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Home My WebLink About118 FRENCH AVE_067206_2026 8► Z NG INSPECTION REPORT tit ?'O Permit No.: o G 72-o 4. Lot #. 4 Q" Address: i i a s Contractor: [-o�•C 3 O Owner: I N G� Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: I Z-I3---C4 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: -- � —r. t��--�:�--:a•�RA,+ '�� ,.,_�, ,,; �ti _---."ice,. -'_._'_ =r a o cn m a o y y Z ccN m r !n `L O n cQ co M Cl) O` w 0 y 0 O cr � co o y :� cn CD -1 cn to zo 0 0 cn cn r m o CD % �,� � G oS 0CD � � N n .p+ c N N o CD SD ,--F Z O n 7 Z C CD cc 0 CD � 0. 30 c m C U) C n v � 0 � � r p fD ,f 3 m cc) -0 D IC) � S �; n 3ma m o � Z o 3 m o D R�1 �, -- < 10 o W 3 � 3m � M CD CD m n Z O 4 w , A a) \ \ h p� p L"` �,,� yyv_ N c f c o�t�U ��Y �� DEMOLITIOI' 7 � PERMIT APPLICATION R�f N GAO Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360) 403 3431 • FAX (360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED TWO(2)SETS OF FULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP PLAN, TWO(2) COPIES OF AN ASBESTOS ABATEMENT REPORT COMPLETED BY AN APPROVED AGENCY. Type of Permit: (check one) (4<esidential ( )Commercial Project Address: P�l 6cx �i 14 EL�7 � Parcel ID#: ��' �✓'�' C' ��:-'G ' Lot#: S Subdivision: �''!� Building Area(Sq Ft)17?Mk L490 No.of floors: ` Number of Buildings: Z Owner: 'R�Ar � �� r��l�� Phone Number: 7?�L,-O Address: �q�k 2 x, 1-k City: State: Zip Code: Contact Person:2,\��(4 ��I.t I�lkl.� Phone Number:-:�G0"(C�.-b'R p Cell Phone: ;3fp(5_7p8--(o(oS ` Fax: E-mail: Address: lc ,3,1 City: State: Zip Code: CA 4 Scope of Work:' , �-^\�0+�` �� ^)r�L c, Contractor:_}^-n �Z �lr �u`�r Phone Number: -�'C'�C` L" Address: J.,q -;,q ��City: State: Zip Code: Contractor's License Number:�-(]►� - -' Expiration: :!5-" Z60-1 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 Date R \JAt,1\JA1&LC-_ 1� RECEIA]ED Print Applicants Name T 11ap6 to MR AM A.rL CIDA FOR STAFF USE ONLY ` - Permit# Accepted By Amount Re eived Receipt# Date Received WEB Forms—14 Page 1 of 1 5/05 dwa -TJ 7\ A pw/z Q� r r i �_ O Z: IJIZ: NI co r- C- CD Avg P-f OD, CY > g jR 0 m 8..� 031 m NL K N C ANGES AUTH o.--,,f Z UNLESS APP ROVE: --� "ll DINICZ�hjsp T 7k) x q I'S ul -7J T5 JD —4 o Co m > AA L Y Or BU�LMNG D SENT m ED APPR 6, -1 kA DTE sy a Ali J14, AL N6&ANGES AUTHC UNLESS APPROVY-7�- -Tj W s ass- QK pT )K ul Inspection for the Presence of Asbestos Containing Building Materials September 18, 2006 House an Garage Locate at 118 French Street Arlington, Washington This inspection report must Wjon site dufln"W-uhases of abate ment/demyti 0"i& he-strUitu The Knebe!Company,Inc. �� 9122 169 c `h Avenue NE Granite Falls,WA 98252 (360)691-5910 OCT o 3 2006 COAE MIT CENTER 1 � n� blePs 7t iPE11fi� 'I aQ lat e � .Jni?7q r -s a�\ 4c�• . - - C _ ;3�Y� .r>, 'WON, . �'' t ��r},ii�''`�'".�� ' Srrt > ��ti•. 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EiS�Y�r.� LPG �;� � �'Jr-- _ - - -_ _-� y J a�... _o.r x3�•-»v\.� s, wig+, Y _ A - '-r. -5--1^ a...f'..t,ii 4 1 T.i�'r�.�"z`}i%.►l� - ..ti.y-:'✓-.•il f te...�L,,...-1.,:�ry's�J1✓,.�v4v:�i . ►� a ?I • _ I jF •, A y t�l � I '�^ _ -�:- 1rw .r"'i,:,�.`ar'�h y�.•rtjs2c'ty� .iy, �' Z-r v1 v j ,.. -�s� � t�,'r;'��'ryt.,Y.'r .S:'L ?!•?�C�.0 ri"'��rF .'� �L�G4.rrAziYii}) - �}-5- i� �r1 r .5 +._ y« ,xc A f:SC t� �.M yCri a.�� '�nK F�'�pct��-�•x..:�.� -wr -f1'•�3D w lV•' w1 4 < - vs� ♦. G_ t• >. vun 1 lrt .ik t hy�i.iY thl t ry wt.+' �-yY _� ^�, ,txf. "+ t - � f:. � ., _ r -i I� 54<rr�2•;t S`��}�-C.+ Y�ly}�" 1 tj - _ I- .1 7 1 F �C -may 0.1' J - ♦i t - _ - _ - _ .... .. -. - _ - -lcr'i` ;-•tom.:�P �` 118 French Street Arlington,Washington INTRODUCTION An inspection for the presence of asbestos containing building materials was conducted on September 18,2006 in the un-occupied house and garage located at 118 French'iStreet in Arlington, WA.This inspection is to identify asbestos containing materials that will affect the proposed demolition of the structures. Brian Vanwinkle from Lone B Construction requested the asbestos inspection. Dan Shelly an AHERA certified building inspector from The Knebel Company, Inc. conducted this asbestos inspection. Seattle Asbestos Test, LLC analyzed the suspect bulk asbestos samples. The following report contains material descriptions, sample locations, assessment of asbestos containing building materials, laboratory results and accreditation, and inspector certification. AHERA Building Inspector: Dan Shelly Inspector Number: 06-1464 Expiration Date: May 18, 20P Signature LIMITATIONS OF SURVEY The sole purpose of this inspection report is to document the asbestos containing materials discovered during the inspection and sampling of suspect materials by The Kriebel Company, in the house and garage located at 118 French Street in Arlington, WA. In strict accordance with NESHAPS regulations,this site visit consisted of a thorough visual walk through of the structures for the purpose of viewing and sampling potential asbestos containing materials. As inspections are non-comprehensive by nature, The Knebel Company, Inc. cannot be held liable for materials which require destructive means to access, materials!which are hidden from sight(e.g. materials hidden behind walls),materials which cannot be found due to their obscure nature, or which otherwise cannot be discovered with reasonable diligelace. Due to electrical shock hazard,none of the wiring was sampled. This survey does not include documentation for other hazardous materials that may exist on site, including lead, soil contamination due to underground storage tanks, etc. i1`n'Gro1ur r.d s.��-c.r'+;u=.y��u c Lrlx.r .aac� -r3.wf.� ra .r.. e ��..•n�..bo. 'a'.vn«. "� . ' -�, a.a - .-,t -vane p•�r �_ '.> > :t, < < sr��F ;:fi�gg� Y.� N Y✓� T'<� t _ - �,.+�-.,in.-. r. '.�r � ) ..s•� � V a�:4 �i��t.rn ,t 4r`�L.c '� __�. 3��': - - _,t .c.- 7.r � t �X v �yt�i•�.s�'� �r+r a n .�.,�..,rCy'�ymyr�� - - � _ � > >-r<t '�`P1-�'-,k�'{'iA-`�"ie ^•s 4' .q{,i"�#. d �v•_ _ ,I � ., _ �.� \ 'r-: Ott sn.•cy--•�... w'ti.ew'�.ywfia�,.1 r. ASBESTOS SUNEVIARY with RECCOMMENDATIONS (Recommendation comments are not to be used as contract document directives.) 118 French Street in Arlington, Washington House: This is a one-story, wood framed building, constructed on a concrete foundation, with a crawl space underneath the house,. The building has wood siding, and a flat roof which is hot tar with gravel. The primary source of heat is forced air, from a furnace that is located in the laundry room. Garage: This is a one-story, wood framed building constructed on a concrete slab. MATERIALS FOUND TO CONTAIN GREATER THAN 1% ASBESTOS: House: Ceiling texture residue—popcorn type(homogenous material#07)was collected from the ceiling in the living room and southwest bedroom. This material was found to contain 2% chrysotile asbestos. It appears that this material was inefficiently abated, resulting in the contamination of the house interior and exterior. MATERIAL AREA AMOUNT ASSESSMENT DAMAGE Ceiling texture Living room and Unknown Friable 100% residue— southwest square feet popcorn type bedroom on The extent of ceiling, with the white dust and contamination popcorn type is interior and ceiling texture exterior. contamination throughout the interior of the house, and on the exterior on the driveway and sidewalk at the NE side of the house. White floor tile and mastic(homogenous material# 10)was collected from the east side of the kitchen floor underneath pressboard sub-flooring. The floor tile was found to;contain 3% chrysotile asbestos. The mastic was found to contain no detectable asbestos. MATERIAL AREA AMOUNT ASSESSMENT DAMAGE White floor tile Kitchen& 200 square Non-friable Minimal hallway feet Brown sheet vinyl flooring with square pattern and mastic (homogenous material# 11)was collected in the kitchen over the top of the pressboard subflooring. This material was found to contain 50% chrysotile asbestos. MATERIAL AREA AMOUNT ASSESSMENT DAMAGE Brown sheet Kitchen and 200 square friable Minimal vinyl flooring hallway floor feet with square pattern and mastic 9" x 9" brown floor tile and black mastic(homogenous material# 18)was collected from the Southwest bedroom. This material was found to contain 65% chrysotile asbestos in the floor tile.The mastic was found to contain no detectable asbestos. MATERIAL AREA AMOUNT ASSESSMENT DAMAGE 9"x 9" brown SW bedroom 160 square Non-friable minunal floor file I I feet MATERIALS FOUND TO BE NON-ASBESTOS CONTAINING MATERIALS. Garaee• • (Homogenous Material # 01)brown paper, black mastic, and pink fiberglass insulation • (Homogenous Material# 02)black vapor barrier paper • (Homogenous Material # 03)built up roofing and tar House: • (Homogenous Material# 04)gravel over hot rolled roofing with tar • (Homogenous Material# 05)black roofing sealant • (Homogenous Material # 06) gray and white sheet vinyl flooring with rock pattern and mastic • (Homogenous Material# 08)black gooey window sealant • (Homogenous Material# 09)black vapor barrier paper • (Homogenous Material# 12)multiple layers of wall paper and adhesives • (Homogenous Material# 13)dark brown glue dots • (Homogenous Material# 14)black window weather stripping • (Homogenous Material# 15)white sheet vinyl flooring • (Homogenous Material# 16)brown paper • (Homogenous Material# 17)brown paper, black mastic, and yellow fiberglass insulation • (Homogenous Material# 19)gray blown-in wall insulation • (Homogenous Material#20) chimney brick and mortar Recommendations: General — Any suspect asbestos containing materials discovered during the demolition project, that have not been sampled, should not be disturbed until an I assessment of the suspect material can be made. All asbestos-containing materials that will be disturbed by the renovation, should be removed by a certified asbestos abatement contractor, using methods as outlined in: 1. EPA 40 CFR Part 763, Asbestos-Containing Materials in Schools. 2. EPA 40 CFR part 618,National Emission Standards for Hazardous Emission Standards for Hazardous Air Pollutants;Asbestos NESHAP Revision;Final Rule 3. Department of Labor and Industries,Asbestos,Tremolite,Anthophyllite, and Actinolite WAC 296-62-077 through 296-62-07761. i 4. Department of Labor and Industries Safety Standards for Asbestos Removal and Encapsulation WAC 296-65-001 through 050. 5. Department of Labor and Industries,Respiratory Protection,WAC 296-62-071 through 07121. 6. Department of Labor and Industries WISHA Regional Directive WRD2310 April 30, 1997 7. All current regulations of Washington State Department of Transportation; 8. Puget Sound Clean Air Agency,Regulation III Article 4,Asbestos Control Standard,and current Amendments to Article 4. 9. All regulations of the landfill where asbestos materials are deposited. 10. 29CFR 1926,Safety and Health Regulations for Construction. �'fi-r+l�'S---.j o ,�7'.,"✓'�:,�".0 ,y-c St.-� v?L�fi4.:..., "�T�O„'c f .� -_ ,•.i( J ,.<-. �'`fie. •�. +. '�\� ,� ♦ 4lr F J. �34 'Qa.. F'Y �. T"1'' I W � e.t-�.CJ.S.t•t T "ZSS �� v� ;ti; 't.'.S.'r-v�.i� S � t r-- Y �vr`�•v ti�!. a s (( _ x�yir�� '�7•--•"'��v�i' ro ,��••--x•.:.."+f c..r ,.. sr :? a t r v;.�• .�+ar?F1 '*.:'.bl '+F+�,,: A .! '+' / I-F- � �1 ,c .s l _..•N.`7- 1+ >mom:l:•r7 tthhh�h�"�^�Y$+ KCR� i"M�.�% Al It- •-g,� �..}'i"a.. c, �z<•rs. � -,:, --a t .x '' j k a rib <:�-.•'�`t - yy�`},y �,-• r�j 'c�a.:.aas •c sYTt � �y t i2 � saT to t��r,c�ey, c•c,�.gS_t�;r",c,��4^i 1?�ad'Ry�Sx��'� t_'Q` -a � ` ,r •��' a t...; i >''� ` .h. �-� 't. � r-y-� :• t77�55r�v.t�1-'�'� +lJ7�j�„ 'G s.•!, 1 - r y,.•ter t v e 1. t. t'y N s. 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'1- L • l - .. . ... ,. - -- •- — - _ L.. .� _ ems:-- ar.».:: �, ��`°�SS 71 L ; u jG 1" p,..+�► �..�. 1 a'- r -,i. y'9 'r•;'"vst`a.�.r�tS.� �� ... t� -c�i�i �-}:,+tt's�Rv�au�� Page 1 of 9 �,_he Knebel Company, Inc. Bulk Asbestos Report Job#: 118 TKC Job#: 0609-1721 Customer ID: 325 Company Name: Lone B Construction Billing Address: 1961 200th Street NE City: Arlington State: WA Zip Code: 98223- Contact Name: Brian Vanwinkle Homogeneous Material # 01 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID #: 118-01-01 Analyzed By: Seattle Asbestos Test,ILL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: interior Room: garage Material Description:Brown paper, black mastic,and pink fiberglass insulation in garage Sample Location: Collected from the garage on the west side of the ceiling. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 02 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID #: 118-02-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: exterior Room: garage Material Description:Black vapor barrier paper on garage Sample Location: Collected from the north side of the garage, behind wood siding Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By Page 2 of 9 BL- , Asbestos Report Continuev_-- Homogeneous Material # 03 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID #: 118-03-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: roof Room: garage Material Description:Built up roofing with black tar and paper on garage Sample Location: Collected from the north side of the flat roof on the garage Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 04 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-04-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: roof Room: house Material Description:Gravel over hot tar roofing and black/brown roofing paper on roof of the house Sample Location: Collected from the northeast section of the flat roof on the house. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 05 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-05-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9120/2006 Building Name: 118 French Street Arlington,Washington Floor: roof Room: house Material Description:Black tar roofing sealant Sample Location: Collected from the electrical pipe penetration on the west side of the roof on the house. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: d`— Page 3 of 9 8:-- , Asbestos Report Continue; Homogeneous Material # 06 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-06-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: living room Material Description:Gray and white sheet vinyl flooring with rock pattern and mastic over wood sample Location: Collected from the northeast entry to the house. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 07 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-07-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: living room Material Description:White ceiling texture residue over gypsum wallboard Sample Location: Collected from the southeast corner of the living room ceiling. Comments: Contamination is spread throughout the interior and exterior of the house. Asbestos Content 2% Asbestos Type Chrysotile Approx Amt of material: >3000 Unit: Square Feet Homogeneous Material # 07 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID #: 118-07-02 Analyzed By: Seattle Asbestos Test, LL Date Analyzed: 9/2012006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: living room Material Description:White ceiling texture residue over gypsum wallboard Sample Location: Collected from the northwest corner of the living room ceiling. Comments: Contamination is spread throughout the interior and exterior of the house. Asbestos Content 2% Asbestos Type Chrysotile Approx Amt of material: >3000 Unit: Square Feet Reviewed By: Page 4 of 9 . Asbestos Report Continu&, Homogeneous Material # 07 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-07-03 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: SW bedroom Material Description:White ceiling texture residue over gypsum wallboard Sample Location: Collected from the middle of the ceiling in the southwest bedroom Comments: Contamination is spread throughout the interior and exterior of the house. Asbestos Content 2% Asbestos Type Chrysotile Approx Amt of material: >3000 Unit: Square Feet Homogeneous Material # 08 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-08-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: living room Material Description:Black window sealant Sample Location: Collected from the east window in the living room, between glass and metal window framing. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 09 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-09-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: living room Material Description:Black vapor barrier paper under hardwood floor Sample Location: Collected from the east side of the living room floor underneath hardwood flooring. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: Page 5 of 9 g`t--.-. Asbestos Report Continues Homogeneous Material # 10 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-10-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: kitchen Material Description:White flooring and mastic Sample Location: Collected from the east side of the kitchen floor underneath pressboard sub-flooring. Comments: The floor the was found to contain 3% chrysotile asbestos. The mastic was found to contain no detectable asbestos. Asbestos Content 3% Asbestos Type Chrysotile Approx Amt of material: 200 Unit: Square Feet Homogeneous Material # 11 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-11-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: kitchen Material Description:Brown sheet vinyl flooring with square pattern and mastic over pressboard Sample Location: Collected from the east side of the kitchen floor. Comments: Asbestos Content 50% Asbestos Type Chrysotile Approx Amt of material: 200 Unit: Square Feet Homogeneous Material # 12 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-12-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/2012006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: kitchen Material Description:Multiple layers of wall papering and adhesives Sample Location: Collected from the middle of the kitchen ceiling. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: � Page 6 of 9 g`t- . Asbestos Report Continues-' Homogeneous Material # 13 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-13-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: NE bedroom Material Description:Dark brown glue dots Sample Location: Collected from the middle of the ceiling in the northeast bedroom. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 14 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-14-01 Analyzed By: Seattle Asbestos Test, LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: NW bedroom Material Description:Black window weather stripping Sample Location: Collected from the north window in the northwest bedroom. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 15 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: •118-15-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: bathroom Material Description:White sheet vinyl flooring Sample Location: Collected from the east side of the bathroom floor. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By:_ Zg=:�; Page 7 of 9 gt--_ Asbestos Report Continuet Homogeneous Material # 16 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-16-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: bathroom Material Description:Brown paper Sample Location: Collected between layers of wood flooring next to the bathroom heat vent. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 17 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-17-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: crawl space Room: crawl space Material Description:Brown paper,black mastic and yellow fiberglass insulation Sample Location: Collected from the crawl space under the house. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 18 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-18-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: 1 Room: SW bedroom Material Description:9"x 9"brown floor the and black mastic Sample Location: Collected from the southwest corner of the room underneath the carpet. Comments: The floor tile was found to contain 3% chrysotile asbestos. The black mastic was found to contain no detectable asbestos. Asbestos Content 3% Asbestos Type Chrysotile Approx Amt of material: 160 Unit: Square Feet Reviewed By: Per-- Page 8 of 9 g;.; Asbestos Report Continue Homogeneous Material # 19 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-19-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: exterior Room: house Material Description:Gray blown-in insulation Sample Location: Collected from the west side of the house inside wall cavities. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 19 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-19-02 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: exterior Room: house Material Description:Gray blown-in insulation Sample Location: Collected from the south side of the house inside wall cavities. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material # 19 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID #: 118-19-03 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: exterior Room: house Material Description:Gray blown-in insulation Sample Location: Collected from the north side of the house inside wall cavities. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: Page 9 of 9 Ek—,; Asbestos Report Continue ' Homogeneous Material# 20 Collected By: Dan Shelly Date Collected: 9/18/2006 Sample ID#: 118-20-01 Analyzed By: Seattle Asbestos Test,LL Date Analyzed: 9/20/2006 Building Name: 118 French Street Arlington,Washington Floor: exterior Room: house Material Description:Brick and mortar Sample Location: Collected from the exterior of the house, south side from chimney. Comments: Asbestos Content ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed BY: Y x h WW !•mil vRi' V. z - -• - _ - K'e.6 :'-�_rr�` -_ _ -.. _ _ ..- _ - - ♦, t ram. �� .•�iCF��:i'4"•.��.Y b 2`.^�.i:�t C,5--.L'��` ..a.......� i�`�'-l 1` .^.'�,� __ s �� u:z +Si�✓tj+,• _ ->'y, _Y.� `� ✓_i7-tC-C!7Jr eh�: jtH I I LC Knn I U� I t51 1;Irf'tb LaP.aE=' SEATTLE ASBESTOS TEST, LLC Page 1 of 3 79?11 Scfiber Lake Road,Sui'e 0, I.vnnwood. WA 98036,475.673.9850 WAD ACCREDITk I iON LAB CODE:20076M ANALYTICAL LABORATORY REPORT PLM by Method EPA/600/R-93/116 Client:Tne Kriebel Co. Chant.Job#: 118 A.ddress:9122 169th Ave. NE., Laboratory Batch#: 20062C689 Granite Falls, WA 98252 Date Received: 09/19/2006 Samples Received; 24 Date Analyzed: 09/20/2006 Attention:Mr. Dare Shelly Samples Analyzed: 22 Project:1 18 French St.. Arlington Client Project#: NIA r`— AsbestosClient rous on- r NFA4i s as Sample ID l_aLi It} Zal I Layer Description /o j /o ID Client 1 _ — i Fibers Comlaonents Fibers 7I C06202877 118-01-01 I 1 Tan paper with black (None mastic detected piper, Asphalt/binder 70 Cellulose III el;ow fibrous — Nome— -z aoriaf detected Filler, Glass beads °90 Clas fiber IBIack asphaltic None Asphaftinder, I E-2 . 202378 118-02-01 1 fibrous material etacted Binder/idler 70 Cellulose _ l 1 t3iack asphaltic T None I 2006202879 118-03-01 ( fibrous material with _- sphalftnder, Sand 25 Glass fibers �rd ; detected 2 Black asphaltic None sphaftinder, 70 ellulose �ibrous raterial detected iBinder/filler 1 I (Black asphaltic i None I i 3 sphal (fibrous material i detected Vbmder 75 ellulose — F-sihalMinder, lack asphaltic ;I',lone1SX,4_01 material detected Sand 125 31aSS Erie's 2C06202851 118-05-01 81ac►c asphaltic None 4 Glass fibers SphaWbinder, Sand material �datected �+ t 1 R.m 1 1 6 P Sheet vim — None IVir• l/binder None detected] ��Q62C1�18:1 q /' etected i r J 2 Gray fibrous material None 1 indedittler, 70 Cellulose with.mastic detected Mask/binder i White powdery 2006202683 11-3-07-Ct material with paint 2 Chrysotlle Binder/filler, Paint 2 Cellulose I I 2 — White chalky (IN-one p&nderifiller 125 ellulese materisl with paper ietecied ypsuni/binder v ' ` Analyzed hy, Vileiicng Tai Reviewed by: Steve (Fanyac)Zhang, President Jam:-',y 5tH I I Lt Ht,' �I Ub I tt�I 14c.'-_�b(.S`1 1N PPGE3 SEATTLE ASBESTOS TEST, LLC Page 2 of 3 ;9711 Scriber Lake Road,Suite D,Lynnwood,WA 980_336,425,673 WO NVI_.qPACCREDITfiT!0N LAB CODE:21))766-0 ANALYTICAL LABORATORY REPORT PLM by Method EPA11300IR-93/116 Client:The Knebel Co. Client Job#: 113 Address:9122 169th Ave NE., Laboratory Batch#: 200620689 Granite Falls, VVA 98252 Date Received: 09119/2006 Samples Received: 24 Date Analyzed: 09/20/2006 Attention:Mr Dan Shelly Samp!es Analyzed: 22 Proiect:115 French St., Arlington Client Project#: N/A —� ent _7 n Asbestos Nan-Fibrous % on-as es s Lab ID Layer Description 1 /o I Sample ID I I Fibers I Components Fibers 20062028114 107-02 ample not analyzed; — I 20 20_ 5 _ 1 / 3 _ Sample not ana yzedl 2006202.886 116-08-01 i 1 Gray foamy ma.erial f .None Foam/binder �2 JCellulose I I detected t &ark asphaltic sphalt/Dinder, t 2006202887 t 1 i8-09-U1 1 1 67 fibrous material detected Binder/filler ellulose f 2006202888 i 118-10-01 1 (Beige vinyl i 3 Chrysotile Inyi/bincer 2 Cellulose Black fibrous More Binder/filler, 65 Cellulose ` ma:arial with mastic detected 'Mastic/binder 2G06202889 118-11-C1 1 Erean sheet viryl None o$cted Vinyl?binder None deflected I I , Gray fibrous material (Binder/filler, 35 Cellulose 2 with mastic go Chrysotile !Mastic/binder, 2006202890 ?18 12-C1 i 1 Iran fibrous material �Net1e Filler, Fine particles 65 Cellulose i (detected 2006202891 Nano 118-13-01 1 Brown mastic Mastic/binder 13 Talc fiber ! detected 11 2006202892 8-14-01 1 i Gray rubbery i gone Rubber/binder 2 Cellulose material f (detected I 2006202893 l 118-15-0 1 'Beige sheet vinyl I None 'VinylIbinder None detected 1 ! f idetected I 2 Gray fibrous material None Binder/filler, 7G iCellulose � ;with rnastic d9tAC4ld 'Mastic/binder � Analyzed by:Weilong Tai Reviewed by: Steve(i- nyac�Zhang, President r:_'-ac-buo ' Uj' :=iL-'� tiLH I ILL HSN' JS TEST 14x67,9810 D aE4 SEATTLE ASBES i OS TEST, L.LC Page 3 of 3 197 11 Scriber i.ake Road_ Suiru U,Lynnwood,WA 98036,425.67.1.9850 NVLAPACCREDnATION LAB CODE:2007684 ANALYTICAL LABORATORY REPORT PLM by Method EPA/600/R-93/116 Client:The Knebel Co. Client Job#: '116 Address,9122 169th Ave. NE., laboratory Batch#: 200620689 Granite Falls, WA 98252 Date Received: 09/19/2006 Samples Received: 24 Date Analyzed: OW2012006 Attention:Mr. Dan Shelly Samples Analyzed: 22 Project:118 French St., Arlington Client Project W N/A LaCliuple n Asbestos on. r rous on.as es os I® Sam ID I Layer Description i °�° Fibers Components % Fibers II i Nane 2006202894 118.16-01 i 1 Tan fibrous material etected Filler, Fine particles 85 ellulose Tan paper with black Llone 2006202895 1118-17-01 1 mastic etected Filler, Asphalt/binder 70 ellulose 1 Yellow fibrous None 2 material I detected Filler, Glass beads 90 Glass fiber 3 Yellow fibrous None Filler, Glass beads 90 Glass fiber +material jdetected 2-006202896 118-18-01 1 brown file 13 Ghrysotile myl/binder, Mineral 2 ellulose grains 2 Black mastic None etected (Mastic/binder 3 ellulose ! 2006202897 ? 118-19-0' 1 Gray Fibrous material N tected (Filler. Fine particles 85 'ellulose 'None 2006202898 1 $ 19-02 ray fibrous material !kdetected Filler, Fine particles 85 (Cellulose 2006202899 118-19-03 1 Gray fibrous material None detected Oiler, Fine particles 85 iCellulose I 2906202900 118-20.01 1 1 Brown brittle material None Brittle I2 Cellulose detected } 2 Grav brittle materia! None Paint, Filler, Binder 2 !Cellulose — w�ttr paint l detected Analyzed by: Weilong Tai Reviewed by: Steve(Fanyao)Zhang, President U_ 4: SEAT FLE RSE'" _OS TEST 14E56739Cte �PGEE OF CUSTODY BUik Asbestos Test '::rn Around Time �I :�ilCfli Namc Ti`1C ,tlC^Cl l.Urn C C. OrS&Mples ril�I]t �Ot7 / 2 Cf� 12 (6q�` ___------ Phont:. +=001591-z9iU Citti Granite Falls State: 6G'q l'ax: _ yip- Qg,% //�( y i36� I!)41 l ma.uLgft'�TC�IYveTctmc,�5 '�� i'ro��t LU�31iUr. -�-�-�.-L ram. 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T� - -.. - tiw alp 4 [.' �+ <" F _- �! � -> �. _ i _ t , �� 14"�'°F- .•..`s i y f r t-Z' O 1 r-^'•f� � �? - - 1 � r i r 1..- I � 5 J r'�+ t - - - - �} � — - LT� �- - _ ''. �. - .., - J. - - - - -jOl Jib 2684 P.02/03 i g � chi Q O N i J � O o C � 1 C c\i H LIJ C i 'o ° o +r cnco LL M� `Q L. H rd O O r � � L a m 0 a Cl) 3 UIwo Lj � 'z C O Q o g c z co �• m � w ■� N U N I I 08-29-2006 08: SEATTLE RSBESTOS TEST 1-+2567S9eiO PAi",E,0- n^Yy i/ I K J o ' i,. Sri x • . 6 )!! O ti' t �, co 00 it � . •, < N ` riCir I co o I , i z LL n,. 75 4- U L w U o I L CD o O > U cn � ICU 4--. f� ■ U O Lo CD �: o .Q cu t •f - --- �'• -'C- ---- y -- .,,ter,,.... ,,,, ,< `; �y. � �s .I V r `� �� -�� l _ �� ;o�l< < r c XC,-� 441NG DEMOLITIC -- PERMIT APPLICATION Department of Community Development City of Arlington - 238 N Olympic Ave. - Arlington, WA 98223 - Phone (360)403 3431 - FAX(360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED TWO(2)SETS OF FULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP PLAN, TWO(2) COPIES OFAN ASBESTOS ABATEMENT REPORT COMPLETED BYAN APPROVED AGENCY. Type of Permit: (check one) (esidential ( )Commercial Project Address: �� P) 6a` t7 t Parcel ID#: Lot#: �s � Q:;� Subdivision: t � Building Area(Sq Ft) 4-yf�O No. of floors: ` Number of Buildings: Z- Owner:-1--)'Q�Af�� L,)A NIJ \J0,rW1v4kif Phone Number: � ' N Address: �� Zr'X,t ~�� City: +� State: y - Zip Code: C.2jr:;4-__ Contact Person::A4a N Phone Number: cn,7&-b?n Cell Phone: C,�L(�7(� -��g 1 Fax: �j(�1(� - _p`3 E-mail- Address: � `t �1 City: State: Zip Code: Scope of Work: l'� �—\��►� b� QQ Contractor: --<'.r�l� N\�L- 1:Rcox4i u-,\ -, Phone Number: �r'� -�LEI Address: 1,,-( ` � %�` City: NO--1- State: Zip Code: Contractor's License Number: - ��- �,�CD-z- Expiration: 5 - Z-co-1 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 Date rA R \) 'rAk (=E OCT o 3 '2o06 r Print Applicants Name CCU► PERMIT CENTER FOR STAFF USE ONLY Permit# Accepted by Amount Received Receipt# Date Received WEB Forms—14 Page 1 of 1 5/05 dwa CITY OF ARLINGTON CONSTRUCTION PERMIT dr ❑ COMBINATION ❑ BUILDING [5j MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO: - OWNER MAIL ADDRESS CITY ZIP PHONE Betty Davis 118 S French Arlington 98223 : 435-4074 ARCHITECT OK UESIGNEK MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTUR MAIL ADDRESS CITY LIP PHONE LICENSE Cozy Heating Inc. y.O. Box 335 Arlington 98223 435-4904 COZYHT*122MM MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NEW ❑AUDITION ®ALTERATION ❑REPAIR ❑UEMOLI(ION ❑BUILDING RELOCATION VALUATION OF WORK s 1400 DESCRIBE WORK Furnace change to gas PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- SFR TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT-BLOCK-OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. LOB ADDRESS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 118 S French X �r (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILEI) AIR COND.UNITS - H.P. EA, BAIEIIUB REFRIGERATION UNITS - H P EA. LAVATORY (WASH BASIN) BOILERS - H P EA SHOWLR GAS FIRED A C- UNITS-TONNAGE EA KI ICIILN SINK & DISP. I FORCED AIR SYSTEMS - B.T.0 MEA DISHWASHER WALL HEATERS- B.T.U. M LAUNDRY I RAY UNI1 HEATERS- B.T.U. M CLOIHLSWASHER EVAPORAI IVE COOLERS WAIERHEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE FLOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC ) WATER HEATER GAS PIPING 3 00 SUBTOTAL f SUBTOTAL f PERMIT f PERMIT f TOTAL FEE $1 TOTAL FEE f 0 SIUL YARD SL IBACK STRLLT SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO. USE /ONE LOT AREA VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG BUTDING f SILL OF BLDG. NO-Of STORIES MAX.OCC.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 27 On COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. Mechanical only SEC.303(a) WATER/SEWER FEES TOTAL -r; PERMIT VALIDATION - v T WHEN PR/OPERL', ALID TED (IN THIS SPACE) THIS I EIPT PAID ` CR#ge /vhh cc:ASSESSOR, APPLICANT,TREASURER, BLDG DEPT GOFRCI.AL DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Gr.__r_r4 Oe�,ll S 1 I$ en, , 6(nUt- . 52 22-3 4 3 Y 44)-2 L1 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N PLUMBING CONTRACTOR MAIL AD RESS CITY ZIP PHONE LICENSE N 3 2 5 PS' L4L4( 11>_t Z C135'-mi1014 GoiK I- Ii1. . CLASS OF WORK ❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI I ION ❑BUILDING RELOCATION VALUATION OF WORK s t Lkob D RISE WORK DES f" CAS PROPOSE D USE.OF BUILDING s l� �� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA4 - . TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DtS(RIPTION OI PROPt RTY ISHOWN BFLOW OR ATTACH FOUR COPIFS) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES IZYkAR FROM DATE OF ISSUANCE. SIGNATURE OF C OR (A DATE 108 ADDRI SS VIR X v (OFFICE USE ONLY) MECHA )CAL PLUMBING NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND.UNITS - H,P EA BAIIITUB REFRIGERATION UNITS -H P.EA. 00 AIORY (WASH BASIN) BOILERS- H P.EA SHON`hR 6AS FIRED A.C. UNITS - TONNAGE EA, KI ICIILIa$INK & DISK L FORCED AIR SYSTEMS - B T.U. MEA Q DISHWASHL-K WALL HEATERS- B T.0 M LAUNDRY TM( UNIT tIEATERS- B.T.U. M ( LOIIILS WASHLk EVAPORAI IVE COOLERS WATER HEATLR CLOTHES DRYERS URINAL VENTILAI ICN FAN DRINKING FOUN I AIN RANGE FIOOD COMMERCIAL I LOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLLADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,E ICI WATER HEATER GAS PIPING SUB TOTAL s SUBTOTAL s PERMIT f PERMIT $ / C TOTAL FEE f \ TOTAL FEE $ SIDE YNNSE IBACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USF/ONE \ LOT AREA VACANT SIT- �- [:]YES �]NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG i SIZE Of BLDG. NO.Of STORII S-�,, MAX.OCC.LOAD BUILDING S PLUMBING �IRE SPRINKLERS REQUIRED ❑'Y.ES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE Z ENERGY CODE SURCHARGE "st/•/1f/�• 71) PENALTY U.B.3 SEC.303(a) f WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT - - PAID CR# BY cc: ASSESSOR, APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY