HomeMy WebLinkAboutPermit File BLD-2024-0613 815 4th StreetFor inspections, please call (360) 293-1901
PARCEL: P54935
LEGAL DESCRIPTION:
APPLICANT: Fisher, Tim
15019 old deception mill lane
Anacortes, WA 98221
3607082016
OWNER: DAKOTA CREEK INDUSTRIES INC
UNKNOWN
ANACORTES, WA 98221
FEES:Paid Due
State Building Code Council fee $6.50 $0.00
Demolition Permit Fee $60.00 $0.00
$0.00Totals :
REQUIRED INSPECTIONS
STORMWATER BMPS ADDITIONAL INSPECTION AS
NEEDED
Public Works
Building Final
CONSTRUCTION CONTRACTOR:FISHER CONST SERVICES, LLC
15019 OLD DECEPTION MILL LANE
ANACORTES, WA 98221
3607082061
License: FISHECS768C1
Expires: 02/21/2026
$66.50
BLD-2024-0613 DECONSTRUCTION & DEMOLITION
ISSUED:
EXPIRES:
09/09/2024
03/09/2026
PROJECT NAME: DCI DEMO
SITE ADDRESS: 815 4TH ST ANACORTES
Page 1 of 1Printed by : Cheri Gleichmann on: 12/24/2024 11:30 AM
City of Anacortes, WA
904 6th Street
Anacortes, WA 98221
(360) 293-1901
http://cityofanacortes.org/
Little Bear Services
Oak Harbor, WA
360.675.8116
“ASBESTOS GOOD FAITH SURVEY"
815 4TH STREET
ANACORTES, WA 98221
Prepared for
Tim Fisher
i
LBS Survey ADBW-24-02
24 July 2024
Table of Contents
SUMMARY AND PURPOSE ..................................................................................................................................... 1
GENERAL REFERENCES .............................................................................................................................................. 1
VISUAL INSPECTION ................................................................................................................................................... 1
HOMOGENEOUS MATERIAL CLASSIFICATIONS ........................................................................................................... 1
DAMAGE ASSESSMENT ............................................................................................................................................... 1
FRIABILITY ................................................................................................................................................................. 1
SAMPLING PROCEDURES ............................................................................................................................................ 2
ANALYSIS ................................................................................................................................................................... 2
ASBESTOS FINDINGS AND OBSERVATIONS .................................................................................................... 2
SUSPECT BUILDING MATERIALS ................................................................................................................................. 2
Table 1, Suspect Materials by Homogeneous Sampling Groups ........................................................................... 3
ASBESTOS CONTAINING BUILDING MATERIALS ......................................................................................................... 4
Material containing greater than 1% asbestos: None ........................................................................................... 4
Material containing 1% asbestos or less: None .................................................................................................... 4
WARRANTY ............................................................................................................................................................ 4
ASBESTOS REGULATION SUMMARY ................................................................................................................ 4
FEDERAL AGENCIES ................................................................................................................................................... 4
STATE & LOCAL AGENCIES ........................................................................................................................................ 4
CONCLUSION ............................................................................................................................................................ 5
Appendix
(A) Sample Locations on Demolition Plan
(B) Laboratory Report with Chain of Custody
(C) Building Inspector Certificate.
1
Summary and Purpose
Little Bear Services (LBS) was retained by Tim Fisher, Fisher Excavating LLC, representing the building
owner Dakota Creek Industries Inc., to conduct a "Good Faith Survey" for suspect asbestos containing
building materials (ACBM) in the single-family dwelling located at 815 4th St., Anacortes, WA 98221 prior
to the proposed demolition of the structure.
The on-site portion of the survey was conducted on the 3rd and 8th of July 2024. Suspect building materials
that were identified and sampled by Philip Kronholm, a building inspector meeting the training and
certification requirements of 40 CFR 763.
A total of nineteen samples were collected, transported to, and analyzed by Eurofins Carolina
Environmental, Inc., a NVLAP Accredited laboratory, Lab Code 101768-0.
No asbestos was detected.
General References
Inspection, sampling, and assessment procedures were performed in general accordance with applicable
portions of the guidelines published by the EPA, most notably in 40 CFR Part 763 Subpart E, Asbestos
Containing Materials in Schools, October 30, 1987 (7-1-00 Edition), and was conducted by Philip E.
Kronholm, a building inspector who meets the training and certification requirements of the Asbestos Model
Accreditation Plan (Appendix C to Subpart E of 40 CFR 763), commonly referred to as a AHERA Building
Inspector.
Visual Inspection
An initial facility "preliminary walkthrough" was conducted to determine homogeneous areas and the
presence of suspect materials that were accessible, exposed or otherwise evident. Materials that were similar
in general appearance were grouped into homogeneous sampling areas.
Homogeneous Material Classifications
Materials that were visually similar in color, texture, and general appearance and that appeared to have been
installed at the same time were divided into homogeneous sampling groups. Such materials are termed to be
“homogeneous areas” by the EPA. During this walkthrough, the approximate locations of these
homogeneous materials were noted. Additionally, each homogeneous sampling group was determined to be
either (1) a surfacing material, (2) a thermal system insulation, or (3) other. Regardless of the number of
samples collected if one sample in the homogenous area/group contains asbestos then all of the material
represented is considered an asbestos containing building material by the EPA.
Damage Assessment
This survey is not intended to be used as an “AHERA Asbestos Survey” reference 40 CFR 763, in which a
damage assessment (40 CFR 763.88) is performed so that a Management Planner can establish priorities for
response actions required by 40 CFR 763.90. Rather for the purposes of this survey all material is
presumed to have the potential for significant damage due to the proposed demolition activities. All
regulated asbestos containing materials must be removed prior to demolition activities.
Friability
The inspector used a hand pressure test to determine friability, if a material could be crumbled or reduced to
powder by hand pressure, when dry, it was determined to be friable.
2
Note
The designation of a material as a surfacing material or thermal system insulation, and the determination of
friability in this survey are intended solely for determining the sample number, and location requirements of
40 CFR 763.86, and are not intended for OSHA or other regulatory compliance.
Sampling Procedures
40 CFR 763.86 requirements were used to determine the number of required samples for each homogeneous
sampling group.
Sampling locations were chosen to be representative of the homogeneous materials. Samples of friable
surfacing material were collected in a statistically random manner. In general, the EPA random sampling
protocol outlined in the EPA publication, "Asbestos in Buildings: Simplified Sampling Scheme for Friable
Surfacing Materials" (EPA 560/5-85-030a, October, 1985) was followed, with one notable exception, a
computer was used for random number selection. Sample locations for non-surfacing materials were
located in a manner that would best represent the sampling group, while minimizing potential fiber releases.
Destructive sampling was limited to accessible materials. No samples were taken that would cause damage
to the structural integrity of the building or endanger the inspector.
Note
EPA requires layered analysis of samples, some samples may represent more than one sampling group.
Additionally, some suspect material groups may require more than one sample to be taken and analyzed to
represent the group. In regulatory Interpretive Guidance the EPA has determined that in most cases (i.e.
public and commercial buildings, and housing projects with more than 4 units) more than one sample of a
suspect material will be required to prove that the material does not contain asbestos.
A list of the suspect material groups with their representative bulk samples can be found in the results
section.
Analysis
Samples were transported to the following laboratory for analysis:
Eurofins Carolina Environmental, Inc.
730 SE Maynard Rd.
Cary, NC 27511
Phone: (866) 481-1412
NVLAP accreditation: 101768-0
The samples were analyzed using the procedure outlined in 40 CFR 763, Appendix E to Subpart E (formerly
Appendix A to Subpart F) Section 1, Polarized Light Microscopy.
ASBESTOS FINDINGS AND OBSERVATIONS
Suspect Building Materials
The following tables list all identified suspect building materials, their representative PLM bulk sample
numbers, and results of the laboratory analysis.
3
Table 1, Suspect Materials by Homogeneous Sampling Groups
HG # Suspect Material Description Sample
No.
%
Asbestos
HG01 Skim-coat wall and ceiling texture.
Nonfriable miscellaneous material.
01, 02,
07L1
None
Detected
HG02 White plaster. O walls and ceilings.
Nonfriable miscellaneous material. 03, 11 None
Detected
HG03 Gray sheet vinyl. Kitchen floor.
Nonfriable miscellaneous material. 04A None
Detected
HG04 Yellow adhering HG03 gray sheet vinyl flooring.
Nonfriable miscellaneous material. 04B None
Detected
HG05
White/gray-brown textured sheet vinyl. Laundry/mudroom rear entry
floor.
Nonfriable miscellaneous material.
05A None
Detected
HG06
Yellow mastic adhering HG05 white/gray-brown sheet vinyl to
laundry/mudroom floor.
Nonfriable miscellaneous material.
05B None
Detected
HG07
Coated ceiling paper, with thin white joint compound like coating.
Second floor walls and ceilings.
Nonfriable miscellaneous material.
06 None
Detected
HG08
Sheetrock, mud, and tape wallboard system with skim-coat. First floor
walls and ceilings.
Nonfriable miscellaneous material.
07L2-5 None
Detected
HG09 Yellow adhesive. Adhering kitchen backsplash and cove base.
Nonfriable miscellaneous material. 08, 09L1 None
Detected
HG10 White cove base adhesive sealant. Kitchen.
Nonfriable miscellaneous material. 09L2 None
Detected
HG11 Black insulation backing paper. Exterior walls.
Nonfriable miscellaneous material. 10 None
Detected
HG12 Brown loose fiber insulation. Attic insulation.
Nonfriable miscellaneous material. 12 None
Detected
HG13 Window glazing, securing glass in multi-pane wood windows.
Nonfriable miscellaneous material. 13 None
Detected
HG14 Window glazing, securing glass in single-pane wood windows.
Nonfriable miscellaneous material. 14 None
Detected
HG15 White caulking, sealing exterior windows.
Nonfriable miscellaneous material. 15 None
Detected
HG16 Ridged caulking, on wood windowsills.
Nonfriable miscellaneous material. 16 None
Detected
HG17 Black tar paper, under exterior siding.
Nonfriable miscellaneous material. 17 None
Detected
HG18 Heavy black roofing paper under cedar shingles.
Nonfriable miscellaneous material. 18 None
Detected
HG19 White bathroom caulking.
Nonfriable miscellaneous material. 19 None
Detected
See appendix-A for sample locations, and appendix-B for laboratory report.
4
Asbestos Containing Building Materials
Material containing greater than 1% asbestos: None
Material containing 1% asbestos or less: None
WARRANTY
Little Bear Services warrants that the findings contained herein have been prepared in general accordance
with accepted professional practices as applied by similar professionals in the community at the time of this
report preparation. Changes in the state of the art or in applicable regulations cannot be anticipated and have
not been addressed in this report.
The field and laboratory results reported herein are considered sufficient in detail and scope to determine the
presence, of accessible or exposed suspect asbestos containing building materials in the facility at the time
of inspection. Test results are valid only for the materials tested.
There is a distinct possibility that conditions may exist that could not be identified within the scope of
survey or that were not apparent during the site visit. This inspection covered only those areas that were
exposed or physically accessible to the inspector. The inspection is limited to the information available from
the client at the time it was conducted.
No other warranties are implied or expressed.
Note
If a suspect building material, not listed in the above table, is discovered it should be considered a presumed
asbestos containing material (PACM) until proven otherwise. For example, during building demolition a
mudded fitting on a water pipe is discovered, the fitting would be considered PACM and treated as friable
thermal system insulation, until an AHERA building inspector sampled the material and proved that no
asbestos was present. If an unlisted suspect material is discovered call LBS at (360) 675-8116.
ASBESTOS REGULATION SUMMARY
A material is considered by the EPA and the State of Washington to be asbestos containing if at least one
sample collected from the homogeneous area shows asbestos present in an amount greater than one percent
(> 1%) asbestos.
Asbestos containing building materials (ACBM) are regulated by federal, state, and local agencies, which
including but not limited to the following:
Federal Agencies
• Occupational Safety and Health Administration (OSHA), under 29 CFR 1910.1001, 29 CFR
1915.1101, and 29 CFR 1926.1101.
• Environmental Protection Agency (EPA) under 40 CFR 763, and 40 CFR 61.
State & Local Agencies
• Washington State Department of Labor and Industries (L&I), Washington Industrial Safety and
Health Act (WISHA) services – Reference WAC 296-65 and WAC 296-62-077.
• Northwest Clean Air Agency (NWCAA), section 570 (Asbestos Control Standards).
5
Northwest Clean Air Agency
1600 South 2nd Street, Mount Vernon, WA 98273
(360) 428-1617 • Fax: (360) 428-1620
www.nwcleanairwa.gov
The Northwest Clean Air Agency (NWCAA) is a multi-county agency, encompassing Island, Skagit
and Whatcom Counties, formed pursuant to the Washington State Clean Air Act RCW 70.94. Refer
to the following web site for additional information:
www.nwcleanairwa.gov
Conclusion
No asbestos was detected in the identified suspect building materials.
Note: Even though no suspect materials were identified a demolition application must be filed with the
Northwest Clean Air Agency prior to demolition.
Link to NWCAA on-line application:
https://nwcleanairwa.gov/forms/asbestos-demolition-application/
Philip E. Kronholm
AHERA Building Inspector, ON-4644-11455-052523.
24 July 2024
Sample Location
Appendix A-p1
Ground Floor
Sample Location
Appendix A-p2
Second Floor
Appendix B-p1 of 16
Appendix B-p2 of 16
Appendix B-p3 of 16
Appendix B-p4 of 16
Appendix B-p5 of 16
Appendix B-p6 of 16
Appendix B-p7 of 16
Appendix B-p8 of 16
Appendix B-p9 of 16
Appendix B-p10 of 16
Appendix B-p11 of 16
Appendix B-p12 of 16
Appendix B-p13 of 16
Appendix B-p14 of 16
Appendix B-p15 of 16
Appendix B-p16 of 16
Appendix: C