The URL can be used to link to this page

2008, 05-12 Permit App: 08001775 Demolition GarageProject Number: '08001775 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/2008 Page 1 of 2 Project Information: Permit Use: DEMOLITION OF OLG GARAGE TO BUILD NEW ONE. Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Parcel Number: 45184.0550 Contact: DAVIS, LEON C Address: 8411 E VALLEY WAY C - S - Z: SPOKANE VALELY, WA 99212 Phone: (509) 290-2016 Group Name: Project Name: NOTICE OF INTENT #08-0120 District: Nort Block: Lot: SiteAddress: 8411 E VALLEY WAY Location:: CSV Owner: Name: DAVIS, LEON C Address: 8411 E VALLEY WAY SPOKANE VALELY, WA 99212 Zoning: R-3 SF Res District Water District: 005 HUTCHINSON Hold: ❑ Area: 29,109 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Sewer Review Permits: Depth: 0 Right Of Way (ft): 0 Originally Released: 5/12/2008 By: JLMain Released By: OK PER ROGER RIVERS @ SPOKANE CTY UTILITIES VIA FAX DATED 5/12/08 Originally Released: 5/12/2008 By: JLMain Contractor: OWNER Item Description Demolition Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc Fee Amount DEMOLITION ACCESSORY 1 NUMBER OF $20.00 Permit Total Fees: $20.00 Operator: jmm Printed By: jmm Print Date: 5/12/2008 Project Number: `08001775 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/2008 Page 2 of 2 Payment Summary: ,,".„trt5... Permit Type Demolition Permit Fee Amount Invoice Amount $20.00 $20.00 $20.00 $20.00 Amount Paid $0.00 $0.00 Amount Owing $20.00 $20.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 5/12/2008 Your advance notification period will begin when a completed NOI, including required fees, is received by SRCAA. A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NOl 07 SRCAA NOI No. �—z_CNOTICE 0(erse my SPOKANE REGIONAL CLEAN AIR AGENCY (SRCAA) 1101 West College, Suite 403, Spokane, WA 99201 OF INTENT (NOI) For Asbestos Projects and Demolition Projects j _ SIZ Raiadly MAY 0 0 2008 Agency Use Only A� _Jency 3. ' i • ' ' WO.11; ,IFIA'.. A. Project Type: 1. 0 Asbestos Removal 2. 0 Asbestos Removal & Demolition B. Property(If Owner: LQ Op\ 1, fit, S Phone: at) - ZO do available) Fax: 7'- f '] -‘,..,73.0g Property Owner'sq� Mailing Address: z�'� (i E, Ycaesew y / re City: 5p0k4 ve, 04-lli'y State: L,i t k Zip: i l" -fit -- 1 C. Site Pitt EV E. allzy tacLy u�, City: (,(1��r State: C Zip: t I�� ( kAddress: Responsible Site Contact Person: e.g..w\ '', S Job Site Phone: S1 a---5-9 3 D. 0 Asbestos Survey 0 Material Presumed or If surve erformed, was asbestos found? 0 Yes j4. If "No" for any structure, attach survey Date Survey Conducted: 5—�'bi No. of Structures: (see back if>1) AHERA Building�y Inspector Name: PIA ttti V Certification -r Number: DLK - 1 VI - l oa Exp. ei-14_�a Date: 11 E. Asbestos Project Information: No. of Structures: (see back if>1) j 1 Date: ST1,1 .0/ Completion Date: Wk. Days: Su M T W Th F Sa Hours: Total quantity to be removed: Ln. Feet Sq. Feet Will all asbestos removed by project material be 0 Yes completion? 0 No Will work schedule 0 Yes fax ppm. be used? 0 No List individual type be removed or provide and quantity of materials to an attachment of same: Abatement Contractor: Phone: Fax: Mailing Address: City: State: Zip: F. Demolition Information: No. of Structures:Start (see back if > 1) I Date: 5-1 �� LI Training Fire (List Fire 0 Ordered Demolition (attach Dept. as demo. contractor below) copy of Order) Demolition Contractor: y t V�� Phone: Fax: Mailing Address: City: State: Zip: G. Asbestos/Demolition Project Categories: Notificationng Period Non -Refundable n-Reft Fee Does this involve a fire -damaged structure? 0 Yes No project I. • Owner -Occupied, Single -Family Residence Asbestos & Demolition Project * ' Owner -Occupied, Single -Family Residence Demolition Project * Prior Notice $30 $25010 3. 0 10 - 259 linear feet or 48 - 159 square feet (see back of form for options) 3 Days 4. 0 260 999 linear feet or 160 - 4,999 square feet Days 5500 - 5. 0 > 1,000 linear feet or> 5,000 square feet 10 Dayssce 0 1,250ct Fee 0 Emergency Asbestos/Demolition Project (attach "owner's letter")10 Prior0i Twice Fee 6. 0 Alternate Means of Compliance for Friable Materials (attach plan) DaysDas Twice Project Fee 7. 0 Alternate Means of Compliance for Nonfriable Materials (attach plan) 10 Y Twice Project 8. 0 Exception for Hazardous Conditions (attach plan) with Project Concurrent10 Regular Project Fee 9. 0 Demolition with Nonfriable Roofing Left in Place Days Twice Project Fee 10. * The two categories in G.1 apply only to owner -occupied, single-family residences, which means any non -multiple unit building containing living space that is currently occupied (prior to and after renovation/demolition) by one family who owns the property as their domicile. One of the be used for all other asbestos/demolition projects. For more information, contact SRCAA at (509) 477-4727. categories must H. Optional: List additional parties you would like copies of this NOT and/or related notices sent to (list name & fax number and/or mailing address): I 1. I certify t t the information contained in this notification and any supplemental data provided is, to the bestNOlt y kn edge, accurate and complete. 6.--49 -CrSee nese Review itio 0 NOI deficient - Attached Date 5-Cl-Q� ?J Representing Signature For demolition projects, this NOl expires 12 months from the earliest listed asbestos/demolition project start date. Agency Use Only _ /1 Your advance notification period will begin when a completed NOI, including required fees, is received by SRCAA. A copy of the asbestos survey, completed notification & all amendments must be available for inspection at all times at the job site. NOl 07 May 12 2008 1:50PM SPOKRNE#COUNTY#UTILITIES 4777178 p.1 MAY 12 2008 13:08 FR 9J PERMIT CENTER 5096880037 TO 94774715 P.01r03 S1761 ,„,•••WValley Date: 5/12/2008 11703 E Sprague Are Suite B-3 i Spokane V lley WA 99206 • 509.688.0036 • Fax: 509.688.0037 4 Transmittal 111 SPOKANE COUNTY uTILRIES p r - Vers Fax: 509-477-4715 ale Mt PERMIT CENTER Re: Review/Approval of Demolition Permit Application Attn: \ Billy Urhausen Roger Rivers Glen Gredvig Colin Depner Lela Gallen SITE ADDRESS; 8411 E VALLEYWAY AVE PERMIT PURPOSE: DEMOLITIO a F GARAGE t KL 1.4.454. 1S 604. Gan ne.c TZd +u CsiAn4tL Se.We? 111/A.efa 0.. ye.1-461" D flc DYlFV n* {mer rn %* Ana3 inn 4 -ion s n 1-t'41."11-611 • 1 ,,.x4:41/14) 1} /1- 5/1Z/01i T1-5/1Z/o1i MAY 12 2008 14:49 4777178 PAGE.01 May 12 2008 1:51PM SPOKRMEUCOUMTY#UTILITIES 4777178 MAY 12 2008 1308 FR SU PERMIT CENTER 5096880037 TO 94774715 D:' 4 c Q It: -4- • Irl p.3 P.03/03 Gmaabc wiLL aE REMOVED 4, RE6uTrr IN NEW L OcA'rxoN MAY 12 2008 14:49 TOTAL PAGE.03 +for 4777178 PAGE.03 ASBESTOS INSPECTION PRIOR TO DEMOLITION OF GARAGE LOCATED AT 8411 E. VALLEYWAY SPOKANE VALLEY, WASHINGTON 1.0 INTRODUCTION IRS Environmental of WA, Inc. has completed an asbestos inspection prior to Garage demolition at 8411 E. Valleyway, Spokane Valley, Washington. The survey for asbestos containing building materials was completed May 8th, 2008 at the request of Leon Davis. The inspection was performed by Maureen Fay, a certified AHERA Building Inspector under 40 CFR, Part 763, Subpart E, and Appendix C (Certification No.BIR-07-102). This report presents the asbestos survey methods, findings, and conclusion. 2.0 PURPOSES AND SCOPE Various local, state, and federal regulations govern the use and management of asbestos containing materials (ACM). The codes are generally focused on preventing airborne emissions of asbestos fibers and addressing public and worker health concerns for exposure to asbestos during renovation and demolition projects. 3.0 SUSPECT MATERIALS TESTED FOR ASBESTOS CONTENT The number of samples taken for any surfacing material is determined by CFR Part 763.86, which requires: - 3 samples for each material that is present in quantities of 1,000 SF or less. - 5 samples for each material that is present in qualities of 1,000 - 5,000 SF. - 7 samples for each material that is present in qualities of greater than 5,000 SF. In some cases, the inspector is allowed to use discretion and take fewer samples of factory manufactured (not site mixed) materials such as VCT, ceiling tile, and roofing. The following materials were tested for asbestos content at the request of the client: 4.0 SUBJECT SITE DESCRIPTION The subject site consists of a single story garage structure. The exterior treatments of the garage are metal siding over cedar shake siding over tar paper and the windows are wood framed without any putty or glazing. The roof is two layers of asphalt composition with no tar paper. Floor treatment is concrete. Concrete Garage floor Tar paper Under cedar shake siding Asphalt composition roof layers Garage roof 4.0 SUBJECT SITE DESCRIPTION The subject site consists of a single story garage structure. The exterior treatments of the garage are metal siding over cedar shake siding over tar paper and the windows are wood framed without any putty or glazing. The roof is two layers of asphalt composition with no tar paper. Floor treatment is concrete. 5.0 SURVEY METHODOLOGY The scope of services included identification of suspected ACM within the specific areas that will be impacted by upcoming demolition/ renovation activities, to bulk sample and analyze those suspect materials and to provide a report of findings. A general walkover examination was initially completed to plan the asbestos survey, identify functional spaces (spatially distinct areas within the work area), and to develop a sampling scheme for homogeneous areas of suspected ACM. Bulk samples were collected in a representative manner by the inspector based on suspected material contents, as defined by regulatory codes or guidance's for sampling methods and as applicable to the planned demolition/renovation activities. The samples were placed into airtight plastic bags and hand delivered to Mountain Laboratories at 10905 E. Montgomery Ave., Spokane, WA. Mountain Laboratories is a NVLAP accredited laboratory for the analysis of bulk materials using PLM. 6.0 IDENTIFIED ASBESTOS CONTAINING SAMPLES — FINDINGS The following represents a tabulation of bulk samples which were found to contain asbestos during the preparation of this survey and the results of their analysis. None of the suspect materials tested contain asbestos. 7.0 REMARKS This report represents IRS Environmental of WA, Inc., findings and conclusions based on the scope of services agreed to by the client and within the client's schedule and budget. All findings are based on readily available and reasonably ascertainable information on site conditions at the time of the survey and for the known regulations in affect at that time. The services provided include professional opinions and judgments based on readily available information, field observations and measurements, and analytical reports by an independent laboratory. The specific conditions and limitations of the AHERA Building Inspector certification have influenced these results. The bulk samples collected in connection with this survey only indicate the presence or absence of the investigated contaminant within the discrete sample units. Although each sample was collected from an area most likely to be affected by the contaminant and accessible to the inspector, affected areas may exist in areas not sampled or for potential contaminants not selected for analysis and characterization. Any analytical results included in this report should be considered only as indicators of possible site conditions with specific statistical significance and influenced by sampling technique and laboratory methodology. 8.0 LIMITATIONS OF THIS REPORT We have prepared this report to aid in evaluating this property for demolition of the garage. This report is for the exclusive use of Leon Davis, the contractor hired to perform the demolition and IRS Environmental. This report applies only to the subject detailed above and shall not be relied upon by any other party without the prior written consent of the inspector that prepared the report. IRS Environmental's work is performed in a professional manner with the best interests of our client in mind. IRS Environmental's objective is to perform our work with care, exercising the customary thoroughness and competence of professionals in the relevant disciplines; in accordance with the standard for these services at the time and location those services are rendered. It is important to recognize that even the most comprehensive scope of services may fail to detect environmental liability on a particular site. Therefore, IRS Environmental cannot act as insurers and cannot "certify or underwrite" that a site is free of environmental contamination and no expressed or implied representation or warranty is included or intended in our reports except that our work was performed within the limits prescribed by our client, with the customary thoroughness and competence of our profession. Within the limitations of scope, schedule and budget, our services have been executed in accordance with generally accepted practices in this area at the time this report was prepared. No other conditions, expressed or implied, should be understood. Nothing in this report should be interpreted as legal advice; the information contained here is for information only. Maureen Fay AHERA Building Inspector Certification No. BIR -07-102 Expir. ion November 14, 2008 QtitA.GFiu 9.0 SAMPLE LIST OF MATERIALS THAT MAY BE PRESENT AND HIDDEN ON ANY CONSTRUCTION, DEMOLITION OR RENOVATION SITE • Window glazing • Stucco • Cement pipes • Cement board/transite • Duct tape/paper • Furnace insulation • Vinyl sheet flooring/mastic • Vinyl floor tile/mastic • Poured flooring • Pipe insulation/fittings • Plaster/ wall joints • Textured paints/coatings • Ceiling tiles/panels/mastic • Spray -applied insulation • Blown -in insulation • Fireproofing • Sink insulation • Packing materials • High temperature gaskets • Lab hoods/table tops • Sink insulation • Elevator brake shoes • Asphalt flooring • Paper on backside of fiberglass insulation • Erkot roofing material • Laboratory fume hoods • Construction mastics • Ductwork flexible connections • Acoustical ceiling texture "popcorn" • Electrical cloth • Electrical wiring insulation • Roofing shingles • Built-up roofing • Base flashing • Rolled roofing • Caulking/putties • Incandescent light fixture backing • Brick mortar • Vinyl wall coverings • Vapor barrier • Cement roofing shingles • Gray roofing paint • Nicolet (white) roofing paper • Sub flooring slip -sheet • Mudded pipe elbow insulation • HVAC duct insulation • Boiler/tank insulation • Breaching insulation • Paper firebox in walls • Fire doors • Fire blankets • Fire curtains/hose • Electrical panel partitions • Chalkboards • Joint compound/wallboard Note: This list does not include every product that may contain asbestos. It is intended as a general guide to show which types of materials may contain asbestos. 10.0 SUGGESTED PROCEDURE FOR COMMUNICATING SURVEY FINDINGS TO AFFECTED PARTIES The results of this survey should be posted on site for ALL CONTRACTORS AND SERVICE PERSONNEL to see. A copy of this report should be provided to all persons who may come in contact with materials that are known to contain asbestos. The following is a signed acknowledgment to be collected and signed by anyone who is provided a copy of this report. I acknowledge that I have read and understand the report titled: ASBESTOS INSPECTION PRIOR TO DEMOLITION OF GARAGE LOCATED AT 8411 E. VALLEYWAY SPOKANE VALLEY, WASHINGTON I further acknowledge that hidden asbestos materials (refer to list contained in section 9.0 of this report) may exist in concealed areas that may be exposed during demolition. If suspect materials (refer to list contained in section 9.0 of report) are discovered that have not been tested, I will treat these materials as asbestos until additional testing proves otherwise. Firm Name Signature Name Title Address Phone No. Date APPENDIX A RESULTS OF LABORATORY TESTING ASBESTOS BULK SAMPLES RiV Lq. Mountain Laboratories Division of Mountain Inspection & Laboratory Services, Inc. 9922 East Montgomery Suite 13 Spokane Valley, WA 99206 (509) 922-1365 • Fax (509) 922-1380 IRS Environmental Maureen Fay PO Box 15216 Spokane, WA 99215-5216 NVLAP LAB CODE 101890-0 May 8, 2008 Project: Davis Project #: 10813 Dear Ms. Fay: The enclosed report details results for the analysis of the bulk sample(s) submitted to Mountain Laboratories on May 7, 2008. Mountain Laboratories participates in a National Voluntary Laboratory Accreditation Program (NVLAP) for Bulk Asbestos Analysis, governed by the National Institute for Standards and Technology (NIST)-NVLAP I.D. #101890-0. Sample results must not be used by the client to claim endorsement by NVLAP nor any agency of the United States government. Sample analysis was performed to determine asbestos type and content using Polarized Light Microscopy, supplemented by Dispersion Staining (PLM/DS) in accordance with the following methodology: 18/A01 EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples. This report includes a summary of the analytical results, chain of custody and copies of the analysts report forms used by our analysis. Analytical results are only reflective of the samples, which were tested and presented in this report. Mountain Laboratories limits warranty to proper analysis methods and take no responsibility for sample procurement. It has been our pleasure providing you with these analytical services. If you have any questions regarding this report, please do not hesitate to call us at (509) 922-1365. Sincerely, 4/Ltj i i L. McCarthy He Heidi y Laboratory Manager Mountain Laboratories Mountain Inspection & Laboratory Services, Inc. Enclosure: 4001.4772.4775 Polarized Light Microscopy, NVLAP Accreditation • Phase Contrast Microscopy, PAT Participant BULK SAMPLE ANALYSIS FOR ASBESTOS IRS Environmental Maureen Fay PO Box 15216 Spokane, WA 99215-5216 • Project: Davis Project #: 10813 Client # 4001 Laboratory No. B08-4772 B08-4773 " B08-4774 Sample ID No. 10813-01 10813-02 10813-03 Sample Description Concrete Tar Paper Roofing Sample Treatment Teased/Crushed Teased/Dissolved/ Heated Teased/Dissolved/ Heated Homogeneous Yes Yes No Layered No No Yes Fibrous Yes Yes Yes Sample Color Grey Brown Black/White/Green Asbestos Present No No No Asbestos Type and Percentage 1. Chrysotile 2. Amosite 3. Crocidolite 4. Other N.D. N.D. . N.D. Total % Asbestos None None None Other fibrous material In sample Cellulose <1% Wood <1% Cellulose 85% Synthetic 30% Non -Fibrous Material: Mica <1% Aggregate 60% Other 37% Tar 15% Aggregate 40% Tar 30% ld M Date Analyzed: May 7. 2008 nayzeHy: Ltsa eade Mountain Laboratories, Division of Mountain Inspection & Laboratory Services, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Division of Mountain inspection & Laboratory Services, Inc, 9922 E. Montgomery, Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Titus negative or <1% PLM results should be tested with either SEM or TEM. Client is responsible for sample separation. This report may only be reproduced in full with written approval by Mountain Laboratories. Page 2 of 3 BULK SAMPLE ANALYSIS FOR ASBESTOS IRS Environmental Maureen Fay PO Box 15216 Spokane, WA 99215-5216 Method: PLM with Dispersion Stainin Project: Davis Project #: 10813 Client # 4001 Laboratory No. B08-4775 Sample ID No. 10813-04 Sample Description Roofing Sample Treatment Teased/Dissolved/ Heated - Homogeneous No Layered Yes Fibrous Yes Sample Color Black/White/Green Asbestos Present No Asbestos Type and Percentage I. Chrysotile 2. Amosite 3. Crocidolite 4. Other N.D. Total % Asbestos None Other fibrous material In sample Cellulose 34% Non -Fibrous Material: Mica <1% Aggregate 35% Tar 30% Date Analyzed: May 7, 2008 Analyzed Hy: Lisa Meade Mountain Laboratories, Division of Mountain Inspection & Laboratory Services, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Division of Mountain inspection & Laboratory Services, Inc, 9922 E. Montgomery, Suite #I3, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should he tested with either SEM or TEM. Client is responsible for sample separation. This report may only be reproduced in full with written approval by Mountain Laboratories. Page 3 of 3 Mountain Laboratories Division of Mountain Inspection & Laboratory Services, Inc. 9922 E. Montgomery, Suite 13 Spokane, Washington 99206 PHONE: 509-922-1365 FAX: 509-922-1380 Project No. 1 ' ) 3 Project Name Results: MAIL CHAIN OF CUSTODY RECORD 4 - LS PHONE CLIENT: IRS Environmental of WA, Inc. P.O. Box 15216 Spokane Valley, WA 99215-5216 ANALYSIS REQUIRED i TURNAROUND # OF CONTAINERS a co m ,� PCM - AIR (NIOSH 7400) LEAD -AIR, PAINT, WIPE USH3 DAY ,,15 24 HR ' DAY 48 HR RESULTS/REMARKS SAMPLE # SAMPLE DESCRIPTION / Ill DATE/"TIME (c ;-7)-0 (131N \ e X s «U 4 f3 -o Z . 1( ,,..- pQ-'�- ll )-7 --c i24 -L- f l/ Y RELEASED BY: (si 'nature) DELIVERY METHOD RECEIVED BY: (SIGNATURE) COMPANY / AGENCY OR AFFILIATION DATE / TIME RECEIVED CONDITION % (ll2 a _ tv fl ; �C A I Ili mountain Labor atonies Nist.,-..,.,-- Si 1 IQ:Siairvt - --, L DATE / TIME RECEIVED 6700 RELEASED BY: (signature) DELIVERY METHOD RECEIVED BY: (SIGNATURE) COMPANY / AGENCY OR AFFILIATION CONDITION .000Valley 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 ♦ 509.688.0036 ♦ Fax: 509.688.0037 • Transmittal Date: 5/12/2008 To: SPOKANE COUNTY UTILITIES Fax: 509-477-4715 From: CSV PERMIT CENTER Re: Review/Approval of Demolition Permit Application Attn: Billy Urhausen Roger Rivers Glen Gredvig Colin Depner Lela Gallert SITE ADDRESS: 8411 E VALLEYWAY AVE PERMIT PURPOSE: DEMOLITION OF GARAGE ctt1 a L 017 s GARAG-E WILL (3E .REMovel) 4, REeuILr IN NEJ LockT10N 93' l0" qy' - VASLE Ay AVE. o� GAPAGE WILL. ISE REMOvFa � REWILT IN NEW I.QCATCON