Loading...
23-104357Demolition City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 635-2609 Project Name: SHARPE Project Address: 2209 SW 349TH PL Project Description: Demolition of fire damaged residence. Permit #:23-104357-00-DE Inspection Request Line: (253) 835-3050 Parcel Number: 176110 0510 Owner Applicant Contractor SHALANA SHARPE TAYLOR PRO LLC TAYLOR PRO LLC 2209 SW 349TH PL 34505 56TH AVE S TAYLOPL91 iN5 (10/25/23) FEDERAL WAY, WA 98023 ROY WA 98580 34505 56TH AVE S ROY WA 98580 Additional Permit Information PERMIT EXPIRES Wednesday, 21 February, 2024 Permit Issued on Friday, August 25, 2023 I hereby certify that the above infor awn i orrect and that the construction on the above described property and the occupancy and the 7,X-.hington l in accordance with the laws, rules and regulations of the State of and the City of Federal Way. Owner or agent: — Date: s 2 5 lft;k THIS CARD IS TO REMAIN ON -SITE CITY or- Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 23 104357 00 Address: 2209 SW 349TH PL Project: SHALANA SHARPE FEDERAL WAY WA 98023-3069 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 a By Date G�&4-p?,3 Rough Electrical ❑ Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED PERMIT APPLICATION F`IT" OF AUG 2 5 2023 PERMIT CENTER + 33325 8� Avenue South +Federal Way, WA 98003-6325 ederal Way 253-835-2607 + FAX 253-835-2609 + pemutcentercdcityoffederalway.com Crf Y OF FEDERAL WAY COMMUN Y DEVELOPMENT PERMIT NUMBER a 3 _ ' V— �t— a —a 7 _ —o -1,7 TARGET DATE SITE ADDRESS �D,o1 y� SUITE/UNIT # PROJECT VALUATION $ ZONING ASSESSOR'S TAX/PARCEL # 225-0ov t 7 (5! / o- v TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 161DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT S� PROJECT DESCRIPTION E K& i' U A)%v, Detailed description of work to be included on this permit only NAME PRIMA'W d:t2RY PHONE a 2 .b l3 PROPERTY OWNER MAILING ADDRESS �� / 1 E-MAIL' �\ x PE, CITY STAT ZIP PHONE MAILING ADDRESS 515�- C IqvL E-MAIL � •7 514��/pT/� CONTRACTOR C(T f / STATE `,'-V,'^/'j) ZIP ^F ��� FAX , Co WA STA E CO TRACTOR'S L ENSE # o L. �( �' y. EXPIRATION DATE ,? / �S,� 1S8I X ©2,?W 226 NAME PRIMARY PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX NAM or LE �C L 2 PRIMARY�3PHONEly 3 PROJECT CONTACT G ING ADDRESS e a-MAit The individual to receive and respond to all correspondence CITY `/ 9w, �CTJ I/ STATE zt ^ S FAX 0 concerning this application) PROJECT FINANCING NAME �, OWNER -FINANCED When value is $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of per 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 c part of this application. 2 SIGN DATE PRINT NAME: -^ L1`. rl, Bulletin #100 - February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how mam of each AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING PLUMBING PERMIT Indicate how many or each t � BATHTUBS (or Tub/sh—r Combo) DISHWASHERS DRAINS DRINKING FOUNTAINS HOSE BIBBS to be installed or relocated as FANS _ FIREPLACE INSERTS _ FURNACES _ GAS LOG SETS GAS PIPING this ro' ct. Do not include GAS PTPE OUTLETS _ HOODS (commercial) HOT WATER TANKS (Gas) REFRIGERATION SYST WOODSTOVES res to remain. OTHER (Describe) VALUE OF PLUMBING WORK f this projeCt. Do not include oristfq res to remain. TOILETS WATER PIPING URINALS OTHER (Describe) TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE (In Squaze Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No , . ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Horne) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER (describe) r EXISTING PROPOSED TOTAL Area Totals "NEW HOMES ONLY" to be installed or relocated as LAVS (Hand Sinks) RAINWATER SYSTEMS — SHOWERS SINKS (Kitchen/Utility( — SUMPS VACUUM BREAKERS WATER HEATERS (Electric( WASHING MACHINES ESTIMATED SELLING PRICE .$ # OF BEDROOMS COMMERCIAL, - NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction Type # of Stories Additional Information Square Feet NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction Type # of Stories Additional Information Square Feet 10TAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application 44k FederalOF Way COMMUNITY DEVELOPMENT DEPARTMENT 33325 8th Avenue South Federal Way, WA 98003 253-835-2607;Fax 253-835-2609 www.citvoffederalway.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. 2i Address of Demolition: P61 ( 5w , 3 91 ; W �Z' �_caI Y 0�'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. Fz� completed Construction PermitAppiication form is also required. 1. ASBESTOS ABATEMENT (Provi e,copy of Notice oflntentfrom Puget Sound Clean Air Agency ction rep y HERA-catifled inspector) :Az [City o eral '—W" , - 'zi, - ay Building Official) 2. FUEL STORAGE TANKS ❑ 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 /�f /,q - (South King Fire and Rescue) 3. SEPTIC SYSTEM DECOMISSIONING I (King County Environmental Services) 4. SANITARY SEWER (Laklehtven Utility Di nct) S. ELECTRICITY (Puget Sound Energy/Tacoma Power) 6. NATURAL GAS (Puget Sound Energy) 7. WATER - Public Source S. WATER - Private Well F ` �7 (King County Environmental Services) Please Note: Erosion control meas s ust be in place during the demolition and through completion of the site clean-up. 6�� ! I �'4 (Applicant) Bulletin # 122 - March 16, 2017 Page 1 of 1 k:\Handouts\Demolition Permit Requirements DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8`h Avenue South CITY of Federal Way, WA 98003-6325 Federal �!U'a 253-835-2607;Fax 253-835-2609 y www.citvofi'ederalw-a .coin 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 or253-383-2471 3. Gas: Puget Sound Energy 805 1566 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 Auburn, WA 98071 253-833-3333 (residential) — OR — 253-939-9792 (commercial) 7. Sewer. Lakehaven Utility District 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 2 \ o 0 0 / / \ \ M § \ m f $ ? i § § r \ f \ § � -oh/ ] , / K 7 M k / \ ° r = - o n o� E K E k ] Ln ^ k / / / % 0 k CL g ] _m CL & w CL ] \ � k lu m E M } E 0 = _ § \ § / 2 \ � 3 3 / / M LA K a § $ c \ § / cu / M ƒ \ � R k =r = / cu E ° ¥ C aj \� �3 m m CrQ \ = E 0 � J g � m m \ n A o E� 7 00 W //k� Ln 00 k � / § ■ g � IV � � Im 4 � � FL z � ƒ 0 0 v m n _ ] ] R § ° 0 / 0 n § °CL m J a % § E s 2 O � O z o � o § 2 ul K § § � r B $ a ) °_ 0 p 00 � 1 \ \ q J 0 Cr w 0 � U. » r -0 O w n m E 0 ■ \ \ 7R r n / / /CL = § 2 CA ai 2 .. •• 7 2 E / » 0& 0 ib N s� § ID § w W & 0 ) � k ri 2 ■ - ■ w _ w e k » ul & ■ us 2 k w � � ed g � 41 O W Environmental Services, Inc. Environmental Consulting & Compliance ASBESTOS INVESTIGATION Residential Property 2209 SW 349th PI, Federal Way, WA 98023 Prepared For: Shalana Sharpe 2209 SW 3491h PI Federal Way, WA 98023 Project Number: N23-0411 Project Full Home Pre -Demolition Asbestos Survey Name/Location: 2209 SW 349th PI, Federal Way, WA 98023 Specific Building Residential Property Area/Location: Work to be "Good Faith" Asbestos Survey performed/Work Report Deliverable May 9, 2023 Date: Company Name: NOW Environmental Services, Inc. Inspector Name: Emily Harper Certificate Number: BI-NES-05-03-03-10 Expiration Date: May 3, 2024 2209 SW 3491h Pl, Federal Way, WA 98023 Phone: (253) 927-5233 Email: frontdesk@nowenvironmental.com www.nowenvironmental.com Background (Executive Summary): The residential property located at, 2209 SW 349th PI, Federal Way, WA 98023 is a three -level home that is approximately 1,600 square feet. The property has three (3) bedrooms and two and a half (2.5) bathrooms. Entire Structure was badly burned. All materials were impacted. Asbestos Inspection, Residential May 9, 2023 2209 SW 349th PI, Federal Way, WA, 98023 Page 2 of Now Environmental Services Project #N23-0411 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 NO asbestos containing building materials identified during this survey. Survey Process: The survey was performed in support of future Demolition. This project will (Limitations of disturb building materials associated with demolition. On May 8, 2023, NOW Survey): Environmental 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. Findings: There ARE NO 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 30pg/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. Department of Occupational Safety and Health (DOSH) — Regulation WAC 296 - 155-176 & 296-62-07521. DOSH enacted the lead standard for the purpose of protecting construction and maintenance workers from exposure to lead. DOSH is primarily concerned 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 Asbestos Inspection, Residenda/ May 9, 2023 2209 SW 3491h PI, Federal Way, WA, 98023 Page 3 of Now Environmental Services Project #N23-0411 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 demolition 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 demolition, 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. See Table III for TCLP results. Asbestos Inspection, Residenifaf May 9, 2023 2209 SW 349e' PI, Federal Way, WA, 98023 Page 4of9 Now Environmental Services Project #N23-0411 Table I Summary of Asbestos Containing Building Materials for the residential property located at 2209 SW 349th PI, Federal Way, WA 98023 I Sample Material Description Location Asbestos Content Quantity Friability J Number No Asbestos Containing Building Material Identified Table II Summary of Non -Asbestos Containing Building Materials for the residential property located at 2209 SW 349th PI, Federal Way, WA 98023 Material I i Analytical Sample Number Code Material Location (Laboratory) Friability Description Result(s) 01 MISC 1 Debris 1 Throughout NAD N/A 02 MISC 2 Debris 2 Throughout NAD N/A 03 MISC 3 Debris 3 Throughout NAD N/A 04 RM1 Roofing Material I 4 Roof NAD N/A MISC 4 Grey Felt Backing Exterior Siding Exterior Siding NAD *NAD - No Asbestos 05 N/A I Detected Asbestos Inspection, Residential May 9, 2023 2209 SW 349th PI, Federal Way, WA, 98023 Page 5 of9 Now Environmental Services Project #N23-0411 Table III Summary TCLP LEAD Results for building located at 2209 SW 349th PI, Federal Way, WA 98023 Client Sample I❑ Orion Sample ! Total Lead (ppm) Number TCLP-01 234242-134 <0.1 Results are below the regulated limit of 5.0 ppm. Asbestos Inspection, Residendal May 9, 2023 2209 SW 3491 Pl, Federal Way, WA, 98023 Page 6 Of Now Environmental Services Project #N23-4411 Recommendations: There ARE NO 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 demolition 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. Asbestosxnspection, ResidenUa/ May 9, 2023 2209 SW 349th PI, Federal Way, WA, 98023 Page 7of9 Now Environmental Services Project #N23-0411 Laboratory Results: See Attachment A Field Notes AHERA Inspector Certification: INSPECTOR ENDORSEMENT: See Attachment B See Attachment C AHERA Building Inspector PROJECT REVIEW: (I -C Car le en0e, Operations Man 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 restoration 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 demolition 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 "detectable amount. Asbestos Inspection, Residendai May 9, 2023 2209 SW 3491h PI, Federal Way, WA, 98023 Page 8 of Now Environmental Services Project #N23-0411 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. Disclaimer This report and its contents are 11m1W to the scope and activities performed at the subject property 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 otherprofessional consultants under similar circumstances. No other representation is made to the cdent, expressed orlmplled, and no warranty orguarantee is included orinteaded, Asbestos Inspection, Residential May 9, 2023 2209 SW 349th PI, Federal Way, WA, 98023 Page 9 of Now Environmental Services Project #N23-0411 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 W2F9219763 Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client: Shalana Sharpe Address: 2209 SW 349th PI, Federal Way, WA 98023 Attention: Shalana Sharpe Project Name: Residential Fire Damage Asbestos Inspection & TCLP Project Number: N23-0411 Client Sample ID 01-a 01-b 01-c 01-d 01-e 01-f 01-g 02-a 02-b 02-c 02-d 02-e 02-f 02-g 02-h 03-a 03-b 03-c I Orion Sample ID 20230508 -129 Material Sample Description Treatment Burnt White/ Gray Fibrous Material I Burnt White Non -Fibrous Debris Burnt Tan Non -Fibrous Debris Burnt Black Non -Fibrous Debris Burnt Black Non -Fibrous Debris Burnt Black Non -Fibrous Debris , Burnt Black Fibrous Material 20230508 T Burnt White/ Gray Fibrous -130 Material Burnt Texture Burnt Wallboard Burnt Tan Non -Fibrous Debris Burnt Gray Non -Fibrous Debris Burnt Black Non -Fibrous Debris Self -Adhesive / Vinyl Tile Pink Fibrous Debris 20230508 Burnt White Non -Fibrous -131 Debris Burnt Black Non -Fibrous Debris Burnt Black Non -Fibrous Debris I Asbestos Containing Material ND kAlw kilt, ►1� ►1W ND ND ND L iol ND ND IL ND ND Rpt. Date: 5/8/2023 Page: 1 of 2 Invoice: 234242 Date Rcvd: 5/8/2023 Asbestos Other Type Fibers fiberglass cellulose cellulose cellulose cellulose fiberglass, cellulose fiberglass cellulose cellulose fiberglass, cellulose fiberglass, cellulose cellulose fiberglass cellulose cellulose cellulose Polarized Light Microscopy Test Report (cont.) Client: Shalana Sharpe Address: 2209 SW 349th PI, Federal Way, WA 98023 Attention: Shalana Sharpe Project Name: Residential Fire Damage Asbestos Inspection & TCLP Project Number: N23-0411 I Client Orion Sample ID Sample ID 03-d vD 20230508 -132 20230508 -133 Material Description Burnt Black Non -Fibrous Debris Burnt Black Fibrous Material Roofing / Felt Exterior Siding Rpt. Date: 5/8/2023 Page: 2 of 2 Invoice: 234242 Date Rcvd: 5/8/2023 Sample Asbestos Asbestos Other Containing Treatment Material Type Fibers cellulose ND fiberglass, ND cellulose ND fiberglass, cellulose 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 % 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 Alexis Heath 5/8/2023 Melyssa Nocis 5/8/2023 Analyzed By (Signature) Time Reviewed By (Signature Time Client tal Compliance & Consulting Shalana Sliia�rpe 2209 SW 349" PI Federal Way, WA 98023 Project Number Project Name Client Number N23-0411 2209 SW 3491" Pl Federal, WA 98023 Orion Number TCLP — 01 234242-138 Test Report TCLP METAL EPA 1311 Date May 9, 2023 Page Page 1 of 1 Invoice 234242 Date Received May 8, 2023 ML EPA Method TCLP Lead (mg/b <0.1 0.10 1311 Results reported in PPM (mg/1). NOTE: SDL — Sample detection limit. Quality Assurance Information Method Blank: < 0.5 mg/kg Linear Regression Lower Limit: 0.990 Actual Batch Linear Regression: 0.999 Check Standard Per Set: t 0.2 mg/l Analyzed By Donna McNeal M.S. Industrial Hygienist, CEO Reviewed By Operations P 34004 9th Avenue South Suite A5 - Federal Way, Washington 98003 Phone: 253.952.6717 www.oriones.net WBE W2F9219763 Attachment B E. W I 0. ;Q 7� d Wad N °" O z U [W{ w U q I N CY[1ri[ Io1 C.ninPlivnl.•w c+nv�u.4�4�•.1 Toxic Characterization Leaching Profile (TCLP) Data Form Technician: Client Name Project Number Proje ame �( Invoice Number Sample Number Date al�9ayR �WZml - k�1�123 PART 1 Color Estimated Waste Stream Painted Matrix Identification Percentage (by weight) Matrix 1 Matrix 2 Matrix 3 Matrix 4 Matrix 5 Matrix 6 Matrix 7 Matrix 8 Total Weight Percentage of Painted Waste Stream PART 2 Non Painted Matrix Identification (inert components) I Estimated Waste Stream Percentage (by weight) Matrix 1 Matrix 2 Matrix 3 Matrix 4 Matrix 5 Matrix 6 i Matrix 7 Matrix 8 Total Weight Percentage of Inert Components Comments: Total Weight of Waste Stream (Part 1 + Part 7) =1000, Orion Environmental Services, Inc 34004 9th Avenue South, Suite A5 Federal Way, Washington 98003 253-952-6717 Attachment C i U O G O :r+ O O �U cU CD O U O — U •O � E O U) 4 � U prj tn•XCO � C) ti N N U -0 CIO W '0 O QN U C U O U U •� N L _ O --. L U N c O O Q N O N r- -0L6 00 m�.o cW �_ Q cn c N m t N O N C> U_ U) M 0 N a� , co U) N O co O L') 0Q�" _L W OOw Z cM