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Home My WebLink About16612 51ST AVE NE_BLD2962_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16612 51st Avenue NE Permit#:2962 Parcel#:31052800100900 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON 51ST ST LLC Name:[Company Name] Name:BYK Construction Address:PO BOX 619 Address:[Company Address] Address:PO Box 619 City,State Zip:SEDRO WOOLLEY,WA 98284 City,State Zip:Sedro Woolley,WA 98284 City,State Zip:Sedro Woolley,WA 98284 Phone: Phone:360-661-5325 Phone:360-661-5325 LIC:BYKCOCI886JB EXP:04/02/2020 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 BUILDINGOFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. 1T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STR.[Lc`TURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. I Cl /IRC110. SALES TAX NOTICE:Sales tax relating to construction and o auction materials in the City of Arlington must be reported on your sales tax return fonn and coded City of Arlington#3101. Signature Pr' t Na e Date Released By Datc .J i CONDITIONS Call for final inspection. 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 01/16/2020 Demolition Fee $100.00 01/16/2020 Processing/Technology Fee $25.00 01/16/2020 State Building Code Surcharge Fee $6.50 Total Due: $131.50 Total Payment: $0.00 Balance Due: $131.50 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 y-nvironniental Abatement Services Inc November21, 2019 Madison Albright BYK Construction, Inc. 702 A Metcalf Street: Sedro Woolley, WA 98284 Asbestos Abatement Project 16612 51 st Ave Arlington, WA 98223, Per the Asbestos Survey (#18127) conducted by Dave B. Phillips on 08/30/2019 (cert# 164373). EAS (contractor#ENVIRAS014RA) removed asbestos containing material from the above address as specified in the survey. According to local state and federal regulations, materials containing more than one pE;rcent (1%) asbestos must be removF;d prior to any remodel, renovation~ or demolition activity. The material was removed by Certified Asbestos Workers under the direct supervision of a Certified Asbestos Supervisor in accordance with all applicable local, state and federal regulations on 11/15/2019. The materials collected were: packaged for final disposal in compliance with all applicable federal, state, and local Iaw13. If materials are identified under 1% asbestos on the survey work practices and worker protection must be in compliance with WAC 2962-62..077. Additional information is available with directive WRD 23.30 available on the Washington State Department of Labor and Industries website. The building was surveyed and the materials found to contain more than 1% asbestos were removed and properly disposed in accordance with all applicable regulations. A copy of the survey with laboratory report, and this letter may be used as documentation of the completion of asbestos identification and-removal. Any planned remodeling, renovation, and demolition activities should be approved to proceed. Sincerely, JOB COPY CITY OF AR,LINGTON Received Cathy Marquez BUILDING DEPARTMENT President APPROVED 07 202(t DATE BY G� PO Box 2503/18365 W Lincoln St. NO CHANGES AUTHORIZED Phone(360)755-1085 Mount Vernon,WA 98273 UNLESS APPROVED BY THE Fax(360)588-4180 BUILDING INSPECTOR •y PHILL,IPS ENVIRONMEI(`ITAL, SERVICES 29354 Bacus RD. S-E-DRO WOOLLE:Y,Wp.98284 360-854-7900 FAX 360-854.773 1 BYK Construction August 31, 2018 1::3 3 W, State St., #101 Sedro Woolley, WA 98284 360-661-5325 Survey No. 18127 P, a1(ibbvkconstruction.com RE;: Asbestos Survey:: 16612 51st Ave. 'NE,Arlington,WA 98223 On August 30, 2018, I inspected a single-family residence and several small outbuildings located at the above; referenced address for the purpose of determining the presence or absence of materials that might contain asbestos. Title 40 Code of Federal-Regulations (40 CF.R), subpart M, section 61.141, established the allowable limit of asbestos in. building materials at 1% by weight. Materials containing more than 1%asbestos are 1:ermed ACM(Asbestos Containing Material) and must be handled in accordance with Federal, State, and Local regulations. S iarveys are based on 'visible and accessible materials' and although reasonable effort was made to locate and test all suspect materials, some; suspect materials may remain hidden in walls or below floor und-erlayment or other areas until demolition or renovation work makes them accessible. If other suspect materials are;discovered during the course of demolition or :remodel activities they will require testing prior to continuing work, Thirteen bulk samples were collected and subsequently analyzed for asbestos content by Polarized Light Microscopy with Stain Dispersion. Samples #1 and 2 were found to contain Enore than 1% asbestos. These materials will require handling/removal by trained asbestos workers prior to any remodeling, renovation, or demolition that will lead to the disturbance or removal of asbestos. Prior to removal of these;materials, ten-day notices must be filed with the local Clean Air Agency and the State Department of Labor&Industries. In addition, asbestos was detected in the joint compound at 2% (samples 5a& 5b), however, the drywall &joint compound composite result is less than 1%per NESHAP (National Emissions Standards for Hazardous Air Pollutants) and disposal is allowed as `ordinary construction debris". Washington State Department of Occupational Safety&Health (DOS11) requires asbestos awareness training, respiratory protection and air monitoring during disturbance/removal activities to ensure the safety of the workers involved. Alternatively, it is possible to demolish the structure with the drrywall and joint compound in place if the demolition contractor has an asbestos abatement supervisor on site during demolition and the demolition contractor's employees have received the appropriate asbestos awareness training and follow respirator and air monitoring requirements. This letter along with the attached material list and lab report will comprise the `Asbestos Survey'. Please call us if you have any questions. Sincerely, Received Dave B. Phillips aJAN 0 7 2020 AHERA Bldg. Insp. Cerk# 164373 (expires 1.1-22-18) i i I PHILI..IPS ENVIRONMENTAL SEFCVIGES 29354 BAcus RD, SEEXRO WOOLLEY,WA 98284 3160-854-7900 FAX 360-854-7731 Client: BYK Construction Asbestos Survey- 16612 51st Ave.NE Survey#: 18127 133 W. State St.,H101 Arlington,WA 98223 Sedro Woolley,`YVA 98284 360-661-5325 Survey date: 8-30-18 House.-I-Iomoaeneous MateaJ la List [Material#&Description Location(homog. area) Type Friab Conal Qty. Sample#,&Location 7 Asb+estos 1 Vinyl sheet Kitchen,dining,'/x bath, Misc N T TBD 1 Kitchen floor Chry.40% front entry floors _ [2 Vinyl sheet Rear entry floor _ Misc N I F I TBD 2 Rear entry floor Chry.40% [3 2 layers vinyl sheet _ Main bath floor Misc N I F 3 Main bath floor Nn= C Panel mastic Main bath,backsplash•.& Misc N F - 4 Main bath backsplash N�I� walls around toilet 5 Drywall&jt. comp. Walls,ceilings Misc N F 5a %bath wall Chry• <1% 5b NW bedroom wall Chry. <1% [6 Blown-in insulation Attic Tsi N F 6 Attic N.0 [7 I Asphalt roof w/sand I Roof Misc N F 7 Roof NID Note,Item#5 above: Asbestos was detected in the joint compound at 2%,however,the drywall&joint compound composite result is less than 1%per NESHAP(National Emissions Standards for Hazardous Air Pollutants)and disposal is allowed as `ordinary construction debris'.However,Washington State Department of Occupational Safety&Health(DOSH) requires aslbestos awareness training,respiratory protection and air monitoring during disturbance/removal activities to ensure the safety of the workers involved—for this reason it is common for Licensed Asbestos Abatement Contractors to remove drywall 8c joint compound materials even though they are below the 1%threshold of an ACM(Asbestos Containing Material). Alternatively,it is possible to demolish the structure with the drywall and joint compound in place if the demolition contractor has an asbestos abatement supervisor on site durbig demolition and the demolition contractor's employees have received the appropriate asbestos awareness training and follow respirator and air monitoring requirements. N/D=None Detected Note: Friability assessments were made on these materials in their present undisturbed condition, N/T=Not Tested-previous sample tested positive damage or disturbance of any kind may cause some non-friable materials to become friable. Quantities shown are approximate-field verification recommended PHILL.iPS ENVIRONMENTAL, SERVICES 29354 BACus RD, SEDIRO WOOLLEY,WA 9E1284 360-854-7900 FAX 360-854.7731 Shed#1 -Homogeneous Material List F4aterial#&Description Location(homog. area) Type Friab Conai Qty. Sample# &Location Asbestos r8 Drywall - Interior walls Misc N F 8 Wall N•�1� 9 Asphalt roof w/sand Roof Misc N F _1 1 9 Roof - NO-] Shed#2-Homogeneous Material List ENo Suspect Materials Observed - Shed 43-Homogeneous Material List 12-4aterial#&Description Location(homog. area) I Typel Friab Cond I Qty. I Sample#_&Location Asbestos FI-01 Glazing putty _ Windows IMiscl N F _ 10 1 Window N/IT—] FFlI Asphalt roof w/sand Roof I Misc I N I F 11 1 Roof N = Note:This shed was locked,the interior not accessible-recommend checking the interior for `suspect'materials prior to demolition Shed#!4-Homogeneous Material List P4aterial#&Description I Location(homog. area) I Type Friab Cond Qty. I Sample#&Location Asb,e;ttos E- Asphalt roof w/sand Roof Misc I N I F 12 1 roof Shed h5-Homogeneous Material List CNo Suspect Materials Observed Barn-Homogeneous Material List No Suspect Materials Observed Note:The SE wing of the barn was locked and inaccessible-recommend checking the interior for`suspect' materials prior to demolition N/D=None Detected Note: Friability assessments vvere made on these materials in their present undisturbed condition, r/T=Not Tested-previous sample.tested positive damage or disturbance of any kind may cause some non-friable materials to become fri able. Quantities shown are approximate-field verification recommended I I PHILL.,IPS ENVIRONMENTAL T'AL SERVICES 29354 BAcus Rp. SEDRO WOOLLEY,WA 98284 360-854-7900 American Industrial Hygiene Association Lab ID.#102950 FAX 360-854.77311 ASBESTOS BULK SAMPLE ANALYSIS Client Name: BYK Construction 133 W. State St.,#101 Survey#: 18127 Sedro)Woolley,WA 98284 360-661-5325 paulCq'j)ykcon struction.com Source of Samples: 16612 51st Ave.NE,Arlington,WA 98223 Date:Rec'd: 8-30-18 Analytical Method: Polarized Light Microscopy with Dispersion Staining(PLM-DS Method) Sample#: 1 ILab No.: 92718 Location: Kitchen floor _ Layers Description: ]'Jon-Fibrous Material: Other Fibrous Mat'1: I.Vo Asbestos Type: '% Layer 1 of 3 Tan/brown vinyl sheet Vinyl/Binder None detected None detected_ Layer 2 of 3 Grey fibrous paper-like material Rinder/Fine particles Cellulose 10% Chrysotile 400,va. Layer 3 of 3 Yellow mastic 1vl:astic/binder Cellulose 2% None detected Sample#: 2 Lab No.: 92719 � Location: Rear entry floor Layers Description: Non-Fibrous Material: l Other Fibrous Mat'L 'Vo Asbestos Type: Layer 1 of White/b I ack'vinyl sheet Vinyl/Binder None detected None detected_ Layer 2 of 3 Grey fibrous paper-like material Rinder/Fine particles Cellulose 10% r Chrysotile 40°,/a. Layer 3 of 3 Yellow mastic 1d:astic/binder Cellulose 2% None detected Sample#: 3 Lab No.: 92720 Location: Main bathroom floor Layers Description: 1sion-Fibrous Material: Other Fibrous Mat'1: % Asbestos Type: '% Layer 1 of 6 White vinyl sheet Vinyl/Binder None detected _ None detected_ Layer 2 of 6 Grey fibrous paper-like material Rinder/Fine particles Cellulose 60% _ None detected_ Layer 3 of 6 Yellow mastic 14astic/binder Cellulose trace None detected Layer 4 of 6 Off white vinyl sheet 'Vinyl/Binder None detected None detected Layer 5 of 6 Black fibrousi paper-like material Asphalt/Fine particles Cellulose 60% _ None detected_ Layer 6 of 6 Yellow mastic M:astic/binder Cellulose trace None detected Sample#: 4 Lab No.: 92721 _ Location: Main bathroom.backs lash panel mart:ic Layers Description: Non-Fibrous Material: Other Fibrous MatT sbestos Type: °.% Layer 1 of 1 Yellow/tan inastic 1vl:astic/binder Cellulose trace one detected— Sample#: 5a Lab No.: 92722 Location: 1/2 bath wall_ Layers Description: Non-Fibrous Material: Other Fibrous Mat'1: % Asbestos Type: Layer 1 of 2 Off white compacted powdery mat'l Binder/fine particles y Cellulose trace Chrysotile 2% Layer 2 of 2 Drywall Gypsum/fine particles Cellulose 20% None detected_ Note:Per NESHAP the composite result for this `wall system' is less than 1%asbestos . Analyst: Date: 8-31-18 Dave B.Phillips Samples retained for 2 weeks unless otherwise requested in writing. Lab results are completely confidential. Written permission is re6vired to release results to another party. PHILLIPS ENVIRONMENTAL SERVICES 29354 BAcus RD. SEDR:O WOOLLEY,WA 9€3284 3150.854.7900 American Industrial Hygiene Association Lab I.D.#102950 FAX 360-854^7731 ASBESTOS BULK SAMPLE iSNALYSIS Sample#: 5b ]lab No.: 92723 Location: NW bedroom wall Layers Description: Non-Fibrous Material: Other Fibrous MatT_°% Asbestos Type: °./o Layer 1 of 2 Off white cotapacted powdery mat'l hinder/fine particles Cellulose trace Chrysotile 2% Layer 2 of 2 Drywall Gypsum/fine particles Cellulose 20% None detected Note:Per NESHAP the composite result for this `wall system' is less thsat 1%asbestos Si�ofl lab No.: 92724 ^ Location: Attic scription: Non-Fibrous Material: Other Fibrous MatT 9/o Asbestos Type: Xo Lite fibrous mass Binder/glass beads Glass 90% None detected :iam le#: 7 Lab No.: 92725 Location: House roof _ Layers Description Non-Fibrous Material: y Other Fibrous MatT 9/o Asbestos Type: °.V. Layer 1 of 3 Asphalt roof w/sand Asphalt/sand Glass 20% None detected Layer 2 of 3 Asphalt roof w/sand Asphalt/sand _ Cellulose 20% _ None detected_ Layer 3 of 3 Asphalt roof-w/sand Asphalt/sand Cellulose 20% None detected Sam le 0. 8 Lab No.: 92726 Location: Shed#1 wall Layers Descriptions; Non-Fibrous Material: r Other Fibrous MatT $o Asbestos Type: Layer 1 of 1 Drywall Gypsum/fine particles r Cellulose 20% None detected Sample#: 9 ]lab No.: 92727 Location: Shed 41 roof + Layers Description; Non-Fibrous Material: _ Other Fibrous MatT o Asbestos Type: 9,10 Layer 1 of 1 Asphalt roof.''w/sandI Asphalt/sand Glass 20% None detected 'Sample#: 10 Lab No.: 92728 Location: Shed#3 window Layers Description; Non-Fibrous Material: _ Other Fibrous MatT 9% Asbestos Type: 4i6 Layer 1 of 1 Glazing putly llinder/fine particles Cellulose trace None detected Sam ale#: 11 lab No.: 92729 Location: Shed#3 roof Layers Description; Non-Fibrous Material: Other Fibrous MatT9io Asbestos Type: 1/6Layer 1 of 1 Asphalt roof_w/sand &plialt/sand Glass 20% None detected Siam le#: 12 Lab No.: 92730 Location: Shed#4 roof W _ Layers Description: Non-Fibrous Material: Other Fibrous MatT 9io Asbestos Type: 4% Layer 1 of 1 Asphalt roof w/sand Asplialt/sand Glass 20% None detected (]�� 9: ok- Analyst:_ -Date: 8-31-18 Dave B.Phillips Samples retained for 2 weeks unless otherwise requested in writing. Lab results are completely confidential. I%Vritten permission is required to release results to another party. I I EA'TTLE ASBEsToS TEST. LLC Seattle Laboratory:4500 9th Ave,NE,Suite 300,Seattle,WA 99105,Tel:206.633.1111,Fax:200.6314747,NVLAP Lab Code:201057-0 www.seattleasbestostest.com,admin@seattleasbestostest.com Project Manager: Terry MacEwen Date Analyzed: 10/22/2019 Client: Environmental Abatement Services,Inc. Client Job#. N/A Address: P.O.Box 2503,Mount Vernon,WA 98273 Project Location: 16612 51st Ave Arlington,WA Tel: 360.755.1065 Laboratory batch#: 201912708 Samples Received: 4 Enclosed please find the test results for the bulk samples submitted to our laboratory for asbestos analysis.Analysis was performed using polarized light microscopy(PLM)in accordance with Test Method US EPA/600/R-931116. Percentages for this report are done by visual estimate and relate to the suggested acceptable error ranges by the method.Since variation in data increases as the quantity of asbestos decreases toward the limit of detection,the EPA recommends point counting for samples containing between<1%and 10%asbestos(NESHAP,40 CFR Part 61). Statistically,point counting is a more accurate method.If you feel a point count might be beneficial,please feet free to call and request one. The test results refer only to the samples or items submitted and tested.The accuracy with which these samples represent the actual materials is totally dependent on the acuity of the person who look the samples.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 govemment.The test report or calibration certificate shall not be reproduced except in full,without written approval of the laboratory. This report is highly confidential and will not be released without your consent.Samples are archived for 30 days after the analysis,and disposed of as hazardous waste thereafter. Thank you for using our service and let us know if we can further assist you. Sincerely 4"Hr, Steve(Fanyao)Zhang President Received I SEATTLE ASBESTOS TEST, LLG Z.1- ,,..00L&. qr-j., Me-65.9 ZeBawr—MP7" CHMN (OF(CUSIVVY A!b- opoigcoq=low P.0-B"2m WA M73 Ph me: (360)755--1085 Fax:(34W)58&4180 .quinbcrafSarnp1e5 Fog Nciewl LQCafm FroLlect Marm-m(Check ow): C261-V-9-- Alimm Mono M. I Four CLIENT S&WLF,= S A—MK E RD Ms—c—Rp—n—oK LAD ID —AfR 7 -lu2) 3 6 7 8 9 12 13 14 16 17 18 19 20 Deballd L L I-Ili A I A 1-7a�L ej Mond &L)LAV rl" Rewlz reportirm—riet%o&- orhome OFax a die Sets= Seattle Laboratory:4500 9th Ave.NE,Suite 300,Seattle,WA 90105,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 certificalion,approval,or endorsement by Seattle Asbestos Test,LLC,NVLAP,NIST,or any agency of the Foderal government ANALYTICAL LABORATORY REPORT PLM by Method EPA/600IR-931116 AM.: Terry MacEwen client. Environmental Abatement Services,Inc. Address: P.p,Box 2503,Mount Vernon,WA 98273 Job#: N/A Batch#: 201912708 Date Received; 10I21/2019 Samples Read: 4 pate Analyzed; 1 012 2/2 01 9 3emple5 Analyzed: Q Project Loc.: 16612 51st Ave Arlington,WA h Analyzed by: Y n Grto Reviewed by: Stave(Fnrryncrl Zhnnq,PrasWer,t Lab ID Client Sample ID Layer Description % Asbestos Fibers Non-fibrous Components % Non-asbestos Fibers 1 Gray tile 2 Chrysotile Vinyl/binder, 2 Cellulose Mineral rains 1 TM-1 2 Black mastic None detected Mastic/binder 3 Cellulose 3 Brown wood block None detected Wood aggregates 6 Cellulose 1 Green/yellow vinyl None Vinyl/binder detected 2 Cellulose 2 TM-2 Black asphaltic 2 fibrous material None Asphalt/binder, with mastic detected Mastic/binder, Filler 68 Cellulose 1 White/tan vinyl Fdetected Vinyl/binder 3 Cellulose 3 TM-3 Black asphaltic Asphalt/binder,2 fibrous material 70 Cellulose with mastic Mastic/binder, Filler 1 Brown vinyl one Vinyl/binder 2 Cellulose 4 TM-4 detected Black asphaltic None Asphaldbinder,2 fibrous material 67 Cellulose with mastic detected Mastic/binder, Filler S5 Sl�7 a, 2 INw4CIt%ile S He Sig' Received )AN 0 7 Z020 -P scwrc,e psc lean a!r.org Puget Sound Clean Air Agency Notification Amendment #: 201905502-2 This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for Inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). Fee Amount Paid $20.00 Credit Card Transaction # APOAFFA78ESE Transaction Date 11/07/19 Owner's Name Paul Woodmansee Phone (360)661-5325 Project Street Address 16612 51st Ave City Arlington Zip 98223 Contact Person Madison Albright Phone (360) 755-3101 Mailing Address 702A Medcalf St Sedro Woolley,WA 98284 This project includes asbestos removal. Project Size linear feet / 600 square feet Project Start Date 11/15/19 Completion Date 11/15/19 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Environmental Abatement Services Inc. Contractor Job# Contact Catherine D Marquez Phone (360)755-1085 Mailing Address P.O.Box 2503 Mount Vernon,WA 98273 This project Includes a demolition. Demolition Start Date 11/23/19 Completion Date 12/31/19 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job# Contact Phone Mailing Address By submitting this Amendment: (1)I certify that the information 1 have provided is to the best of my knowledge true and accurate. (2)I understand the fees for this Amendment are nonrefundable. Create Another Notification View History Lag-gut If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. I psc lean air.org Puget Sound Clean Air Agency Notification Case #: 201905502 This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site(Reg III, 4.03(a)(6)). Fee Amount Paid $275.00 Credit Card Transaction # AAOA3B72DB2F Transaction Date 10/30/19 Owner's Name Paul Woodmansee Phone (360) 661-5325 Project Street Address 16612 51st Ave City Arlington zip 98223 Contact Person Madison Albright Phone (360)755-3101 Mailing Address 702A Medcalf St Sedro Woolley,WA 98284 This project Includes asbestos removal. Project Size linear feet / 600 square feet Project Start Date 11/22/19 Completion Date 11/22/19 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Environmental Abatement Services Inc. Contractor Job# Contact Catherine D Marquez Phone (360)755-1085 Mulling Address P.O.Box 2503 Mount Vernon,WA 98273 This project Includes a demolition. Demolition Start Date 11/23/19 Completion Date 12/31/19 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job# Contact Phone Mailing Address (1) I certify that the Information I have provided is to the best of my knowledge true and accurate. (2)I understand that I must file an Amendment to this Notification if: • The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. _Q;gate Another Notification View History, lag Out If you have questions, contact us at asbestos@pscleanair.org or 206,689.4058. Received JAN ® 7 2020 • �p�iavGt� /�lS�Zc� �o Permit#: 2962 Permit Date: 01/09/20 Project Name: 51st Avenue Urban Village Site Address: 16612 51 st Avenue NE Company/Applicant Name: Arlington 51 st St LLC Company/Applicant Address: PO Box 619 City, State, Zip: Sedro Woolley,WA 98284 Contact: Paul Woodmansee Phone: 360-661-5325 Email: paul@bykconstruction.com Permit Type: Demolition Valuation: 0.00 Square Feet: 1800 Number of Stories: 1 Type of Construction: VB Occupancy Type: R-3 Proposed Use: Demolition of a SFR, barn and 5 accessory buildings MIC/Opportunity Zone: Permit Issued: Permit Expires: DNU: I Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052800100900 16612 51ST AVE NE ARLINGTON 51 ST 830 Open Space ST LLC Agriculture RCW 84.34 Plan Reviews Date Review Type Description Assigned To Review Status 01/09/2020 Demolition Building In Review 01/09/2020 Demolition PW Admin Rev In Review 01/09/2020 Demolition PW-Sew-Rev In Review 01/09/2020 Demolition PW-Wat-Rev In Review Uploaded Files Date File Name 6071941-2962 Applicatio"A tt' 01/09/2020 6071940 2962 Abatement Le1�Lp 1.5_f 01/09/2020 6071939-2962 Site.pdf O1/09/2020 6071938-2962 A.bettor tiun�p,1Llf 01/09/2020 °r DEMOLITION PERMIT APPLICATION ,x p > 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: 16612 51 st Ave Arlington WA 98223 --- Parcel ID#: .11059.800100900 Lot#: Subdivision: --- - Valuation: --- -• Building Area (Sq Ft)—jU0Q No.of floors: 1 -.. Number of Buildings:--- 3 Owner: ARLINGTON 51ST ST LLC _ _Phone Number: . 360-661-5325 Address: PO BOX 619 _ City:Sedro Woolley State: ALA— Zip Code: 98284 Contact Person: Paul Woodmansee _ Phone Number: 360-661-5325 Cell Phone: 360-661-$325 E-mail: Paul b krnnstrurtinn.rnm Address' PO BOX 619 _ City: Sedro Woolley State: — WA Zip Code: 98284 _— Contractor: ByK Conatr,&'nn INC Phone Number: 360-661-5325 Address: PO BOX 619 City:Sedro Woolley State: WA Zip Code: 98284 Contractor's License Number: BYKCOC1886JB Expiration: 4/20 Scope of Work: Removal of existing house and remaining structures on parcel in preparation for commercial project totaling 6000 sf of removed buildings 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 bate AKITsTuAbn 4- Print AWplicants Name „NIQd FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date eceibe(-. WasM1inglon Sule�epann-n�.A Labor&Indushies(https7/Ini.wa-go v). Contractors BYK CONSTRUCTION INC Owner or tradesperson PO Box 619 Principals SEDRO WOOLLEY,WA 98284 WOODMANSEE,PAUL JAMES,PRESIDENT 360-755-3101 SKAGIT County WOODMANSEE,LE ANN MARIE,VICE PRESIDENT WOODMANSEE,ALEXANDRIA LEE,SECRETARY • WOODMANSEE,TIMOTHY MICHEAL,TREASURER Doing business as BYK CONSTRUCTION INC WA UBI No. Business type 603 187 914 Corporation Governing persons ALEXANDRIA WOODMANSEE LEANN MARIE WOODMANSEE; PAUL JAMES WOODMANSEE; TIMOTHY MICHAEL WOODMANSEE; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. BYKCOCI886JB Effective—expiration 04/02/2012—04/02/2020 Bond Philadelphia Indemnity Ins Co $12,000.00 Bond account no PB00499800042 Received by L&I Effective date 03/20/2018 04/02/2018 Expiration date Until Canceled Bond history Insurance Wesco Insurance Co $1,000,000.00 Policy no. WPP1234908-04 Received by L&I Effective date 01/10/2019 01/29/2019 Expiration date 01/29/2020 Insurance history Savings No savings accounts during the previous it period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L8,1 tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account Is current. 191,815-01 Doing business as BYK CONSTRUCTION INC Estimated workers reported Quarter 3 of Year 2019"31 to 50 Workers" L&I account contact TO/JULIE SUR(360)902-4715-Email:SURJ235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. Contractor Strikes ................................................... No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for Inspection results date 04/26/2019 No violations Inspection no. 317953952 Location 1822 River Walk Lane Burlington,WA 98233 Environmental Abatement Services Inc November 21, 2019 Madison Albright BYK Construction, Inc. 702 A Metcalf Street Sedro Woolley, WA 98284 Asbestos Abatement Project 16612 51 st Ave Arlington, WA 9822:3 Per the Asbestos Survey (#18127) conducted by Dave B. Phillips on 08/30/2019 (cert# 164373). EAS (contractor#ENVIRAS014RA) removed asbestos containing material from the above address as specified in the survey. According to local state and federal regulations, materials containing more than one pE►rcent (1%) asbestos must be removed prior to any remodel, renovation„ or demolition activity. The material was removed by Certified Asbestos Workers under the direct supervision of a Certified Asbestos Supervisor in accordance with all applicable local, state and federal regulations on 11/15/2019. The materials collected were packaged for final disposal in compliance with all applicable federal, State, and local laws. If'materials are identified under 1% asbestos on the survey work practices and worker protection must be in compliance with WAC 2962-62.077. Additional information is available with directive WRD 23.30 available on the Washington State Department of Labor and Industries website. The building was surveyed and the materials found to contain more than 1% asbestos were removed and properly disposed in accordance with all applicable regulations. A copy of the survey with laboratory report, and this letter may be used as documentation of the completion of asbestos identification and removal. Any planned remodeling, renovation, and demolition activities should be approved to proceed. Sincerely, OFFIC , Cathy Marquez CITY OF ARLINGTON President BUILDING DEPARTMENT AN 0 7 2020 APPROVED DATE /-�- p BY PO Box 2503/18365 W Lincoln St. Phone(360)755-1085 Mount Vernon,WA 88273 CHANGES AUTHORIZED Fax(360)588-4180 UNLESS APPROVED BY THE BUILDING INSPECTOR - r ' ! I J �r Y ♦.F I•��f•�1�7� Y 3 TAU �►• r �1��A p��tA�a'3 DN PHILLIPS ENVIRONMENTAL SERVICES 29354 BACUS FID. S;EEDRO WOOLLEY,WA 98284 315.0-854-7900 FAX 360-854^7713 1 BYK Construction August 31, 2018 13 3 W. State St., #101 Se-dro Woolley, WA 98,284 360-661-5325 Survey No. 18127 pain ),byk construction.coin RE,": Asbestos Survey:: 16612 51st Ave. 'NE,Arlington,WA 98223 Ort August 30, 2018, I inspected a single-family residence and several small outbuildings located at the above referenced address for the purpose of determining the presence or absence of materials that might contain asbestos. Tide 40 Code of Fedenil. Regulations (40 CFR), subpart M, section 61.141, established the allowable limit of asbestos in building materials at :l% by weight. Materials containing more than 1% asbestos are termed ACM(Asbestos Containing Material) and must be handled in accordance with Federal, State, and Local regulations. Surveys are based on 'visible and accessible materials' and although reasonable effort was made to locate and test all suspect materials, some;suspect materials may remain hidden in walls or below floor und.erlayment or other areas until demolition or renovation work makes them accessible. If otheir suspect materials are;discovered during the course of demolition or:remodel activities they will require testing prior to continuing work. Thirteen bulk samples were collected and subsequently analyzed for asbestos content by Polarized Light Mic:roscopy with Stain Dispersion. Samples #1 and 2 were found to contain snore than 1% asbesstos. These materials will require handling/removal by trained asbestos workers prior to any remodeling, renovation, or demolition that will lead to the disturbance or renioval of asbestos. Prior to removal of these;materials, ten-day notices must be filed with the local Clean Air Agency and the State Departi lent of Labor&Indtistries. In addition, asbestos was detected in the joint compound at 2% (samples 5a& 5b), however, the drywall &joint compound composite result is less than 1%per NESHAP (National Emissions Standards for Hazardous Air Pollutants) and disposal is allowed as `ordinary construction debris". Washington State Department of Occupational Safety&Health(DOSB) requires asbestos awareness training, respiratory protection and air monitoring during disturbance/removal activities to ensure the safety of the workers involved. Alternatively, it is possible to demolish the structure with the drywall and joint compound in place if the demolition contractor has an asbestos abatement supervisor on site during demolition and the demolition contractor's employees have received the appropriate asbestos awareness training and follow respirator and air monitoring requirements, This letter along with the attached material list and lab report will comprise the `Asbestos Survey'. Please call us if you have any questions. Sincerely, (I� Qx-'� �"'" deceived Dave B. Phillips AHERA Bldg. Insp. JAN 0 7 2020 Cert.# 164373 (expires 1.1-22-18) PHILI.,IPS ENVIRONMENTAL SERVICES 29354 BAcus RD. SEDIRO WOOLLEY,WA 9E1284 31430-854.7900 FAX 360-854-7:31 Client: BYK Construction Asbestos Survey- 16612 51st Ave.NE Survey#: 18127 133 W. State St.,#101 Arlington,WA 98223 Sedro Woolley,VVA 98284 360-661-5325 Survey date: 8-30-18 Hou!;c-Homogeneous Matei Jul List Material#&Description Location(homog. area) I Type Friab Cond Qty. Sample#&Location Asbestos C Vinyl sheet - Kitchen,dining,%booth, Misc N T r TBD 1 Kitchen floor Chry.40% front entry floors p Vinyl sheet _ Rear entry floor Misc N F _ TBD 2 Rear entry floor Chry.40% [3 2 layers vinyl sheet _ Main bath floor Misc N F 3 Main both floor N/D C Panel mastic _ Main bath,backsplash& Misc N F - 4 Main bath backsplash N�I� walls around toilet 5 Drywall&jt. comp. Walls,ceilings Misc N F 5a '/2 bath wall Chry. <1% 5b NW betl:room wall Chry. <1% 66 Blown-in insulation Attic Tsi N F 6 Attic N�1� [7 Asphalt roof w/sand Roof Misc N I F 7 Roof N.TT Note,Item#5 above: Asbestos was detected in the joint compound at 2%,however,the drywall&joint compound composite result is less than 1%per NESHAP(National Emissions Standards for Hazardous Air Pollutants)and disposal is allowed as `ordinary construction debris'.However,Washington State Department of Occupational Safety&Health(DOSH) requires aslbestos awareness training,respiratory protection and air monitoring during disturbance/removoLl activities to ensure the safety of the workers involved—for this reason it is common for Licensed Asbestos Abatement Contractors to remove drywall 8:joint compound materials even though they are below the 1% threshold of an ACM(Asbestos Containing Material). Alternatively,it is possible to demolish the structure with the drywall and joint compound in place if the demolition contractor has an asbestos abatement supervisor on site during demolition and the demolition contractor's employees have received the appropriate asbestos awareness training and follo", respirator and air monitoring requirements. N/D=None Detected Note: Friability assessments-were made on these materials in their present undisturbed condition, NIT=Not Tested-previous sample tested positive damage or disturbance of any kind may cause some non••friable materials to become fri able. Quantities shown are approximate-field verification recommended PHIU.JPS ENVIRONMENTAL SEFlVICES 29354 BAcus RD, SEEXRO WOOLLEY,WA 9EI284 360-854-7900 FAX 360-854-77:31 Shed h I-Homogeneous Material List [Material#&Description Location(homog. area) I Type Friab�noo Qty. I Sample#&Location AsheAos C8 I Drywall _ Interior walls Misc I N F 8 Wall [9 1 Asphalt roof w/sand _ Roof Misc I N I 9 Roof N/1� Shed hI-Homoeeneous Material List CNo Suspect Materials Ob.e:rved Shed 0-Homoeeneous Material List Material#&Description Location(homog. area) Type Friab Cond Qty. Sample#&Location Asbua:;tos rI Q I Glazing putty Windows Misc N F _ 10 1 Window N/I= I.11 Asphalt roof w/sand Roof Misc I N F 11 Roof NA) Note:This shed was locked,the interior not accessible:—recommend checking the interior for `suspect' materials prior to demolition Shed li4-Homoeeneous Material List rMaterial#&Description Location(homog. area) I Typel FrialV Cond I Qty. Sample# &Location Asbestos :? Asphalt roof w/sand Roof Misc N F 12 roof Shed h5-Homoeeneous Material List C _ No Suspect Materials Observed Bar.n-Homoeeneous Material List No Suspect Materials Observed Note: The SE wing of the barn was locked and inaccessible—recommend checking the interior for`suspect' materials prior to demolition N/D=None Detected Note: Friability assessments were made on these materials in their present undisturbed condition, 1\/T=Not Tested-previous sample,tested positive damage or disturbance of any kind may cause some non-friable materials to become friable. Quantilics shown are approximate-field verification recommended PHIL.,L.,IPS ENVIRONMENTAL SERVICES 29354 BACus RD. SEDRO WOOLLEY,WA 98284 360-854-7900 American Industrial Hygiene Association Lab LD.4 102950 FAX 360-854-7731 ASBESTOS BULK SAMPLE :A.NALYSIS Client Name: BYK Construction 133 W. State St.,#101 Survey#: 18127 Sedro)Woolley,WA 98284 360-6611-5325 pau1G;bykeonstruction.com Source of Samples: 16612 SIst Ave.NE,Arlington,WA 98223 Date:Rec'd: 8-30-18 .Analytical Method: Polarized Light Microscopy with Dispersion Staining(PLM-DS Method) `r Sample#: 1 Lab No.: 92718 Location: Kitchen floor Lavers Description: Non-Fibrous Material: _ Other Fibrous Mat'l: % Asbestos Type:_'% Layer 1 of 3 Tan/brown vinyl sheet Vinyt/Binder None detected None detected Layer 2 of 3 Grey fibrous paper-like material 13:inder/Fine particles Cellulose 10% Chrysotile 40°/a.- Layer 3 of 3 Yellow mastic PvIastic/binder _ Cellulose 2% None detected Sample#: 2 Lab No.: 92719 ~ Location: Rear entry fluor Layers Descriptioia: Non-Fibrous Material: _ Other Fibrous MatT `/o Asbestos Type: Layer 1 of 3 White/black vinyl sheet Vinyl/Binder None detected _ None detected Layer 2 of 3 Grey fibrous paper-like material Rinder/Fine particles Cellulose 10% Chrysotile 40IXo Layer 3 of 3 Yellow mastic 14astic/binder Cellulose 2% None detected Sample#: 3 Lab No.: 92720 Location: Main bathroom floor Layers Descriptiona: Non-Fibrous Material: _ Other Fibrous Mat'1: % Asbestos Type: Layer 1 of 6 White vinyl sheet Vinyl/Binder None detected _ None detected ] ayer 2 of 6 Grey fibrous paper-like material 13:inder/Fine particles Cellulose 60% _ None detected_ Layer 3 of 6 Yellow mastic M:astic/binder Cellulose trace None detected_ Layer 4 of 6 Off white vinyl sheet Vinyl/Binder None detected None detected Layer 5 of 6 Black fibrous paper-like material Asphalt/Fine particles Cellulose 60% None detected_ Layer 6 of 6 Yellow mastic Ivl:astic/binder Cellulose trace None detected Sample#: 4 Lab No.: 92721 Location: Main bathroom backs lash panel mastic Layers Descriptioni: Non-Fibrous Material: Other Fibrous Mat'1: Asbestos Type:_1% Layer 1 of 1 Yellow/tan,mastic lvl:astic/binder Cellulose trace None detected Sample#: Sa Lab No.: 92722 Location: 1/2 bath wall Layers Description: Non-Fibrous Material: Other Fibrous Mat'1: IVo Asbestos Type: Layer 1 of 2 Off white compacted powdery mat'l 13inder/fine particles Cellulose trace Chrysotile 2% Layer 2 of 2 Drywall Gypsum/fine particles Cellulose 20% None detected_ Note:Per NESHAP the composite result for this `wall system'is less than 1%asbestos (�,Analyst: a. _ Date: 8-31-18 Dave B.Phillips Samples retained for 2 weeks unless otherwise requested in writing. Lab results are completely confidential. Written permission is required to release results to another party. � �� V PHILLIPS ENVIRONMENTAL SERVICES 29354 BACUS RD. SEDRO WOOLLEY,WA 98284 360-854-7900 American Industrial Hygiene Association Lab LD.#102950 FAX 360.854+-774,3 1 ASBESTOS BULK SAMPLE ilNALYSIS Sample#: 5b Lab No.: 92723 Location: NW bedrootri wall Layers Description; Non-Fibrous Material: Other Fibrous Mat'L °io Asbestos Type: °% Layer 1 of 2 Off white compacted powdery mat'l Binder/fine particles Cellulose trace Chrysotile 2% Layer 2 of 2 Drywall Gypsum/fine particles Cellulose 20% None detected_ Note:Per NESHAP the composite result for this`wall system'is less than 16/6 asbestos Sample#: 6 Lab No.: 92724 Location: Attic Layers Description: Non-Fibrous Material: _ Other Fibrous Mat'l: 9io Asbestos Type: 4i6 Layer 1 of 1 White fibrow;mass 15inder/glass beads Glass 90% None detected Sample#: 7 Lab No.: 92725 Location: House roof_ Layers Description: Non-Fibrous Material: _ Other Fibrous Mat'1: 9io Asbestos Type: %6 Layer 1 of 3 Asphalt roof w/sand Asphalt/sand Glass 20% None detected_ Layer 2 of 3 Asphalt roof w/sand Asphalt/sand Cellulose 20% None detected Layer 3 of 3 Asphalt roof w/sand Asphalt/sand Cellulose 20% None detected Sample#: 8 Lab No.: 92726 Location: Shed 91 wall Layers Description; Non-Fibrous Material: Other Fibrous Mat'1:_9% Asbestos Type: °io Layer 1 of 1 Drywall Gypsum/fine particles Cellulose 20% None detected Sample#: 9 Lab No.: 92727 Location: Shed#1 roof Layers Description: Non-Fibrous Material: Other Fibrous Mat'1: % Asbestos Type: 4/0 Layer 1 of 1 Asphalt roof�v/sand Asphalt/sand Glass 20% None detected Sample#: 10 Lab No.: 92728 Location: Shed#3 window Layers Description; Non-Fibrous Material; Other Fibrous Mat'1: 9io Asbestos Type: 4i6 Layer 1 of 1 Glazing putty Binder/fine particles Cellulose trace None detected Sample#: 11 Lab No.: 92729 Location: Shed#3 roof Layers Description; Non-Fibrous Material: Other Fibrous Mat'1:_9io Asbestos Type: °% Layer 1 of 1 Asphalt roof'w/sand Asphalt/sand Glass 20% None detected Sample#: 12 Lab No.: 92730 Location; Shed#4 roof Layers Description; Non-Fibrous Material: Other Fibrous Mat'1: 9io Asbestos Type: 4io Layer 1 of 1 Asphalt roof'w/sand Asphalt/sand Glass 20% None detected Analyst: Q, a Qk- Date: 8-31-18 Dave B.Phillips Samples retained for 2 weeks unless otherwise requested in writing. Lab results are completely confidential. )Vritten permission is required to release results to another party. r SEATTL.E ASBESTOS TEST, L LC Seattle Laboratory:4600 9th Ave.NE,Suite 300,Seattle,WA 98105,Tel:206.633.1111,Fax:206.633.4747,NVLAP Lab Code:201057-0 www.seatfeasbestostest.com,admin@seattleasbestostest.com Project Manager: Terry MecEwen Date Analyzed: 10/22/2019 Client: Environmental Abatement Services,Inc. Client Job#: NIA Address: P.O.Box 2503,Mount Vernon,WA 98273 Project Location: 16612 51st Ave Arlington,WA Tel: 360.755.1085 Laboratory batch#: 201912708 Samples Received: 4 Enclosed please find the test results for the bulk samples submitted to our laboratory for asbestos analysis.Analysis was performed using polarized light microscopy(PLM)in accordance with Test Melho(I US EPA/600/1"Z-93/116. Percentages for this report are done by visual estimate and relate to the suggested acceptable error ranges by the method.Since variation in data increases as the quantity of asbestos decreases toward the limit of detection, the EPA recommends point counting for samples containing between<1%and 10%asbestos(NESHAP,40 CFR Part 61). Statistically,point counting is a more accurate method. If you feel a point count might be beneficial,please feel free to call and request one. The test results refer only to the samples or items submitted and tested.The accuracy with which these samples represent the actual materials is totally dependent on(Ile acuity of the person who took the samples.This report must not be used by the client to claim product certification,approval,or endorsement by Seattle Asbestos Test,I_LC, NVLAP, MIST,or any agency of the Federal government.The test report or calibration certificate shall not he reproduced except in full,without written approval of the laboratory. This report is highly confidential and will not be released without your consent.Samples are archived for 30 days after the analysis,and disposed of as hazardous waste thereafter. Thank you for using our service and let us know if we can further assist you. Sincerely Steve(Fanyao)Zhang President Received JAIL 0 7 2020 SEAS ASBESTOS TEST, LLC X,-,.,mwLatl 797A S.ff. ie Rcod 5�c7.L�..� "'A 99�L�7'C��.9��O.i A2:67398t0 $dfo�t LAC I may.S ae-s_Sdtr:=��+'" _T.<x,56J"1Iii_F+ $61"Ii1S brim?_;6-w.r460bel�eei�raC s+�� CHM OF CUSTODY /, �Fbi�tC'o�40a C1AtialCoott'100D �C�CitZv�atC En-.-4 v,"vKM,Yl Aba -luent 5ffv Inc P O Bob 25M I1OML VQa6o,WA%273 Phorm: (360)7�5_5-1085 FwL(360)5U 4180 ;�trrtbe o�5 Ies_!�____ Pmlecti o�Eson Oln/ sJS f irc� � l_/A Pro-ect Maj—;p_-r(Check Oise)= �p U CadN � 360C1.08% Q vd j. `'y +� .0 Al�r¢rtif�ca'`v 364�i.01 i_it F.Csc Qi>e�c 0$==Day(4Do6W sFg C IENT SAWLF, SAMPLE DF.StRIPr1ION LAB 1a AIR � ,. •vac �=' � ,��'�' E 7 8 1C1 12 1J 14 t� 19 t6 3i 18 20 Pesall�aa Mire Oak T� r� D*P&ld PA P. V4 f�" I Results reportigg radhod: opbme OF= oil-a so�tGn_�m��:ax xv�m 4 ofa t�aoacifitr�;.pesoe mdtoaok�7oDytwea�oma..�i�seb,e�edsdd�d�agaher••LO�aP*a�a�- rttraey.pv+es�►�aethetiecae�a s• cn�ttrmuecsmn��,aye.ese�easS�ocr.+iaragae�•aamorata�aaxmesftFsi+s.lt�imc�Si�w�G'a•raesesics�ples+�a�gt1�17' _ xxeo evsbdcala►xtccaicor:ooaiawfafipraarm4rUc6aned mdw ai tjpW0OR04oaie+lr2e nlco191G+roirauoser 16Faaea.�vee �eo>awivaliw$bo+sd C1Pamtaoa�satr41a�s1�%akss ,Y Seattle Laboratory;4900 9th Ave.NE,Suite 3DO,Seatte,WA 98105,Tel:201LOW.1111,Fax:206,633.4747.NVLAP Lab Code:201067-0 Disclaimer:This report rnust not be used tty the client to claim product cer6lloallee,allploval,or endorsement by SoatiVe Asbestos Test,LLC,NVLAP,NIST,or any agency ar the Fed—I government. ANALYTICAL LABORATORY REPORT PLM by Method EPA/6001R-93/116 Ann.; Terry MacEWen client Environmental Abatement Services,Inc. Address: P.p,Box 2503,Mount Vernon,WA 98273 Job#: N/A Batch#: 201912708 0ebe Received: 10/21/2019 Samples Rar,'d: q bate Analysed; 1 0/2 2120 1 9 Samples Analyzed: Q Prolact L.c.: 16612 51 st Ave Arlington,WA (/ Analyzed by: Y n pad Reviewed by: Slay.(Fanyaol Zhang,Prabldrnt Lab ID Client Sample ID Layer Description p Asbestos Fibers Non-fibrous Components % Non-asbestos Fibers 1 Gray tile 2 Chrysotile Vinyl/binder, 2 Cellulose Mineral rains 1 TM-1 2 Black mastic None Masticlbinder 3 Cellulose detected 3 Brown wood block None Wood aggregates 6 Cellulose detected 1 Green/yellow vinyl None Vin I/binder detected y 2 Cellulose 2 TM-2 Black asphaltic 2 fibrous material None Asphalt/binder, gg Cellulose With mastic dLdetected t Mastic/binder, Filler 1 White/tan vinyl Vinyl/binder J70Cellulose ellulose 3 TM-3 — Black asphaltic 2 fibrous material Asphalt/binder, with mastic Masticlbinder, Filler 1 Brown vinyl Vinyl/binder I/bindel y 2 Cellulose 4 TM-4 Black asphaltic2 fibrous material Asphalt/binderwith mastic Mastic/binder, Filler 67 Cellulose Iv L5& 5� Sl�7 Received JAN 0 7 2020 psc lean a!r,org Puget Sound Clean Air Agency Notification Amendment #: 201905502-2 This page must be printed,A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for Inspection at all times at the asbestos project or demolition site(Reg III,4,03(a)(6)). Fee Amount Paid $20,00 Credit Card Transaction # APOAFFA78ESE Transaction Date 11/07/19 Owner's Name Paul Woodmansee Phone (360)661-5325 Project Street Address 16612 51st Ave City Arlington Zip 98223 Contact Person Madison Albright Phone (360) 755-3101 Mailing Address 702A Medcalf St Sedro Woolley,WA 98284 This project includes asbestos removal. Project Size linear feet / 600 square feet Project Start Date 11/15/19 Completion Date 11/15/19 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Environmental Abatement Services Inc. Contractor Job# Contact Catherine D Marquez Phone (360)755-1085 Mailing Address P.O.Box 2503 Mount Vernon,WA 98273 This project Includes a demolition. Demolition Start Date 11/23/19 Completion Date 12/31/19 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job# Contact Phone Mailing Address By submitting this Amendment: (1)I certify that the information I have provided is to the best of my knowledge true and accurate. (2)I understand the fees for this Amendment are nonrefundable. Create Another Notification View History jog Out If you have questions,contact us at asbestos@pscteanair.org or 206.689.4058. ReCAived JAIL 0 , 2020 pscleanair.org Puget Sound Clean Air Agency Notification Case #: 201905502 This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $275.00 Credit Card Transaction# AAOA3B72DB2F Transaction Date 10/30/19 Owner's Name Paul Woodmansee Phone (360)661-5325 Project Street Address 16612 51st Ave City Arlington Zip 98223 Contact Person Madison Albright Phone (360)755-3101 Mailing Address 702A Medcall'St Sedro Woolley,WA 98284 This project includes asbestos removal. Project Size linear feet / 600 square feet Project Start Date 11/22/19 Completion Date 11/22/19 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Environmental Abatement Services Inc. Contractor Job# Contact Catherine D Marquez Phone (360) 755-1085 Mailing Address P.O.Box 2503 Mount Vernon,WA 98273 This project Includes a demolition. Demolition Start Date 11/23/19 Completion Date 12/31/19 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job# Contact Phone Mailing Address (1) I certify that the Information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification if: • The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (s) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. gyeate Another Notlfication View Histary. I gg Out If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. Received JAR 0 7 2020 Date: 04/16/2026 Permit#: 2962 Perm it Date: 01/09/2020 Review Date: 01/09/2020 Perm Type: DEMOLITION Review Type: DEMOLITION Target Date: 01/16/2020 Scheduled Time 00:00 Com pleted Date: 01/10/2020 Description: Marysville water system.Gus Review Status: Assigned To: PW WAT-REV Tim eIn: 08:30 Time O it: 08:45 H curs: 0.25 Property Information Parcel#: 31052800100900 A RLINGTON 51ST ST LLC ARLINGTON 51 ST ST LLC P O BOX 619 16612 51 ST AVE NE S EDRO WOOLLEY,WA98284 Zoning: 830 Open Space Agriculture RCW 84.34Lot: Block: Permit#: 2962 Permit Date: 01/09/20 Permit Type: DEMOLITION Project Name 51 st Avenue Urban Village Applicant Nam a Arlington 51 st St LLC Applicant Address: PO Box 619 Applicant, City, State, Zip: Sedro Woolley,WA98284 Contact: Paul Woodm alsee Phone: 360-661-5325 Em al: paul@bykconstruction.com Scope of Work: Dem dition of a SFR, barn and 5 accessory buildings Valuation: 0.00 Square Feet: 1800 Num ber of Stories: 1 Construction Type: VB O xupancy G ioup: R-3; Residential ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Caner Phone Zoning ARLINGTON 51ST 830 Open Space 31052800100900 1 6612 51 STAVE NE ST LLC Agriculture RCW 84.34 Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# BYK Construction P aul Woodm msee 3 60-661-5325 P O Box 619 CONSTRUCTION COA 603187914 CONTRACTOR BYK Construction P aul Woodm aisee 3 60-661-5325 P O Box 619 CONSTRUCTION L&IBYKCOCI886JB CONTRACTOR Plan Reviews Date R eview Type D escription A ssigned To R eview Status 01/09/2020 D EMOLITION B UILDING 01/09/2020 D EMOLITION N o com m nts,LT P W ADMIN-GIS 01/09/2020 D EMOLITION P W-SEW REV Marysville water system.O1/09/2020 D EMOLITION PW WAT REV Gus Fees Fee D escription N otes A m Cmt Dem dition $100.00 Processing/Technology $25.00 State Surcharge- 1 st DU R esidential- 1 st Unit $6.50 Credit Card Service $3.95 Total $135.45 Attached Letters Date Letter D escription 01/16/2020 Building Perm t Paym acts Date Paid By D escription P aym aat Type A ccepted By A m Cant 01/21/2020 Marcie OBrien 7 8692942 $131.50 01/21/2020 78692942 C C Surcharge R aelynn Jones $3.95 O atstanding Balance $0.00 Notes Date Note C reated By: 04/26/2021 Signed perm t not in file.Not sure if issued.Updated to expired. J ennifer Pittm ai Uploaded Files Date File Nam e 01/09/2020 6072017-2962 Asbestos Report.pdf 01/09/2020 6072016-2962 PSCleanair Notification.pdf 01/09/2020 6071938-2962 Asbestos Survey_.pdf 01/09/2020 6071939-2962 Site.pdf 01/09/2020 6071940-2962 Abatement Letter.pdf 01/09/2020 6071941-2962 Application.pdf