
3 A3 2 White powdery None Binder/filler 31 Cellulose
material with paper detected
3 Off-white chalky None Binder/filler, 27 Cellulose,Glass
material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler,Paint 4 Cellulose
material with paint detected
4 A4 2 White powdery None Binder/filler 29 Cellulose
material with paper detected
3 Off-white chalky None Binder/filler, 25 Cellulose, Glass
material with paper- detected Gypsum/binder fibers
A5 1 Beige powdery 2 Chrysotile Binder/filler, Paint 3 Cellulose
5 material with paint
Composite 2 White chalky None Binder/Filler,result<1% material with paper detected Gypsum/binder 21 Cellulose
1 White powdery 2 Chrysotile Binder/filler, Paint 5 Cellulose
A6 material with paint
6 2 White powdery 2 Chrysotile Binder/filler 35 Cellulose
material with paper
Composite 3 White chalky None Binder/filler,
result<1% material with paper detected Gypsum/binder 28 Cellulose
1 White powdery None Binder/filler, Paint 3 Cellulose
material with paint detected
7 A7 2 White powdery None Binder/filler 30 Cellulose
material with paper detected
3 Off-white chalky None Binder/filler, 23 Cellulose,Glass
material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler,Paint 4 Cellulose
material with paint detected
8 A8 2 White powdery None Binder/filler 25 Cellulose
material with a er detected
3 Off-white chalky None Binder/filler,
material with paper detected G sum/binder 27 Cellulose
1 White powdery None Binder/filler, Paint 3 Cellulose
material with paint detected
9 A9 2 White powdery None Binder/filler 30 Cellulose
material with paper detected
3 Off-white chalky None Binder/filler,
material with paper detected G sum/binder 25 Cellulose
1 Gray woven fibrous None Filler,Binder 81 Synthetic fibers
10 A10 material detected
2 Clear mastic None Mastic/binder 2 Cellulose
detected
1 of 3
SEATTLE ASBESTOS TEST
Lynnwood Laboratory:19701 Scriber Lake Road,Suite 103,Lynnwood,WA 98036,Tel:425.673.9850,Fax:425.673.9810,NVLAP Lab Code:200768-0
Disdaimer This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/R-931116
Attn.: Stafford Larsen client* The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
Job#: #2019-02513 Batch#: 201910366 Date Received: 4/29/2019
Samples Rec'd: 28 Date Analyzed: 5/2/2019 nalyzetl: 28
Project Loc.: Arlington MUFG _.
Analyzed by: Yu�,Slamples
Reviewed by: Steve(Fanyao)Zhang,President
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non-fibrous Components % Non-asbestos Fibers
1 Light gray ceramic None Ceramic/binder
detected None detected
11 A1l 2 Gray brittle/sandy None Binder, Sand 2 Cellulose
material detected
3 Trace yellow None
mastic detected Mastic/binder 2 Cellulose
1 Yellow sheet vinyl None Vinyl/binder None detected
detected
12 Al2 2 Yellow/clear mastic None Mastic/binder 2 Cellulose
detected
3 Gray sandy/brittle None
material detected Sand, Filler, Binder 3 Cellulose
1 Gray tile None Vinyl/binder,
13 A13 detected Mineral rains 4 Cellulose
2 Yellow mastic None Mastic/binder 2 Cellulose
detected
1 White tile None Vinyl/binder, 3 Cellulose
14 A14 detected Mineral grains
2 Yellow mastic None detected Mastic/binder 2 Cellulose
1 Gray sheet vinyl None Vinyl/binder nCellulose
detected
Gray fibrous None Binder/filler,
15 A15 2 material with 68
mastic detected Mastic/binder
3 Gray soft material None Filler, Binder 4 Cellulose
detected
1 Gray woven fibrous None Filler, Binder 85 Synthetic fibers
16 A16 material detected
2 Yellow mastic None Mastic/binder 2 Cellulose
detected
1 White/gray tile None Vinyl/binder,
17 A17 detected Mineral grains 3 Cellulose
2 Trace yellow None
mastic detected Mastic/binder 2 Cellulose
1 Beige/gray tile None Vinyl/binder,
detected Mineral rains 4 Cellulose
2 Yellow mastic None Mastic/binder 2 Cellulose
detected
18 A18 3 Yellow/beige sheet None
vinyl detected Vinyl/binder None detected
4 Yellow/clear mastic None Mastic/binder 2 Cellulose
detected
5 Gray sandy/brittle None
material detected Sand, Filler, Binder 2 Cellulose
19 A19 1 Gray rubbery None
material detected Rubber/binder 3 Cellulose
20 Al9 5 1 Brown/tan rubbery None
material detected Rubber/binder 2 Cellulose
2of3
SEATTLE ASBESTOS TEST
Lynnwood Laboratory:19701 Scriber Lake Road,Suite 103,Lynnwood,WA 98036,Tel:425.673.9850,Fax:425.673.9810,NVLAP Lab Code:200768-0
Disclaimer.This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA16001R-93/116
Anne Stafford Larsen client: The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
Job#: #2019-025B Batch#: 201910366 Date Received: 4/29/2019
Samples Rec'd: 28 Date Analyzed: 5/2/2019 Samples Analyzed: 28
Project Loc.: Arlington MUFG
Analyzed by: ui ang Reviewed by: Steve(Fanyao)Zhang,President
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non fibrous Components % Non-asbestos Fibers
20 A19.5 2 Brown mastic None Mastic/binder 3 Cellulose
detected
1 Tan/white rubbery None Rubber/binder 2 Cellulose
21 A20 material detected
2 White mastic None Mastic/binder 2 Cellulose
detected
1 Black rubbery None Rubber/binder 2 Cellulose
22 A20.5 material detected
2 Beige mastic None Mastic/binder 2 Cellulose
detected
23 A21 1 Pink fibrous None
material detected Filler 95 Glass fibers
24 A22 1 Yellow fibrous None
material detected Filler 91 Glass fibers
25 A23 1 White soft/loose None p
Filler, Fine articles 6 Cellulose
material detected
1 Black asphaltic None Asphalt/binder,
material with sand detected Sand 27 Glass fibers
2 Black asphaltic None Asphalt/binder,
26 A24 fibrous material detected Binder/filler 70 Cellulose
Multi-layered black None Asphalt/binder,
3 asphaltic material with sand detected Sand 69 Cellulose
1 Black asphaltic None Asphalt/binder,
material with sand detected Sand 25 Glass fibers
2 Black asphaltic None Asphalt/binder,
27 A25 fibrous material detected Binder/filler 70 Cellulose
Multi-layered black None Asphalt/binder,
3 asphaltic material with sand detected Sand 72 Cellulose
1 Black asphaltic None Asphalt/binder,
material with sand detected Sand 26 Glass fibers
Black asphaltic None Asphalt/binder,
2 material with detected Binder/filler 70 Cellulose
28 A26 fibrous material
3 Black asphaltic None Asphalt/binder 3 Cellulose
material detected
4 Brown wood block None Wood aggregates 5 Cellulose
detected
3of3
SEATTLE ASBESTOS TEST
Seattle Laboratory:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Tel:206.633.1111,Fax:206.633.4747,NVLAP Lab Code:201057-0
Disclaimer:This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/R-93/116
Ann.: Stafford Larsen client: The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
Job#: #2019-025C Batch#: 201912672 Date Received: 10/17/2019
Samples Rec'd: 12 Date Analyzed: 10/17/2019 Samples Analyzed: 12
Project Loc.: MUFG Arlington (ice , JL,/tliirl
Analyzed by: Yajrn Gao Reviewed by: Steve(Fanyao)Zhang,President
Lab ID Client Sample ID Layer Description % Asbestos Fibers Non-fibrous Components % Non-asbestos Fibers
White powdery None Binder/filler, Paint 3 Cellulose
1 1 material with paint detected
2 White chalky None Binder/filler, 26 Cellulose, Glass
material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 2 Cellulose
2 material with paint detected
2 2 Tan powdery 2 Chrysotile Binder/filler, Paint 3 Cellulose
material with paint
Composite 3 White chalky None Binder/filler, 24 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 2 Cellulose
material with paint detected
3 3 White chalky Binder/filler,
None Cellulose, Glass
2 material with paint detected Gypsum/binder, 35 fibers
and paper Paint
1 White powdery None Binder/filler, Paint 3 Cellulose
4 material with paint detected
4 2 Tan powdery 2 Chrysotile Binder/filler, Paint 3 Cellulose
material with paint
Composite 3 White chalky None Binder/filler, 22 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
1 White powdery None Binder/filler, Paint 4 Cellulose
material with paint detected
5 5 White chalky Binder/filler,
2 material with paint None Gypsum/binder, 34 Cellulose, Glass
and paper detected Paint fibers
1 White powdery None Binder/filler, Paint 3 Cellulose
material with paint detected
6 2 White powdery None Binder/filler 32 Cellulose
6 material with paper detected
3 Tan powdery 2 Chrysotile Binder/filler, Paint 2 Cellulose
material with paint
Composite 4 White chalky None Binder/filler, 24 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
Tan powdery
7 1 material with multi- 2 Chrysotile Binder/filler, Paint 4 Cellulose
7 layered paint
Composite 2 White chalky None Binder/filler, 25 Cellulose, Glass
result<1% material with paper detected Gypsumlbinder fibers
1 White powdery None Binder/filler, Paint 3 Cellulose
material with paint detected
8 8 2 White powdery None Binder/filler 33 Cellulose
material with paper detected
3 White chalky None Binder/filler, 22 Cellulose, Glass
material with paper detected Gypsum/binder fibers
Tan powdery
9 9 1 material with green 2 Chrysotile Binder/filler, Paint 3 Cellulose
paint
1 of 2
SEATTLE ASBESTOS TEST
Seattle Laboratory:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Tel:206.633.1111,Fax:206.633.4747,NVLAP Lab Code:201057-0
Disclaimer.This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the
Federal government
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/R-93/116
Ann.: Stafford Larsen client: The Riley Group,Inc. Address: 17522 Bothell Way NE,Bothell,WA 98011
Job#: #2019-025C Batch#: 201912672 Date Recelved: 10/17/2019
Samples Rec'd: 12 oats Analyzed: 10/17/2019 Samples Analyzed: 12
Project Loc.: MUFG Arlington
Analyzed by:4'. Gao Reviewed by: Steve(Fanyao)Zhang.President
9 Composite 2 White chalky None Binder/filler, 25 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
3 White powdery None Binder/filler, Paint 3 Cellulose
9 9 material with paint detected
4 White chalky None Binder/filler, 26 Cellulose, Glass
material with paper detected Gypsum/binder fibers
1 White.powdery None Binder/filler,Paint 2 Cellulose
10 material with paint detected
10 2 Tan powdery 2 Chrysotile Binder/filler, Paint 2 Cellulose
material with paint
Composite 3 White chalky None Bindertfitler, 25 Cellulose, Glass
result<1% material with paper detected Gypsum/binder fibers
1 White powdery None
material with aint detected Binder/filler, Paint 2 Cellulose
11 2 White powdery None Binder/filler 35 Cellulose
11 material with paper detected
3 Tan powdery 2 Chrysotile Binder/filler, Paint 3 Cellulose
material with paint
Composite 4 White chalky None Binder/filler, Cellulose,Glass
result<1% material with paper detected G sum/binder 23 fibers
White chalky None Binder/filler,
1 material with paint Gypsum/binder, 32 Cellulose, Glass
and paper detected fibers
Paint
12 12 2 White powdery None
material with aint detected Binder/filler, Paint 2 Cellulose
3 White chalky None Binder/filler, Cellulose,Glass
material with paper detected G sum/binder 24 fibers
2 of 2
Permit#: 2898
Permit Date: 11/14/19
Permit Type: DEMOLITION
Project Name: Coastal Community Bank
Applicant Name: Coast Construction Group
Applicant Address: 328 N Olympic Avenue NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Mike Lindberg
Phone: 425-220-0823
Email: mikel@coast-group.com
Scope of Work: Demo drop ceiling, minor drywall, storefront and flooring
Valuation: 8000.00
Square Feet: 5448
Number of Stories: 1
Construction Type: VB
Occupancy Group:
ID Code:
Permit Issued: 11/26/2019
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
ARLINGTON 611 00529901001601 525 N OLYMPIC AVE OLYMPIC Related
Banking&Bank
ated Functions
PROPERTY LLC Rel
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
COAST TREVOR 328 N OLYMPIC CONSTRUCTION Labor&
CONSTRUCTION GASKIN 360-474-0600 AVE CONTRACTOR Industries COASTCG865CG
GROUP
COAST TREVOR 328 N OLYMPIC CONSTRUCTION
CONSTRUCTION GASKIN 360-474-0600 AVE CONTRACTOR UBI 602 626 922
GROUP
Plan Reviews
Date Review Type Description Assigned To Review Status
11/14/2019 DEMOLITION BUILDING
11/14/2019 DEMOLITION PW-SEW-REV
11/14/2019 DEMOLITION PW-WAT-REV
11/14/2019 DEMOLITION No comments,LT PW-ADMIN-GIS
Fees
Fee Description Notes Amount
Demolition $100.00
Processing/Technology $25.00
State Surcharge-Commercial Commercial Only $25.00
Credit Card Service $4.50
Total $154.50
Attached Letters
Date Letter Description
12/05/2019 Building Permit
11/14/2019 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
11/26/2019 KATHY DEMOORS 78041599 $150.00
11/26/2019 Kathy Demoors CC Surcharge Transaction $4.50
78041599
Outstanding Balance $0.00
Notes
Date Note Created By:
12/06/2019 Emailed permit for signature. Kristin Foster
11/26/2019 11/14/2019 Permit is for the Storefront only. Kristin Foster
11/26/2019 Emailed permit for signature. Kristin Foster
11/26/2019 Permit issued on 11/26/2019 is for the storefront demo only. Kristin Foster
11/20/2019 Waiting on abatement report. Kristin Foster
Uploaded Files
Date File Name
12/06/2019 5960453-2898 Coastal Bank Sheetrock Clearance Letter.pdf
12/06/2019 5960235-2898 Issued Permit Interior Work.pdf
11/26/2019 5929417-2898 Issued Permit.pdf
11/20/2019 5907157-2898 SAT Composite results 2019-025C.PDF
11/20/2019 5907158-2898 SAT Composite results 2019-025B.PDF
11/14/2019 5882707-2898 Application.pdf