HomeMy WebLinkAboutPermit File BLD-2024-0780 815 6th StreetFor inspections, please call (360) 293-1901
PARCEL: P54945
LEGAL DESCRIPTION:
APPLICANT: Carr, Graham
901 Metcalf St.
Sedro-Woolley, WA 98284
3608404595
OWNER: DOROTICH CATHERINE L
UNKNOWN
ANACORTES, WA 98221
FEES:Paid Due
Demolition Permit Fee $60.00 $0.00
State Building Code Council fee $6.50 $0.00
$0.00Totals :
REQUIRED INSPECTIONS
STORMWATER BMPS ADDITIONAL INSPECTION AS
NEEDED
Public Works
Building Final
CONSTRUCTION CONTRACTOR:GRAHAM CARR CONSTRUCTION
901 METCALF ST PMB 158
SEDRO WOOLLEY, WA 98284
3608404595
License: GRAHACC767KM
Expires: 05/14/2026
$66.50
BLD-2024-0780 DECONSTRUCTION & DEMOLITION
ISSUED:
EXPIRES:
12/31/2024
06/30/2026
PROJECT NAME: DOROTICH PROJECT
SITE ADDRESS: 815 6TH ST ANACORTES
Page 1 of 1Printed by : Cheri Gleichmann on: 01/31/2025 12:48 PM
City of Anacortes, WA
904 6th Street
Anacortes, WA 98221
(360) 293-1901
http://cityofanacortes.org/
1600 South Second Street
Mount Vernon, WA 98273-5202
ph 360-428-1617
fax 360-428-1620
info@nwcleanairwa.gov
www.nwcleanairwa.gov
Asbestos / Demolition Notification Approval
and Permit to Work
Project Site
Residential
815 6th St
Anacortes, WA 98221
Project Details
Asbestos removal onlyProject Type
Asbestos Project from 08/15/2024
Estimated Demolition Date
Square Feet 2,000 Linear Feet 268
Emergency £
Building Type
Asbestos Locations
Type of Material Scheduled for Removal
Other
Exterior Siding and Window trim
£
Cement board (CAB)
Owner
Site Owner
Onsite Supervisor
Supervisor Phone
Anthony Chase
(206) 793-1321
Owner Phone (360) 840-4595
Contractor
Affordable Environmental Inc
PO Box 40
£Survey
Mountlake Terrace, WA 98043
08/12/2024
Owner Occupied Abatement
Cathy Dorotich
This notification must be posted at the work site.
You must file an amendment if there are any changes to the project scope or schedule.
<http://nwcleanairwa.gov/forms/asbestos-project-amendment/>
<http://nwcleanairwa.gov/permits-and-services/asbestos-and-demolition/>
Information on asbestos and demolition can be found on the agency website.
NWCAA asbestos regulations can be found in Section 570 Asbestos Control Standards.
<http://nwcleanairwa.gov/regulation/section-550-590/section-570/>
to
Asbestos disposal information
<http://nwcleanairwa.gov/download/disposal-information/>
Monday - Thursday 8am - 3pmWork Schedule
Jose PenalozaNotification Submitted by
Notification Contact Email JP@affenv.net
Notification #
Received Date
Approval Date
Fee Amount
Receipt #
24-450
07/31/2024
07/31/2024
$ 526.00
08629G
£Class I R Class II £Vermiculite R Non-friable Fee Exempt Material
(425) 512-8750Notification Contact Phone
Control Methods Water applicator, Critical barriers
Generated: 07/31/2024 02:39 PM
Sincerely,
Shalini Patel, Manager Metals/Org Laboratory
RE:Total Metal Analysis
Method: NIOSH 7082 Lead by FAA <air>
Item Code: FAA-01
October 15, 2024
Affordable Environmental
Elder Nolasco
PO Box 40
Mountlake Terrace, WA 98043
Enc.: Sample results
NVL Batch # 2418661.00
Client Project: 4883
Location: 815 6th St Anacortes, WA 98221
Dear Mr. Nolasco,
NVL Labs received 19 sample(s) for the said project on 10/8/2024. Preparation of these samples
was conducted following protocol outlined in NIOSH 7082, unless stated otherwise. Analysis of
these samples was performed using analytical instruments in accordance with NIOSH 7082
Lead by FAA <air>. The results are usually expressed in ug/filter and ug/m3. Test results are not
blank corrected.
For recent regulation updates pertaining to current regulatory levels or permissible exposure
levels, please call your local regulatory agencies for more detail.
At NVL Labs all analyses are performed under strict guidelines of the Quality Assurance
Program. If samples were collected by the customer, then the reported test results apply only to
the samples as received by NVL Labs. This report is considered highly confidential and will not
be released without your approval. Samples are archived after two weeks from the analysis date.
Please feel free to contact us at 206-547-0100, in case you have any questions or concerns.
page 1 of 10
Analysis Report
Total Lead (Pb)
Lab ID Client Sample #
Vol
(L)
Results in
ug/filter
RL
ug/m3
Results in
ug/m3
815 6th St Anacortes, WA 98221
Affordable EnvironmentalClient:
PO Box 40
Mountlake Terrace, WA 98043
Mr. Elder NolascoAttention:
Address:
Project Location:Samples Received: 19
Samples Analyzed: 19
Client Project #: 4883
Batch #: 2418661.00
Date Received: 10/8/2024
Matrix: Air
Method: NIOSH 7082
24111094 E-1 120 42 <5.0 42<
24111095 E-2 720 6.9 <5.0 6.9<
24111096 E-3 2970 1.7 <5.0 1.7<
24111097 E-4 450 11 5.8 13
24111098 E-5 4620 1.1 <5.0 1.1<
24111099 E-6 810 6.2 <5.0 6.2<
24111100 E-7 450 11 <5.0 11<
24111101 E-8 4620 1.1 <5.0 1.1<
24111102 E-9 810 6.2 5.8 7.2
24111103 E-10 630 7.9 7.0 11
24111104 E-11 2310 2.2 <5.0 2.2<
24111105 E-12 900 5.6 <5.0 5.6<
24111106 E-13 3300 1.5 <5.0 1.5<
24111107 E-14 540 9.3 <5.0 9.3<
24111108 E-15 4290 1.2 <5.0 1.2<
24111109 E-16 630 7.9 <5.0 7.9<
24111110 E-17 360 14 <5.0 14<
24111111 E-18 3630 1.4 <5.0 1.4<
24111112 E-19 630 7.9 <5.0 7.9<
FAA-01
Bench Run No:2024-1015-08
ug/ m3 = Micrograms per cubicmeter RL = Reporting Limit
ug/filter = Micrograms per filter '<' = Below the reporting Limit
Air sampling was done backwards for E-4 to E-6 and E-8 to E-11. Backing pad and filter were digested
and analyzed.
Comments:
ClientSampled by:
Yasuyuki HidaAnalyzed by:
Shalini PatelReviewed by:
10/15/2024Date Analyzed:
10/15/2024Date Issued:
Note : Method QC results are acceptable unless stated otherwise. Concentration (ug/m3) not reported if sample volume is zero.
Unless otherwise indicated, the condition of all samples was acceptable at time of receipt.
Preparation of above samples was conducted using microwave digestion in accordance with EPA Method 3051.
Shalini Patel, Manager Metals/Org Laboratory
page 2 of 10
Affordable Environmental 2418661.00
19
Company NVL Batch Number
Total Number of Samples
815 6th St Anacortes, WA 98221
1 DayTAT
10/16/2024Due Date 9:50 AMTime
() -Fax
tc@affenv.netEmail
Project Manager Mr. Elder Nolasco
(425) 512-8750
(425) 948-9586Cell
Phone
Rush Samples
Rush TAT
NoAH
4883Project Name/Number:Project Location:
Sample ID Description A/RLab ID
LEAD LABORATORY SERVICES
Subcategory
Item Code
Flame AA (FAA)
Metals
FAA-01 NIOSH 7082 Lead by FAA <air>
PO Box 40
Mountlake Terrace, WA 98043
Address
E-11 A24111094
E-22 A24111095
E-33 A24111096
E-44 A24111097
E-55 A24111098
E-66 A24111099
E-77 A24111100
E-88 A24111101
E-99 A24111102
E-1010 A24111103
E-1111 A24111104
E-1212 A24111105
E-1313 A24111106
E-1414 A24111107
E-1515 A24111108
E-1616 A24111109
E-1717 A24111110
E-1818 A24111111
Office Use Only Print Name Company Date TimeSignature
Faxed Emailed
Company Date TimeSignature
ClientSampled by
Shaista KhanReceived by
ClientRelinquished by
Yasuyuki HidaAnalyzed by
Results Called by
NVL
NVL
10/8/24
10/15/24
1515
Print Name
Entered By: Kelly AuVu
Date: 10/15/2024
Time: 11:03 AM
Special
Instructions:
page 3 of 10
Affordable Environmental 2418661.00
19
Company NVL Batch Number
Total Number of Samples
815 6th St Anacortes, WA 98221
1 DayTAT
10/16/2024Due Date 9:50 AMTime
() -Fax
tc@affenv.netEmail
Project Manager Mr. Elder Nolasco
(425) 512-8750
(425) 948-9586Cell
Phone
Rush Samples
Rush TAT
NoAH
4883Project Name/Number:Project Location:
Sample ID Description A/RLab ID
LEAD LABORATORY SERVICES
Subcategory
Item Code
Flame AA (FAA)
Metals
FAA-01 NIOSH 7082 Lead by FAA <air>
PO Box 40
Mountlake Terrace, WA 98043
Address
E-1919 A24111112
Office Use Only Print Name Company Date TimeSignature
Faxed Emailed
Company Date TimeSignature
ClientSampled by
Shaista KhanReceived by
ClientRelinquished by
Yasuyuki HidaAnalyzed by
Results Called by
NVL
NVL
10/8/24
10/15/24
1515
Print Name
Entered By: Kelly AuVu
Date: 10/15/2024
Time: 11:03 AM
Special
Instructions:
page 4 of 10
page 5 of 10
page 6 of 10
page 7 of 10
page 8 of 10
page 9 of 10
page 10 of 10
Storm Water Surface Flow
4" Downspout pipe to Silt catchment area.
Silt Catchment area for
roof downspouts Concrete Wash out catchment area.
Construction Materials
Storage Contianer
Edge of City Sidewalk
Edge of City Sidewalk
8th St
Q Ave
Dorotich Project
815 6th St.
Anacortes, WA 98221
October 27, 2024
N
Temporary Chain-link
Construction Security Fencing
Temporary Chain-link
Construction Security Fencing
Silt Fencing
Existing Driway
Front Door
56'-2"
60'-0"
20'-6"
12'-6"
38'-0"
7'-0"
109'-6"
47'-6"
Silt Fencing
44'-4"
38'-0"
100'-6"
POLLUTION CONTROL PLAN
Not to Scale
NOTE:
This is not a survey Plan.
All dimensions are taken from the city sidewalks
Site has approximately 6" of fall from the North to the Southeast corner
Materials Delivery Gate
Client Project: 4883
Location: 815 6th St Anacortes, WA 98221
Dear Mr. Espinosa Cisneros,
Enclosed please find test results for the 9 air sample(s) submitted to our
laboratory for analysis on 8/21/2024.
Examination of these samples was conducted in accordance with the NIOSH
7400 method. Results are reported in fibers per cubic centimeter (fibers/cc) and
in fibers per square millimeter (fibers/mm2).
The working range for the NIOSH 7400 method is between 100 and 1300 fibers
per square millimeter (fibers/mm2).
Test results not blank corrected unless field blanks were provided. If samples
were collected by the customer, then the reported test results apply only to the
samples as received by NVL Labs.
Samples are archived for two weeks following analysis and will be discarded if
not retrieved by the client after that period.
Thank you for using our laboratory services. Please do not hesitate to call if there
is anything further we can assist you with.
Sincerely,
August 29, 2024
Jose Espinosa Cisneros
Affordable Environmental
PO Box 40
Mountlake Terrace, WA 98043
Hilary Crumley, Manager Asbestos Laboratory
RE: Asbestos & Other Fiber Analysis; NVL Batch# 2415157.00
Enc.: Sample results
page 1 of 8
Asbestos And Other Fibers Analysis
by Phase Contrast Microscopy
815 6th St Anacortes, WA 98221Project Location:
Client:
PO Box 40
Mountlake Terrace, WA 98043
Mr. Jose Espinosa CisnerosAttention:Samples Received: 9
Method: NIOSH 7400
Client Project #: 4883
Samples Analyzed: 9
Address:
Batch #: 2415157.00Affordable Environmental
Date Received: 8/21/2024
24090637Lab ID:Client's Sample #:8/12/2024Date sampled:
<Table
Time Flow Rate
30Minutes
12:30 PMStart 3.00
End 3.00
3.00Ave.
Excursion LimitSample type:
Location:
Removal the asbestos siding manual wet methodsActivity:
90
Liters
01
Pump ID LOQ fibers/cc Fibers/cc
<
On worker by the mouth breathing in the work area
J-1
0.030
RL f/ccFibers/flds
3 100/
Fibers/mm2
7.0
Comments:
0.030
JoelWorker:
0.428min 5.561max
01:00 PM
<
24090638Lab ID:Client's Sample #:8/12/2024Date sampled:
<Table
Time Flow Rate
180Minutes
01:00 PMStart 3.00
End 3.00
3.00Ave.
TWASample type:
Location:
Removal the asbestos tile manual wet methodsActivity:
540
Liters
01
Pump ID LOQ fibers/cc Fibers/cc
On worker by the mouth breathing in the area
J-2
0.005
RL f/ccFibers/flds
12 100/
Fibers/mm2
15.3
Comments:
0.011
JoelWorker:
0.071min 0.927max
04:00 PM
24090639Lab ID:Client's Sample #:8/12/2024Date sampled:
<Table
Time Flow Rate
210Minutes
12:30 PMStart 15.00
End 15.00
15.00Ave.
Outside Regulated AreaSample type:
Location:
Removal the asbestos tile manual wet methodsActivity:
3150
Liters
02
Pump ID LOQ fibers/cc Fibers/cc
On worker by the mouth breathing in the area
J-3
0.001
RL f/ccFibers/flds
18 100/
Fibers/mm2
22.9
Comments:
0.003
JoelWorker:
0.012min 0.159max
04:00 PM
<
ASB-01
0.00785Micro. field area (mm2)385Effe. filtration area (mm2)Blank ave.(f/mm2) =0.0
*Samples are analyzed in accordance with the NIOSH 7400 (Issue 3:14 June 2019).If the samples were not collected by NVL Laboratories,then the
accuracy of the results is limited by the methodology and acuity of the sample collector.The LOQ,Limits of Quantification,are the fiber concentrations,
for the given volume of the sampled air,above and below which the results may be unreliable.The RL,Reporting Limit defined in Method 7400 as
LOD,is the fibers/cc below which the results may not be confidently distinguished from background levels.This report relates only to the items tested.
It shall not be reproduced,except in full,without written approval of NVL Laboratories,Inc..Unless otherwise indicated,the condition of all samples
was acceptable at time of receipt. Intralaboratory (Sr) Values are as follows: Low(0.34); Medium(0.25); High (0.13);
ClientSampled by:
Shazia HasanAnalyzed by:
Hilary CrumleyReviewed by:
08/28/2024Date Analyzed:
08/29/2024Date Issued:Hilary Crumley, Manager Asbestos
Laboratory
page 2 of 8
Asbestos And Other Fibers Analysis
by Phase Contrast Microscopy
815 6th St Anacortes, WA 98221Project Location:
Client:
PO Box 40
Mountlake Terrace, WA 98043
Mr. Jose Espinosa CisnerosAttention:Samples Received: 9
Method: NIOSH 7400
Client Project #: 4883
Samples Analyzed: 9
Address:
Batch #: 2415157.00Affordable Environmental
Date Received: 8/21/2024
24090640Lab ID:Client's Sample #:8/13/2024Date sampled:
<Table
Time Flow Rate
510Minutes
08:00 AMStart 3.00
End 3.00
3.00Ave.
TWASample type:
Location:
Removal the asbestos tile manual wet methodsActivity:
1530
Liters
01
Pump ID LOQ fibers/cc Fibers/cc
<
On worker by the mouth breathing in the area
J-4
0.002
RL f/ccFibers/flds
5 100/
Fibers/mm2
7.0
Comments:
0.002
OdilionWorker:
0.025min 0.327max
04:30 PM
<
24090641Lab ID:Client's Sample #:8/13/2024Date sampled:
<Table
Time Flow Rate
510Minutes
08:00 AMStart 15.00
End 15.00
15.00Ave.
Outside Regulated AreaSample type:
Location:
Outside area air monitorActivity:
7650
Liters
02
Pump ID LOQ fibers/cc Fibers/cc
<
Outside area 4ft up
J-5
0.001
RL f/ccFibers/flds
8 100/
Fibers/mm2
10.2
Comments:
0.001
JE.Worker:
0.005min 0.065max
04:30 PM
<
24090642Lab ID:Client's Sample #:8/14/2024Date sampled:
<Table
Time Flow Rate
480Minutes
08:00 AMStart 3.00
End 3.00
3.00Ave.
TWASample type:
Location:
Removal the asbestos siding manual wet methodsActivity:
1440
Liters
01
Pump ID LOQ fibers/cc Fibers/cc
On worker by the mouth breathing in the area
J-6
0.002
RL f/ccFibers/flds
10 100/
Fibers/mm2
12.7
Comments:
0.003
JoelWorker:
0.027min 0.348max
04:00 PM
ASB-01
0.00785Micro. field area (mm2)385Effe. filtration area (mm2)Blank ave.(f/mm2) =0.0
*Samples are analyzed in accordance with the NIOSH 7400 (Issue 3:14 June 2019).If the samples were not collected by NVL Laboratories,then the
accuracy of the results is limited by the methodology and acuity of the sample collector.The LOQ,Limits of Quantification,are the fiber concentrations,
for the given volume of the sampled air,above and below which the results may be unreliable.The RL,Reporting Limit defined in Method 7400 as
LOD,is the fibers/cc below which the results may not be confidently distinguished from background levels.This report relates only to the items tested.
It shall not be reproduced,except in full,without written approval of NVL Laboratories,Inc..Unless otherwise indicated,the condition of all samples
was acceptable at time of receipt. Intralaboratory (Sr) Values are as follows: Low(0.34); Medium(0.25); High (0.13);
ClientSampled by:
Shazia HasanAnalyzed by:
Hilary CrumleyReviewed by:
08/28/2024Date Analyzed:
08/29/2024Date Issued:Hilary Crumley, Manager Asbestos
Laboratory
page 3 of 8
Asbestos And Other Fibers Analysis
by Phase Contrast Microscopy
815 6th St Anacortes, WA 98221Project Location:
Client:
PO Box 40
Mountlake Terrace, WA 98043
Mr. Jose Espinosa CisnerosAttention:Samples Received: 9
Method: NIOSH 7400
Client Project #: 4883
Samples Analyzed: 9
Address:
Batch #: 2415157.00Affordable Environmental
Date Received: 8/21/2024
24090643Lab ID:Client's Sample #:8/14/2024Date sampled:
<Table
Time Flow Rate
480Minutes
08:00 AMStart 15.00
End 15.00
15.00Ave.
Outside Regulated AreaSample type:
Location:
Outside area in the backyard air monitorActivity:
7200
Liters
02
Pump ID LOQ fibers/cc Fibers/cc
Outside area 4ft up
J-7
0.001
RL f/ccFibers/flds
16 100/
Fibers/mm2
20.4
Comments:
0.001
JE.Worker:
0.005min 0.070max
04:00 PM
<
24090644Lab ID:Client's Sample #:8/15/2024Date sampled:
<Table
Time Flow Rate
300Minutes
09:00 AMStart 3.00
End 3.00
3.00Ave.
TWASample type:
Location:
Removal the asbestos siding manual wet methodsActivity:
900
Liters
01
Pump ID LOQ fibers/cc Fibers/cc
On worker by the mouth breathing in the area
J-8
0.003
RL f/ccFibers/flds
9 100/
Fibers/mm2
11.5
Comments:
0.005
JoelWorker:
0.043min 0.556max
02:00 PM
24090645Lab ID:Client's Sample #:8/15/2024Date sampled:
<Table
Time Flow Rate
300Minutes
09:00 AMStart 15.00
End 15.00
15.00Ave.
Outside Regulated AreaSample type:
Location:
Outside area air monitoringActivity:
4500
Liters
02
Pump ID LOQ fibers/cc Fibers/cc
<
Outside area 4ft up in south area
J-9
0.001
RL f/ccFibers/flds
6 100/
Fibers/mm2
7.6
Comments:
0.001
JE.Worker:
0.009min 0.111max
02:00 PM
<
ASB-01
0.00785Micro. field area (mm2)385Effe. filtration area (mm2)Blank ave.(f/mm2) =0.0
*Samples are analyzed in accordance with the NIOSH 7400 (Issue 3:14 June 2019).If the samples were not collected by NVL Laboratories,then the
accuracy of the results is limited by the methodology and acuity of the sample collector.The LOQ,Limits of Quantification,are the fiber concentrations,
for the given volume of the sampled air,above and below which the results may be unreliable.The RL,Reporting Limit defined in Method 7400 as
LOD,is the fibers/cc below which the results may not be confidently distinguished from background levels.This report relates only to the items tested.
It shall not be reproduced,except in full,without written approval of NVL Laboratories,Inc..Unless otherwise indicated,the condition of all samples
was acceptable at time of receipt. Intralaboratory (Sr) Values are as follows: Low(0.34); Medium(0.25); High (0.13);
ClientSampled by:
Shazia HasanAnalyzed by:
Hilary CrumleyReviewed by:
08/28/2024Date Analyzed:
08/29/2024Date Issued:Hilary Crumley, Manager Asbestos
Laboratory
page 4 of 8
Affordable Environmental 2415157.00
9
Company NVL Batch Number
Total Number of Samples
815 6th St Anacortes, WA 98221
5 DaysTAT
8/28/2024Due Date 2:50 PMTime
Fax
tc@affenv.netEmail
Project Manager Mr. Jose Espinosa Cisneros
(425) 512-8750
(206) 898-3658Cell
Phone
Rush Samples
Rush TAT
NoAH
4883Project Name/Number:Project Location:
Sample ID Description A/RLab ID
ASBESTOS LABORATORY SERVICES
Subcategory
Item Code
PCM Air
Metals
ASB-01 NIOSH 7400 Asbestos by PCM (A-rule) <air>
PO Box 40
Mountlake Terrace, WA 98043
Address
J-11 A24090637
J-22 A24090638
J-33 A24090639
J-44 A24090640
J-55 A24090641
J-66 A24090642
J-77 A24090643
J-88 A24090644
J-99 A24090645
Office Use Only Print Name Company Date TimeSignature
Faxed Emailed
Company Date TimeSignature
ClientSampled by
Hieu TaReceived by
ClientRelinquished by
Shazia HasanAnalyzed by
Results Called by
NVL
NVL
8/21/24
8/28/24
1450
Print Name
Entered By: Kelly AuVu
Date: 8/22/2024
Time: 1:08 PM
Special
Instructions:
page 5 of 8
page 6 of 8
page 7 of 8
page 8 of 8