HomeMy WebLinkAbout15-102475 Demolition
City of&FedEco Deyal y
S Permit #: 15-102475-00-D E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-26094111 E
p a
Project Name: TIEU r•
Project Address: 27610 27TH AVE S Parcel Number: 516000 0070
Project Description: Demolition of manufactured home that was partially destroyed by fire.
Owner Applicant Contractor
HUE VAN TIEU HUE VAN TIEU OWNER IS CONTRACTOR
2002 S 272ND ST 2002 S 272ND ST
KENT WA 98032 KENT WA 98032
Additional Permit Information
Demolition Valuation 1300
PERMIT EXPIRES Sunday, May 21, 2017
Permit Issued on Friday, May 22, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: �/� Date: /v0
(.4j 2- ,
LE
SNA
THIS CARD IS TO REMAIN ON-SITE
CITY OF 1.11111111ftift,w • Construction I�ection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-102475-00-DE Address: 27610 27TH AVE S
Project: HUE VAN TIEU FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Final-Building(4050)
Approved
f
By Date `7 ( 2.3 ( '
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF NSD PERMIT oPPLICATION
Federal Way
,,i, co/
MAY 222015 3
CITY QF F LWAY ,1 � ``--
PERMIT NUMBER / 5 _ 7 0 �( ?5 _ U
��11 TARGET DATE
SITE ADDRESS SUITE/UNIT#
g- - (s I b X? VC._ S W- (&)4-, ei 8-003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
I3 ,,c) o _ ') 5 1 G p v _ d V u1 `/
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT � LC c
PROJECT DESCRIPTION �� J 1 15 1Ci/V" ► �l - VA()�J1 _ ���v�
Detailed description of work to7 1 - 6t&-",--L'c° l.e d/
be included on this permit only
NAME ,, i\ PRIMARY PHONE 7 _
PROPERTY OWNER H L}L TIE V Zi_( 1 , �CI
MAILING ADDRESS -, E-MAIL
21 6 [ D )-7-0,4,17/\\")e -e ,I'1 p .� C fro.1 cx, (t4
CITY, ^ h STATE ZIP
r? ( (. kJt '-ti- t,+)_ 9 0 0
NAMEPHONE
, s )L.._ T. /
MAILING ADDRESS .,.v"�y 5.,..._ E-MAIL
CONTRACTOR C->1 �j c • `— 2_ ° 1
CITY STATE ZIP FAX
L-04 Wei t,t,s.- q iv C 2,
WA S ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ,� PRIMARY PHONE
104CE Ti-eU 23 - t 7c9 -_ 6i3i-
MAILING ADDRESS ,
APPLICANT ; S 1 C� s . I:,
Lam. CZf!fto( M ---
CITY STATEZIP FAX
K-Q Kt- ��O � CIS 0 5 ,
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY I STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
----_„,
Required value of$5,000 or more LING ADDRESS,CITY,STATE,ZIPPHONE
(RCW 19.27.095) ___
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.I {
SIGNATURE: DATE I/`(,i." ( cel, ,),_e IK--
PRINT NAME: ..l '{-�OE TI-E--13
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
01 (9 k 0 q.,..7-7 AN. .
t-, N L ` - COMMUNITY&ECONOMIC DEVELOPMENT DEPARTMENT
33325 36 Avenue South
CITY OF Federal Way, WA 9Rc,O3 (s325
Fed
� 253-835 2607;Fax a53•A3526x9
yww ,cityc_... ralwaY.corit
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is reytii;ed to remove any structure or structures on a subject property. Check with the City's Planning
Division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and
submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can
be issued.
L.i Prior to submitting a demolition permit,the following items(as applicable)must be signed by the respective
agency(see attached Demolition Permit Contact List).
Nore TU-tt ruc:IAT Utilities shall be dirrrstmccild and se?vices performer'. if applicrrhie,prior to i.wuartce ofthe demolition permit.All applicable
items bciow are 10 be Siiaert.lt Arai iGv the raspectivr cgeniy reprecentatires.
1.ASBESTOS ABATEMENT 6.ELECTRICITY
(CoFy of apprOval form and aabests survey from Puget Sound Clean Air (E e'ttr i tO be,sshhuyt o a reve.r , ii ( 11 /i ,/r
(City of Federal Way Builing Official) (il (Puget Sound Enegy} r
2.GAS SUPPLY 7.FUEL STORAGE TANKS
(Gas to be snot trfr,meter rernc'rt 51.1 n,na!aai pari) (Above or below grade fuel tanks, have been pumped or removed
,1-k under Fire Department pe lit pri rtto any dismantle/excavation)
(Puget Fnergy)
(south Kin Fire and Rescue)
3.SEPTIC SYSTEM B.WATER-Public Source (Check applicable box)
(Tank t0 be remavec or tank tc be drained and:`iced) ❑Meter to be removed and final utility bill paid
A Meter to remain and a prOteCted Th
King 0>unty Environmental Ser,ices) , , (water Supplier)
r"x*=k:OR*...**
4.SANITARY SEWER (Check appii;abie box) 9. WATER-Private Well(Check applicable bOx)
a Sewer line capped at property line o Private well filled and capped
ci Existing Sewer Una to remain a be used by proposed new structure o Private well to be used fQr Qther poses
P4 t
( a eh ver Utility District) (King Caun Environmentsrvioes)J
S.GARBAGE
{Ai!household garbage dispnc off Fin&bill paid)
(Waste M trier Company) —._
O Completed Construction Permit Application form
0 Provide the following fees: 1. Demolition Permit Fee Rased on valuation.Sea table on pg4ofthe constructionpermit application.
2. Automation Fee $20.00
3, WA State Surcharge $4.50
—
fluile:in It l22-Fannin, 14,20 i 3Pa ni i -.._._..._.---.T,atitaiiiitiitkiegeliboro Permit Requirements
MAY 222015
CITY OF FEDERAL WAY
CDS
•
• •
COMMUNITY&ECONOMIC DEVELOPMENT DEPARTMENT
33325 8th Avenue South
,� Federal Way,WA 98003-6325
CITY OF .„„,„,, "� 253-835-2607;Fax 253-835-2609
Federal Way www.cityoffederalway.com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure or structures on a subject property. Check with the City's Planning
Division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and
submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can
be issued.
0 Prior to submitting a demolition permit,the following items(as applicable) must be signed by the respective
agency(see attached Demolition Permit Contact List).
NOTE TO APPLICANT: Utilities shall be disconnected and services performed, if applicable,prior to issuance of the demolition permit.All applicable
items below are to be signed and dated by the respective agency representatives.
1.ASBESTOS ABATEMENT 6. ELECTRICITY
(Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut o f and meter rem9ved)
Agency provided) S—T_B, ' (.1
(Puget Sound Energy)
(City of Federal Way Building Official)
2.GAS SUPPLY 7. FUEL STORAGE TANKS
(Gas to be shut off, meter removed a/t final bill paid) (Above or below grade fuel tanks, have been pumped or removed
Id under Fire Department permit pri r.to any dismantle/excavation)
(Puget S nd Energy) N
(South Kin Fire and Rescue)
3.SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box)
(Tank to be removed or tank to be drained and filled) n Meter to be removed and final utility bill paid
7Q Meter to remain and be protected _
(King County Environmental Services) () (Water Supplier)
******OR******
4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well(Check applicable box)
n Sewer line capped at property line o Private well filled and capped
u Existing sewer line to remain apti be used by proposed new structure ❑Private well to be used fQr gther poses
(Lakehaven Utility District) (King Coun Environmental Services)
5.GARBAGE
(All household garbage disp off lyJ final bill paid)
(Waste Manag menntt/Other Company) RECEIVED
❑Completed Construction Permit Application form MAY 2 2 2015
❑ Provide the following fees: 1. Demolition Permit Fee Based on valuation.See table L.l l T t-o aljyitapplication.
2. Automation Fee $20.00 • I i CDS
3. WA State Surcharge $4.50
Bulletin#122—February 14,2013 Page 1 of I k.l-landouts\Demolition Permit Requirements
• Approved Transaction • • Page 1 of 1
•
pscIeanar.org
Pu„yet5os.fl Agency
Single-Family Notification Case #: 201501954
This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for
inspection at all times at the asbestos project or demolition site(Reg III, 4.03(a)(6)).
Fee Amount Paid $65.00
Credit Card Transaction # ALOFC2BA0107
Transaction Date 05/14/15
Owner's Name Hue Tieu Phone (253) 670-6135
Project Street Address 27610 27th Ave S.
City Federal way Zip 98003
Contact Person Hue Tieu Phone (253) 670-6135
Mailing Address 2002 S.272nd ST
Kent,WA 98032
This project includes asbestos removal.
Project Size linear feet / 1200 square feet
Project Start Date 05/30/15 Completion Date 08/30/15
Asbestos will be removed by the home owner
This project includes a demolition.
Demolition Start Date 05/30/15 Completion Date 08/30/15
Demolition will be completed by the home owner
I certify that:
(1)This is a single-family residence project. The structure is used by one family who owns the property as their domicile.
(2)The information I have provided is to the best of my knowledge accurate and complete.
(3) I understand the fee for this Notification is nonrefundable.
Create Another Notification
If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058.
Receive®
MAY 222015
CITY OF FEDERAL WAY
CDS
https://secure.pscleanair.org/Asbestos/Approved.aspx 5/14/2015
• S
Project Setup Report
Project Setup
Project Name Mobile - 27610 27th Ave S Affiliation Now
Project No. N15-0235 Set Up By Angela Todd
Project Mgr. Donna McNeal Set Up Date 5/19/2015
Field Techs Angela Todd
-Client Info
Contact Hue Tieu Relationship
Company
Address
Phone (253) 670-6135 Fax Email
P.O. No. Claim No.
Bill Addr
-Project Info
Project Type Asbestos, Residential
Site Addr 27610 27th Ave S, Federal Way, WA 98003
Status Open Dwelling Cap.
Promised By 5/26/2015 Class
Turnaround Rush Send Reports Via
-Site Contacts -Site Visits
Site Contact: Hue, (253) 670-6135 Tuesday, 5/19/2015 at 11:00 AM
General Contractor:
Abatement Contractor:
Project Superintendent:
—Billing — Notes
Type of Billing One Time 3 day TAT per Donna
Monthly Billing Day r �� CO-Y,1 02 Payment Type C
Payment Method
Pick Up At Site Amt
Quoted Price $ 525.00
Printed by Donna McNeal p. 1 of 1 5/22/2015
MAY/22/2015/FRI 01 :30 PM NOM ENVIRONMENTAL FAX No. 253-924-0323 P. 001
• s
-f'' From the Desk of Todd Rickert
i34004 91°Avenue South Alt
1' ENVIRONMENTAL SERVICES INC. Federal Way,Washington 98003
CONSULTING&COMPLIANCE Telephone(253)927-5233 Facsimile(253)924-0323
May22, 2015 Executive Summary
NOW Project N15-0235
Hue Tieu
RE: Limited Asbestos Assessment
Mobile Home at 27610 27th Ave South
Federal Way, WA 98003
Dear Mr. Tieu,
NOW Environmental Services is pleased to present this survey report for suspect asbestos-
containing building materials analysis conducted at the mobile home located at 27610 27th Ave
South In Federal Way, Washington.
We appreciate the opportunity to have been of service to you. If you have any questions
regarding this report, please feel free to contact me at (253) 927-5233.
Sincerely,
'''# ::X:::i7-1---
Todd Rickert
Project Manager
AHERA Building Inspector/Management Planner
NOW Environmental Services
Enclosure:
Asbestos Survey Report
t
34004 9°'Avenue South,Building A,Suite 12,Federal Way,Washington 98003-6740
Telephone Tacoma(253)927-5233-Facsimile{253)924-0323
MAY/22/2015/FRI 01 : 30 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 002
11
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
prepared Fort
Hue lieu
Subject Property:
Mobile Home
27610 27th Ave South
Federal Way, WA 98003
Prepared By:
NOW Environmental Services
34004 9th Avenue South, Suite 12
Federal Way, Washington 98003
Contents
Section 1.0-Introduction 1
Section 2.0-Executive Summary 1
Building Description 1
Asbestos 1
Section 3.0-Regulatory Compliance 2
Asbestos 2
Section 4.0—Asbestos Sampling Plan and Laboratory Analysis 2
Objectives 2
Asbestos Sampling Plan Protocol 2
Asbestos Sampling Procedure 3
Asbestos Laboratory Analysis 3
Section 5.0-Survey Results 4
Asbestos 4
Section 6.0-Conclusions and Recommendations 5
Asbestos 5
Section 7.0-Limits of Survey 6
MAY/22/2015/FRI 01 : 30 PM NOW ENVIRONMENTAL FAX Na. 253-924-0323 P. 003
•
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
Section 1.0 - Introduction
On May 19, 2015, AHERA Building Inspector Angela Todd of NOW Environmental Services
conducted an inspection for suspected asbestos-containing building materials on the mobile
home located at 27610 27th Ave S in Federal Way, Washington. Ms. Todd is an Environmental
Protection Agency (EPA) Accredited Building Inspector Accreditation No. BI-NES-11-2014-03
(Exp. 11-20-15). Accessible areas were visited and samples were taken of building materials
suspected to contain asbestos. Material suspected of containing asbestos included window
putty, insulation, fiberboard, vinyl flooring, ceiling tiles, caulking and silver coat roof application.
These samples were analyzed by Polarized Light Microscopy (PLM) with dispersion staining, in
accordance with the Environmental Protection Agency's (EPA) Method for Determination of
Asbestos in Bulk Materials (Method 600/R-93/116). Percentage estimates are based on the
analyst's best judgment following PLM/DS and examination with a stereoscope. Any materials
or components containing greater than one percent (>1%) asbestos is regulated by federal,
state and local air agencies. In addition, the quantities of asbestos-containing materials were
estimated.* Please see Table 1 for an inventory of sampled suspect building materials, Sample
locations are indicated on the attached site drawings.
*QUANTITIES ARE APPROXIMATE AND ARE NOT TO BE USED FOR BIDDING
PURPOSES. PROSPECTIVE BIDDERS MUST SITE VERIFY QUANTITIES AND SITE
CONDITIONS.
Section 2.0 - Executive Summary
Building Description
The subject structure is a mobile home located at 27610 27th Ave S in Federal Way,
Washington, approximately 1,700 square feet, and built approximately in the 1970s. The
structure consists of wood framed interior wall systems, wood paneling, vinyl flooring on wood
substrate, tacked carpet and pad, laminate flooring with plastic slip sheeting, batt insulation,
window putty, door caulking, fiberboard under metal siding, and a silver coat application on
a metal roof.
Asbestos
All samples collected at the subject property were determined to be non-asbestos containing
building materials, Please see Table 1 for an inventory of sampled suspect building materials.
NOW Project N15-0235 Page 1 of 7
May 22, 2015
MAY/22/2015/FRI 01 : 30 PM NO1' ENVIRONMENTAL FAX No. 253-924-0323 P. 004
S •
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
Section 3.0 - Regulatory Compliance
Asbestos
The intent of the asbestos survey Is to comply with governing asbestos regulations required by
the State of Washington and Puget Sound Clean Air Agency (PSCAA). Currently, the State of
Washington requires a written "good faith inspection" for identification of asbestos-containing
materials prior to any remodeling or demolition work. During demolition and construction work
it is the responsibility of the owner and the contractors to make this survey document available
to all concerned parties who may be handling the building materials.
In addition, PSCAA requires that a copy of the written asbestos survey be made available on-
site for inspection by a PSCAA Control Officer during construction and demolition work. The
survey is required to be performed in accordance with 40 CFR 763.86. These federal standards
require inspections to be conducted by an EPA Accredited Building Inspector with analysis to be
provided by an asbestos laboratory certified by the National Bureau of Standards. The
requirements are described in Article 1 and Article 4, of PSCAA's Asbestos Control Standards.
All survey work was conducted in compliance with the above mentioned standards.
Asbestos-containing materials are required to be removed and disposed of in accordance with
Washington State Regulation 296-155 WAC, Part S prior to any demolition, renovation, or
remodeling that would disturb these materials, Washington State Department of Labor and
Industries and PSCAA require that the abatement be performed using Certified Asbestos
Workers under the direct on-site supervision of a Certified Asbestos Supervisor in accordance
with 296-65 WAC. Also see 296-62 WAC, Part I-1--General requirements for handling asbestos.
Section 4.0 -Asbestos Sampling Plan and Laboratory Analysis
Objectives
The objective of the survey was to determine the quantity and location of building materials
that contain asbestos.
Asbestos Sampling Plan Protocol
This survey was conducted using a protocol adapted from the Asbestos Hazard Emergency
Response Act (AHERA).The protocol is as follows:
1. Group materials into homogeneous sampling areas.
2. Quantify each homogeneous sampling area and collect samples from each area using the
"3-5-7" criteria for surfacing material to determine the number of samples needed. Quantify
and collect a minimum of three samples of each thermal system insulation (the number of
samples collected of miscellaneous materials was determined by the inspector).
NOW Project N15-0235 Page 2 of 7
May 22, 2015
MAY/22/2015/FRI 01 : 30 PM NOW ENVIRONMENTAL FAX No, 253-924-0323 P. 005
•
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Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
3. Samples of each material were taken to the substrate, ensuring that all components of the
material were included.
4. Sampling was performed by a Certified Building Inspector, and the use of proper protective
equipment and procedures was followed.
Asbestos Sampling Procedure
1. Spread the plastic drop cloth (if needed) and set up other equipment, e.g., ladder.
2. Put on protective equipment (respirator and protective clothing if needed).
3. Label sample container with its Identification number and record number. Record sample
location, and type of material sampled on a sampling data form.
4. Moisten area where sample is to be extracted (spray the immediate area with water).
5. Extract sample using a clean knife, drill capsule, or cork boring tool to cut out or scrape off
approximately one tablespoon of the material. Penetrate all layers of material.
6. Place sample in a container and tightly seal it.
7. Wipe the exterior of the container with a wet wipe to remove any material that may have
adhered to it during sampling.
8. Clean tools with wet wipes and wet mop or vacuum area with HEPA vacuum to clean all
debris.
9. Seal the sampling location with caulking compound, spackle or duct tape.
10. Discard protective clothing, wet wipes and rags, cartridge filters, and drop cloth in a labeled
plastic waste bag.
Asbestos Laboratory Analysis
The bulk samples were analyzed in our laboratory using polarized light microscopy (PLM) with
dispersion staining in accordance with US EPA method 600/R-93/116 as specified In 40 CFR
Chapter T (7-1-93 edition) Part 763, Subpart F, Appendix A, pages 499-504. Polarizing light
microscopy quantifies asbestos concentrations at between 100% and 1% detection levels.
Levels below 1% can only be stated as "trace."
For samples containing more than one separable layer of materials, the report will include
findings for each layer (labeled L-1 for layer one and L-2 for layer two, etc.) and a total
percentage for the entire sample. The asbestos concentration in the sample is determined by
visual estimation.
For those samples with asbestos concentrations between 1 and 10 percent based on visual
estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part
61). Point counting is a statistically more accurate means of quantification for samples with low
concentrations of asbestos.
NOW Project N15-0235 Page 3 of 7
May 22, 2015
MAY/22/201 5/FR I 01 : 30 PM NOW ENVIRONMENTAL FAX Na, 253-924-0323 P. 006
• 4111
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
Section 5.0 - Survey Results
Asbestos
All suspect building materials sampled were non-detect for asbestos. Please see Table 1 for
bulk sampling results of suspect building materials found during this inspection.
Table 1
Summary of Suspect Asbestos Containing Building Materials Sampled at the Subject
Location
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;*,04**tigNi*,4'Ul',-14**4a ghtgaghq:Atio*Wt;VW
Window Putty 01 Exterior Windows Under Non-Detect
Wood Framing
Insulation 02 Batt Insulation Non-Detect
throughout Walls, Ceilings
and Undercarriage
Fiberboard 03 Exterior Fiberboard under Non-Detect
Metal Siding
Vinyl Sheeting 04 White/Gold vinyl Sheeting Non-Detect
with Gray Felt Backing
and Yellow Mastic
Ceiling 'Tile 05 Ceiling Tiles throughout Non-Detect
Ceilings
Vinyl Tile 06 Vinyl Tile with Self- Non-Detect
Adhesive in Bathroom
- -
Vinyl Sheeting 07 Gold Vinyl Sheeting with Non-Detect
Brown Pelt Backing under
Stone Tile
Caulking 08 Exterior Caulking on Door Non-Detect
Frames
Silver Coat 09-13 Silver Coat Application on Non-Detect
Metal Roof
NOW Project N15-0235 Page 4 of 7
May 22, 2015
MAY/22/2015/FRI 01 : 31 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 007
• •
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
Section 6.0 - Conclusions and Recommendations
NOW Environmental Services is not responsible for materials which require destructive means to
access, or materials which are hidden from sight, those materials hidden behind walls, or
materials which cannot be found with reasonable diligence. Extreme caution should be used
during renovation or demolition to ensure that additional unidentified materials are not
disturbed. In the event that additional materials are discovered, the material must be sampled
by an EPA Accredited AHERA Building Inspector and analyzed to determine if it contains
asbestos prior to disturbance.
Asbestos
According to Washington Administrative Code (WAC) 296-62-07721, prior to the start of work, a
building owner must Identify the presence, location, and quantity of ACM and/or presumed ACM
(PACM) prior to renovation and demolition. This information must be communicated to
contractors bidding on work, contractors performing other work, employees and tenants in or
adjacent to the work area. The Puget Sound Clean Air Agency Regulation III, Article 4 requires
that an asbestos survey be conducted prior to any renovation or demolition of existing
buildings. This survey was intended to meet these regulatory requirements.
Asbestos-containing materials are required to be removed and disposed of in accordance with
Washington State Regulations prior to any demolition, renovation, or remodeling that would
disturb these materials. Washington State Department of Labor and Industries and PSCAA
require that the abatement be performed using Certified Asbestos Workers under the direct on-
site supervision of a Certified Asbestos Supervisor. The only exemption is for resident owners
performing removal of asbestos-containing materials other than furnace interiors and direct
applied mudded asbestos insulation,
ACM is identified as those building materials containing greater than one percent (>1.0%) of
asbestos as verified by laboratory analysis. All building materials fabricated prior to 1980 are
assumed to contain asbestos unless proven otherwise by a licensed building Inspector.
Materials that contain 1.0% or less asbestos are not regulated for disposal purposes. However,
removal of materials containing 1.0% or less asbestos is considered an unclassified asbestos
operation by OSHA and WISHA. Unclassified asbestos operations cover employees likely to be
exposed in excess of the permissible exposure limit (PEL), and who are performing operations
not covered by Class I through IV. For construction work involving unclassified asbestos the
applicable requirements will include: an exposure assessment, use of vacuum cleaners equipped
with HEPA filters, use of wet methods and prompt cleanup of debris, use of respirators and
protective clothing, training, and record keeping.
Asbestos-containing joint compound associated with non-asbestos gypsum wallboard (GWB)
assemblies is sometimes found in specific locations of a building. The presence of asbestos in
this material requires personnel impacting the material to adhere to regulatory requirement
outlined in WAC 296-62-17712(2) and training as outlined In WAC 296-62-07722(5) and WAC
NOW Project N15-0235 Page 5 of 7
May 22, 2015
MAY/22/2015/FRI 01 : 31 PM NOW ENVIRONMENTAL FAX Na. 253-924-0323 P. 003
• •
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
296-62-07728. Personal protective equipment and proper work practices are required pending
completion of a negative exposure assessment. Such an assessment may include air
monitoring of workers'breathing zones. Refer to WISHA Regional Directive 23.30 for additional
information.
The possibility exists that additional ACMs may be present in wall and ceiling cavities. Any
previously unidentified material encountered during construction activities should be sampled
prior to impact. Work that may impact asbestos must be performed by personnel having proper
training and utilizing proper worker protection according WISHA standards.
NOW Environmental Services recommends that a Certified Asbestos Project Designer design any
asbestos abatement project to ensure that the job is completed according to regulatory
standards.
Section 7.0 - Limits of Survey
Asbestos surveys are non-comprehensive by nature and subject to many limitations including
those presented below. Our assessment has considered risks pertaining to asbestos; however,
this survey is limited to only those locations sampled. This survey was not designed to identify
all potential concerns or eliminate all risk associated with asbestos.
Risks that were not evaluated with this survey; Risks such as 1) toxic and hazardous substances
in (or in contact with or associated with) soil or ground water; 2) risks associated with
structural, electrical, or mechanical working of the building; 3) risks associated with radon gas,
slope stability, building settlement, moisture, or site drainage and flooding have not been
evaluated during this survey. No warranty, expressed or implied, is made.
The site visit consisted of a thorough visual walk-through of building for the purpose of viewing
and sampling potential asbestos-containing material. Suspect PCB containing light ballasts
were not estimated. Fluorescent bulbs were not quantified for recycling purposes.
Mercury vapor lamps were not identified during the survey.
NOW Environmental Services performed this survey in accordance with the generally accepted
standards of care that exist in the industrial hygiene profession in Washington State at the time
of this study. The asbestos survey was performed in preparation for removal of asbestos-
containing materials in accordance with NESHAPS regulations.
This survey is not Intended for use as plans and specifications. These estimates are for
approximating actual bid prices from contractors only, and may not reflect the actual final
costs of asbestos and/or lead abatement. They do not include sales tax, or Owner costs such
as abatement project oversight and monitoring for compliance to law and/or compliance to
project plans and specifications. These estimates assume that adequate, professional plans and
specifications are prepared and the abatement costs are minimized by professional project
NOW Project N15-0235 Page 6 of 7
May 22, 2015
MAY/22/2015/FRI 01 : 31 PM NO" ENVIRONMENTAL FAX No, 253-924-0323 P. 009
• •
Limited Asbestos Assessment
Mobile Home
27610 27th Ave S - Federal Way, WA
management, and that all asbestos containing materials are abated during one project by the
same asbestos contractor.
Written By:
';;;77
Todd Rickert
Project Manager
AHERA Building Inspector/Management Planner
Accreditation No. BIMPIR/NES-052814-01
(Exp. 5-27-15)
Reviewed By:
Donna McNeal
CEO/Laboratory Director
Enclosures
• Bulk Asbestos Laboratory Reports
• Field Notes
• AHERA Building Inspector Certificate
NOW Project N15-0235 Page 7 of 7
May 22, 2015
MAY/22/2015/FR I 01 :31PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 0 1 0
• •
. Iiiitt
.... ORION Environmental Services
34004 Ninth Avenue South,Suite Al2, Federal Way,WA 98003
Phone: (253)952-6717 • Fax: (253)927-4714
Email: info@oriones.net•Web:www.oriones.net
WBE W2F9219763
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client: Rpt.Date:
Address: Page; 1 of 2
Attention: Hue Tleu Invoice: 152611
Project Name: Mobile-27610 27th Ave 5 Date Rcvd: 5/19/2015
Project Number: N15-0235
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MAY/22/2015/FRI 01 ; 31 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 011
•
• •
Polarized Light Microscopy Test Report (cont.)
Client: Rpt.Date:
Address: Page: 2 of 2
Attention: Hue Tieu invoice: 152611
Project Name: Mobile-27610 27th Ave S Date Rcvd: 5/19/2015
Project Number: N15-0235
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Dup:Laboratory QA/QC Duplicate;M;Mastic[(a),(b),(c),etc.):Sample layers numbered from front to back.
Comments: For layered samples,each component has been analyzed separately. ND means non-detect for asbestos fibers by
EPA Method 600/R-98/116.Disclaimers: PLM has been known to miss asbestos In a small percentage of samples that contain
asbestos. Thus,these laboratory results represent due diligence,however negative or<1%PLM results can not be guaranteed.
Per EPA guidelines samples will be archived for 30 days then will be disposed of. This report may only be reproduced in full with
written approval of ORION Environmental Services.
Analyzed By(Print) Date Reviewed By(Print) Date
Dennis Rauschenberg 5/22/2015 Donna McNeal 5/22/2015
Analyzed By(Signature) Time R B Signature Time
MAY/22/2015/FRI 01 : 31 PM NOM ENVIRONMENTAL FAX No. 253-924-0323 P. 012
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MAY/22/2015/FRI 01 : 33 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 017
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NOW Environmental Services, Inc.
34004 9th Avenue South, Suite 12
Federal Way,WA 98003
(253)927-5233-Fax(253)924-0323
Federal Way,WA 98003
05/22/2015
SALE Total: $525.00
Visa xxxxxxxxxxxx4194
Exp. Date; xx/xx
Name: Hue Tieu
Auth. Code: 08895C QuickBooks Trans. No: N15-0235
Trans. ID: PF0023279326 Merchant No.: 5247710000190165
Thank you for your business
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