23-100728City nr Fedenl ►►�a,. Demolition
°m"'°n "8,e'°° Permit #:23-100728-
;t325 81h Avc s 00—DE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: LTCA
Project Address: 30905 18TH AVE S
Parcel Number: 785360 0140
Project Description: Demolition of single family residence.
Owner
LTCALLC
29727 49TH PL S
AUBURN WA 98011
I hereby certify that the
and the occupancy]
Owner or agent:
Applicant
METIER CONSTRUCTION
29727 49TH PL S
AUBURN WA 98001
Additional Permit Information
PERMIT EXPIRES Monday, 7 August, 2023
Permit Issued on Wednesday, February 8, 2023
Contractor
METIER CONSTRUCTION
METIECI055CG (2/7/24)
29727 49TH PL S
AUBURN WA 98001
information is correct and that the construction on the above described property
use will be in loccordance with the laws, rules and regulations of the State of
Allashin on a e City of Federal Way.
Date: 2 3
THIS CARD IS TO REMAIN ON -SITE
Cl" OF: Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 100728 00 Address: 30905 18TH AVE S
Project: L T C A LLC FEDERAL WAY WA 98003-4907
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.
0 Final - Building (4050)
Approved
By Date 2 7L
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
C#TY OF
FEB 08 2023 PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
Federal 1!'tlay CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ J'1 �] �) Q _ AEC TARGET DATE
SITE ADDRESS
SUITE/UNIT #
3 o ef 0 5 / S! Ve-
s 1✓z a-e r a f UAL1, W,9 CIS O 03
PROJECT VALUATION
ZONING ASSESS R'S TAX/PARCEL#
$ -qw'$ o0o
sr,y�a► 7 g S 3 6 0_
d/ 4 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL X DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
i- T c-A z.L.0
as3 5a9-05-0 3
PROPERTY OWNER
MAILING ADD REss
297a7 �/94h ip/ rJ
E-MAIL
dm Wn Irw r►lef1Vrcond'triidlo
C1TY
kibiArn
STATE
WA
ZIP
0
fV00�
NAME
PHONE
aS3 5�9-v5o�
MAILING ADDRESS
30T5q Pacifie 1jLV S S-te A
E-MAIL
dawnldnlBfrtrconetructiwl,
CONTRACTOR
CITY
Fed-trul 1, c
STATE
WA
ZIP
g9r003
FAX
( w53) Sa9--iy3-1
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
NAME
LTcr4 1_LC
UBI #
7s5--
PRIMARY PHONE
3-5-3Sa9 -050
MAILING ADDRESS _ h iP/ 5
E-MAIL
�a wrel�me�ierConsFrucflon
APPLICANT
CITY STATE
A",6"rn I Wry
ZIP
FAX
PROJECT CONTACT
NAME ,,
��-jti La 2' o
PRIMARY PHONE
3-53) qa9-0S- 03
MAILING ADDRESS
/1
3 o s' 5q Pa'e if;r l�iu � 5Te-L A
E-MAIL!
d1t WO le m6tr•C0nAruttJVAX4
(The individual to receive and
respond to all correspondence
CITY ) STATE ZIP
Fetlero/ C1/q UM 95003
FAX
(0-53) Sa9 — 1 Y--D
concerning this application)
PROJECT FINANCING
NAME(T CA I LL.0
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
a'1717 y94h so S A,-bkrn, WA qT Do/
PHONE
053) 6-a9-05o3
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 Clailn arises out the reliance of the c including its officers and employees,
upon the accuracy of the
information suppli4t.7)ap
t o this patSIGNATURE:
DATE
PRINT NAME: Lowell
r 4Rn Tre
-40M
5 rri
�m
M
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
CITY OF 4khmm
Federal Way
COMMUNITY DEVELOPMENT DEPARTMENT
33325 81 Avenue South
Federal Way, WA 98003
253-835-2607; Fax 253-835-2609
www.eityoffederalway.com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure on a subject property. Demolition of separate
structures may require separate permits.
�h 98 003
�( Address of Demolition: u 0 C1 / 1� ✓e S.edera 1 [.�ceG(JI
❑ Prior to submitting a demolition permit, the following items must be signed by the respective
agency or their approvals attached. Items not applicable to your project should be marked N/A.
❑ A completed Construction Permit Application form is also required.
1. ASBESTOS ABATEMENT
(Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency S. ELECTRICITY
and copy of inspection report by AHERA-certified inspector)
motor 6'h'� hV/--'3_ + / i pe pc+11--A by PS&
cz;� m CJL4 (Puget Sound Energy/Tacoma Power)
(City of Federal Way Building Official)
2. FUEL STORAGE TANKS
❑ Under grade tank(s) is/are present
❑ Above grade tank(s) are present
XTank(s) has been pumped or removed under South Kira Fire & Rescue
permit prior to any dismantling or excavation
a-�4��
(South Kin re an Rescue)
3. SEPTIC SYSTEM DECOMISSIONING
6. NATURAL GAS
.,V 1A
(Puget Sound Energy)
C G��-Z�7i23
7. WATER- Public S4o rce bpi. 4vroaA 6Ack DA Porelfmu.
%u.rYri e44 o 4 --M e4.e r 444 on Prop-erf -F., 1�A rY tiSL.
(Lakehaven Water & Sewer District)
NIA 8. WATER - Private Well
(King County Environmental Services)
�f (King County Environmental Services)
4. SANITARY SEWER r
aWae_ A -- s ew, r cetp pro(
_219/2 3
- 1 t on prapeavf-f hawx usQ-
(Lakehaven Water & Sewer District) 1
Please Note: Erosion control measures must be in place during the demolition and through
completion of the site clean-up.
_ L f C. R,
(Applicant)
Bulletin 4122—April 8, 2021 Page 1 of 1
kAHandouts\Demolition Permit Requirements
Family Notification Case #: 202201929
lid printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for Inspe<
besbos project or demolition site (Reg III, 4.03(a)(6)).
rid $25.00
tnsaction # AQOA7D>FD97CC
Ite 04/22/22
Tom Cantrell Phone (206) 679-5556
Address 30905 18th Ave. S
Federal Way Zip 98071
1 Arrnandoa Hernandez Phone (360) 731-0649
s P.O. Box 1916
Aubrun, WA 98071
n�cludes asbestos removal.
linear feet / 6000 square feet
32.e 04/22/22 Completion Date 04/26/22
le[removed by a licensed asbestos abatement contractor
rgency project. The emergency reason:
oust proceed immediately to protect equipment, ensure continuous vital utilities, or minimize property damage:
gle-family residence protect, The st,ructurA s used by cne farn,iIjy .rho o%-ins the property as their domicile.
ition I have provided is to the best of nny i no'.'r'YCge accurate and cornp!etz.
d the fee for this rotification is nanrefundabie.
tether Notification
!scions, contact us'at arbest0s � psclr--3nainorg or '206'669.4058.
F� �-if�t7•+r S';�'�ZYi� Jjpik.::1' :-�:��•�t'.
1fi= ,fit:
ASBESTOS NORTHWEST LLC SURVEY REPORT
ASBESTOS
ORTHWESTA"
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
Asbestos Northwest, LLC - Survey Report
30620 Pacific Hwy S, #103, Federal Way, WA 98003
253.941.4343
rr�.. v�Y-:. ' :r! r�'r•:i� � � are-•'�
i
i
Survey Location: 30905 18th Ave S Federal Way WA
Prepared for- Metier Construction
Date: March 16th 2022
Asbestos Northwest Batch Number: 202211209
Inspector: Sean Butler (#18-1714)
E-mail- seanb.@a_sbestosnw.com
1
ASBESTOS NORTHWEST LLC SURVEY REPORT
Contents
N ORT�HWEST "I"
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
1. Background Information and Scope of Work............................................................................3
2. Main Building Description.................................................... ._................................................... 4
StructuralSystem .......................... ....................................... —.................................................................
4
FinishingMaterials...................................................................................................................................4
Mechanicalsystem .......... .-•.............................................................................................:.......................4
Electricalsystem.......................................................................................................—.............................4
Insulation.. .............. ....................................................................................................................................4
Roofing............................_.......................................................................................--.•---............................4
3. Material Sampling Information..................................................................................................5
Definitions...................................................................................................................................................
5
SurveyMethodology................................................................................................................................5
4. Asbestos Containing Material................................................................................................---7
5. Conclusions.............................................................................................
AppendixA — Certifications.............................................................................................................
9
Appendix B — Building Layout..........................................................................-11
LivingRoom ................................... ........... ......... ............. ............................................................ ..12
DiningRoom........................................................................................•--.......... ...........................12
Kitchen.....................................................................................................•----......•..........••...........13
MainBathroom..............................................................................................................................13
......................
Front Bedroom........................................................... --....................................... ...14
Basement................................................................................. ..............................................
14
Appendix C — Laboratory Report ............................................. .......................................................
15
2
ASBESTOS NORTHWEST LLC SURVEY REPORT
ASBESTOS,- �d` .
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
1. Background Information and Scope of Work
On March 16th 2022 Asbestos Northwest, LLC conducted an AHERA survey of the single-
family home located at 30905 18th Ave S in Federal Way WA. AHERA-certified building
inspector Sean Butler (#18-1714) conducted the survey to determine the presence of
Asbestos Containing Materials (ACM's) prior to the demolition of the structure to make
way for redevelopment of the parcel.
The home was vacant at the time of the inspection but had been occupied until quite
recently. It was in good condition with no significant outstanding damage. The last
occupants had removed almost all personal property though some furniture remained
inside. This did not impact the inspection process. There were two bedrooms on the
north side of the home, with common areas located to the south. The original bathroom
was located off of the central hallway while another smaller bathroom had been added to
the rear of the home accessible from the back entrance area. A small unfinished
basement space was below the north end of the home with the rest of the home sitting
over a crawl space.
A simple wooden carport structure had been located behind the home but had collapsed -
This structure appeared to contain no suspect building materials, being of simple wooden
construction on a concrete slab with a corrugated plastic roof. There were no other
structures on the property.
The home had undergone some alterations from its original form. There was no clear
distinction between eras of materials. For the purposes of this inspection the structure
was considered to be a single homogenous area. Samples were taken from the interior
and exterior of the building. All areas of the buildings were accessible to the inspector.
See the attached layout drawing with sample locations in Appendix B.
Materials were located and sampled following AHERA protocol in 40 CFR 763.86, then
analyzed in-house at Asbestos Northwest per 40 CFR 763.86. See section 3 for detailed
sampling information.
ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS
�* B E S T O S 1
N OORJTHWE5T
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
2. Main Building Description
County tax records indicate that the building was originally constructed in 1944 and had a
total finished area of roughly 1,400ft2 over a single floor. It was a single family residence
with a layout typical for a home of this era. There were two bedrooms and two bathrooms
with common areas located on the south side of the building. It was vacant and in good
condition at the time of the inspection and will be demolished.
Structural System
The building was of wood framed construction and was on a concrete foundation with a
partial basement and crawl space below. The overall structure of the building appeared
original, though the interior layout had undergone some alterations.
Finishing Materials
Interior walls and ceilings were drywall throughout the finished portion of the space. The
home lacked any lath and plasterwork. No popcorn ceilings or fibrous tiles were in place.
Flooring was mostly carpet, with vinyl in the kitchen, bathrooms and back hallway.
Windows were newer units lacking suspect glazing products. The exterior was clad in
wood siding. Finishing materials were consistent with a residential structure.
Mechanical system
The house had a forced air heating system with the furnace located in the basement. No
asbestos containing tape or wrap materials were visible on the accessible sections of
ducting.
Electrical system
The electrical system was disabled at the time of the inspection. Visible wiring was rubber
insulated as well as older fibrous insulated type. The electrical panel contained breakers
and had no suspect backing materials visible.
Insulation
The home had some fiberglass insulation in place. No vermiculite or other suspect
insulation materials were encountered during the inspection process.
Roofing
The residence had an asphaltic shingle roof.
4
ASBESTOS NORTHWEST LLC SURVEY REPORT /� O W ` ti
11
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
3. Material Sampling Information
Asbestos survey work performed by Asbestos Northwest meets inspection regulatory
requirements enforced by federal, state, and local agencies, including Asbestos Hazard
Emergency Response Act (AHERA), WAC 296-62-077 (WISHA) and 40 CFR Part 61
(NESHAP) and 29 CFR Part 1926.1101 (OSHA)
Definitions
Homogenous — Materials with the same appearance, texture, color, and which were
applied during the same general construction period.
Surfacing Material — Material that has been sprayed -on, troweled -on or otherwise applied
to surfaces, such as acoustical plaster, texture and joint compound, and fireproofing
materials on structural members.
Thermal System Insulation — Material applied to pipes, fittings, boilers, breaching, ducts,
and other interior structural components to prevent heat loss or gain.
Miscellaneous Material — Building materials such as structural components, structural
members or fixtures not included in surfacing and thermal insulation.
Survey Methodology
Before sampling began, inspectors documented the total surveyed area. A sketch of each
space was created, and total square footage was roughly measured. The inspectors then
determined the extent of each visible homogenous material throughout the survey area.
Materials were classified as surfacing, thermal insulation, or miscellaneous material, and
friability was assessed according to AHERA specifications.
Materials were sampled according to 40 CFR 763.86. Depending on homogeneity, square
footage, and material type, the proper number of samples needed to accurately assess the
location and extent of asbestos was determined and collected. At the point of collection,
samples were placed in an appropriate container and labeled. Location was noted on the
building floor plan, and a description of the material was recorded with the label number.
Sampling tools were then wiped clean to prevent contamination between samples. Any
suspect debris was sealed. The samples were then counted, and their label numbers were
recorded on a chain of custody form. The inspector then signed and released the form to
the laboratory with the samples. Samples were analyzed in-house at Asbestos Northwest.
Below is a list of all materials sampled. Appendix C contains the laboratory report and
analytical results for each sample.
ASBESTOS NORTHWEST LLC SURVEY REPORT
Description
Joint Compound
Asbestos Containing
Textu re
Layered Vinyl
Texture
Asbestos Containing
Material Type
Friable Surfacing Material
Friable Surfacing Material
Non -Friable Miscellaneous
Material
Friable Surfacing Material
ASBESTOS.'`
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
Sample Numbers and Locations
1- Living Room Wall
3- Kitchen Wall
7- Hall Wall
9- Front Bedroom Wall
11- Back Bathroom Wall
2- Dining Room Wall
5- Bathroom Wall
4- Kitchen Floor
6- Bathroom Floor
8- Hall Wall
10- Back Bedroom Wall
12- Back Bathroom Wall
Non -Friable Miscellaneous
White Sheet Vinyl Material 13- Back Hallway Floor
Tar Paper Non -Friable Miscellaneous 14- Under Siding
Material
Asphaltic Shingle and Tar Non -Friable Miscellaneous 15- Roof
Paper Material
31
ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS.-
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
4. Asbestos Containing Material
A homogenous material is considered ACM (Asbestos Containing Material) if one or more
samples of the material are found to have greater than 1 % asbestos. Analysis can result in
both positive and negative conclusions in materials containing less than 10% asbestos, or
materials that have very fine asbestos fibers, have been hand mixed, or have asbestos
fibers tightly bound in the matrix; therefore, EPA recommends a minimum of three
samples be analyzed by PLM for these types of materials. All materials that were sampled
during the inspection were analyzed under PLM, EPA Method 600/R-93/116.
Laboratory results show that eight of the samples taken contained asbestos.
Description and Asbestos Material Type and Estimated Locations
Type Quantity
Joint Compound
2% Chrysotile Asbestos
Texture
2% Chrysotile Asbestos
Friable Surfacing Material
—3' 000ft2
Friable Surfacing Material
—3,00oft2
h
1- Living Room Wall
3- Kitchen Wall
7- Hall Wall
9- Front Bedroom Wall
11- Back Bathroom Wall
8- Hall Wall
10- Back Bedroom Wall
12- Back Bathroom Wall
ASBESTOS NORTHWEST LLC SURVEY REPORT
5. Conclusions
ASBESTOS .
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
All five of the samples of joint compound taken from the home were found to contain
asbestos. As the home had finished drywall walls and ceilings throughout the main floor,
this material should be assumed to be present on all finished walls and ceilings.
Three of the five samples of texture taken from within the home were found to contain
asbestos. As the home had finished drywall walls and ceilings throughout the main floor,
this material should be assumed to be present on all finished walls and ceilings.
None of the other materials sampled during the inspection process were found to contain
asbestos. Materials in use within the buildings were generally simple and were consistent
with a residence of this age and history. There was a limited variety of suspect building
materials in place.
Further materials may be identified during the demolition process that would warrant
testing.
Any identified asbestos containing material must be abated before demolition can
continue. A Certified Asbestos Abatement Contractor must carry out abatement.
Different materials require different abatement processes depending on the friability, type
of asbestos, and amount of asbestos present. It is important that materials are treated by a
Certified Asbestos Abatement Contractor.
ASBESTOS NORTHWEST LLC SURVEY REPORT
Appendix A — Certifications
S,'at"i".�V-4,
NORTHWEAST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
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ASBESTOS NORTHWEST LLC SURVEY REPORT
NOSSS-
RTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
21905 6tth Ave W 0100 D
Mmsda a Terrace• WA 9MM3 Q
PM) 295.3373
This oertl0es that n
Sean T. Butler
has satisfactorily completed
4 hours of onllne refresher tralnlna as an
AHFR4 Bullding Inspector
to comply Wth the training requlrements of
TSCA Tilde II, 40 CFR 763 (AHERA)
EPA Provider # 1085
Whuckra,dr zwanwAxwn Dale. Am 2.2021 Expcs in 1 year
CerL N":181714
Ito]
ASBESTOS NORTHWEST LLC SURVEY REPORT
ASBESTO
NORTHWESTSAi"
30620 Pacific Hwy 5 Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
Appendix B — Building Layout
-ICi
J-7� S j-aS -��? � J 1 e 1 0,1-'r " a cj'& � 5,v r',e L t 4161
11
ASBESTOS NORTHWEST LLC SURVEY REPORT
Living Room
Dining Room
12
NORTHWE5T
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
ASBESTOS NORTHWEST LLC SURVEY REPORT
W.
Kitchen
Main Bathroom
13
NASEST
ORTHWESTJ,"
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
ASBESTOS NORTHWEST LLC SURVEY REPORT
li
{
r�
Front Bedroom
I
Basement
14
ASBESTOS
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
ASBESTOS NORTHWEST LLC SURVEY REPORT
Appendix C — Laboratory Report
ASBESTOS
NORTHWESTJ"
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
ASBESTOS.
NORTHWEST Asbestos NW Batch#
30620 Pacific Hwy S. #103, Federal Way, WA 98003
(253) 941-4343 NVLAP Lab Code: 200993-0
Bulk Samples Chain of Custody (EPA 600/R-93/116)
Name/Company: Metier Construction Inc Date: 3/16/2022
Address: PO Box 1916 Auburn WA 98071 Phone: 206 679 5570
PNject Manager: Brandon
Project Location: 30905 18th Ave S Federal Way WA
202211209
E-mail: firtane196§@grn lla com
Project # Rental House
Number of Samples: 15
Ti irn nrm inri fimc• 77
#
Sample ID
Description
Location/Comments
1
1
Joint Compound
Living Room Wall
2
2
Texture
Dining Room Wall
3
3
Joint Compound
Kitchen Wall
4
4
Layered Vinyl
Kitchen Floor
5
5
Texture
Bathroom Wall
6
6
Layered Vinyl
Bathroom Floor
7
7
Joint Compound
Hail Wall
8
8
Texture
Hall Wall
9
9
Joint Compound
Front Bedroom Wall
10
10
Texture
Back Bedroom Wall
11
11
Joint Compound
Back Bathroom Waif
12
12
Texture
Back Bathroom Wall
13
13
White Sheet Vinyl
Back Hallway Floor
14
14
Tar Paper
Under Siding
15
15
Asphaltic Shingle and Tar Paper
Roof
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
i,rmt -sinn Cmmnarty nat. Ti—.
Sampled by:
Relinquished by:
Sean Butler—
Asbestos Northwest
Asbestos Northwest
Asbestos Northwest
Asbestos Northwest
3/16/2022
3/16/2022
311 ! 2
f$
10:45AM
11:45AM
11:45AM
9
Delivered by:
Sean But l ,
Accepted by:
Dan Laney
Analyzed by:
1 -i==
LAM'A
►►
15
ASBESTOS NORTHWEST LLC SURVEY REPORT
►4SBEST0S
NORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
O R TBH W EST KCa��� N
Asbestos Northwest, LLC TESTNG
NVLAV LAB CODE IO°733i1
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 202211209
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Brandon
Metier Construction Inc
PO Box 1916 Auburn WA 98071
Project: Rental House
Location: 30905 18th Ave S Federal Way WA
Date Received: 3/16/2022
Date Analyzed: 3/18/2022
Samples Received: 15
Samples Analyzed: 15
Client Sample
Lab Sample
Layer
Description
Matrix
% Non -Asbestos
% Asbestos Fibers
ID
ID
Fibers
and Type
White powdery material with
Binder/filler.
1
I
paint
Paint
°
3 /° Cellulose
None Detected
2
White powdery material with
Filler/binder
10% Cellulose
2% Chrysotile
paper
3
White chalkmaterial with
Filler/binder,
paper
Gypsum
25% Cellulose
None Detected
2
White powdery material with
Binder/filler,
I
paint
Paint
3%Cellulose
None Detected
White chalky material with
Filler/binder,
paper
Gypsum
15% Cellulose
None Detected
3
1
White powdery material with
Binder/filler,
paint
Paint
3% Cellulose
None Detected
White powdery material with
2
Filler/binder
10% Cellulose
2% Chrysotile
paper
3
White chalky material with
Filler/binder,
paper
Gypsum
25% Cellulose
None Detected
4
1
Stone patterned sheet vinyl
Vinyl/binder
None Detected
None Detected
40% Cellulose,
2
Gray fibrous material with
Filler.
mastic
Mastic/binder
Glass fibers
None Detected
3
Yellow sheet vinyl
Vinyl/binder
None Detected
None Detected
35% Cellulose.
4
Gray fibrous material with
Filler.
mastic
Mastic/binder
Glass fibers
None Detected
Analyzed by: Dan Lafley
Report Page I
16
Reviewed by: Cathy Butler(^
ASBESTOS NORTHWEST LLC SURVEY REPORT
NORT�HWE�ST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
ASBESTOSKV�AA?
NORTHWEST EST l��JJ
Asbestos Northwest, LLC rEsnNc
NYLAP LAB CODE ] 875'1] a
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 202211209
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NISI, or any
agency of the U.S. Government.
Attn: Brandon
Metier Construction Inc
PO Box 1916 Auburn WA 98071
Project: Rental House
Location: 30905 18th Ave S Federal Way WA
Date Received: 3/16/2022
Date Analyzed: 3/18/2022
Samples Received: 15
Samples Analyzed: 15
Client Sample
Lab Sample
Layer
Description
Matrix
% Non -Asbestos
% Asbestos Fibers
ID
ID
Fibers
and Type
5
I
White powdery material with
Binder/filler,
B
3 /o Cellulose
None Detected
paint
Paint
White chalky material with
Filler/binder,
B
25 /o Cellulose
None Detected
2
paper
Gypsum
6
1
Beige sheet vinyl
Vinyl/binder
None Detected
None Detected
Gray fibrous material with
Filler,
40% Cellulose,
2
mastic
Mastic/binder
Glass fibers
None Detected
3
Yellow sheet vinyl
Vinyl/binder
None Detected
None Detected
Gray fibrous material with
Filler,
4
35% Cellulose,
None Detected
mastic
Mastic/binder
Glass fibers
White powdery material with
Binder/filler,
7
1
paint
Paint
o
3 /o Cellulose
None Detected
2
White powdery material with
Fillerlbinder
10% Cellulose
2% Chrysotile
paper
White chalky material with
Filler/binder,
3
25% Cellulose
None Detected
paper
Gypsum
White powdery material with
Binder/filler,
8
I
paint
Paint
o
3 /o Cellulose
None Detected
2
White powdery material with
Binder/filler,
2% Cellulose
2% Chrysotile
paint
Paint
3
White chalky material with
Filler/binder,
B
25/o Cellulose
None Detected
paper
Gypsum
�...
Analyzed by: Dan Lafley (J
Report Page 2
IVA
Reviewed by: Cathy Butler(AN Ft4f
ASBESTOS NORTHWEST LLC SURVEY REPORT
NASESS.4UX;L
ORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
NORTBHWEST KWU.
Asbestos Northwest, LLC ervtna us woCTESTOD
¢ znoy93•o
30620 Pacific Hwy S, 9103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 202211209
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Brandon
Metier Construction Inc
PO Box 1916 Auburn WA 98071
Project: Rental House
Location: 30905 18th Ave S Federal Way WA
Date Received: 3/16/2022
Date Analyzed: 3/18/2022
Samples Received: 15
Samples Analyzed: 15
Client Sample
Lab Sample
Layer
Description
Matrix
% Non -Asbestos
% Asbestos Fibers
ID
ID
Fibers
and Type
9
1
White powdery material with
Binder/filler,
°
3 /o Cellulose
None Detected
paint
Paint
2
White powdery material with
Filler/binder
10% Cellulose
2% Chrysotile
paper
3
White chalkmaterial with
Filler/binder, der,
25% Cellulose
None Detected
paper
Gypsum
10
I
White powdery material with
Binder/filler,
°
3/° Cellulose
None Detected
paint
Paint
2
White powdery material with
Filler/binder
10% Cellulose
2% Chrysotile
paper
White chalky material with
Filler/binder,
25% Cellulose
None Detected
3
paper
Gypsum
1
Green powdery material with
Binder/filler,
°
5 /° Cellulose
°
2 /° Chrysotile
paint
Paint
2
White powdery material with
Filler/binder
10% Cellulose
2% Chrysotile
paper
3
White chalky material with
Filler/binder,
25% Cellulose
None Detected
paper
Gypsum
12
1
Green powdery material with
Binder/filler,
°
5/o Cellulose
°
2 /o Chrysotile
paint
Paint
White powdery material with
Filler/binder
10% Cellulose
2% Chrysotile
2
paper
White chalky material with
Filler/binder,
25% Cellulose
None Detected
3
paper
Gypsum
I
Analyzed by: Dan Lafley
Report Page 3
18
Reviewed by: Cathy Butler(AN 'N "' '
ASBESTOS NORTHWEST LLC SURVEY REPORT
N ORTBH EST
Asbestos Northwest, LLC
30620 Pacific Hwy S, #103;, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175
NASESTS
ORTHWEST
30620 Pacific Hwy S Suite 103 Federal Way, WA 98003
Tel: 253 9414343 Fax: 253 9414175
U
TESTING
NVLAP LAB CODE 2WM-D
Batch Number: 202211209
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certiricatlon, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Brandon Date Received: 3/16/2022
Metier Construction Inc Date Analyzed: 3/18/2022
PO Box 1916 Auburn WA 98071 Samples Received: 15
Samples Analyzed: 15
Project: Rental House
Location: 30905 18th Ave S Federal Way WA
Client Sample
Lab Sample
Layer
Description
Matrix
% Non -Asbestos
% Asbestos Fibers
ID
ID
Fibers
and Type
13
1
Gray sheet vinyl
Vinyl/binder
None Detected
None Detected
Gray fibrous material with
Filler,
55% Cellulose,
2
mastic
Mastic/binder
Glass Fibers
None Detected
14
1
Black asphaltic fibrous
Asphalt/binder
65% Cellulose
None Detected
material
Black asphaltic material with
Asphalt/binder,
15
1
sand
10% Cellulose
None Detected
Black asphaltic fibrous
30% Cellulose,
2
material
Asphalt/binder
Glass Fibers
None Detected
74y'
Analyzed by: Dan Lafle
Report Page 4
19
Reviewed by: Cathy Butler('qN Fo