HomeMy WebLinkAbout17910 59TH DR NE_BLD20080083_2026 CITY OF ARLIN-GTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
/ PHONE:(360)403-3421
Permit #: BLD20080083
BUILDING PERMIT
Project Address: 17910 59TH AVE NE, ARLINGTON
Parcel No:
PROPERTY O.
ARLINGTON MUNICIPAL AIRPORT ARLINGTON MUNICIPAL AIRPORT ARLINGTON MUNICIPAL AIRPORT
18204 59TH DRIVE NE 18204 59TH DRIVE NE 18204 59TH DRIVE NE
ARLINGTON,WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223
Phone:360,403 3471 Phone:360.403.3471 LICENSE#: EXP:
Email: Email:
PLt)MBING CONTRACTOR MECHANICAL CONTRACTOR
Lie#: Ex : Lie#: Ex :
DESCRIPTIONJOB
DEMOLITION OF BUILDING AND CONCRETE FOUNDATION-Bldg. 17910
VALUATION: $0
PERMIT TYPE:Commercial PERMIT GROUP:Demolition
NUMBER OF STORIES: 1 ITYPE OF CONSTRUCTION:Vb
NUMBER OF DWELLING UNITS:0 JOCCUPANT GROUP:S
CODE:2006 JOCCUPANT LOAD:
EXISTING AREA PROPOSED AREA
BASEMENT:0 1ST FLOOR:O 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
FRONTiACK SIDE SETBACK ' SETBACK
RE UIRED: PROPOSED: [REQUIRED: PROPOSED RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED
SETBACK NOTES:
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.
Signal re Print Name Date 'leased By D to
ATTENTION
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.UBC109/IBCI10/IRC110.
ARCHIVE APPLICANT ASSESSOR OTHER
I
.:
BLD20080083
CONDITIONS
• The existing supply line is still live and will need to be protected until it can be disconnected and capped by the contractor at
the main line.
PERMIT FEES
Descrippop Fee Amount Paid. BalanceDue_
C-Plumbing Permit Fee $0.00 $0.00 $0.00
C-Mechanical Permit Fee $0.00 $0.00 $0.00
Total Due: $0.00 $0.00 $0.00
INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE
PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
CALL FOR INSPECTIONS
BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection
beine requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer mornine or afternoon.
• None
BLD20080083 - arusko Page 1 of 1
BLD - Building Permit Ver: 2008 Priority: FNWrm-77-1 #BLD20080083
owner: JARLINGTON MUNICIPAL AIRPORT- status: JAPPLIED
address: 117910 59TH AVE NE, ARLINGTON post date: 4/2/2008
data screens: Select Screen... J functions: Select Permit Function...
Derilolitiorr
REVIEWS
Add Review Remove Review Print Close
Review I Description Assigned To Due Date ( ) Req? �_ ID ne? i ASSIGN
1026 P-Utilities Fees RSHEPARD 4/16/2008 0 Y N ASSIGN
1032 P-Utilities I LTAYLOR 4/16/2008 0 Y N ASSIGN
2000 C-Building I CYOUNG 4/16/2008 0 N ASSIGN
2008 C-Community Development I ARUSKO 4/16/2008 0 Y N ASSIGN
MIL
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http://coaweb2.arlington.local/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?... 4/2/200 8
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4o0-vY °A. DEMOLITION
7 o PERMIT APPLICATION
<�nr c,� Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 •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) ( ) Residential (x)Commercial
Project Address: 17910 & 17920 59TH AVE AND 18615 58TH AVE Parcel ID#: 00448200000100
Lot#: Subdivision: Valuation: $0
Building Area (SgFt)3168; 3233; 3920 No. of floors: 1.25; 1; 1 Number of Buildings: 3
Owner: ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Contact Person: JOSEPH ALEXANDER Phone Number: (3600 403-3471
CeIIPhone: (425) 754-1732 Fax: (360) 435-1012 E-mail: jalexander@ci.arlington.wa.us
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Scope of Work:
DEMOLISH THREE OLD BUILDINGS AND CONCRETE FOUNDATIONS. THE PROJECT WILL BEGIN BY SALVAGING SOME
LUMBER FOR RE-USE, THEN A CONTRACTOR OR THE DEPT. OF CORRECTIONS WILL BE HIRED TO FINISH THE
DEMOLITION WORK. ALL ASBESTOS MATERIAL HAS BEEN REMOVED (SEE ATTACHED) . BUILDING 17910 59TH WILL
BE DISCONNECTED FROM THE SEPTIC SEWER SYSTEM. THE SEPTIC SYSTEM WILL REMAIN ACTIVE BECAUSE ANOTHER
BUILDING, 17928, IS STILL USING THE SYSTEM. BUIDLING 18615 58TH SEPTIC SYSTEM WAS DECOMMISSIONED
IN 2006. BUILDING 17920 59TH DOES NOT HAVE SEWER. ALL OTHER UTILITIES WIIL BE DISCONNECTED-AND,
IF NECESSARY, DECOMMISSIONED (WATER, GAS AND ELECTRICITY) PRIOR TO THE DEMOLITION.
Contractor: CITY OF ARLINGTON, ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City. ARLINGTON State: WA Zip Code: 98223
Contractor's License Number: NSA Expiration: N/A
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.
'Ll OAO L fir; r,2.06
Applicants Signature —�Date
,lywIn A{ Jg(
Print Applicants Name
II CF I '�;
APR 012008
FOR STAFF USE ONLY CCA PERMIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—14 Page 1 of 1 3/07 dwa
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OFFICE COPY
CITY OF ARLINGTON
r-- BUILDING DEPARTMENT
7928
DATE - BY
NO CH NGES, AUTHORIZED I �
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UNLESS APPROVED BY 711
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ABATEMENT DOCUMENTS
BUILDINGS 17910& 17920 59TH AVENUE NE (AIR TRANSPORT BUILDINGS)
MEMO-GARY BROCK, CORRECTIONAL INDUSTRIES/ENVIRONMENTAL SERVICES 10/29/2007
ASBESTOS WASTE SHIPMENT REPORT 11/04/2007
POLARIZED LIGHT MICROSCOPY TEST REPORT 08/30/2007
POLARIZED LIGHT MICROSCOPY TEST REPORT 12/26/2006
BUILDING 18615 59TH AVENUE NE (OLD FIREHALL BUILDING)
MEMO-GARY BROCK, CORRECTIONAL INDUSTRIES/ENVIRONMENTAL SERVICES 01/15/2002
ASBESTOS AIR MONITORING ANALYSIS REPORT 08/08/2000
ASBESTOS AIR MONITORING ANALYSIS REPORT 08/09/2000
ASBESTOS WASTE SHIPMENT RECON 08/24/2000
BUILDING ASSESSMENT REPORT 11/30/1999
ANALYSIS REPORT- LEAD IN PAINT 10/26/1999
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- 1029/2007 09:48 FAX 360 586 0036 FFC & E/S Q 002/004
Correctional
Industries
Memo
Tol Dale Carman f
From Gary Brock
Dater 10/29/07
RC Abatement Project
On 8/27107 Correctional Industries/Environmental Services removed approx. 1,500 sf of asbestos
containing exterior siding board from the Alr Transport/Old firehouse building located at Arlington
Airport.This removal was performed using certified asbestos workers under the direct supervision of a
certified asbestos supwvlsor.All materials were property containerized and delivered to an authorized
transporter for disposal at Northam Wasoo Co.landfill In Oregon.(See attached disposal manliest)
During the removal a secondary layer of material was observed under the CAB. Two bulk samples of
this materiel was collected and forwarded to an accredited laboratory for analysis. Results were
negative for asbestos content. (See attached test report)
The cement asbestos board was the only material removed. Baeed upon the good faith survey dated
1212SMS no other asbestos containing materials were,Identlffed In this building.However, care must be
taken to insure that during any demolition, renovation or other activities, should any materials not
addressed In the survey report be encountered, said materials not be disturbed until assessed by a
certified AHERA budding Inspector,
e Page i
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- 10128/2007 08:49 FAX 360 586 0036 FFC 8 E/S 10004/004
ASN 4 ASBL vTOS WASTE SHIPMENT kir PORT FORM
'''� PLEASE PRDIT OR TYPEI If you bave questlam,camed im local DEQ Reponsl OtRa in Portland at(503)229-
5364,Bohm at(103)3784240 ext.272,Medford at(541)776.6010 on 233.or Band at(541)399-6144 on 226,OR
a • call(900)452.4011 for the lacation of your local regional DEQ office.
WASTE GENERATOR.(CArttmct0r.Facllity,or Operator)
1. Asbestos removal site name and sddress: tab►Of AtlinAton airport
6111188th place ne Arlinow Wa Snohomish 99223
Street Clty/8tate c4mq zip
Contact Poison: Dale Carmen Phone-, 425-754-7723
2. Operator's name and address; Correctional industries Environmental Scrviium Phone:(253)589-7370
P.O.Box 991059 3tillacoorn/Wa Plarce 98499
Strove OW/Stata cmwty zip
3. Waste disposal site: Northern Wasco Co,Landfill Phone: (541)943-00/9
2550 Steel Rd. The Dallas/Or. Waaoo 97058
Sorer chy1ftm couaW zip
4. Describe asbestos materisla;
S. Contatinera: Number: 5barrishA barn Type: bane
6. Total quantity(cubic yards): 5
7.OPMUTOA'S CMUTMCATIONr I haft declare that the omrmis of dw aomipmem ere A*and eoaaelaty
deeuibad above by p Ww ahippmg n end ere dus&W,pw1u4W.merkad sod laheled,and one is ell nespeeo m
proper condition for etraeport uwr&%m all 6ovcn an reSladoot. All movemml of dda wbeetoe tao>sinin=
mstaial is mwded go this wsrte Shipment Rid Pam.
Name: Company:Correctional Indu,tries/Env.Sa.
Si Date: 8/29/2007
TRANSPORT'ER(S):
8. Transpoft,01:( led 0 of materials)
Agent: Company!
Ll
Address: /� Phone: J „�
Signature: DaseU U�
9. Transporter 92:( wledgment of receipt of materials)
Agent: Compatry:
Address; Phone;
Signature: :
DISPOSAL:(Cartificafm of reoei;n of asbesbos maerials covered by this manifest,except as rAW in item I 1 below.)
10.Waste Disposal Site: WASCO C 12330 Steel RD.The Dallas Or.97056
Name and Title: 4Nv;gNtM119SftAAV&6SEP 200
Signature; AMIIIAtAL •
_..
11.DISCREPANCY SPACE:(Add attachments as deeded)
10/29,/2007 09:48 FAX 360 586 0036 FFC & E/S 1a003/004
'Aui, 30. 2UU1 1 . 35rM N"- tnvironmental Services No, 5232 P. 2/2
ORIONEnvironmental Services
An X13v9ronrns9tnl Corn lianct COWUhing Firm
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctional industries Environmental Services Date August 30.2007
PO Hex 41115 Page Page 1 of 1
7hunwger,WA 98504 Invoice 073897
Ann Gary Brock Date Received August 30,2607
project Number N/A
Project Name Arlington Airport
Old Firchouse
Client Orion Sample Alfbestsos Other
lumkI Number Stereo Scone_EYsm Tims1mgInt el ezlt Fibers
AT007-001 70830.18 Exterlor Wallboard Crush ND - Cellulose
1Hlomogetteoue
AT007-002 70830-19 Exterior Wallboard Crush ND - Cellulose
Homogeneous
Dup:Laboratory QA/QC Duplicate;M;Mastic((a),(b),(c),em.).Semple layer&numbered ftorn front to back.
Comments: For layered samples,each component Ms boom 4m gynd&apar&tely. ND means non-detect for
asbestos fibers by EPA Method 600/R-96/116.Diaclaimers: PLM has been known to miss asbestos in a small
percentage of samples that contain asbestos. Thus,these laboratory rosulu represent due dlligenco,however
negative or t1 %PLM results can not be guaranteed,Per EPA guidelines samples will be archived for 30 days
then will be disposed of.This report may only be reproduced in full with written approval of ORION
savuUnmental smvices.
Analyzed By jd A AQP Reviewed By
Nelson U.Mliee UF AI cn Clark
Sr. Industrial Hygienist Liaborotory Analyst
r 4AV TnVkMMental Comp&"Cbanrl ng Irasa t&210,Csnaay
34004-91"Avenue South • Suite 5 ♦ Federal 'Way, Washington 98003.6740
• Tacoma(253)952-6717 ♦ Seattle(253) 974-9119 ♦ Facsimile(253)927.4714 • Email Infb 0ri0nES,net
WBE W2F9219763
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ORIONEnvironmental Services
An Environmental Compliance Consulting Firm
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctional Industries Environmental Services Date December 26, 2006
PO Box 41115 . Page Pagel of 2
Tumwater, WA 98504 Invoice 065532
,Attn: Gary Brock Date Received December 19,2006
Project Number PO#ES000422
Project Name Arlington Airport
Air Transportation,Office
Client Orion Sample Asbestos Other
Number Number Stereo Scope Exam Treatment Percent Tvne Fibers
ATO-01-01a 61219-58a Wall Texture ND _
Assoc. w/ATO-01-01c
7, ATO-01-01b 61219-58b Joint Compound - <1 Chrysotile Cellulose
Assoc. w/ATO-01-01c
ATO-01-01c 61219-58c Wallboard - ND
Homogeneous
= ATO-01-02a 61219-59a Wall Texture - ND
Assoc.w/ATO-01-02c
ATO-01-02b 61219-59b Joint Compound - ND - Cellulose
Assoc.w/ATO-01-02c
ATO-01-02c 61219-59c Wallboard - ND -
Homogeneous
ATO-02-01a 61219-60a Ceiling Texture - ND - -
Assoc.w/ATO-02-01c
{' ATO-02-01b 61219-60b Joiiat Compound - ND - -
Assoc.w/ATO-02-01c
G ATO-02-01 c 61219-60c Wallboard - ND - Cellulose
Homogeneous
J,o ATO-03-01a 61219-61a Roofing Ash ND -
Homogeneous
( ATO-03-01b 61219-61b Roofing Ash ND - -
Assoc.w/ATO-03-01a
I L ATO-03-01 c 61219-61 c Roofing Ash ND Cellulose
Assoc.w/ATO-03-01a
34004-91h Avenue South ♦ Suite 5 ♦ Federal Way, Washington 98003-6740
♦ Tacoma(253)952-6717 • Seattle(253)874-8118 • Facsimile(253)9274714 • Email Info@0rionES.net
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. ORION
Environmental Services
An Environmental Compliance Consulting Firm
Polarized Light Microscopy Test Report
EP.A. Method 600/R-98/116
Client Correctional Industries Environmental Services Date December 26,2006
PO Box 41115 Page Page 2 of 2
Tumwater, WA 98504 Invoice 065532
Attn: Gary Brock Date Received December 19,2006
Project Number PO#ES000422
Project Name Arlington Airport
Air Transportation Office
Client Orion Sample Asbestos Other
Number Number Stereo Scope Exam Treatment Percent Type Fibers
3 ATO-03-01d 61219-61d Rooting _ Ash ND - -
Assoc. w/ATO-03-01 a
`f ATO-04-01 a 61219-62a Ceiling Texture - ND - -
Assoc_w/ATO-04-01c
/ ATO-04-01 b 61219-62b Joint Compound - ND, - Cellulose
Assoc. w/ATO-04-01c
ATO-04-01 c 61219-62c Wallboard ND - -
Homogeneous
ATO-05-01 61219-63 Window Putty - ND - -
Homogeneous
' ATO-06-01 61219-64 Black/Light Gray polled Ash ND - Cellulose
Roofing Fiberglass
Homogeneous
Dup:Laboratory QA/QC Duplicate;M;Mastic[(a),(b),(c),etc.]:Sample layers numbered from front to back.
Comments: For layered samples,each component has been analyzed separately.ND means non-detect for
asbestos fibers by EPA Method 600/R-98/116.Disclaimers: PLM has been(mown to miss asbestos in a small
percentage of samples that contain asbestos. Thus negative PLM results cannot be guaranteed.Per EPA
guidelines samples will be archived for 30 days then disposed of.This report may only be reproduced in full
with written approval of ORION Environmental Services.
�i
Analyzed By OA 3' azkReviewed By dP.(�o__
Nelson B.Miles III ,Allen Clank
Sr.Industrial Hygienist Laboratory Analyst
Leai s%W EnvironmentidCompGat+ce ConsuCtiing Into the 214t Century
34004 -0 Avenue South • Suite 5 ♦ Federal Way, Washington 99003-6740
♦ Tacoma(253)952-6717 ♦ Seattle(253) 874-8118 ♦ Facsimile(253)927-4714 ♦ Email Info@OrionES.net
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Memorandum
To: Dale Carman R
From: Gary Brock
Date: 01/15/02
Re: Old Firehall Abatement
On 8/7;00 and 8/8/00 Correctional Industries Environmental Services removed asbestos containing
ceiling texturing, flooring tiles, cementinous wall board and pipe insulation from the"Old Fireball",
located at Arlington Airport as identified on the Building Assessment Report dated 1 1/30'99. Based
on the initial survey, abatement records and post abatement inspection, I am of the opinion that all
identified asbestos containing materials have been removed from this building.
Should any suspect materials not previously identified be encountered, they must not be disturbed
until analyzed for asbestos content and if asbestos contamme be properly removed.
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nuwit. KIAHDASSOCIATES 2539240323
P. 01
NOWICKI & ASSOCIATES, INC.
ASBESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number:00812 Project: Arlington Flrehouse PO #763 Z82
Page: 1 of 1
Client; Correctional Industries
Date Sampled: 8-7-00 Date Analyzed: 8-8-00
Submitted By; Sid Corter
Date: 8-8-00 Received By: REN
Sample Description Type Time Start Flow
Of Time End Rate Fiber
# Sample A, PA Per Fiber/CC
^ P P0, P, C Total Time Total Fields
0011 CLEARANCE C E: 4:00 R: 15.0 Um I -
On type C 211100 1 0.009
T: 80 min V: 1200 L
S. R.-
E.
-- -- --- T. V.
S: R-
E:
----- T. V:
S: R:
E:
-- i -- -- - T: V: I —S. R.. -
E:
— —- --- T V:
S: R. -
E:
T- V:
(A) Area Sample (PA) Pre Abatement (PO) Post Abatement (P) Personal
(C) Clearance
Comments:
— - — Analyst:
F
ast Microscopy (PCM): NIOSH Analytical Method 7400, A Rules
jection Limit: 2 FJBERS/100 FIELDS
tltaion Limit (LOL): 10 FIBERS/100 FIELDSn Anelytical Testing (PAT) PROGRAM ID NUMBER: 98003001
33516 9"'Avenue South, Bldg #6 • Federal Way, WA 98003 (253) 927-5233 (253) 924-0323 FAX
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AUG-09-00 03 :34 PM NOWICKIANDASSOCIATES
'P39240323 P. 01
NOWICKI & ASSOCIATES, INC.
ASBESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number. 00814
Pape: 1 of 3 ProlOCt: Arlington Fire House AW.200
DaE e Sampled: 8-718.00 Client: Correctional Industries
Date Analyzed: 8.9.00
Submitted 8y: Sidney Carter
Date: 8-0-00 Received By: PAC;
Sample Description Type Time Start Flow
A. PA Time End Rate Fiber
Sample PO, P, C Total Time Total Per Fiber/CC
Fields
001 Fun Containment-Cslling Scrape S; 9:00
Pro Abatement PA R: 15.0 Um
-� (1)A,I,p E: 10.29 34/100
T: 89 min V: 1335 L 0.012
002 Regulated Arse-Floor rileTSI/CAB S: 9:09
Pro Abatement P R: 15.0 Um
q
(1)A,I,p E: 10.33 38/100 0.014
Regulated Area-Floor T1le TSI/CAB T. 84 min V: 1200 L
Q03 Randy Ferguson 532.78.0837 S: 12:00 R: 2.0 Urn
02037M P E: 3;00 Overload
1) 8-1-TWA(2)C.H,M T: 180 min V: 360 L w/dirt N/A
I Regulated Area-Fbor Tile TSUCAB
004 Justin Ahlbom 537-68-2641 S: 12:00 R: 2.0 Um
020373-00 P E: 3:36 Overload
(1)B,I,TWA(2)C,H,M T: 210 min V: 432 L I w/dirt N/A
R0901ted Area--Floor Tile TSI/CAB
Q05 Raymond Jackson 574-58.9107 P S: 12:06 R: 2,0 Urn
021005-00 STEL E: 12:39
(1) 9,I,STEL(2) C,H.M T: 33 min 37/20 1.373
Reg ulated Area-Floor Tile TSI/CAS V: 66 L
006 J0680 war 535-78•9447 P S: 12:06 R: 2.0 L/m
020381-00 STEL E; 12:40
(1)B,I,STEL 2)C,H,M T: 34 min V., B8 L �100 0.158
(A)Area Sample (PA) Pre Abatement (PO) Post Abatement P Person
al net (C) Clearance
Comments:
Analyst:
Phare Contras! Microscopy(PCM): NIOSH Analytical Method 7400,A Rules
Min►rnum Delloction Limit: 2 FIBERS/100 FIELDS
Lower Ouanititelon Llmlt (LOL): 10 FIBERS/100 FIELDS
Pronclency In Anelyt;cal Testing (PAT)PROGRAM ID NUMBER: 08003001
33516 g"'Avenue South. BJdg;gt6 a •- ---•-•-•-•-•_._...-----•-•-•-... ....._ ...._._.-,-•-•_. ._._ ...._._ .,.._._..._._ _
Federal Way, WA 96003 • (253)927.5233 • (253)924.0323 FA
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RUG-09-08 03 :35 PM NOWICKIANDRsSOCIATES
• -539240323 P. 02
NOWICKI & ASSOCIATES, INC,
ASBESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number: 00814
Pape; 2 of 3 Pro)ect: Arlington Fire House AW2o0
Oat le Sampled: 8.7/8.00 Client: Correctional Industries
Submitted By: Sidney Carter Date Analyzed; 8.9-00
Date: 8.0.00 Received By: PAG
Sample Deis cOripUon Type Tang Start Flow
_ Sample A. PA Time End Rate Fiber
PO, P. C Total Time Total Per Fiber/CC
Full Containment-Ceiling Scrape Fields
007 Charles U 02o3eo0380 532-72-6537 P S: 1:20 R: 2.0 Um
.� I(1) D,H,I,3TEL (2)C,H,M STEL E: 1:58 T: 38 min 21,1100 0.142
Full Containment-CallingV: 72 L I
00.8 Kenneth Driscoll 531-8 -4820
S; 1:22 R. 2.0 Um
020377-00 P E. 3:12
(1J B,t•i,t,TWA(2)C.H,M T: 110 min V: 13/100 0,028
Full Containment—Ceiling$crepe 220 L
009 Entrance to Decors S: 1:17 R: 15.0 Urn
(1)A,0 A E: 2:38 29/100 0,011
T: 81 min V: 1215 L
010 I Full Cor tain.ment—Ceuing scrape
I Negative Air Mechfne Exhaust S: 1:00 R: 15.0 Um
A
(1)A,0 E: 2:20 2/100 CUM
T: 80 min V: 1200 L
012 Field Blank S: R:
E: 1/100
T: V; N/A
013 Control Blank S: R:
E• 0/100 N/A
T: V.-
(A)Area Sample (PA) Pre Abatement (PO) Post Abatement p) p
Comments: ( Personal (C)Clearance
Analyst: I
[Prorkc4ency
arm Contrast Microscopy(PCM): NOSH Anal nimum Detection Limlt: 2 FIBERS/100 FIELDS el Methed 7400,A Rules
wer Quenrtitaion Limit(LOL): 10 FIBERa/100 FIELDS
In Analytical Testing (PAT)PROGRAM ID NUMBER: 96003001
33516 9"r Avenue g -•---•---•-•-•-----•--_._._._._ .._._.-•--- -•-•- -•-•--- ---•--- -•--- -•-•---._ - -•-
outh, 9ldg #6 Federal Way, WA 98003 • (253)027-5233 •
(253)924-0323 FAX
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'539240323 P- 03
NOWICKI & ASSOCIATES, INC.
ASBESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number:00814
ProJect: Arlington Fire House AW-200
Pages: 3 of 3
Client: Correctional Industries
Dete'Sampled: 8.7/8.00
Date Analyzed: 8.9.00
Subi pitted 8y: Sidney Carter
Date; $4.00 Received By: PAG
Sample Description Type Time Start Flow Fiber
Sample A. PA Time End Rate Per Finer/CC
P0, P, C Total Time Total Fields RepulalsrJ er a-Floor Tile TSuCAB
014 Randy Fe0gugom 2037e-p0 -78-9837 P S: 8:30 R: 2.5 L/m
E: 10;15 Overload
(1)8,1,TWA(2) c.N,M T: 105 min V: 262.5 L w/dirt N/A
Regulated Aren-Floor Tile TSI/CAB
01.5 Joeaph Wolf 535-78.9447 p S: 8:35 R: 2,0 Um
020381-00 I STEL E. Ue Overload N/A
(1) B,I,STEL (2)C,H,M T: 31 min V: 82 L w/dlrt
Old Regulated Arae-Floor Tile T31/CA3 S: 10:20 R: 15.0 Um
CLEARANCE Sample C
(1)A,l,C E- R:
43/100 0.017
I T: 80 min V: 1200 L
Full Containment-Coiling Scrape 017 CLEARANCE Sampie R. 15.0 Um
(1)A,. C C E: 12:00 No analysis necessary
—_ T: 80 min V: 1200 L
Ole Control Blank S: R:
E: 0/100 NIA
T: V:
S: R:
E:
T: V.
(A)Area Sample (PA) Pre Abatement (PO) Post Abatement (P) Personal O C Clearance
Comments:
Analyst:
FPhaaeest Microscopy(PCM): NIQSH Anelytkal Method 7400, A Rules
ection Limit:2 FIBERS/100 FIELDS
italon Limit(LQL): 10 FIBERS/100 FIELDS
Analytical Teatlnp (PAT)PROGRAM ID NUMBER; 98003001
33516 S"'Avenue South,h t3i . . . . . ._.....-•---•_.. ........_.- -------•- ,...-•---•-•- - -•- -•- . _._._._
dp � • Federal Way, WA 08003 ••(253) 027-5233 •• (253) 924-0 323 FAX
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Asbestos Waste Shipment Recon.
1.Work Site Name and Mailing Address: Owner's Name: Owners
Telephone:
Arlington Airport Fire House Arlington Municipal Airport
18204- 59th Drive NE (360)435-8554
G Arlington, WA 98223
E 2.Operator's Name and Address: Operators
N Correctional Industries, Services Section/Asbestos Program Telephone:
E Lakewood Industrial Park (253) 589-7370
R 9704-47th.Avenue S.W., Tacoma , Wa. 98499
A 3.Waste Disposal Site (WDS) Name, Mailing Address, and Physical WDS
T Site Location: Oregon Waste Systems, Inc. Telephone:
O Columbia Ridge Landfill & Recycling Center (541) 454-3318
R 18177 Cedar Springs Lane. Arlington,Oregon 97812
4. Name and Address of Responsible Agency: Puget Sound Air Pollution Control Authority
110 Union Street, Suite 500
Seattle, WA 98101-2038
5. Description of Materials: 6.Containers: 7. Volume (cu. yds.)
VAT,TSI,CAB,Acoustic Ceiling No.: Type: 2.8
40 Bags - - -
8.Special Handling Instructions and Additional Information:
Thorouqhly Wetted and Double Bagged.
9.Operator's Certification:I hereby declare that the contents of this consignment are fully and accurately described above by
proper shipping name and are classified,packed, marked,and labeled,and are in all respects in proper condition for transport
by highway according to applicable international and government regulations.
Printed/Typed Name and Title: gnatu e: Date:
Roy Syrovy; CIS-A 1= A 8/8/00
T 10.Transporter 1 (Acknowledgement of receipt tam erials
R Printed/Typed Na a and Title: Pnnt rTypgd Name of Driver: Date:
N Q,� � 6igd1%Ct Signature:
S Address and Telephone Number: �� r�� �7r�
P 3 x-.38$D
O 117ransporter 2 (Acknowledgement of receipt of materials):
R Printedfryped Name and Title: Printed/Typed Name of Driver: Date:
T
E Signature:
R Address and Telephone Number:
D 12.Discrepancy Indication Space:
I
S 13.Waste Disposal Site Owner and Operator: Certification of receipt of asbestos materials covered
P by this manifest except as noted in Item 12.
O Printedfryped Name and Title: Signature: Date:
L
msofficeWxcer%forms%wstman.xis Form WSR-20MI
Correctional Indnstrin/Environmental Services
Le4rw.d*WkMNd J%rlt
ON4 410 Avow SMPO lox type.
TOMM WA M4"
Aiaffic f1s�Jdl�7.il6fax:pJ�a Sd�-7Jtt
Building Assessment Report
1140/1999
Dale Carmsm
Plant MVU4W
Arlington Municipal Airport Audwr ty
18204 590 Drive N.E., Arlingtcm,WA 98223
Re:Old Fire StOce located on Ariingwn Airport Lot 35.
CI 13rlvlronme2tal Services Job NBW 075
Dear Mr.Carman:
Per your request to proceed of M20/99,we bave conducted a "good huth" limited asbtctos and leaf building
survey usaurnsnt to deb rmine the prosence,condition and quanddes of asbestos and/or load eonuining mstcrlals
found in the old fire station at the Arlinpoa Airport, Onr report is submitted on.[time tit materWs'not-to-Vxeed
brain. Your oismnixation w dl be invoiced for laboratory tors time and labor costs and supplies.
17 Bulk samples of potential asbwtm containing mstxisis were taken for testinf in addition to 2 pr.int sae Iles to
be tinted for lead content. sampled included! sheatrock,p4wtoz, bugdmg paper, window butt„te+crurtQ
ceiling surfacin& exterior siding liner, floor tile, roofing materials vW paint,
Mat+eriala found fo in aludo asbestos *w :
I. Texture Ceiling(lasted in a small office on North side of auii4itmg;
I Floor Tilt(located in a tool room lstore area on Somb side of buildiW
3. Plater(cementiRivus material located boncath ahaetrock on interior%411 of the old showedbrmroom,
SE aomw of bwildhW
d. TSI(pipe insulation)was prerent in small quatities(located in the oW ahVWa/b8 rocm area)and is
presemM to cocain ACM
Materials fotmd$o inches lead wero;
1, Exterior Paint(samnd locations over the eattsrior of buildW
2. ExtNIM'(7im Paint(10cRIORS sU01t as windows$door frames on"nor of bull&&,
We have visually idattified suspected asbestos and W containing building materials, collwed buih samples of
sur"acd materials,and oontr eW a qualified laboratory to analyze samples. The laboratory analysis rerort
includes temple collection detsd s and laboratory arudysis of suspect materials. All samplings were condu.xd
under the direct supervision of Mr.Gary Brock,an EPA accredited A BRA Inspector,eertLficatior,number L/NQ-
NA1-9",
S In ly,
i
Guy Brock
AHLRA Building Impeceor I/MP-NAI.99.09
Coi roWmal Induaries/finvinotvtteatal Smicas
9704 47dk Avenue IW PO Box 9996S,Tuonu WA 92499
Phone:(233)SM7370 Fax:(20)S89.7383
MACS Lab, Int..
Ar>Ialysis Report
2070A Walsh Avenue
Santa Clara, CA 95050.2542
(408) 727.9727 Lead In faint
USEPA 7000/7420
Nowicki & Associates, Inc.
Person to contact: Gary Brock
33516 9th Avenue S. - Bldg. 6 Contact phone: (253)927-5233
FAX phone: (253)924-0323
Federal Way WA 98003 Samples received on: October 25. 1999
Report prepared on: October 26. 1999 at:09:25
Ucrresponding invoice number: 82203
,lob Number BW075
Charles Bond
Analyst: Laboratory rnaiidgu:.---
_ (signature) (signal e)
Job Description: DodC/Arlington Airport-Old Fire Station
Lab sample Client Sample Numper Calti Rcvd AC LW Lead
Number and Description # I OK Ieptdl ppm ! % ppm mWcm2
P82203.1 AFL-01-01 4904 ® ® 4,050 7.61 76,100 NIA
Exterior paint
P82203-2 AFL-02-01 4904 3,850 7.86 78,600 NIA
Exterior paintArlm r
End of report.
Re:�EivD
Nov 0 2 199g
Cl TUNSPORTATION
APO tC",F
ACCI•;r
PG#
T is report may not be reproduced except in full and wiLli Il,d Nwrliilsslon of MAO$Lab, Inc.This report relates only
to the hem(s)tested.For Quality Control data refer to Calibration Number GA Report MACS Lab is accredited by
`•S the American Industrial I lyglene Association(All-IA)for the analysis of lead in paint and coil(laboratory ID 011172).
Some paint samples submitted contain substrate material that can't be rerroved from the paint layer.This may
onuoo orronoour,result:..Proper ficid cam piing tochniquoe must be usod. Samples are hot plate d'gested in Nitric
AIHK Acid and Hydrogen Peroxide. Analysis is performed on a flame Atomic Absorption Spectrometer. LOD=Limit Of
ACCRaDItTED DetscHmn. ppm_puts per million rt, 10,000 ppm=1% Nntw: 1 nV/Kg a 1 pprn NOTICE, FOR XAF Confirmation:
LA50RATORY When the actual sampled area is provided to the laboratory. the resufts can be calculated in rrycm2 exactly like
an XRF instrument resutt. Otherwise NO XRF comparison can ever be made because the lab analyzes only a
tPage 1 portion of a normal sample and the area of a scrape can't be known after the fad. Without the area NIA Is reported.
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1 Permit Review Details
Permit: BLD20080083
PERMIT
1020- P-Sewer Complete? Y
04104/2008 frapelyea 5 No Comments. Y
Total Time: 5
1026 - P-Utilities Fees Complete? N
Total Time: 0
1028 - P-Water Complete? Y
04/07/2008 eanderson 20 #1 The water meter has been pulled at this location Y
#2 The existing supply line Is still live and will need to be protected until it can be disconected
and capped by contractor at the main line.
Total Time: 20
1032 - P-Utilities I Complete? Y
04/08/2008 Itaylor 5 No comments Y
Total Time: 5
1034 - P-Utilities II Complete? Y
04/03/2008 jewing 0 No Comment Y
Total Time: 0
1036 - P-Utilities III Complete? Y
04/04/2008 gschlagel 5 No Comment Y
Total Time: 5
2000 - C-Building I Complete? Y
04/03/2008 cyoung 30 Contained asbestos abatement report. CK to issue Y
Total Time: 30
2008 -C-Community Development I Complete? N
Total Time: 0
Total Reviews: a Total Time: 65
4/8/2008 9:23:57 AM Page 1 of 1
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4, 0
DEMOLITION
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • 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 BYAN APPROVED AGENCY.
Type of Permit: (check one) ( ) Residential (x) Commercial
Project Address: Parcel ID#:
� 17910 & 17920 59TH AVE AND 18615 58TH AVE 00448200000100
Lot#: Subdivision: Valuation: $0
Building Area(Sq Ft)3168; 3233; 3920 No. of floors: 1.25; 1; 1 Number of Buildings: 3
Owner: ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City. ARLINGTON State: WA Zip Code: 98223
Contact Person: JOSEPH ALEXANDER Phone Number: (3600 403-3471
Cell Phone: (425) 754-1732 Fax: (360) 435-1012 E-mail: jalexander@ci.arlington.wa.us
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Scope of Work:
DEMOLISH THREE OLD BUILDINGS AND CONCRETE FOUNDATIONS. THE PROJECT WILL BEGIN BY SALVAGING SOME
LUMBER FOR RE-USE, THEN A CONTRACTOR OR THE DEPT. OF CORRECTIONS WILL BE HIRED TO FINISH THE
DEMOLITION WORK. ALL ASBESTOS MATERIAL HAS BEEN REMOVED (SEE ATTACHED) . BUILDING 17910 59TH WILL
BE DISCONNECTED FROM THE SEPTIC SEWER SYSTEM. THE SEPTIC SYSTEM WILL REMAIN ACTIVE BECAUSE ANOTHER
BUILDING, 17928, IS STILL USING THE SYSTEM. BUIDLING 18615 58TH SEPTIC SYSTEM WAS DECOMMISSIONED
IN 2006. BUILDING 17920 59TH DOES NOT HAVE SEWER. ALL OTHER UTILITIES WIIL BE DISCONNECTED AND,
IF NECESSARY, DECOMMISSIONED (WATER, GAS AND ELECTRICITY) PRIOR TO THE DEMOLITION.
contractor: CITY OF ARLINGTON, ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
ontractor's License Number: NSA Expiration: N/A
ereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
�cribed property will be in accordance with the laws, rules and regulations of the Stat of Washington.
Applicants Signature —r Date
Print Applicants Name
RECEIVED
APR 012008
FOR STAFF USE ONLY COA PERMIT CENTER
# Accepted By Amount Received Receipt# Date Received
firms—14 Page 1 of 1 3/07 dwa
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4.INC
DEMOLITION
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • 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) ( ) Residential (x)Commercial
Project Address:L 1791E & 17920 59TH AVE AND 18615 58TH AVE Parcel ID#: 00448200000100
Lot#: Subdivision: Valuation: $0
Building Area (SgFt)3168; 3233; 3920 No. offloors: 1.25; 1; 1 Number of Buildings: 3
Owner: ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Contact Person: JOSEPH ALEXANDER Phone Number: (3600 403-3471
Cell Phone: (425) 754-1732 Fax: (360) 435-1012 E-mail: jalexander@ci.arlington.wa.us
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Scope of Work:
DEMOLISH THREE OLD BUILDINGS AND CONCRETE FOUNDATIONS. THE PROJECT WILL BEGIN BY SALVAGING SOME
LUMBER FOR RE-USE, THEN A CONTRACTOR OR THE DEPT. OF CORRECTIONS WILL BE HIRED TO FINISH THE
DEMOLITION WORK. ALL ASBESTOS MATERIAL HAS BEEN REMOVED (SEE ATTACHED) . BUILDING 17910 59TH WILL
BE DISCONNECTED FROM THE SEPTIC SEWER SYSTEM. THE SEPTIC SYSTEM WILL REMAIN ACTIVE BECAUSE ANOTHER
BUILDING, 17928, IS STILL USING THE SYSTEM. BUIDLING 18615 58TH SEPTIC SYSTEM WAS DECOMMISSIONED
IN 2006. BUILDING 17920 59TH DOES NOT HAVE SEWER. ALL OTHER UTILITIES WIIL BE DISCONNECTED AND,
IF NECESSARY, DECOMMISSIONED (WATER, GAS AND ELECTRICITY) PRIOR TO THE DEMOLITION.
Contractor: CITY OF ARLINGTON, ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Contractor's License Number: NSA Expiration: N/A
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulations of the Stat of Washington.
'Ll �G� 11 (, 2y"$
Applicants Signature �-Date
Print Applicants Name
RECEIVED
APR 012008
FOR STAFF USE ONLY COA PERMIT CENTER
ab. 0090633 -fhb- _e�5_
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—14 Page 1 of 1 3/07 dwa