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Home My WebLink About17020 91st Ave Ne_BLD917_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address: 17020 91st Ave NE Permit#:917 Parcel#:31052500201800 Valuation:346800.00 OWNER APPLICANT CONTRACTOR Name:KAINTZ TIMOTHY Name:Tim Bruggman Name:Springbrook Nursery Address:P.O.BOX 610 Address:P.O.Box 1377 Address:9022 84th St NE City,State Zip:LAKE STEVENS,WA 98258 City,State Zip:Monroe,WA 98272 City,State Zip:Arlington,WA 98223 Phone: Phone:425-308-3519 Phone:360-653-6545 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: 2012 STORIES: 2 CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: 2 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 CI of A igt 3101. Tt a/w YM.ra.✓ /Z .44daturc Print Name Date Released By Date CONDITIONS Armored entrance required for truck traffic. See Detail G-12 for Rock Construction Entrance requirement. Septic tank shall be abandoned per Department of Health before demolition work is to start. 24 hour notice to the Wastewater Department required for abandonment of septic system. THIS PERMIT AUTHORIZE 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 2/24/2016 Demolition Fee $100.00 2/24/2016 State Building Code Surcharge Fee $4.50 Total Due: $104.50 Total Payment: $0.00 Balance Due: $104.50 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 Permit Information Date 2/18/2016 Permit Number 917 Project Name Kaintz Applicant Name Tim Bruggman Applicant Address P.O.Box 1377 City, State,Zip Monroe,WA 98272 Contact Tim Bruggman Phone 425-308-3519 Email tb@goldeneagleds.com Permit Type Demolition Site Address 17020 91 st Ave NE Valuation 346800.00 Status Applied Permit Issued Permit Expires Square Feet 3172 Type of Construction/Occupancy Load Number of Stories 2 Proposed Use Demo of building Assigned To Launa Peterson Property . . Owner Parcel#:31052500201800 KAINTZ TIMOTHY KAINTZ TIMOTHY P.O. BOX 610 17020 91 ST AVE NE LAKE STEVENS,WA 98258 Review Date Type Description Targ- Date Completed Date Assigned 2/18/2016 IDemolition 12/24/2016 (Kevin Olander In Review 2/18/2016 Demolition /24/2016 1PWAdmin Rev In Review 2/18/2016 Demolition 12/24/2016 JPW Storm Rev In Review 2/18/2016 Demolition /24/2016 IPW-Sew-Rev In Review 2/18/2016 IDemolition /24/2016 PW-Wat-Rev In Review Fees -- Description Notes Demolition Feel 322.10.00.001 5100.05 State Building,Code Surch. 21.00 1 $4.50 Total04 • "''' FliesIlpload File Date File 2/1872016 10:42:10 AM PSCIeanAir pdf 2/18/201610:42:10 AM ! A g2ga on. df 2/18/2016 10:42:10 AM [Aesbestos Surve dt �- DEMOLITION PERMIT APPLICATION � 4 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 ASBESTOSIDEMOL17YON 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: 1_7020 91 st Ave NE Parcel ID#: 31052500201800 Lot#: Subdivision: Valuation: 251000.00 Building Area(Sq Ft) 3172 No. of floors: 2 Number of Buildings:2 Owner: Tim Kaintz Phone Number: 425-359-4487 Address: PO Box 610 City:Lake Stevens State: Wa Zip Code:98258 Contact Person:Tim Bruggman 425-308-3519 Phone Number: Cell Phone: 425-308-3519 E-mail:tb@goldeneagleds.com Address: PO Box 1377 City:Monroe State: Wa Zip Code: 98272 Contractor: Springbrook Nursery Phone Number: 360-653-6545 Address: 9022 84th st NE City:Arlington State: Wa Zip Code: 98223 Contractor's License Number cc sprinni942nm Expiration:8-14-16 Scope of Work: Demo building I hereby certif that the above information is correct and that the construction on, and the occupancy and the use of the above- described pe y will be in accordance with the laws, rules and regulations of the Stat of Washington. scants Signature Date Print Ap scants Name I FOR STAFF USE ONLY 6 Permit# Accet ffy Amount Received Receipt# Date Received I Approved Transaction Page 1 of 1 pscleanair.org Puget Sound Clean Air Agency Notification Case #: 201600572 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 $65.00 Credit Card Transaction # AXOFEOD65316 Transaction Date 02/03/16 Owner's Name Tim Kaintz Phone (425)359-4487 Project Street Address 17020 91st Ave NE City Arlington Zip 98223 Contact Person Tim Bruggman Phone (425) 308-3519 Mailing Address PO Box 610 Lake Stevens,WA 98258 This project includes a demolition. Demolition Start Date 02/22/16 Completion Date 03/31/16 Demolition will be completed by a demolition contractor Demo Contractor Springbrook Contracting Contractor Job # Contact Gordy Phone (425) 508-9434 Mailing Address 9022 84th st NE Arlington,WA 98223 (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. Create.Angther Notification View History Log Out If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. https:Hsecure.pscleanair.org/Asbestos/Approved.aspx 2/3/2016 i I i A-T Asbesto-Test, Inc. 1429Ave.D.8187,Snohomish,WA 98290 425-489-4040 mywasheslnt sl.cmn; r o—'r r ec nle'7rnrrr ASBESTOS SURVEY House and Outbuildings(d)17020 91'7 Ave. NE.,Arlin-alon, WA 98223 Page I of 8 January 29,2016 PAT2160108 Golden Eagle Development Services POB 1377 Monroe,WA 98272 Attn.: Tim Bruggman cc: Mick Cermak tbnzoldeneaaleds.com ; mcermak(a�li!ihomes.com On January,212016,Asbesto-Test personnel conducted an Asbestos survey(per U.S.E.P.A./A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State)of the structure and outbuildings C�17020 91'r Ave.NE., Arlinnlon,Snohomish County, Washington 98223. This survey purpose is to identify asbestos containing materials,prior to demolition. Note: Samples of suspect Asbestos Containing Materials were taken and analyzed for the presence of asbestos. THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN.If there is any additional suspect ACM located prior to or during demolition(such as,but not limited to,those materials listed on the last page of this report),that was not discovered in this survey,the material(s)must be Presumed Asbestos Containing Material unless tested otherwise by laboratory analysis. Note:The structure has had vagrants inside. The house is full of contents and debris. There may be additional ACM inside this house that was not discovered in this survey. If any additional suspect asbestos containing materials are located(prior to or during demolition that were not included in this survey such as but not limited to those items listed on the last page of this report),those materials are presumed asbestos containing unless tested otherwise by laboratory analyses.There should be an AHERA building inspector on site during demolition to ensure there are no additional suspect asbestos containing materials present that are not identified in this inspection. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is one story wood frame on a basement. The siding is wood. The siding vapor barrier materials were sampled. The roofing is wood shake. The wood shake roofing vapor barrier materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AN FLOORINGS: The interior construction is wood and drywall. The drywall/taping materials were sampled. The flooring materials with relating backing and mastic materials were sampled.The masonry tile and mortar materials were also sampled. The miscellaneous mastic materials were also sampled. INSULATION: The insulation was sampled. continue to page 2 �1 EPA BBB . i Page 2 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and lhrthrtiiditt,�s(d 17020 9/'`,1 ve. NL'.,Ar1ington, WA 98223 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be the kind to be ACM. The power may have been"on"at the time of the inspection,thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI(Thermal System Insulation)found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM: There is a dismantled furnace in the basement. There was no relating suspect ACM located. There may be ACM TSI on ducting that is concealed within the walls, ceilings, and/or floors. Note: It is our opinion any further handling of the furnace system should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. Any TSI that may be present inside or outside the furnace and/or ducting system including but not limited to all gaskets,joint compounds, sealants,and/or insulations, are PACM unless tested otherwise by laboratory analysis. • There is a fireplace in the house. The fire brick materials were sampled.The fireplace decorative brick and mortar materials were also sampled. MISC.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: There is a wood frame garage/barn adjacent to the structure.The roofing is composition. The siding vapor barrier materials and composition roofing materials were sampled.There is also a large wood frame barn on the back portion of the property. The composition roofing materials under the metal roof of the shed were sampled. The drywall and taping compounds were sampled.The insulation was also sampled. #of structures included in survey:one house,one garage,one barn Requested by: Tim Bruggman 10 wNrlwgon,5-l". �^—10 M 0.119 k3 Chrlstapher L Patterson n1e r.,lemnomy mmywlan za Marc nl vmrl.y nn Rebeeto,BWlalnB ln-pootor mrlplma mM T6C4 7,11,111 d CFh M(111plF) Ck N : 151693 InsM1ucbr Claw[1-Me: M,V 2/ 29:YI15 fin r.rvu.ce,nnx,na E„ply. Mxv zn[016 Christopher Patterson Inspector,certified A.H.E.R.A. Acered.#151593 EXP.May 28,2016 eonknue to page 3 40 BBB 11�8 •uorar CD 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 Trwt7r_nshesnnesteom:olfo0ashlavlolew.crm Page 3 of 8 January 29,2016 PAT2I60108 Asbesto-Test,Inc. 425-489-4040 Hotr.ve and Outbuildings(a717020 91S'Ave. NE.,Arlin toit, WA 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN LOWER LEVEL 1.0 masonry floor tile NAD non-fibrous materials bathroom @ raised tub area 2.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 3.0 masonry floor tile NAD non-fibrous materials bathroom 4.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose UPPER LEVEL: 5.0 masonry tile NAD non-fibrous materials bath/shower 6.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 7.0 decorative fireplace brick NAD non-fibrous materials fireplace exterior 8.0 mortar NAD non-fibrous materials, holding fireplace brick sample 1 cellulose 8.1 mortar NAD non-fibrous materials, holding fireplace brick sample 2 cellulose 8.2 mortar NAD non-fibrous materials, holding fireplace brick sample 3 cellulose 9.0 firebrick NAD non-fibrous materials inside fireplace 10.0 masonry floor tile NAD non-fibrous materials in front of fireplace 11.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose continue to page 4 BBB CD 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 ionrashestotest.con);tnrQ&.YhtesIoIC. gCOM i i Page 4 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House anti Outhuiltiinas(a)17020 91"'Ave.NE.,Arflarton, WA 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL UPPER LEVEL CONT: 12.0 mastic NAD adhesive,cellulose kitchen holding laminate on countertop 13.0 mastic NAD adhesive, cellulose bath holding laminate on countertop 14.0 drywall NAD non-fibrous materials kitchen cellulose,fiberglass, paint,gypsum 14.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 15.0 drywall NAD non-fibrous materials dining room cellulose,fiberglass, paint,gypsum 15.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 16.0 drywall NAD non-fibrous materials living room cellulose,fiberglass, paint,gypsum 16.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 17.0 drywall NAD non-fibrous materials bathroom cellulose,fiberglass, paint,gypsum 17.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 18.0 drywall NAD non-fibrous materials bedroom cellulose,fiberglass, paint,gypsum 18.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass COMMON AREAS: 19.0 insulation NAD fiberglass,cellulose color:cream 19.1 insulation NAD fiberglass,cellulose color:white 19.2 insulation NAD fiberglass,cellulose color:beige continue to page 5 BBB ores A-T 1429 Ave.D.9187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 evevu,ashesreteocnm;infor(ksMesmiestcmn i Page 5 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuilrlinms(a)17020 91"Ave.NE.,Arlington, WA 98223 ANALYSIS ID ASBESTOSHTYPEHOUANTITY OTHER MATERIAL COMMON AREAS CONT: 20.0 vapor barrier NAD cellulose,tar beneath wood shake roofing 21.0 vapor barrier NAD cellulose beneath siding exterior 22.0 vapor barrier NAD cellulose beneath wood shake roofing GARAGE: 23.0 vapor barrier NAD cellulose,tar beneath wood shake roofing 24.0 vapor barrier NAD cellulose,tar beneath siding exterior 25.0 drywall NAD non-fibrous materials sample 1 cellulose,fiberglass, paint,gypsum 25.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 26.0 drywall NAD non-fibrous materials sample 2 cellulose,fiberglass, paint,gypsum 26.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 27.0 drywall NAD non-fibrous materials sample 3 cellulose,fiberglass, paint,gypsum 27.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass continue to page 6 BBB n�S A_T 1429Ave.D.N187,Snohomish,WA 98290 425-489-4040;f775-665-0420 uns,ishcamiew.can;ntfa4ashiesniicw.cont Page 6 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Oulhuiltlinps(W 17020 91xt Ave. NE.,Arlington, W4 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL BARN: 28.0 insulation NAD fiberglass,cellulose 29.0 composition roofing NAD cellulose,tar, non-fibrous materials 30.0 vapor barrier NAD cellulose,tar beneath previous sample 31.0 mastic NAD cellulose,adhesive holding composition roofing 32.0 drywall NAD non-fibrous materials sample 1 cellulose,fiberglass, paint,gypsum 32.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 33.0 drywall NAD non-fibrous materials sample 2 cellulose,fiberglass, paint,gypsum 33.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 34.0 drywall NAD non-fibrous materials sample 3 cellulose,fiberglass, paint,gypsum 34.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass continue to page 7 BBB jg ® 17 1429Ave.D.9187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 wum•.nsbcynrexr.com;h��(rtkixbler�olrs�.com i Page 7 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildinjes(&17020 9PAve.NE.,Arlington, WA 98223 �J lit 's y O VW, ' 1. _ � •,� .t BARN HOUSE GARAGE continue to page 8 BBB l�S' ® CD 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 fvww.asbr njfsblr&lolrsl com i Page 8 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outhitildings Rt 17020 91"Ave. NE.,Arlitr�ton WA 98223 Samples taken are listed with their corresponding analyses.If asbestos is detected,those samples containing asbestos are listed first and noted with the initials ACM". Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials,as prescribed byA.H.E.R.A.guideline. If,during demolition or renovation,any additional suspect asbestos containing materials are located[may include but not limited to: sheet vinyl flooring,the flooring,wall or ceiling texturings or paints,concrete siding or skirting,cement pipes,cement wallboard, electrical cloth,electrical wiring insulation,thermal paper,wallboard,joint compounds,vinyl wall coverings,spackling compounds,or any other suspect TSI(Thermal System Insulation)],those materials are presumed Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. Asbesto-Test Inc.does not guarantee approximations of quantities of ACM,which may be listed with the analyses.It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material(i.e.square or linear foot etc.),or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance in renovation or demolition. PLM(polarized light microscopy)has been known to miss asbestos in small percentages of some samples,which contain asbestos, thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM(scanning electron microscope)or TEM(transmitting electron microscope),to insure analytical accuracy when asbestos is reported in small percentages Analytical test method:USEPA 600/R93/116"0(PLM);WAC296-62-07753 App.J **One percent is the USEPA regulatory limit for asbestos in bulk samples. Key: "FRIABLE"signifies"Easily Airborne" ACM signifies Asbestos Containing Material' PACM signifies Presumed Asbestos Containing Material" CAB signifies"Concrete Asbestos Board" < signifies"less than" TSI signifies"Thermal System Insulation" HVAC signifies"Heating Ventilating Air-Conditioning" NAD signifies"No Asbestos Detected" END OF REPORT ArLynn Hammond, Pres., BSc. Analytical Chemist,AIHA proficient Inspector,certified A.H.E.R.A. accred.#152486(Expires July 28,2016) B B ^tea 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 uww.ashesroterteom:IDLt4&ashtestotest.casts DEMOLITION 0 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 BYANAPPROVED AGENCY. Type of Permit:(check one) ❑ Residential ❑ Commercial ❑ Industrial Project Address: 17020 91 st Ave NE Parcel ID#: 31052500201800 Lot#: Subdivision: Valuation: 251000.00 Building Area(Sq Ft) 3172 No. of floors: 2 Number of Buildings:2 Owner: Tim Kaintz Phone Number: 425-359-4487 Address: PO Box 610 City:Lake Stevens State: Wa Zip Code:98258 Contact Person:Tim Bruggman 425-308-3519 Phone Number: Cell Phone: 425-308-3519 E-mail: tb@goldeneagleds.com Address: PO Box 1377 City:Monroe y State:JWa Zip Code: 98272 Contractor: Springbrook Nursery Phone Number: 360-653-6545 Address: 9022 84th st NE City:Arlington State: Wa Zip Code: 98223 Contractor's License Number:cc sprinni942nm Expiration:8-14-16 Scope of Work: Demo building I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described ripe y will be in accordance with the laws, rules and regulations of the Statt of Washington. scants Signature Date Print Ap licants Name FOR STAFF USE ONLY Permit# Accepffi ffy Amount Received Receipt# Date Received A-T Asbesto-Test, Inc. 1429 Ave.U.H 187,Snohomish,WA 98290 425-489-4040 uwsr.ashesyoresr.cone latoQzbesroresr.coae ASBESTOS SURVEY House and Outbuildi►tgs(a)17020 91"Ave.NE.,Arlington. WA 98223 Page I of 8 January 29,2016 PAT2160108 Golden Eagle Development Services POB 1377 Monroe,WA 98272 Attn.: Tim Bruggman cc: Mick Cermak tb(a)aoldeneaalcds.com , mcermakAlzihomes.com On January,212016,Asbesto-Test personnel conducted an Asbestos survey(per U.S.E.P.A./A.H.E.R.A, guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State)of the structure and outbuildings(cu 17020 91"Ave. NE., Arlington,Snohomish County, Washington 98223. This survey purpose is to identify asbestos containing materials,prior to demolition. Note: Samples of suspect Asbestos Containing Materials were taken and analyzed for the presence of asbestos. THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN.If there is any additional suspect ACM located prior to or during demolition(such as,but not limited to,those materials listed on the last page of this report),that was not discovered in this survey,the material(s)must be Presumed Asbestos Containing Material unless tested otherwise by laboratory analysis. Note:The structure has had vagrants inside. The house is full of contents and debris. There may be additional ACM inside this house that was not discovered in this survey. If any additional suspect asbestos containing materials are located(prior to or during demolition that were not included in this survey such as but not limited to those items listed on the last page of this report),those materials are presumed asbestos containing unless tested otherwise by laboratory analyses.There should be an AHERA building inspector on site during demolition to ensure there are no additional suspect asbestos containing materials present that are not identified in this inspection. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is one story wood frame on a basement. The siding is wood. The siding vapor barrier materials were sampled. The roofing is wood shake. The wood shake roofing vapor barrier materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AN FLOORINGS: The interior construction is wood and drywall. The drywall/taping materials were sampled.The flooring materials with relating backing and mastic materials were sampled.The masonry tile and mortar materials were also sampled. The miscellaneous mastic materials were also sampled. INSULATION: The insulation was sampled. continue to page 2 41 BBB 4 � _'_ NAl-45033 1 Page 2 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildines(a)17020 91't Av&NE.,ArlinPton, WA 98223 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be the kind to be ACM. The power may have been"on"at the time of the inspection,thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI(Thermal System Insulation)found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM: There is a dismantled furnace in the basement. There was no relating suspect ACM located. There may be ACM TSI on ducting that is concealed within the walls, ceilings,and/or floors. Note:It is our opinion any further handling of the furnace system should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. Any TSI that may be present inside or outside the furnace and/or ducting system including but not limited to all gaskets,joint compounds, sealants,and/or insulations, are PACM unless tested otherwise by laboratory analysis. • There is a fireplace in the house. The fire brick materials were sampled.The fireplace decorative brick and mortar materials were also sampled. MISC.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: There is a wood frame garage/barn adjacent to the structure.The roofing is composition. The siding vapor barrier materials and composition roofing materials were sampled. There is also a large wood frame barn on the back portion of the property. The composition roofing materials under the metal roof of the shed were sampled. The drywall and taping compounds were sampled. The insulation was also sampled. #of structures included in survey:one house,one garage,one barn Requested by: Tim Bruggman Se]IXn WAptll ly _ NB2e!.33 i] 1@s u}Iv.x,Uwl _•- n Christopher L.Ps"erson is Murq M I--- Meet boe Bullnlnp Inspector WlnpX`os vnXi TSCa N.III a.'I Un Z61 IAK-) �,y�.n' CM-NYnI: 1515B] tit11iLN1 Class n.I» Mry 2/ 9 XI1! ,Mlti•i4.N��.'w f.'gles Muv 2fl alb Christopher Patterson Inspector, certified A.H.E.R.A. Accred.#151593 EXP.May 28,2016 eondnue to page 3 44 BBB n�e8 ® 1429 Ave.D.0187,Snohomish,WA 98290 425-489-4040;f775-665-0420 }t�rw.nsheantrxtcam:itifo dkc rshtestotexixom Page 3 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildinzs(a)17020 91'Ave.NE.,Arlington, WA 98223 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN LOWER LEVEL 1.0 masonry floor tile NAD non-fibrous materials bathroom @ raised tub area 2.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 3.0 masonry floor tile NAD non-fibrous materials bathroom 4.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose UPPER LEVEL: 5.0 masonry tile NAD non-fibrous materials bath/shower 6.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose 7.0 decorative fireplace brick NAD non-fibrous materials fireplace exterior 8.0 mortar NAD non-fibrous materials, holding fireplace brick sample 1 cellulose 8.1 mortar NAD non-fibrous materials, holding fireplace brick sample 2 cellulose 8.2 mortar NAD non-fibrous materials, holding fireplace brick sample 3 cellulose 9.0 firebrick NAD non-fibrous materials inside fireplace 10.0 masonry floor tile NAD non-fibrous materials in front of fireplace 11.0 mortar/mastic NAD non-fibrous materials, holding previous sample cellulose continue to page 4 BBB /lg8 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 irmosasbecioiesi.cone;Into(ak)sbirrioieri.com Page 4 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildings(a)17020 91"Ave. NE.,Arlington. WA 98223 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL UPPER LEVEL CONT: 12.0 mastic NAD adhesive,cellulose kitchen holding laminate on countertop 13.0 mastic NAD adhesive, cellulose bath holding laminate on countertop 14.0 drywall NAD non-fibrous materials kitchen cellulose,fiberglass, paint,gypsum 14.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 15.0 drywall NAD non-fibrous materials dining room cellulose,fiberglass, paint,gypsum 15.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 16.0 drywall NAD non-fibrous materials living room cellulose,fiberglass, paint,gypsum 16.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 17.0 drywall NAD non-fibrous materials bathroom cellulose,fiberglass, paint,gypsum 17.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 18.0 drywall NAD non-fibrous materials bedroom cellulose,fiberglass, paint,gypsum 18.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass COMMON AREAS: 19.0 insulation NAD fiberglass,cellulose color:cream 19.1 insulation NAD fiberglass,cellulose color:white 19.2 insulation NAD fiberglass,cellulose color:beige continue to page 5 BBB, AB8 ® IttOY.N1 CA_D 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 weieosbatotest.cont;itifoOgsbtestotest.com Page 5 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildinzs(u 17020 91'Ave. NE.,Arlin ton, WA 98223 ANALYSIS ID ASBESTOSH'TYPEHOUANTITY OTHER MATERIAL COMMON AREAS CONT: 20.0 vapor barrier NAD cellulose,tar beneath wood shake roofing 21.0 vapor barrier NAD cellulose beneath siding exterior 22.0 vapor barrier NAD cellulose beneath wood shake roofing GARAGE: 23.0 vapor barrier NAD cellulose,tar beneath wood shake roofing 24.0 vapor barrier NAD cellulose,tar beneath siding exterior 25.0 drywall NAD non-fibrous materials sample 1 cellulose,fiberglass, paint,gypsum 25.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 26.0 drywall NAD non-fibrous materials sample 2 cellulose,fiberglass, paint,gypsum 26.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 27.0 drywall NAD non-fibrous materials sample 3 cellulose,fiberglass, paint,gypsum 27.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass continue to page 6 B A�BB 1429 Ave.D.4187,Snohomish,WA 98290 425-489-4040;f775-665-0420 airw.asbesmtenconr,Njfo&shtrstotrsr.can Page 6 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildings(a)17020 91"Ave.NE.,Arlington. WA 98223 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL BARN: 28.0 insulation NAD fiberglass,cellulose 29.0 composition roofing NAD cellulose,tar, non-fibrous materials 30.0 vapor barrier NAD cellulose,tar beneath previous sample 31.0 mastic NAD cellulose,adhesive holding composition roofing 32.0 drywall NAD non-fibrous materials sample 1 cellulose,fiberglass, paint,gypsum 32.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 33.0 drywall NAD non-fibrous materials sample 2 cellulose,fiberglass, paint,gypsum 33.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass 34.0 drywall NAD non-fibrous materials sample 3 cellulose,fiberglass, paint,gypsum 34.1 drywall taping compounds NAD non-fibrous materials, sampled per AHERA guideline cellulose,fiberglass continue to page 7 BBB ED 1429 Ave.D.9187,Snohomish,WA 98290 425-489-4040;f 775-665-0420 "-wasbe okst.ctim;At! sbiestotesLemn Page 7 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Oulbuildim.,s(a`. 17020 91`t Aloe. NE.,Arlington, IPA 98223 ram. w y ` BARN HOUSE GARAGE continue to page 8 1 BBB ✓' ® A.T 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 trivir.ns&-motestcom:( xhtevtnte.+tcom Page 8 of 8 January 29,2016 PAT2160108 Asbesto-Test,Inc. 425-489-4040 House and Outbuildings(a),17020 91'Ave.NE.,Arlington, WA 98223 Samples taken are listed with their corresponding analyses.If asbestos is detected,those samples containing asbestos are listed first and noted with the initials'ACM". Some sample analyses listed maybe a representative analysis of individual and separate samplings and analysis of homogenous materials,as prescribed by A.H.E.R.A.guideline. If,during demolition or renovation,any additional suspect asbestos containing materials are located[may include but not limited to: sheet vinyl flooring,tile flooring,wall or ceiling texturings or paints,concrete siding or skirting,cement pipes,cement wallboard, electrical cloth,electrical wiring insulation,thermal paper,wallboard,joint compounds,vinyl wall coverings,spackling compounds,or any other suspect TSI(Thermal System Insulation)],those materials are presumed Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. Asbesto-Test,Inc.does not guarantee approximations of quantities of ACM,which may be listed with the analyses.It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material(i.e.square or linear foot etc.),or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance in renovation or demolition. PLM(polarized light microscopy)has been known to miss asbestos in small percentages of some samples,which contain asbestos, thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM(scanning electron microscope)or TEM(transmitting electron microscope),to insure analytical accuracy when asbestos is reported in small percentages Analytical test method.,USEPA 600/R93/116•"IPLM);WAC296-62-07753 App.J "One percent is the USEPA regulatory limit for asbestos in bulk samples. Kev: "FRIABLE"signifies"Easily Airborne" ACM signifies Asbestos Containing Material" PACM signifies Presumed Asbestos Containing Material" CAB signifies"Concrete Asbestos Board" < signifies"less than" TSI signifies'Thermal System Insulation" HVAC signifies"Heating Ventilating Air-Conditioning" NAD signifies"No Asbestos Detected" END OF REPORT ArLynn Hammond, Pres., BSc. Analytical Chemist,AIHA proficient Inspector,certified A.H.E.R.A. accred.#152486(Expires July 28,2016) BBB ® CD 1429Ave.D.#187,Snohomish,WA 98290 425-489-4040;f775-665-0420 www.asbesloteal.eonl:irjo0arhrestoremmm CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 Go PHONE; (360) 403-3551 BUILDING PERMIT Address: 17020 91st Ave NE Permit#:917 Parcel#:31052500201800 Valuation:346800.00 OWNER APPLICANT CONTRACTOR Name:KAINTZ TIMOTHY Name:Tim Bruggman Name:Springbrook Nursery Address:P.O.BOX 610 Address:P.O.Box 1377 Address:9022 84th St NE City,State Zip:LAKE STEVENS,WA 98258 City,State Zip:Monroe,WA 98272 City,State Zip:Arlington,WA 98223 Phone: Phone:425-308-3519 Phone:360-653-6545 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: 2012 STORIES: 2 CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: 2 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/IRCI10. 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 C' of A tgt 3101. i alure Print Name Date Released By Date CONDITIONS Armored entrance required for truck traffic. See Detail G-12 for Rock Construction Entrance requirement. Septic tank shall be abandoned per Department of Health before demolition work is to start. 24 hour notice to the Wastewater Department required for abandonment of septic system. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC,)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 2/24/2016 Demolition Fee $100.00 2/24/2016 State Building Code Surcharge Fee $4 50 Total Due: $104.50 Total Payment: $0.00 Balance Due: $104.50 CALL FOR INSPECTI_ON_S BUILDING(360)403-3417 When calling for an inspection please leave the following information: a� �o G -4 � ,75tiN i oo' 'CFO 4 4r two �,q ,- Bin o S�N oh1 R=25' M!N v 12 MIN. ^ o t5 4"-8" QUARRY SPALL PLACE At FUTURE SUBCRAOE ELEVA 17ON pROV10E FULL w/0TH OF !F POSSIBLE INGRESS/EGRESS AREA 18' 2' MAXIMUM WA TER DEP TH 12" THICK, 4"x8" OUARRY SPALLS 6" ADS OVERFLOW TO TEMPORARY SETTLING POND SEE DE TAIL SEL O w 2 LAYERS FIL TER FABRIC REVISED e STANDARD PLAN ROCK CONSTRUCTION ENTRANCE NUMBER AND CONSTRUCTION VEHICLE WASHDOWN PAD G 12 Date: 04/24/2026 Permit#: 917 Permit Date: 02/18/2016 Review Date: 02/18/2016 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 02/24/2016 Scheduled Time: 00:00 Completed Date: 02/22/2016 Description: Assume appropriate TESC will be in place. BB Review Status: Assigned To: PW Storm Rev Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31052500201800 KAINTZ TIMOTHY KAINTZ TIMOTHY P.O. BOX 610 17020 91 ST AVE NE LAKE STEVENS,WA 98258 Zoning: I I I Single Family Residence - DetachedLot: Block: Date: 04/24/2026 Permit#: 917 Permit Date: 02/18/2016 Review Date: 02/18/2016 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 02/24/2016 Scheduled 00:00 Time: Completed 02/18/2016 Date: Description: Customer did not mark box telling us if this is a residential, commercial or industrial building. The permit also does not have information asking applicant if there is a well, septic system, etc. on property. This information would be helpful in making a complete review. Review Status: Assigned To: PW-ADMIN-GIS Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31052500201800 KAINTZ TIMOTHY KAINTZ TIMOTHY P.O. BOX 610 17020 91 ST AVE NE LAKE STEVENS,WA 98258 Zoning: I I I Single Family Residence - DetachedLot: Block: Date: 04/24/2026 Permit#: 917 Permit Date: 02/18/2016 Review Date: 02/18/2016 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 02/24/2016 Scheduled 00:00 Time: Completed 02/18/2016 Date: Description: The application is not clear what type of building structure this is. If this is a home the septic tank shall be abandoned per Department of Health before demolition work is to start. 24 hour notice to the Wastewater Department required for abandonment of septic system. Review Status: Assigned To: PW-SEW-REV Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31052500201800 KAINTZ TIMOTHY KAINTZ TIMOTHY P.O. BOX 610 17020 91 ST AVE NE LAKE STEVENS,WA 98258 Zoning: I I I Single Family Residence - DetachedLot: Block: Date: 04/24/2026 Permit#: 917 Permit Date: 02/18/2016 Review Date: 02/18/2016 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 02/24/2016 Scheduled Time: 00:00 Completed Date: 02/18/2016 Description: Armored entrance required for truck traffic Review Status: Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31052500201800 KAINTZ TIMOTHY KAINTZ TIMOTHY P.O. BOX 610 17020 91 ST AVE NE LAKE STEVENS,WA 98258 Zoning: 111 Single Family Residence - DetachedLot: Block: Permit#: 917 Permit Date: 02/18/16 Permit Type: DEMOLITION Project Name: Kaintz Applicant Name: Tim Bruggman Applicant Address: P.O. Box 1377 Applicant, City, State, Zip: Monroe,WA 98272 Contact: Tim Bruggman Phone: 425-308-3519 Email: tb@goldeneagleds.com Scope of Work: Demo of building Valuation: 346800.00 Square Feet: 3172 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/24/2016 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052500201800 17020 91 STAVE NE KAINTZ TIMOTHY 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Springbrook Nursery 360-653-6545 9022 84th St NE CONSTRUCTION Labor&Industries SPRINNI942NM CONTRACTOR Plan Reviews Date Review Type Description Assigned To Review Status 02/18/2016 DEMOLITION Armored entrance required for truck traffic BUILDING 02/18/2016 DEMOLITION Customer did not mark box telling us if this is a PW-ADMIN-GIS residential,commercial or industrial building.The permit also does not have information asking applicant if there is a well,septic system,etc.on property.This information would be helpful in making a complete review. 02/18/2016 DEMOLITION Assume appropriate TESC will be in place.BB PW Storm Rev The application is not clear what type of building structure this is.If this is a home the septic tank shall be abandoned 02/18/2016 DEMOLITION per Department of Health before demolition work is to PW-SEW-REV start.24 hour notice to the Wastewater Department required for abandonment of septic system. 02/18/2016 DEMOLITION no concerns for water DS PW-WAT-REV Fees Fee Description Notes Amount Demolition $100.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $104.50 Attached Letters Date Letter Description 02/18/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/24/2016 Golden Eagle Development Check#1424 Kristin Foster $104.50 Services Outstanding Balance $0.00 Uploaded Files Date File Name 02/24/2016 1490532-BLD 917 Singed Permit.pdf 02/18/2016 1482458-Aesbestos Survey-.pdf 02/18/2016 1482459-917 Application.pdf 02/18/2016 1482460-PSCleanAir.pdf Approved Transaction Page 1 of 1 �f pscleanair.org Puget Sound Clean Air Agency Notification Case #: 201600572 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 $65.00 Credit Card Transaction #AXOFEOD65316 Transaction Date 02/03/16 Owner's Name Tim Kaintz Phone (425) 359-4487 Project Street Address 17020 91st Ave NE City Arlington Zip 98223 Contact Person Tim Bruggman Phone (425) 308-3519 Mailing Address PO Box 610 Lake Stevens,WA 98258 This project includes a demolition. Demolition Start Date 02/22/16 Completion Date 03/31/16 Demolition will be completed by a demolition contractor Demo Contractor Springbrook Contracting Contractor Job# Contact Gordy Phone (425) 508-9434 Mailing Address 9022 84th st NE Arlington,WA 98223 (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. Create Another Notification View History Log Out If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https:Hsecure.pscleanair.org/Asbestos/Approved.aspx 2/3/2016