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Home My WebLink About18425 35th Ave NE_014740_2026 C I T Y O F' A R L I N O T O N CONSTRUCTION PE RM I Y PERM I T NO_ = 01 —47z+0 Owner: CARLSON, PAUL 12014-60TH ST NE LAKE STEVENS 98 Value of Mork: $2,000.00 Tax ID: 21310520060003 Phone: 360-334-3535 Describe Work: REMOVE EXISTING HOUSE Proposed Use: NEWE DEVELOPENENT Legal Description: Job Address: 18425 35TH AVE NE Contractor's Name Type Address License# GEN TOTALS Fee Permit Fee $100.00 `� �'v- SI6NATUNE: Pl-It TOTAL FEE. . . . . . . . .... . . ... $190.00 I HEREBY CERTIFY THAT I HAVE READ AND XAMINED THIS APPLICATION AND PAYMENTS.................. $0.00 KH HE SAME TO BE TRUE AND COR- RE T LL PROVISIONS OF LAWS AND TOTAL DUE................. $100.00 OR IN NCES, OVERKiti T� IS TYPE OF W K ILL COM IED ITH WHETHER C IED R N DATE RECEIPT # ��, DI?iG OPACIA 01 s ASBESTO-TEST I N C O R P O R A T E D "GOOD FAITH" ASBESTOS SURVEY 18425 35th Ave. NE, Smokey Point, WA 98223 Page 1 of 5 IN#21U62S June 23,2001 '� E Paul Carlson 12014 60t°St.NE AEG �O®1 Lake Stevens,WA 98258 y Ph:425-334-3535 Fax: 425-397-6535 �. p,R>rING� CI , , INTRODUCTION On June 20,2001, Asbesto-Test personnel conducted a "good faith"asbestos survey(per U.S.E.P.AJA.1LE.R.A.guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the single family dwelling and out structures C&, 18425 35`h Ave. NE, Smokev Point, Snohomish Countv, Washing-ton 98223. This survey purpose is to identify any Asbestos Containing Materials that may be present and will require professional removal prior to renovation or demolition of the structures. NARRATIVE OF FINDINGS BASIC CONSTRUCTION(including siding and roofing types) The house is wood frame on a concrete and wood foundation. The exterior siding is wood. The wood siding underlying material was sampled. The composition roofing material was also sampled. ATTIC/WALL INSULATION:There was no relating suspect ACM located. PLUMBING SYSTEM: There was no relating suspect ACM located. *INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS:The house interior is wood throughout. There is some drywall in the storage areas behind the attached car-port. The drywall and taping materials were sampled. The acoustic ceiling tile were sampled per each located homogenous area. The mastic was sampled from the wall behind the wood stove where z- brick has been removed. Vinyl and tile flooring materials with relating backings and mastics were sampled per each located homogenous area. CONTINUE TO PAGE 2 8003 156th ST. SE • SNOHOMISH,WA 98296 • (425) 489-4040 • Seattle (206) 523-5t 17 Pager (206) 699-4629 Page 2 of 5 June 23,2001 I1V#210625 Asbesto-Test,Inc. (425)489-4040 single family dwelline and out structures na.18425 3P Avc.NE.Smokey Point, WA 98223 ELECTRICAL SYSTEM: The electrical wiring insulation is not of the kind to be ACM and was not sampled. Any additional 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 beACM(Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM:The only heat source located in the house is a wood stove. There was no relating suspect ACM located. Other heat may have been provided by portable electric heating units. Misc.: The window glazing was sampled. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: The garage is behind the house. The structure is wood frame on a dirt floor. The roofing material was sampled. There is an open wooden shed adjacent to the garage. The roof is fiberglass. There was no relating suspect ACM located. #of structures Included in survey:three-one house, one garage, and one shed Requested by: Paul Carlson r C. ector,certified A.H.E.R.A. ccred.#CLAYS327 (Expires S/18/01) CONTINUE TO PAGE 3 A=T INC . Page 3 of 5 .June 23,2001 I7V#210625 Asbesto- `Ina (425)4894040 single family dwelling and out structures(aO 18425 35`"Ave, NE, Smokev Point, WA 98223 Any and all materials identified as ACM or PACM in this report(and/or additional materials associated with the structure that may be discovered and later identified as ACM or PACAV, must be abated prior to demolition. Quantities of asbestos for abatement assessment and/or pricing for removal should be determined by on site evaluation. SAMPLES #142 ARE ASBESTOS CONTAINING AMTERMLS ANALYSIS ID ASBESTOS/fTYPE//OUANTITY OTHER MATERIAL 1.0)FLOOR TILE yes//chrysotle H 2% non-fibrous materials 9"a 9"the-pink intermixed ACM 1.0)FLOOR TILE yes//chrysotile//2% non-fibrous materials 9"x 9"file-gray intermixed ACM 1.1) mastic-black yes//chrysotile//2% cellulose,adhesive ACM THE TILE AND MASTIC MATERIALS ARE NON FRIABLE Living room under particle board sub-floor APPROX.260 SQ.FT.ON TAR PAPER ON WOOD 2.0)FLOOR TILE yes//chrysotile//2% non-fibrous materials white tile ACM 2.1)mastic-black yes//chrysotile//2% cellulose,adhesive ACM THE TILE AND MASTIC MATERIALS ARE NON-FRIABLE Kitchen under fiber board sub-floor APPROX. 160 SQ.Ff. ON TAR PAPER ON WOOD THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES 3.0)drywall NAD non-fibrous materials, cellulose, fiberglass, paint, (gypsum) 3.1)drywall taping compounds NAD non-fibrous materials, storage areas behind car-port-SAMPLER PER AHERA PROTOCOL cellulose, fiberglass 4.0)composition roofing NAD cellulose,tar,fiberglass, and underlying materials-house non-fibrous materials 5.0)composition roofing NAD cellulose,tar, fiberglass, and underlying materials-garage non-fibrous materials 6.0)window gWing NAD non-fibrous materials, house cellulose 7.0)wood siding vapor barrier NAD cellulose,tar, fiberglass house continue to paste 4 INC . Page 4 of 5 June 23, 2001 I1V#210625 Asbesto-Test,Ina (425) 489-4040 sinele family dwellin.and out structures(a'�18425 35"A ve- NE Smokey Point WA 98223 ANALYSIS ID ASBESTOS/rrYPE//Q ANTITY OTHER MATERIAL 8.0)acoustic ceiling block NAD cellulose,paint bathroom—1' squares-(stapled up) 8.1)acoustic ceiling block NAD cellulose,paint south bedroom&living room-1'squares-(stapled up) 8.2)acoustic ceiling block NAD cellulose,paint original ceiling above 1'x 1' ceiling block-throughout-(stapled up) 9.0)sheet vinyl flooring NAD non-fibrous materials, kitchen/laundry surface-color:off white design cellulose,fiberglass 9.1)mastic NAD adhesive, cellulose 10.0)sheet vinyl flooring NAD non-fibrous materials, bathroom surface-color: white design cellulose, fiberglass 10.1)mastic NAD adhesive, cellulose 11.0)mastic NAD adhesive, cellulose on paneling behind wood stove where z-brick has been removed NOT TO SCALE FD-] B A N 35"Ave.NE A=HOUSE,BEAR-PORT/STORAGE AREA(attached),C=GARAGE,D=WOODEN SHED continue to ogee 5 ION I M C . Page 5 of S June 23,2001 17V#210625 Asbesto-Test,Ina (425)489-4040 sinrle family dwelline and out structures Q 18425 3r Ave.NE.Smokev Point. WA 98223 Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials,as prescribed by A.H.E.R.A.protocol. 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". If, during demolition or renovation any additional hidden or covered suspect materials similar to those identified in the survey 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)], they should be treated as Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. Note:Asbesto-Test,Inc.does not guarantee approidmations 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 in this report must be abated prior to ACM disturbance, renovation,or demolition.All materials identified as ACM must be abated prior to any disturbance. analytical test method:USEPA 600/R93/116**(PLM) key+.- 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" *'One percent is the USEPA regulatory limit for asbestos in bulk samples. PLM 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 or TEM,to insure analytical accuracy when reported in small percentages. Asbesto-Test,Inc.claims responsibility for sample content only. END OFREPORT J (.ttiL ArL Schneidep� A ical Chemist,B.Sc. proficient 1988 ANNJ O Zoo, - ASSESM-TEST A=T INC . r CITY OF ARLINGTON CONSTRUCTION PERMIT Cif-470 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. Ow ppl-Cq MAIL ADURE55 CITY 11P PHONE s t, Jz i ao!�l- o 's -�vc �K s .�s uJ. - 3 -3 S S ARCI11 TLCT OR UESIGNER MAIL AUURESS CI I Y LIP PHONE GENERA SUN XAL OR MAILADUI�ESS CITY ZIP PHONE LIC NS y � Y / MLCIfANICAL CON I RAC FOR MAILAUURE C1fY EIP PHONE LICENSE If PLUMDINGCONTRACIOR MAIL ADDRI LIP PHONE LICENSE SCLASS OF WORK -- c❑NI.W ❑AUDITION ❑ALTERATION BUILDING RELOCATION Q VALUATION OF WORK zs w IU ULSCPABL WORK m PRUrUSI U U5L W BUILUING w Z)1 S 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Z LWAL MSCRIPI UN UI PROPERTY SHOWN BELOW OR Al IALII I OUR COFIf S) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- �_ SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Ltll rt or WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO IL 3 D S_"Z_61'C'' G'0 '? ti VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF i CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 0 JOB•\ U SIGNAIURE ONTRACTORORAUTHORIZ AGENT DATE (OPPICIS USRONLY) rLulanlNa fl:cffnrllcnT. NO. TYPI!OF PIXTURQ PBB aS FIXTURES NO. TYPIS OF BOUIPM13NT FBB ■'•PIXTUREIS .VATEIR CLOSIIT 1 IR COND.UNITS—II.P. IA. laildo.Bt•" IATIITUB AUPRIGERATION UN173—II.P.BA tle.11t•, AVATORY(WASII BASIN) _ JO1LRRS—II.P.ITA. !gdp.lit•'' 'IIOW[9t JAS PIRBD A.C.UNITS—TONNAOBIIIA. " d .Ilt•" 17CHIIN SINK A DISPOSAL ORCBD AIR SYSTllMS—D.T.U. MEA )ISHWASHER, WALL IIIATBRS—D.T.U. M _ JWNDRYTRAY ]NIT IIBATBRS—B.T.U. M I.OTIIES WASIIBR IVAPORATIVRCOOLMtS ATBR IIE!ATER LOYAL DRYPAS URINAL _ VENTILATION PAN )RINKINOFOUNTAIN IANOBIIOOD COMMERCIAL lLOOR DRAIN AIR IIANDLINO UNIT— CPM VACUUM BIIBAKBRS TFOVu tOOF DRAINS—RAINLEADER9 413TAL PIRIIPLACEA CIIIMNEY ,INK(SERVICE—BAR,I=.) A-MR IIRATMt AS PIPING '(up to S-13.00.addnl.-1.75 • _'OEqufpwent Iiel mut ba rorided SUIF TOTAL SUB TOTAL r In Ni IT PPJtMIT TOTALPEE TOTALPEE SIUI.YARD AIIJALK STRLI.ISLIBACK RLAR YARD SE I BACK PLAN CIILCK NUMBER PLANCIIECKFEE FEE RECEIPT NO. USr IUNI LUI ARIA VACANT SITE ❑YES ONO FEES VALUATION FEE I YPL OF CONS 1. OCCUPANCY GROUP No.or DWELLING LINT IS PLAN CHECKING NG SI/.LUI BLOC.. NO.OF STURILS MAX.UCC.LOAD BU'LDING 1 PLUMBING r IRL SPRINKLERS RLQUIREU ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY SEC. 0)(+) WATERISEWER FEES AUG 12001 TOTAL PERMIT VALIDATION CITY OF ARLINGTON WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6Man PAID CRII BY