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Home My WebLink About17-0379 322 Addison Ave W Interior Demo Permit CITY OF VVIN FALLS Project Type: Commercial Building Permit Applied Date: 02/17/2017 Permit Type: Commercial Demolition Permit ;' :: Issued Date: 02/17/2017 O4 OC <F SrRV1NV Q6 Permit No.: 17-0379 Address: 348 ADDISON AVE W Owner Name: United Oil Contractor: Doug Mccoy Construction Inc 220 Eastland Dr S 1646 Eldridge Ave Twin Falls ID 83301 Twinfalls ID 83301 208-733-7033 Phone: 208 733-2585 Contractor License/Registration# RCE-26441 Permit Information Description of Work Interior Demo Property Location in City Limits Y Number of Units _ 1.00 Building Total Sq.Ft. 0.00 Project Value 18,000.00 Impact Fee Type N/A Fee Date Description Qty/Hrs Fee City Amount Total Waived 02/17/2017 Demolition Commercial Fee No 42.00 42.00 Total Fees: 42.00 Payment Amount: 42.00 Amount Due: 0.00 This permit is not transferable(between contractors)and becomes null and void if work is not commenced within 180 days or is abandoned for a period of 180 days. Property Owners: By signing this form you are certifying that you are the legal owner and will personally perform the work covered by this permit. You recognize that this permit is only valid for the work on a primary or secondary residence and associated outbuildings not used for commercial purposes. By signing this,you accept responsibilitly for all work being performed,and understand that all work must be inspected by the City of Twin Falls, Building Department. Any work in the right-or-way requires a seperate permit from the Engineering Department. Please contact them at 208-735-7248. Inspection Line Phone Numbers: 7BjldAing: 8-735-7 ctrical:208-735-7235 Mechanical:208-735-7289 PI bing:208-735-7299 Signature: Date: CITY OF TWM FA" Fire Department: 208-735-7290 �-- City of Twin Falls Planning&Zoning: 208-735-7267 Building Department Building Department: 208-735-7238 q r�o v, 324 Hansen Street East Fax: 208-736-2256 F _�` a� P.O. Box 1907 www.tfiid.org A - r O Twin Falls, ID 83303-1907 Demolition Permit _---is Commercial ❑ Residential PROJECT INFORMATION Project Address: 3U, A Project Value:S PROPERTY OWNER INFORMATION CONTRACTOR INFORMATION Name: u Business Name: MCC044a,3J. G Address: �/ �. Address: 6 City,State,Zip wt:_ g33d City, State,Zip: Twi U F^115 $.33 U Phone: _ 3 Phone: Q?6 --7M_asS fS Email: r l AI Email: d H'1 LGV �I+rl C GOra State Registration# &Expiration Date: Complete and Answer All Questions 1 1. What is the structure being removed? _�6"IuP_a.A 2. An asbestos certificate is required for structures older than 1975. Is asbestos present? �R Yes ❑No(if yes,provide certificate) 3. Is the building being partially demolished?,�il Yes ❑No Does it have a basement? ❑ Yes X No 4. What are the future plans for the site? G 5 OiZ� 5. How will the site be protected for safety? 6. The City requires a pre-approved Traffic Control Plan for any work being done within or impacting the City Right-of- Way. Contact City Traffic technician Mike Sullivan at 735-7254 or 308-7254 7. Have the following been disconnected or abandoned?How? Gas/Propane lJ b Electrical Electrical City Water/Well Chu 4 -01f a 11vKT6� 8. Is structure in the city's Warehouse Historic Overlay District or a historical site? ❑ Yes A No 9. Have you received a copy of Twin Falls County Chapter 2 Solid Waste Ordinance?;9 Yes Jff No 10. Have you received a copy of the EPA Asbestos Information? ❑ Yes ❑No Notes * All concrete is to be removed unless structurally sound and planned to be re-used. * Soil may need a compaction test if a new structure isn't built upon native soil. * Please consult the Solid Waste Ordinance in Twin Falls County Code(4-2)for disposal of solid waste. * Please review and complete the EPA's asbestos Notification of Demolition and Renovation form(to be submitted to EPA) As the Owner/Applicant/Contractor I hereby certify that I have read and examined the above application and checklist, and that all of the information provided and items checked are included as part of the initial permit application submittal and are tru he best of my knowledge. Signature Date COLUMBIA TECHNICAL SERVICE PO Box 166 e BLISS, IDAiio 83314 a (208) 490-1284 FEBUARY 3, 2017 ASBESTOS INSPECTION - OLD WEST ADDISON CAFE 348 Addison Avenue West Twin Falls, Idaho 83301 For Doug McCoy Construction 1646 Eldridge Avenue Twin Falls, Idaho 83301 Columbia Technical Service arrived on the site Febuary 2, 2017 to take bulk asbestos samples of suspect material in the building. This building is scheduled for renovation. Columbia Technical Service took seventeen (17) bulk samples as follows: Sample 348-01 2X4 Ceiling tile Rear No asbestos detected Sample 348-02 2X4 Ceiling tile Rear No asbestos detected Sample 348-03 2X4 Ceiling tile Rear No asbestos detected Sample 348-04 1X1 Ceiling tile Front No asbestos detected Sample 348-05 Sheet vinyl flooring Front 20% Chrysotile Asbestos Sample 348-06 Sheet vinyl flooring Front No asbestos detected Sample 348-07 A Leveling material Front No asbestos detected Sample 348-07 B Leveling mastic Front No asbestos detected Sample 348-08 1X1 Ceiling tile Front No asbestos detected Sample 348-09 A Leveling material Front No asbestos detected Sample 348-09 B Leveling mastic Front No asbestos detected Sample 348-10 A Sheet vinyl flooring Wall No asbestos detected Sample 348-10 B Sheet vinyl mastic Wall No asbestos detected Sample 348-11 A Sheet vinyl flooring Cooler No asbestos detected Sample 348-11 B Sheet vinyl mastic Cooler No asbestos detected Sample 348-12 A Sheet vinyl flooring North storage No asbestos detected Sample 348-12 B Sheet vinyl mastic North storage No asbestos detected ASBESTOS CONTAINING MATERIAL (ACM) FOUND BY THIS INSPECTION: Sheet vinyl flooring (brown) Front half of building Category 1 Approx. 680 SF. The above sheet vinyl which is Category 1 material will have to be removed by a Certifited Asbestos Abatement Contractor prior to renovation. About one half of the sheet vinyl is covered with ceramic tile. The ceramic the is non-asbestos. The Asbestos Abatement Contractor will have to file a Renovation Notification to the EPA at least 10 working days prior to renovation. The following enclosures are included with this report: Copy of Laboratory report from MSE. Accreditation from Robert Johnson for Asbestos Inspector. Robert T. Johnson - Owner Columbia Technical Service C0.,2- nt 0--,T te 7837 Williamson Court=Suire 700-Louisvi!!e,KY 40223 Phone(502)244-7135 0(800)841-0180-FAX(502)244-7135 Specialists in Microanalysis E-mail.customerservice@mselabs.com-Website:v1viw.mse1abs.com Date: February 1,2017 Attention: Robert Johnson Columbia Technical Service Subject: Analysis of bulk samples for asbestos mineral fibers by Polarized Light Microscopy(PLM)with Dispersion Staining (EPA/600/R-93/116) RE: MSE-P217CTS 348 Addison Project Dear Mr. Johnson: McCall & Spero Environmental, Inc. has completed the analyses of the bulk samples we received from your offices on February 1, 2017. These samples represent the bulk samples from the 348 Addison Project. The PLM bulk analysis was performed according to the "Method of the Determination of Asbestos in Bulk Building Materials", R. L. Perkins and B. W. Harvey(EPA/600/R-93/116). The results for the seventeen (17) samples are summarized in the following report. Please note that for samples consisting of two or more distinct components, each component is analyzed and reported individually(EPA 40 CFR Part 61 [FRL-4821-71]). Thank you for consulting McCall & Spero Environmental, Inc. Should you have any questions concerning these results, please contact our office. Sincerely, Kevin R.Bean,B.A. Laboratory Director 0 SUMMARY OF PLM BULK ANALYSIS RESULTS Page 1 Project Name: 348 Addison Project McCall & Spero Environmental Project No. MSE-P217CTS MSE# SAMPLE# ASBESTOS OTHER FIBROUS %NON-FIBROUS P217CTS- DESCRIPTION TYPE&% MATERIAL&% MATERIAL COLOR 948-01 Cellulose/70% 001 Ceiling Tile ND Glass/20% 10% Gray 348-02 Cellulose/70% 002 Ceiling Tile ND Glass/20% 10% Gray 348-03 Cellulose/70% 003 Ceiling Tile ND Glass/20% 10% Gray 348-04 Cellulose/70% 004 Ceiling Tile ND Glass/20% 10% Gray 348-05 005 Sheet Vinyl CH/20% Cellulose/30% 50% Brown 348-06 Cellulose/30% 006 Sheet Vinyl ND** Glass/20% 50% White 348-07 (A) 007 (A) Leveling Compound ND Cellulose/5% 95% White 348-07 (B) 007 (B) Mastic ND:-* Cellulose/3% 97% Yellow 348-08 Cellulose/70% 008 Ceiling Tile ND Glass/20% 10% Gray 348-09 (A) 009 (A) Leveling Compound ND Cellulose/5% 95% White 348-09 (B) 009 (B) Mastic ND** Cellulose/3% 97% Yellow 348-10 (A) Cellulose/20% O10 (A) Sheet Vinyl ND** Glass/20% 60% White 348-10 (B) 010 (B) Mastic ND*:- Cellulose/3% 97% Tan 348-11 (A) Cellulose/20% 011 (A) Sheet Vinyl ND** Glass/ 10% 70% Gray 348-11 (B) Cellulose/3% 011 (B) Mastic ND** Glass/2% 95% Brown McCall 8, Spero Environmental, Inc. SUMMARY OF IPLVI BULK ANALYSIS RESULTS Page 2 MSE# SAMPLE# ASBESTOS OTHER FIBROUS %NON-FIBROUS P217CTS- DESCRIPTION TYPE&% MATERIAL&% MATERIAL COLOR 348-12 (A) Cellulose/40% 012 (A) Sheet Vinyl ND:-'- Glass/ 10% 50% White 348-12 (B) 012 (B) Mastic ND** Cellulose/5% 95% Yellow NOTES: ND=None Detected CH=Chrysotile A=Amosite AC =Actinolite CR=Crocidolite AN=Anthophyllite TR=Tremolite For samples consisting of separate components, each component is analyzed and reported separately. Results apply only to items tested. Quantification is accurate to within ± 10%. Results from this report must not be reproduced, except in full, with the approval of McCall & Spero Environmental, Inc. This report must not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. ** EPA recommends that bulk materials found negative for asbestos or less than one percent asbestos by polarized light microscopy that fall into one of five dominantly nonfriable categories be reanalyzed by an additional method, such as transmission electron microscopy. (EPA Notice of Advisory, FR Vol. 59,No. 146 &Test Method EPA 600/R-93/ 116). Analyst: Kevin R.Bean,B.A. f Z McCall & Spero Environmental, Inc. R tli lV. t�'E I wip LIT] �i`� U 1831 WiYramson Court oSurTe 100 oLottisYNq,KY40223 Il """,•�'r- f •Y• Phone(502)244-7135 o(&*)841-W80&FAX(502)244.7136 s- SgeaaTsisinanatyss F-rn2l- Mtcro fom�rs2n+ic�i�.�2la�scom��'Letzs :s'iwnf�mse!-bccom IBULK Ste■.E CHAIN OF CUSTODY FORM Cowuanp: Cohunbia Technical Service Telephone n (208)490-1284 Faa- e-maff Contact: Robert Jo - on_ _, Clot Progect N ber: Relinquished by: z,�ci ��vr--� Date: L!/c7/ �v� � fie: Written Repoi t To: Columbia "rai Service,PO Box 146,Buht Imo 93316 ProjectNime: A,I7 5;y/ Tura-Around(Circle One): me Dap 24 Hour 2 3 Day 4-5 Day Weekend Rule rimer Hour Rush An*sis Requested Circle cBnC. 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