REVIEWED BLD BLD2024-1336+Salvage Assessment Form+10.22.2024_10.11.25_AM+4573548BLD2024-1336
RECEIVED
Oct 22 2024
PLANNING & DEVELOPMENT
BUILDING
DIVISION
121 5th Avenue N
P: 425.771.0220
www.edmondswa.gov
Salvage Assessment
..............................................
REVIEWED
BY
CITY OF EDMONDS
BUILDING DEPARTMENT::
..............................................:
Project Address:
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Applicant Name:
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Contact Phone Number:
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Contact Email Address:
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A Salvage Assessment is required for projects that involve demolition with an area of work greater than 750
square feet or the construction value is greater than $75,000. The assessment should be submitted at permit
intake if possible but is required prior to issuance. Be sure that the correct person fills out this form:
• If a whole building is being deconstructed or demolished, the form must be completed by a salvage verifier that meets
one of the following:
■ An established salvage and reuse retail company
■ A licensed contractor specializing in deconstruction
■ A demolition company with knowledge of local and current salvage retail markets
• The salvage verifier may use an alternate form as long as specific materials have been identified for salvage.
• A list of possible salvage verifiers may be found through resources such as The Northwest Building
Salvage Network: http://nbsnseattle.ore/.
• The salvage verifier may check off the box below if there is nothing of value to salvage.
• The owner or owner's representative may fill out the DSA if the project involves interior alterations that include
demolition or if materials being removed from the project are going to be used in the new project or at an
alternate project site. Alternate Address or Project Number:
Building Component
Specific Material
Notes
Wall Covering
Wall Covering
Insulation
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Plumbing
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Plumbing
Lighting Fixtures
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Wood
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Wood
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Wood
Wall Sheathing
Wall Sheathing
Doors
Doors
Flooring
Flooring
Carpet
Cabinets
Windows
Roofing
Siding
Siding
Miscellaneous
Salvage Verifier (1freguired)
Contact Name
Company
Phone
It has been determined that there is nothing of value to salvage from this structure or project site.