24DEM007242Demolition
Notification
Olympic Region Clean Air Agency
2940 Limited Lane NW
Olympia, WA 98502
(360) 539-7610 - FAX (360) 491-6308
South Bend Office (360) 942-2137
Port Townsend Office (360) 338-6419
www.ORCAA.org
Name:LGI Homes Washington LLC
Site Address:16330 Railway Rd SE City:Yelm Zip:98597
Date Received
8/19/2024 Receive date:8/19/2024
Start Date:8/22/2024
#24ASB008955
Mailing Address:1450 Lake Robbins Dr. Suite 430 City:The Woodlands Zip:77380State:TX
Phone:Email:
Total Fee:$144.00
# of structures being demolished:3
PROPERTY OWNER
DEMOLITION CONTRACTOR
County:Thurston
Contractor Name:JM Knelleken Co Inc Phone:(360) 400-0716 Email: jaredknelleken@live.co
DEMOLITION INFORMATION
Asbestos present?Survey attached?Yes No Yes No
Agency Use Only Agency Use Only Agency Use Only
Payment Info.Asbestos Notification:
Demolition Notification:
OVER
I do certify that I am the owner, authorized agent of the owner, or authorized contractor for the property subject to this ORCAA Notification. I authorize
ORCAA staff to enter the property listed in this Notification at reasonable times for purposes of inspecting the work that is the subject of this
application/permit and to ensure compliance with permit conditions, applicable laws and regulations. I understand that granting of this permit by
ORCAA does not authorize anyone to violate federal, state, or local laws or regulation pertaining to activities associated with this permit. I have read
and will abide by the conditions set forth in this permit and any addendum thereto.
I do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is, to the
best of my knowledge true, accurate and complete.
Emergency - must be accompanied by letter explaining emergency circumstance
#24DEM007242
Electronically submitted by:jaredknelleken@live.com
Site Contact Person:Jared Knelleken Phone:2533122086
All identified asbestos was removed under
Asbestos Permit #24ASB008955
DEMOLITION PROJECT CATEGORY
Complete Demolition
Training Fire Fire Agency, Contact, Phone:
Other Structures - 10 day wait period - Nonrefundable
Single-family Residence - 10 day wait period - Nonrefundable
Year Structure Constructed:1969 Is this a:mobile home modular home
build on-site
Demolition
Notification
Olympic Region Clean Air Agency
2940 Limited Lane NW
Olympia, WA 98502
(360) 539-7610 - FAX (360) 491-6308
South Bend Office (360) 942-2137
Port Townsend Office (360) 338-6419
www.ORCAA.org
Demolition projects (larger than 120 sq. ft.) within Clallam, Grays Harbor, Jefferson, Mason, Pacific, and Thurston counties
REQUIRE A NOTIFICATION and require that the following conditions be met prior to the demolition.
Olympic Region Clean Air Agency (ORCAA) regulations define a demolition project as the wrecking, razing,
dismantling, or burning (by a fire protection agency for training), or removal of any load supporting structural
member of a structure, including any related handling operations, making all or part of the structure permanently
uninhabitable or unusable.
The following information is merely a reference guide and not a substitute for agency regulations.
1. Notifications are required for all demolition projects with a footprint of 120 square feet or larger.
2. An asbestos survey is required for all demolition projects. The survey must be conducted by a certified Asbestos
Hazardous Emergency Response Act (AHERA) building inspector. Qualified inspectors may be found in your local
Yellow Pages, through the internet, or on ORCAA’s website.
3. Asbestos samples must be sent to a NVLAP Laboratory (National Voluntary Laboratory Accreditation Program) per
40 CFR 763.87. A list of labs can be found on ORCAA’s website.
4. The start date on demolition projects must be at least 14 days from the submission date of the complete application
and payment.
5. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing
material present in the structure to be demolished or renovated.
6. Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as
such.
7. A copy of the asbestos survey and the Demolition Notification must be kept on site and be available for review by
Agency inspection personnel.
ADDITIONAL REQUIREMENTS:
In addition to Agency requirements, most building departments require a demolition permit (separate from ORCAA’s
Notification). The Washington State Department of Labor Industries may also require notification.
“Single-Family Residence” means any structure containing space for use such as living, sleeping, food preparation and
eating. This term includes houses, mobile homes, detached garages, houseboats, and houses with a “mother-in-law
apartment” or “guest room”. This term does not include multiple-family units (i.e. apartment, duplex, condominium, etc.),
nor does this term include any mixed-use building, structure, or installation that contains a residential unit.
Emergency Project: A project that was not planned but results in a public health or safety hazard; the project must proceed
immediately to protect equipment, ensure continuous vital utilities or minimize property damage; ACM was encountered
that was not identified during the survey or the project must proceed to avoid imposing an unreasonable burden.