23-104473Demolition
City of Federal Way Permit #:23-104473-00-DE
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MATHUR
Project Address: 842 S MARINE HILLS WAY Parcel Number: 515293 0080
Project Description: Demolition of single family residence.
Owner
RAJ MATHUR
842 S MARINE HILLS WAY
FEDERAL WAY WA 98003
Applicant
BHUPINDER SINGHGKINDER
CONSTRUCTION.
6413 S 146TH ST
TUKWILA WA 98168
Additional Permit Information
Contractor
G K INDER CONSTRUCTION LLC
GKINDIC873NK (3/31/25)
4413 S 146TH ST
TUKWILA WA 98168
PERMIT EXPIRES Wednesday, 28 February, 2024
Permit Issued on Friday, September 1, 2023
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:
�7VN a k
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Ins]�ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 104473 00 Address: 842 S MARINE HILLS WAY
Project: ANJU MATHUR FEDERAL WAY WA 98003-3183
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE 1'Fl1S 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 l
By Date
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved -
Approved
By
Date
Ear•
Date
By
Date
RECEIVE® PERMIT APPLICATION
Llllh'�t
CITY OF F PERMIT CENTER + 33325 8,h Avenue South + Federal Way, WA 98003-6325
Fderai IAI= SET 01 2023 253-835-2607 + FAX 253-835-2609 + permitcerite ccityoffederalway.com
r
CRY OF FECE Q M 1N.
Tun
,
PERMIT NUMBER `- -� TARGET DATE
SUITE/UNIT #
SITE ADDRESS
WAAI -M15 y1L4s "Al Af oaa- LA)A
PROJECT VALUATION ZONING ASSESSORS TAX/PARCEL #
f $ 2 S1roc —
I TYPE OF PERMIT 'IA�$IJILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT I M
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
0� 11
PROPERTY OWNER MAILING ADDRESS
CITY
)21
V
STATE I ZIP
- NAME
MAILING ADDRESS
(o S 1
CONTRACTOR Cr
I STATE
jl l.J�t
WA STATE CONTRACTOR'S LICENSE #
NAME
MAILING ADDRESS
APPLICANT
PROJECT CONTACT
(Me individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
IWhen value is $5,000 or more
(RCW 19.27.095)
CITY
NAME
NAME
MAILING ADDRESS, CITY, STATE, ZIP
7-
ZIP ,
EXPIRATION DATE
1 I
STATE I ZIP
STATE �ZIIP
w � R�
PRIMARY PHONE —q n
E-MAIL
PHONE
E-MAIL
FAX
UBI #
PRIMARY PHONE
E-MAIL
FAX
PRIMARY PHONE
E-MAIL SO. 44,AIA
FAX
❑ OWNER -FINANCED
PHONE
certify wader penalty of penury that I am the property owner or authorized agent of the property owner. I certify that to the hest
I
of 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 owners 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 ar�el claim (inrleeding costs, expenses, and attorneys' fees incur xn
the investigation and defense of such claim], which may he made by any person, including the undersigned, and fled 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.
Pa e 1 of 2 . k:\I-Iandouts\Permit Application
Bulletin #100 —February 19, 2020 g
MECI��NICAL PERMIT
VALUE
VALUE OF MECHANICAL WORK
Indicate how many o each type of fixture to be installed or relocated as
part of this pLo ect. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (Gas(
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE PLUMBING WORK,
PLUMBING PERMIT
$
Indicate how malt of each qW Y&jure
to be installed or relocated as
parl of this rp' t. Do not iraccte exisrLnq fixtures 0 remain.
BATHTUBS (or Tub/shower Co ] LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM SREAKE
DRINKING FOUNTAINS
SINKS (Kitchen/UciEry)
WATER HEATE (Eleen;c)
HOSE BIBBS
SUMPS
WASHING NI HINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PIIR.VsY
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Squaze Fee
&XISTING FIRE 8 ER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
S ❑ No
❑ Yes ❑ No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
P P SIrD
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
i
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Total's
EXISTING
PROPOSED
TOTAL
--n�wx�rvAT�7 ulvLr-�
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COIV MERCLAL = NEWS DITION
AREA DESCRIPTION
Area in
A; uare Feet
Construction
Occupancy Group(s) Type
# of
S ories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL, — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area Feet
Square F
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
"TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application
40k
o.
Fed10';:tt=P
eral Way
COMMUNITY DEVELOPMENT DEPARTMENT
33325 8`h Avenue South
Federal Way, WA 98003
253-835-2607;Fax 253-835-2609
www.cit o federalwa .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.
❑ Address of Demolition: p
❑ 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 Perm&Appiication form is also required.
1.,ASBESTOS ABATEMENT
(-Provicj copy of Notice ofln�tfrom Puget Sound Clean Air Agency
and J of lnspectlora-peg AHERA-certified inspector)
(City of Federal Way Building tficial)
(""�21.1E1- STORAGE TANKS iI J1
*!Under grade tank(s) is/are present
❑ Above grade tank(s) are present
❑ Tank(s) has been pumped or removed under South King Fire &
Rescue permit prior to any dismantling or excavation
(South Kind Fire and Rescue)
3. SEPTIC EM DECOMISSIONING
/
(King County Environmental Services)
4. SANITARY SEWER �v
(LakehaMlIUblity District)
5. ELECTRICITY
e4 p p10/ j '� i� t4-,Q w�
(Puget Sound Energyfracoma Power) h. H—(-A '• )
6. NATURAL GAS
/A-
IV
(Puget Sound Energy)
7. WATER - Public Source
(Lakehaven Utility district)
S. WATER - Private Well XZ2-3
-,A) i A
( g County Environmental Services)
❑ Please Note: Erosion control measures must be in placed ring the demolition and through
completion of the site clean-up. •
(Applicant)
Bulletin # 122 — March 16, 2017 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
4ik
DEPARTMENT OF COMMUNITY ]DEVELOPMENT SERVICES
33325 81h Avenue South
CITY OF Federal Way, WA 98003-6325
Federal Way253-835-2607; Fax 253-835-2609
www. c i t vo f Fede ra l way.com
DEMOLITION PERMIT CONTACT LIST
This list of agencies may assist you in expediting the demolition permit process. Refer to the demolition permit
requirements for signature blocks. All applicable signatures are required prior to permit approval.
1. Asbestos Removal: Puget Sound Clean Air Agency
110 Union Street, Suite 500
Seattle, WA 98101-2038
206-343-8800 —OR— 800-552-3565
www.pscleanair.org
2. Electricity: Puget Sound Energy Tacoma Public Utilities
Attn: Construction Coordinator Customer Service
22828 68 h Avenue South, Suite #102 —OR— 747 Market Street
Kent, WA 98032 Tacoma, WA 98402
888-225-5773 253-383-9600 or 253-383-2471
3. Gas: Puget Sound Energy
805 156 h Avenue NE
Bellevue, WA 98004
888-225-5773
4. Telephone: Qwest Communications
801-962-2475 (phone) / 801-237-6491 (fax)
5. Water: Lakehaven Utility District Tacoma Public Utilities
Technical Service Division Customer Service
31623 First Avenue South —OR— 747 Market Street
Federal Way, WA 98003 Tacoma, WA 98402
253-941-2288 253-383-9600 or253-383-2471
6. Garbage: Waste Management
655 Second NW
Aubum, WA 98071
253-833-3333 (residential) — OR — 253-939-9792 (commercial)
I--
%l. Sewer: Lakehaven Utility District
``sue Technical Services Division
31623 First Avenue South
Federal Way, WA 98003
253-941-2288
8. Septic: King County Environmental Services
14350 SE Eastgate Way
Bellevue, WA 98007
206-296-4932
9. Fire Department: South King Fire & Rescue
33325 8`h Avenue South
Federal Way, WA 98003
253-946-7248
Bulletin #109 — January 1, 2011 Page I of 1 k:\Handouts\Demolition Permit Contact List
Notification Case #: 202303056
Fee Amount Paid:
Credit Card Transaction #:
Transaction Date:
Owner:
Project Address:
Contact:
Mailing Address:
$65.00
pi 3NTnj3DGj14r4eQKOxgSjdLL
7/14/2023
Sharlene Nelson
842 S Marine Hills Way
Federal Way, WA 98003
Cole Moore
16214 57th Ave E
Puyallup, WA 98375
Phone: (206) 293-7100
Phone: (253) 548-1011
Project Includes ASBESTOS REMOVAL
Project Size: 75 square feet of Sheet Vinyl / Mastic
Project Duration: 7/28/2023 - 7/31/2023
Asbestos Removed By: Licensed Asbestos Abatement Contractor
Contractor: Alliance Environmental Contractor Job #: 254816
Contact: Cole Moore Phone: (253) 548-1011
Mailing Address: 16214 57th Ave E
Puyallup, WA 98375
Asbestos Certification Number: ABAS000014378
By submitting this notification:
• 1 certify that the information I have provided is to the best of my knowledge true and
accurate.
• 1 understand that I must file an amendment to this notification if: „
o The type of project has changed. The project types are asbestos and demolition.
o The quantity of friable asbestos to be removed meets a larger project category. auo�r SOUND
o The project's start or completion date has changed. claunAirAgancy
• 1 understand one notification must be filed for each structure. The only exception is for a 206.689.4058
single-family residence that includes multiple ancillary structures, such as a detached asbestos@pscleanair.gov
garage or other outbuildings having the same street address. If there is no street address,
I have used a building number.
• 1 understand the fees for this notification are non-refundable.
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OW Environmental Services, Inc.
Environmental Consulting & Compliance
ASBESTOS INVESTIGATION
Residential Property
842 S Marine Hills Way, Federal Way, WA 98003
Prepared For: CK Inder Construction
Attn: Chandi
842 S Marine Hills Way, Federal Way, WA 98003
Project Number: N23-0554
Project Marine Hills Pre -Demo
Name/Location: 842 S Marine Hills, Federal Way, WA 98003
Specific Building Residential Property
Area/Location:
Work to be "Good Faith" Asbestos Survey
performed/Work
Report Deliverable June 19, 2023
Date:
Company Name: NOW Environmental Services, Inc.
Inspector Name: Emily Harper BS
Certificate Number: BI-NES-05-03-03-01
Expiration Date: May 3rd, 2024
34004 9'h Avenue South, Suite Al2, Federal Way, Washington 98003
Phone: (253) 927-5233 Email: frontdesk@nowenvirontnental.com
www.nowenvironmental.com
Background: The first residential property located at 842 S Marine Hills Way, Federal Way, WA
(Executive 98003, is a two -level mobile home that is approximately 4,100 square feet with three
Summary): (3) bedrooms and three and a half (3.5) bathrooms. Materials impacted include: vinyl
sheeting, vinyl tile, ceramic tile, wallboard, wall texture, fireplace brick and mortar,
and vapor barrier.
Asbestos Containing Materials
No suspect domestic water or high-pressure steam ACM pipe system Insulation
Identified in any areas Inspected. No suspect ACM duct insulation identified in the
areas inspected.
There ARE asbestos containing building materials identified during this survey.
Survey Process: The survey was performed in support of future Demolition. This project will disturb
(Limitations of building materials associated with demolition. On June 14, 2023, NOW Environmental
Survey): Services conducted this survey.
Building systems inspected and suspect materials sampled are representative of
materials that may be disturbed during this project. (See Table II — Summary of
Non -Asbestos Containing Building Materials) Any material identified during the
course of this project that was not identified in this survey must be inspected and
sampled by an EPA Accredited Building Inspector prior to disturbance.
Other hazardous materials were not included In the scope of work during the course
of this survey. Other 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.
Alsbewtas DupeeWon, Residential
842 S Marine Hllls Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 2of10
Project #N23-0554
Findings: There ARE asbestos containing building materials sampled within the scope of work
for this project that were found to contain asbestos. Please see Table I — Asbestos
Containing
Building Materials for a list of Asbestos Containing Materials Sampled; Table II — List
of Suspect Building'Materials.
Lead
The presence of lead -containing coatings raises concerns about worker and
environmental protection. Workers disturbing lead -containing coatings are covered
under the lead standard (WAC 296-155-176) until shown they are not being exposed
above the action limit of 30ug/m3. The requirements for this standard include, but
are not limited to, air monitoring, respiratory protection, medical surveillance, lead
work plan, warning signs and wash stations.
The Hazardous Materials Abatement Contractor or Demolition Contractor is
responsible to conduct any and all monitoring for exposure to lead as defined
in WAC 296-155-17609.
See Table III for Lead Sample Results
Department of Occupational Safety and Health (DOSH) — Regulation WAC 296 -155-
1.76 & 296-62-07521. DOSH enacted the lead standard for the purpose of protecting
construction and maintenance workers from exposure to lead. DOSH is primarily
concemed with activities that disturb paints with any detectable amounts of
lead. DOSH applies to all construction work and to general industry where an
employee may be occupationally exposed to lead. Construction work is defined as
work for construction, alteration and/or repair, including painting and decorating. It
includes but Is not limited to the following:
• Demolition or salvage of structures where lead or materials containing lead
are present;
• Removal or encapsulation of materials containing lead;
• New construction, alteration, repair, or renovation of structures, substrates,
or portions thereof, that contain lead, or materials containing lead;
• Installation of products containing lead
■ Lead contamination/emergency cleanup;
• Transportation, disposal, storage, or containment of lead or materials
containing lead on the site or location at which construction activities are
performed, and
• Maintenance operations associated with the construction activities described
in this paragraph.
Department of Ecology (DOE — Regulation WAC 173-303)
Washington State Department of Ecology is responsible for regulating dangerous
waste disposal. Lead -based paint debris from renovation, remodeling and abatement
must be tested for lead concentration to determine if they exceed the dangerous
waste threshold of 5.0 part per million (PPM). If above this threshold the lead -
bearing components must be managed as dangerous waste.
asbestos rnspecdon, Residential
842 5 Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 3 of 10
Project #N23-0554
Table I
Summary of Asbestos Containing Building Materials for the residential
property located 842 S Marine Hills Way, Federal Way, WA 98003
Sample
Number
Material Code Description
Location
Analytical (Laboratory)
Results) _
antity
TU
Friability
29
Yellow Vinyl Sheeting
Storage
25% Chrysotile
70ft2
*NO
with Grey Felt Backing
VS1
* Can become Friable upon removal
Table I (continued)
Description: Yellow Vinyl Sheeting
with Grey Felt Backing
Material Location: Storage
Asbestos Content: 25% Chrysotile
Estimated Quantity: 70 square feet
Sample Number: 29
Asbestos inspection, Res/denda/
842 S Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 4 of10
Project #N23-0554
Table 11
Summary of Non -Asbestos Containing Building Materials for the
residential property located at
842 S Marine Hills Way, Federal Way, WA 98003
Material
Analytical
Sample
Code
Material
Location
(Laboratory)
Friability
Number
Description
Result(s)
01-07
SM1
Texture
Throughout—
Walls and Ceilings
NAD
N/A
08, 09
WS1
Joint Compound
Bedrooms
NAD
N/A
Wallboard
10
MISC1
Red &Green Rock Tiles
Kitchen Counter
NAD
N/ATrim
11
MISC2
Red Rock Tiles
Main Level
Fireplace
NAD
I
N/AKitchen
12
CRT1
White Ceramic Tile
Laundry
NAD
N/A
Grout
Grey Ceramic Tile
Main Level Living
13
CRT2
Grout
Room Fireplace &
NAD
N/A
Underlayment
Entry
N/A
I
Black Brick
Main Level Living
NAD
14
MISC3
Mortar
Room Fireplace
NAD
Main Level Living
N/A
15
MISC4
Beige Brick
Room Fireplace
16
CRT2
Yellow Ceramic Tile Master Bathroom
NAD
N/A
+
17
MISC5
I
Vent Caulking Entry
NAD
N/A
Asbestos IrfspetUon, Residential
842 S Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 5of10
Project #N23-0554
18
CRT3
Red Ceramic Tile
Master Bathroom
NAD
N/A
Grout
I
Beige Ceramic Tile
19
CRT4
Master Bathroom
NAD
f
N/A
Grout
20
MISC6
White Fireplace Brick
Basement Living
NAD
N/A
Room Fireplace
21
CRT5
White Ceramic Tile
Bathroom 3
NAD
N/A
Grout
22
CRT6
Brown Ceramic Tile
i
Bathroom 3
NAD
N/A
23
CRT7
Yellow Ceramic Tile
Master Bathroom
NAD
N/A
Grout
& Bathroom 3
N/A
24
I MISC7
Mortar
Mechanical Closet
NAD
25
MISC8
HVAC Vent Caulking
Roof
NAD
N/A
I
26
RC1
Composite Roof
Roof
NAD
N/A
Felt
27
MISC9
HVAC Vent Caulking
Roof
NAD
N/A
28
VB1
Vapor Barrier
Roof & Attic
NAD
N/A
29
VS1
Yellow Vinyl Sheeting w/
Storage
NAD
N/A
Grey Felt Backing
Bedroom 3
30
VT1
White Vinyl Tile
NAD
N/A
*NAD — No Asbestos Detected
Asbestos lnspeeffon, Residenftl
842 S Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 6of10
Project #N23-0554
MISC9
Table III
Summary Lead Results for Residential Property located at
842 S Marine Hills Way, Federal Way, WA 98003
Sample
Number
Material Code
Description
location
Lead (mg/cm3)
27
Chimney Cap
Roof
10 mg/cm3
Description: Chimney Cap
Material Location: Roof
Lead Content:10 mglcm3
Estimated Quantity: 3 Chimney Caps
Sample Number: 27
Positive for Lead
Asbestos inspection, Residential
842 S Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 7of10
Project #N23-OSS4
Recommendations: There ARE asbestos containing materials identified during this investigation,
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.
Other hazardous materials were not included in the scope of work during the course
of this survey. Other 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.
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. Quantity 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 management, and that
all asbestos containing materials are abated during one project by the same asbestos
contractor.
Any further demolition and/or renovation activities outside of the sampling scope done
for the purposes outlined in this report may require additional sampling to be
performed by an PA Accredited AHERA Building Inspector.
Asbestos Inspmdon, Res/dendal
842 S Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services page a of 10
Project #N23-0554
Laboratory
Results:
Field Notes &
Mapping:
AHERA Inspector
Certification:
INSPECTOR
ENDORSEMENT:
See Attachment A
See Attachment B
See Attachment C
PROJECT
REVIEW:
IL
Carole Sen
Operations Manager
ANALYSIS Polarized Light Microscopy
METHOD:
PARMETERS: Puget Sound Clean Air Agency (PSCAA) and Washington State Department of Labor
and Industries (L&I) regulations require an inspection of all buildings for the presence
of asbestos -containing materials (ACM) prior to renovation and demolition.
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.
According to Washington Administrative Code (WAC) 296-62-07721 Communication
of Hazards to Employees, prior to the start of work, a building owner must identify
the presence, location, and quantity of ACM and/or presumed ACM (PACM) in the
work area. 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.
Lead based coatings may have been used on and in this structure. Washington State
Department of Labor and Industries (L&I) regulation WAC 296-155-176 Lead, requires
that workers be protected from exposure during the demolition and removal of materials
that contain lead in MVdetectable amount.
Asbestos Inspection, Resldenda!
842 5 Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 9 of 10
Project #N23-0554
DEFINITIONS: ACM is subdivided into three types:
(1) Surfacing Materials: These are defined as those materials that are sprayed -on,
troweled -on or otherwise applied to surfaces including, but not limited to, lath and
plaster, acoustical plaster on ceilings, paints, fireproofing materials on structural
members or other materials on surfaces applied for decorative purposes.
(2) Thermal System Insulation (TSI): These materials are defined as those applied to
pipes, fillings, boilers, tanks, ducts or other structural components to prevent heat
loss or gain.
(3) Miscellaneous Materials: All other building materials that may be ACM but not
surfacing materials or TSI fall into this category.
LIMITATIONS: During demolition it is possible that additional suspect ACM may be discovered within
assemblies and systems that were not accessible at the time of this survey. Should
any such suspect material be discovered, an AHERA-certified building inspector will
have to sample and test the materials to provide evidence that they are non -asbestos
containing.
NOW Environmental Services is neither responsible for the classification of materials
that were not identifiable with reasonable diligence at the time of this inspection, nor
for the identification of materials beyond the scope for this project as we understood
it at the time of this survey.
D/sdalmer
This report and its contents are limited to the scope and activldes performed at the subject properly as described. We
represent that our services were performed within the limits prescribed by applicable regulations and in a manner
consistent with the level of and skill ordinarily exercised by other prnfesslonal consultants under similar circumstances.
No otherrepresentation is made to the client, expressed orimplied, and no warranty or guarantee is included or intended.
Asbestvs Inspectlon, Residential
842 S Marine Hills Way, Federal Way, WA 98003 June 19, 2023
Now Environmental Services Page 10 of10
Project #N23-0554
Attachment A
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 W21`9219763
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client: CK Inder Construction
Address: 842 S Marine Hills Way, Federal Way, WA 98003
Attention: Chandi
Project Name: Marine Hills Pre -Demo
Project Number: N23-0554
Client Orion Material Sample
Sample ID Sample ID I Description Treatment
f _
1 I20230614 TFxtI IYP
Rpt. Date: (p/(q/2023
Page: 1 of 3
Invoice: 235408
Date Rcvd: 6/14/2023
Asbestos
Containing Asbestos
Material Type
nln
Other
Fibers
-1u3---
2
20023 0614
Texture
ND
cellulose
3
20230614
Texture
ND
cellulose
-105
4
2002630614
Texture
ND
cellulose
5
10023 0614
Texture
ND
cellulose
6
20230614
Texture
ND
cellulose
-108
7
0614
Texture
ND
cellulose
—109
cellulose
8a 102030614 Joint Compound ND
cellulose
8b Wallboard ND
9a
20130614
Joint Compound
ND
cellulose
9b
Wallboard
ND
cellulose
10
202230614
Red and Green Rock Tiles
crush
ND
cellulose
-11
cellulose
11 202330614 Red Rock Tiles crush ND
-11
12a
20230614
White Ceramic Tile
crush
ND
cellulose
-11
12b
Grout
crush
ND
cellulose
13a
202530614
Grey Ceramic Tile
crush
ND
cellulose
-11
13b
Grout
crush
ND
cellulose
93c
Under Layment
ND
cellulose
Polarized Light Microscopy Test Report (cont.)
Client: CK Inder Construction
Address: 842 S Marine Hills Way, Federal Way, WA 98003
Attention: Chandi
Project Name: Marine Hills Pre -Demo
Project Number: N23-0554
Rpt. Date: (I (q/2023
Page: 2 of 3
Invoice: 235408
Date Rcvd: 6/14/2023
Client
Orion
Material
Sample
Asbestos
Containing
Asbestos
Other
Sample ID
Sample ID `
Description
Treatment
Material
Type
Fibers
14a
20230614
Black Brick
cellulose
crush
ND
-116
14b
Mortar E
Beige Brick
crush
crush
ND
cellulose
15
1-117
20230614
ND
cellulose
20230614
cellulose
crush
ND
16
Yellow Ceramic Tile
-118
— —
_
17
20230614
Vent Caulks
ND
man-made
fibers,
-119
18a
20230614
Red Ceramic Tile
crush
ND
cellulose
-120
18b
20230614
Grout i
Beige Ceramic Tile
crush
ND
cellulose
19a
crush
ND
cellulose
-121
19b
Grout
Fireplace Brick
crush
ND
cellulose
20
20230614
crush
ND
cellulose
-122
20230614
White Ceramic Tile
crush
ND
cellulose
21a
-123
_
21 b
Grout
crush
ND
cellulose
22
20230614
grown Ceramic Tile
crush
ND
cellulose
-124
23a
20230614
Yellow Ceramic Tile
crush
ND
cellulose
-125
23b
Grout
crush
ND
cellulose
24
20230614
Mortar
crush
ND
cellulose
-126
HVAC Vent Caulking
25
20230614
N D
man-made
fibers,
-127
26a
20230614
Composite Roof
ND
fiberglass,
cellulose
128
—
26b
Felt
ND
cellulose
27
20230614
HVAC Vent Caulking
ND
-129
Polarized Light Microscopy'Test Report (cont.)
Client: CK Inder Construction
Address: 842 S Marine Hills Way, Federal Way, WA 98003
Attention: Chandi
Project Name: Marine Hills Pre -Demo
Project Number: N23-0554
Rpt. Date: (9/1 q'10Z
Page: 3 of 3
Invoice: 235408
Date Rcvd: 6/14/2023
i
Client
Orion
Material
Sample
Asbestos
Containing
Asbestos
Other
Sample ID
Sample ID
Description
Treatment
Material
Type
Fibers
cellulose
28
0614
Vapor Barrier
ND y
29
1030
2102130614
Yellow Vinyl Sheeting w/ GFB
25
Chrysotile
cellulose
30
1032230614
White Vinyl Tile
crush
ND
cellulose
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 % PLWI 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)
Alexis Heath
Date
6/16/2023
Reviewed By (Print)
Carole Seng
Date
6/16/2023
Analyzed By (Signature)
Time
Revle B. (Si Lure)
Time
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