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22-103719
City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: QUANTUM DEVELOPMENT LLC Project Address: 2647 S STAR LAKE RD Project Description: Demolition of single family residence. Demolition Permit #:22-103719-00-DE Inspection Request Line: (253) 835-3050 Parcel Number: 720480 0040 Owner Applicant Contractor QUANTUM DEVELOPMENT LLC QUANTUM DEVELOPMENT LLC QUANTUM DEVELOPMENT LLC 218 MAIN ST SUITE 938 218 MAIN ST SUITE 938 QUANTDL821OR (8/18/24) KIRKLAND WA 98033 KIRKLAND WA 98033 218 MAIN ST SUITE 938 KIRKLAND WA 98033 Additional Permit Information f, Qor"b PERMIT EXPIRE W ay, 1 March, Permit Issued a entem ber 2, 2 10 I hereby certify that the above is cand that the cons i on the above described property and the occupancy and.the use e ir� ordance with the la and regulations of the State of 5F1 g�! the City of Fed y. Owner or agent: *� Date: Aso THIS CARD IS TO REMAIN ON -SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 22 103719 00 Address: 2647 S STAR LAKE RD Project: QUANTUM DEVELOPMENT LLC FEDERAL WAY WA 98003-6919 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 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Y k CITY OF Federal Way RECEIVED n7� PERMIT APPLICATION AUG 1 2` MIT CENTER + 33325 s" Avenue South + Federal Way, WA 9SW3-6325 CITY OF FEDERAL A�3-835-2607 + FAX 25:3-835-2609 + permitcenteraciiyoffcderahvay.com COMMUNfTY DEVELOPMENT PEaI&Ir Nunda$tz el -6 _ ) -02 �i / , —'�— _ l+\ TARGET DATE 11-20-21 5rTE AD[Waxss aurrc/m+rr 2647 S Star Lake RD. Federal Way, WA. 98003 PROJECT VAIXATION ZOT(ING ASSE"OR'S TA3/PARCEr, b *INIA $5,000.00 RS 9600 720-A$00=Q40 T - TYPE OF PERMIT BUILLIm,, ❑ PLU16w G ❑ MECHANICAL 1�1 DEMOLMON EhGiNZEFJNG FIRE PREY "CIN NAME OF PROJECT DEMOLISH EXISTING 620 SF HOUSE PROJECT DESCRIPTION Detaited description of work to be included on this pernttt only "(10ANTUM DEVELOPMENT LLC rRRAARPHWIX 360Y986-9104 PROPERTY OWNER 218 MAIN ST. #938 4Terry@QuanturnDevel CITY MATE Kirkland WA. Z1 I/AH8 PaoaE 218 main eBO-986-9104 CON MA CTOR CITY kirkland BT17E WA ZIP 198033 7AX WA ETAT6 ccirnt.%crox-a LUCMSE i KMF.A'nO]4 DAYS vim i604-l.QQ-412 NfAYE PaibLi T PHONZ APPLICANT SAME AS ABOVE MAUJM Acneass s-MAQ, errY 9TATE =F FAX PROJECT CONTACT NAME SAME AS ABOVE PRIMAtYPH°N` (77w individual to recvuve and MAUM o''J)DftZW - - respond to al! correspondence Ctrr ITATE ZIP TAX Concerning this application) PROJECT FINANCING xAr� NA ❑ OWNER -FINANCED Mien uwlue is $5.000 w more KAIUNG AYUR>6ye1 CITT, STATIC, ZIP IRC.W 49.27.0951 , PROMS 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 knowfedge, the information submitted in support of this permit application is true and correct. I ecrft 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 remade the owner's responsibility for compliance with focal, state, or federal laws regulating construction or environmental lards. I further agree to hold harmless the City of Federal Way as to any claim (including casts, expensm and attorneys' fees incurred in the investigation and derfense of such claim;►, which may be made by any person, Including the undersigned, and flied against the city, but only where such claim arises out qr the reliance of the city, including its qfficers and employees, upon the accuracy Qj the information supplied to the city as apart of this application. 11 /14/2021 SIGNATURE; DATE PRM NAME: —Terry Martin Bulletin #100 - February 19, 2020 Page 1 of 2 k:lllandoutlPermit Application MECHANICAL PERMIT VALLE OF AMECHM'IG•u: WCAff N/A Indicate how many of each type of Lx12.tre to he installed or relaersW Qs rt o this rojeci. Oo not include exitiYirt Akfures to remain. AIR HANDLING UNITS TANS GAS PIPE OUTLETS OTl IER (I]ewcrsbe) AIRCCINDITIONER FIREPLACE INSERTS HOODSir_, ..* BOILERS FURNACES EiOT WATER TANKS N.1 COMPRESSORS GAS LOG SETS REFRIGERATION SY ST DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT V,w.x OF Aumz3a v Wa¢x $ N/A Indicate hoar many o each lype of u7ave to be installed or relocated as part gf this prgiect. Do Rot include erWin I"txtures to remain, B+fiTIITiTB-S hr Til:A.z7urv?rr�ol.nl LAYS na a..t.� DISHWASHERS RAINWATER SYSTEMS DRAINS SHOR'ERS DRINKING FOUNTAINS SINKS mij,_yu&�l HOSE BIBBS SUMPS 11.E15 WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER I [EATERS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAL ON FROPEIM? WATER PURVErou Svw= PURVEYOR VALUE Or jZ9U= UMFROVMEIITB $ N/A EEISTAIG/PRP9001 Uss "rr a[= pn sqw * YVON) EXISTING FIRE SPRQILUM SYSTEM? U Yes U No P"Po7AEo FIRE AUPPAS"14N fFY57ml U Yes U No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASE1011 N''T' FIRST FLOOR (or Mobile Horne) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT O .........................................+...+.............,................... OTHER (descrIbe) .. »................ ..... _»...................................... Area Totals an aRo�aeEa ror u _....................... ...»_......_..... _............ ..... 11141m13oAf s ONLY" E;;TIMATEID SELLING PRICE $ j # OF BEDROOM$ COMMERCIAL — NEW/ADDITION AREA DESCRIPTION I Area in Square Feet Ocetipancy Group(s) Construction Type # of Stories Additional Information ADmmor( COMMERCIAL — REmODEL/TENANT IMPROVEMENTS ARFIA DESCRIPTION Area in Square Feet { Oecu Group(m) s 1 P(J Construction Type it of Stories Additional Information TOTAL B17II3XIMG T"Arfr AREA ONLY PRomcr AREA NoNiY Bulletin #100 —February 19, 2020 Page 2 of 2 k:%Randouts\Perinit Application CITY OF Federal Way COMMUNITY DEVELOPMENT DEPARTMENT 33325 8`h Avenue South Federal Way, WA 98003 253-835-2607;Fax 253-835-2609 �v1v%v.ci tvo rrederak.vay.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. 2647 S Star Lake Rd Federal Way WA 98003 ® Address of Demolition: ® 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 ApplicYtionform is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency and copy of inspection report by AHERA-certified inspector) NA Exempt PScleanair.gov (City of Federal Way 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 NA No oil heating (South King Fire and Rescue) 3. SEPTIC SYSTEM DECOMISSIONING NA Decommissioned (King County Environmental Services) 4. SANITARY SEWER NA No sanitary sewer connected (Lakehaven Utility District 5. ELECTRICITY NA Disabled Puget Sound Energy/Tacoma Power) 6. NATURAL GAS NA Disconnected Puget Sound Energy) 7. WATER - Public Source NA Disconnected Highline Water District (Lakehaven Utility District) 8. WATER - Private Well NA King ountyEnvironmental Services) IN Please Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. Quantum Development LLC 'terry@quantumdevelopmentllc.c( (Applicant) 360-986-9104 Bulletin #122 —March 16, 2017 Page 1 of 1 k:�Handouts�Demolition Permit Requirements DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South CITY of K.• Federal Way, WA 98003-6325 253-835 %yJ Fax 253-835 2609 Fe d e ra 1 Way �,�'�vW.Cw.ci tvn t f'edcra lw:tv.cotn 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 156th Avenue NE Bellevue, WA 98004 888-225-5773 4. Telephone: Qwest Communications 801-962-2475 (phone) / 801-237-6491 (fax) 5. GYater: 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 or 253-383-2471 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 — Januarj 1, 2011 Page 1 of 1 k:\Handouts\Demolition .Permit Contact List 1/2'- 20 22 Public Health TANK PUMP OUT / INSPECTION REW Seattle & King County L9 Environmental Health Division, 14350 SE Eastgate Way, Bellevue, WA 98007, Tel. (206) 477-8050 Tax ID: 7204800040 Serviced:01/18/2022 Site Address: 2647 S STAR LAKE RD Mail Address: OSM Company: City: FEDERAL WAY City: Zip: AAdvanced Septic Services, Inc. OSM Name: Dillon Goodman OSM Tel#: 253-435-9999 COMMENTS Pumped septic tank for decommissioning Compartment ,TANK. Septic Tank - 1 Tank Pumped; YES Tank Size (Gallons)(Number only, no text): 450 Effluent level within operational limits (if NO explain in comments): YES Total Gallons pumped from tank (Number only, no text): 500 Effluent returning back into tank after pumping: NO Tank depth below grade (inches): 24 Access Risers installed to grade (N/A if not present): NO Tank Construction Material: Concrete Tank Condition Good: NO Deficient Baffles in good condition (N/A if not present): NO Deficient Effluent screen cleaned (N/A if not present): N/A Effluent surfacing around site components (N/A if not checked): NO Tank abandoned after pumping: YES Were repairs made to the Tank or Tank Components? (if YES explain in comments): NO Compartment 1 Scum accumulation (Inches, if other specify): 2 Compartment 1 Sludge accumulation (Inches, if other specify): 8 This report indicates certain characteristics of the onsite sewage system at the time of visit. In noway is this report a guarantee of operation or future performance. ReportlD: 564879 View pump reports online at www.onlinerme.com Page 1 of 1 8/12/22, 8:12 AM pscIeanali r.vrg Puget Sound Clean ,Air Agency View Account History Notification Details This case number has expired. Notification Details for Case #: 202203441-1 Fee Amount $65.00 Transaction Date 07/14/22 Owner's Name Quamtum Development, LLC Phone (360) 986-9104 Project Street Address 2647 S Star Lake Rd City Federal Way Zip 98003 Contact Person Terry Phone (360) 986-9104 Mailing Address 12819 38th SE St #311 Bellevue, WA 98006 This project includes asbestos removal. Project Size 130 linear feet / 75 square feet Project Start Date 07/25/22 Completion Date 07/26/22 Asbestos will be removed by a licensed asbestos abatement contractor Contractor 4 Aces Restoration Contractor Job # Contact Rigoberto Guillen Phone (206) 751-6699 Mailing Address 2003 S 216th St #98100 Des Moines, WA 98198 Note: Notifications cannot be amended after the completion date. https:Hsecure.pscleanair.org/Asbestos/LoginAccount/NotificationDetail.aspx 1/1 4 Aces Restoration, LLC Date: 7/12/22 4 Aces Restoration, LLC is pleased to provide the following project proposal listed below. Proposal Quantum Mvelopment 2647 S Star Lake Rd Federal Way, WA 98003 Scope of work: 1. Remove and dispose of 130 LF of asbestos mastic located along the perimeter of the roof. 2. Remove and dispose 75 Sf of white vinyl tile flooring located in the garage. Price: $3,000 INCLUSIONS AND CONDITIONS • Includes labor, disposal, materials, equipment, permits if applicable, air monitoring if applicable and insurance. Work to be performed during days and times mutually convenient to owner and contractor. • Work area must be cleared of any contents prior to start the asbestos abatement. - All work to be performed in strict compliance with all federal, state and local regulations. - Water and electricity will be provided by the premise's owner or General Contractor. Duct tape and staples is used to ensure that the containment is secure during -the abatement process, this may cause some minor damage to the paint close to the ceiling and any trim where the staples were in the corners. We also have to remove any light fixtures, smoke detectors and window coverings that are in the work area, these items are not put back up by our work crew _ • 50% deposit is required prior to start the work. Price is based on one mobilization. EXCLUSIONS • Price does not include any items requiring removal from the work area other than which is listed in the scope of work above. State sales tax. • Vinyl flooring removal. The contractor must retain a signed copy of the disclosure statement in his: „ files for a minimum of three years.19, NOTICE TO OWNER Client Initial: 11Ilage IMPORTANT: READ BOTH SIDES OF THIS NOTICE CAREFULLY. PROTECT YOURSELF FROM PAYING TWICE To: Quantum Development Date: 7/12/22 terry@quantumdevelopmentllc.com 360-986-9104 RE: Asbestos Abatement From: 4 Aces Restoration, LLC AT THE REQUEST OF: Terry THIS IS NOT A LIEN: This notice is sent to you to tell you who is providing professional services, materials, or equipment for the improvement of your property and to advise you of the rights of these persons and your responsibilities. Also take note that laborers on your project may claim a lien without sending you a notice. OWNER/OCCUPIER OF EXISTING RESIDENTIAL PROPERTY Under Washington law, those who furnish labor, professional services, materials, or equipment for the repair, remodel, or alteration of your owner -occupied principal residence and who are not paid, have a right to enforce their claim for payment against your property. This claim is known as a construction lien. The law limits the amount that a lien claimant can claim against your property. Claims may only be made against that portion of the contract price you have not yet paid to your prime contractor as of the time this notice was given to you or three days after this notice was mailed to you. Review the back of this notice for more information and ways to avoid lien claims. COMMERCIAL AND/OR NEW RESIDENTIAL PROPERTY We have or will be providing professional services, materials, or equipment for the improvement of your commercial or new residential project. In the event you or your contractor fail to pay us, we may file a lien against your property. A lien may be claimed for all professional services, materials, or equipment furnished after a date that is sixtydays before this notice was given to you or mailed to you, unless the improvement to your property is the construction of a new single-family residence, then ten days before this notice was given to you or mailed to you. Client Initial: ,M 21page Sender: 4 Aces Restoration, LLC Address: 2003 S 216th ST #98100 Des Moines, WA 98198 Office Telephone: 206-751-6699 Brief description of professional services, materials, or equipment provided or to be provided: Asbestos Abatement ON REVERSE SIDE IMPORTANT INFORMATION FOR YOUR PROTECTION This notice is sent to inform you that we have or will provide professional services, materials, or equipment for the improvement of your property. We expect to be paid by the person who ordered our services, but if we are not paid, we have the right to enforce our claim by filing a construction lien against your property. LEARN more about the lien laws and the meaning of this notice by discussing them with your contractor, suppliers, Department of Labor and Industries, the firm sending you this notice, your lender, or your attorney. COMMON METHODS TO AVOID CONSTRUCTION LIENS: There are several methods available to protect your property from construction liens. The following are twoof the more commonly used methods. DUAL PAYCHECKS (Joint Checks): When paying your contractor for services or materials, you may make checks payable jointly to the contractor and thefirms furnishing you this notice. LIEN RELEASES: You may require your contractor to provide lien releases signed by all the suppliers and subcontractors from whom you have received this notice. If they cannot obtain lien releases because you have not paid them, you may use the dual payee check method to protect yourself. YOU SHOULD TAKE APPROPRIATE STEPS TO PROTECT YOUR PROPERTY FROM LIENS. YOUR PRIME CONTRACTOR AND YOUR CONSTRUCTION LENDER ARE REQUIRED BY LAW TO GIVE YOU WRITTEN INFORMATION ABOUT LIEN CLAIMS. IF YOU HAVE NOT RECEIVED IT, ASK THEM FOR IT. NOTICE TO CUSTOMER (PLEASE SIGN BELOW) This contractor is registered with the state of Washington, registration no. 4CESAR838DF, and has posted with the state a bond or deposit of $12,000 for the purpose of satisfying claims against the contractor for breach of contract including negligent or improper work in the conduct of the contractor's business. The expiration date of this contractor's registration is 3/14/2023. I have received a copy of this disclosure statement. Dated this day of of the Signature of Customer: 7113 2022 Quantum Develo[pment LLC Terry Martin Cac Manager/Memb, 3 1 P a g e Haw 1 _lee-S, 't C. 969 S. Nebraska St. Seattle, WA 98108 Phone: (206) 620-0311 info c�]r hawkenvironmental. com www.hawkenvironmental.com License # HAWKEES876KW Client: Quantum Development Inspector: Anthony Speer Date of Inspection: 2/8/2022 Type of Inspection: Asbestos (Pre Remodel) Contact: Terry Martin Inspection Site Address: 2647 S Star Lake Rd Federal Way WA 98003, Email: terr.N@quantgmd!gvelopmentllc.com Phone: 360-986-9104 Hawk Environmental Services, Inc. Page 1 Background information: The client is planning to the subject property which has been significantly damaged by fire, and has requested an asbestos site survey to determine if any of the materials within the home or garage contain asbestos. Sampling and analysis of all observed materials in the home and garage for asbestos content has been performed. This is a full good -faith asbestos site survey. Property description: The property is an approximately 1200 square foot, fire damaged single family home and a 745 square foot garage originally constructed in 1932. Summary - Based on the results of the sampling performed on the subject property and the description of demolition work that is to be performed, special asbestos abatement and disposal procedures will be needed for the following items: Sample Number QH-01 QH-16 ja_quirc abatement: Lab Analysis Asbestos Containine Materials Description Location 99an t Fdabii{ty Drywall Assembly Drywall walls and Approximately 1700 Friable ceilings on the main square feet floor of home Roofing Mastic, Gray Vinyl Tile Flooring, White Mastic on top of shingles. Approximately 1" strip on the perimeter of the home, where trim is present Approximately 130 Non -friable linear feet Garage, areas of the Approximately 75 Non -friable floor in center I square feet observed All samples included in this report were analyzed by Aerobiology Laboratory Associates, Incorporated in Huntington Beach, CA (NVLAP Certification number 201076-0). The samples were analyzed using Polarized Light Microscopy/Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Materials, EPA- 600/R-93/ 116 July 1993. Please see the included .pdf document for additional information in regards to analysis and layers included in each sample. Hawk Environmental Services, Inc. Page 2 ASBESTOS TESTING: Home: Homogeneous Sampling Area: QH-01 Description of Material: Drywall Assembly Color: Multiple Pattern: Charred Condition: Severely Damaged Category: Surfacing Location: Drywall walls and ceilings throughout main floor of home Friability: Friable Quantity: Approximately 1700 square feet Number of samples taken: 5 Sample ID numbers: QH-01-01, QH-01-02, QH-01-03, QH-01-04, QH-01-05 Result: 2% ChryaptUe asbestos was detected in the 'olnt compound of the drmall assembly on the main floor of the home. See Rdf for more ii Homogeneous Sam lin Area: H- 2 Description of Material: Ceiling Board Color: Brown Pattern: Charred Condition: Severely Damaged Category: Miscellaneous Location: Kitchen ceiling Number of samples taken: 1 Sample ID numbers: QH-02 Ltesult: 1n as iestQs_ was detected in the material* a441yxed. Se_p pdf or more detail Homogeneous Sampling Area: QH-03 Description of Material: Particle Board Color: Brown Pattern: Charred Condition: Severely Damaged Category: Miscellaneous Location: Debris pile in kitchen and entry area Number of samples taken: 1 Sample ID numbers: QH-03 Result: No asbestos was detected in the materials analyzed. See .gdf for more details. Hawk Environmental Services, Inc. Page 3 Homogeneous Sampling Area: QH-04 Description of Material: Drywall Assembly Color: Copper Pattern: Heavy Textured Condition: Damaged Category: Surfacing Location: Bathroom walls and ceiling Number of samples taken: 3 Sample ID numbers: QH-04-01, QH-04-02, QH-04-03 Result: No asbestos was detected in the materials analyzed. See ,pdf for more details., Homogeneous Sampling Area: QH-O5 Description of Material: Counter -top Color: Black Pattern: Charred Condition: Severely Damaged Category: Miscellaneous Location: Kitchen Number of samples taken: 1 Sample ID numbers: QH-05 Result: No asbestos was detected in the materials anal zed. See .udf for mire details. Homogeneous Sampling Area: OH-06 Description of Material: Tile and Grout Color: Gray Pattern: Small rectangles, Smoke damaged Condition: Damaged Category: Miscellaneous Location: Around windows of back bedroom Number of samples taken: 1 Sample ID numbers: QH-06 Result: No asbestos was detected in the materials analyzed. See .pdf for more details. Hawk Environmental Services, Inc. Page 4 Homogeneous Sampling Area: QH-07 Description of Material: Tile and Grout Color: Dark Pattern: Square Condition: Damaged Category: Miscellaneous Location: Living room, floor of wood burning stove platform Number of samples taken: 1 Sample ID numbers: QH-07 Result: No asbestos was detected in the materials analyzed. See .pdf for more details. Homogeneous Sampling Area: QH-08 Description of Material: Tile and Grout Color: Gray Pattern: Wood -grain Condition: Good Category: Miscellaneous Location: Bathroom floor Number of samples taken: 1 Sample ID numbers: QH-08 Result: No asbestos was detected in the materials analysed. See Ddf for more details. Homogeneous Sampling Area: QH-09 Description of Material: Stone and Mortar Color: Gray, Black Pattern: Charred Condition: Damaged Category: Miscellaneous Location: Living room walls Number of samples taken: 1 Sample ID numbers: QH-09 Result: No asbestos was detected in the materials analy-xed_ See_.pdf for __more_details. Hawk Environmental Services, Inc. Page 5 Homogeneous Sampling Area: QH-10 Description of Material: Brick and Mortar Color: Gray Pattern: Brick Condition: Good Category: Miscellaneous Location: Chimney Number of samples taken: 1 Sample ID numbers: QH-10 Result: No asbestos was detected in the materials analyzed. See .gdf for more details. Homogeneous Sampling Area: QH-11 Description of Material: Insulation Color: Multiple Pattern: Fiberglass and loose fill Condition: Damaged Category: Miscellaneous Location: Attic Number of samples taken: 2 Sample ID numbers: QH-11-01, QH-11-02 Result: No asbestos was detected in thepaterials_analyzed. Sep -Vdf for more details. Homogeneous Sampling Area: QH-12 Description of Material: Wire Color: Black Pattern: Woven Condition: Damaged Category: Miscellaneous Location: Attic Number of samples taken: 1 Sample ID numbers: QH-12 Result: No asbestos was detected in the materials_ analyzed. See ,pdf for more details. Hawk Environmental Services, Inc. Page 6 RomQgcneous Sanxpling Area, QH7.13 Description of Material: Sealant Color: White Pattern: None Condition: Good Category: Miscellaneous Location: 0 1 -interior(living room), 02-exterior Number of samples taken: 2 Sample ID numbers: QH-13-01, QH-13-02 Result: Noasbestos was detected in the materials gMalntd. See .ndf for more details. Homogeneous Sampling Area: QH-14 Description of Material: Window Glaze Color: Brown Pattern: Painted Condition: Damaged Category: Miscellaneous Location: Around glass of wooden windows Number of samples taken: 1 Sample ID numbers: QH-14 Result: No asbestos was detected in the materials analyzed. See .pdf for more details. Rlomoggaeous Sampling Area: QH-15 Description of Material: Building Paper Color: Black i Pattern: None ° Condition: Damaged' F. Category: Miscellaneous Location: Under siding of home Number of samples taken: 1 Sample ID numbers: QH-15 Result:_No_ asbestos was detected in the• materials analyzed. See_pdf for more details. Hawk Environmental Services, Inc. Page 7 Homogeneous Sampling Area: QH-16 Description of Material: Roofing Materials Color: Multiple Pattern: Composite Condition: Damaged Category: Miscellaneous Location: Roof of home Friability: Non -friable Quantity: Approximately 130 linear feet of asbestos containing materials Number of samples taken: 1 Sample ID numbers: QH-16 Result: 5% -Chrysotile asbestos was detected in the gmy mastic located on toR of the edge of the perixneter roofmg shingles. See . df for more details. Gara e: Homogeneous Sampling Area: QQ-01 Description of Material: Drywall Ceiling Assembly Color: Gray Pattern: Textured Condition: Damaged Category: Surfacing Location: Ceiling panels in center area of garage Number of samples taken: 3 Sample ID numbers: QG-01-01, QG-01-02, QG-01-03 Result: The texture elf sam�l area_. �C m01_l as found to contain less than1% asbestos. Because the asbestos content is below 1 % it is not considered an asbestos containing natex^ al anc� al_not re hire- as estcas.. abatement. Basic asbestos work _fit€���. _ _artaea1ca ie �� met., non-� essive nci.,prraxnlst_elean-ugp a..re_st ilrecommended See ,udf for more details. Homogeneous SamOng Area: G-02 � Description of Material: Unfinished Drywall Color: Multiple Pattern: Decorative Paintings Condition: Damaged Cate o Miscellaneous' g ry: Location: Walls throughout garage Number of samples taken: 2 Sample ID numbers: QG-02-01, QG-02-02 Result:_ No -.asbestos 3Ya;s_OqtegtgdAP the materiels analyzed. See„�df for mor�detaiIs= Hawk Environmental Services, Inc. Page 8 Homogeneous Sampling Area: G-03 Description of Material: Mastic Color: Tan Pattern: None Condition: Damaged Category: Miscellaneous Location: On silver polystyrene insulation Number of samples taken: 1 Sample ID numbers: QG-03 Result: No asbestos was detected in the materials analyzed. See .udf for more details_ Homogeneous Sampling Area: QG-04 Description of Material: Peg Board Color: Brown Pattern: Holes Condition: Damaged Category: Miscellaneous Location: Various walls throughout garage Number of samples taken: 1 Sample ID numbers: QG-04 Result: No asbestos was detected in the materials analyzed. See .ydf for more details. H_o_mygeneyus Sam RUAg Area: OG-05 Description of Material: Insulation Color: Yellow Pattern: Fiberglass Condition: Damaged Category: Miscellaneous Location: Walls throughout garage Number of samples taken: 1 Sample ID numbers: QG-05 Result: No asbestos was detected in the materials analyzed., See _pdf,for more details. Hawk Environmental Services, Inc. Page 9 Homogeneous Sampling Area: QG-06 Description of Material: Vinyl Tile Flooring Color: White Pattern: Streaked Condition: Damaged Category: Miscellaneous Location: Floor in center of garage Friability: Non -friable Quantity: Approximately 75 square feet Number of samples taken: 1 Sample ID numbers: QG-06 Result: 5% Chrysotile asbe$tos_was_deteeted_in- the _vinyl the andxnastiss in the garage. See .pdf for more details. Materials not inspected or sampled: Ali observed materials of the home and garage were sampled . If more materials not covered in this inspection are discovered, they are to be assumed to contain asbestos until further testing has taken place. All appliances and equipment are to be disposed of whole. Sinks, HVAC, fixtures, counter tops and the fuse panel are to be removed intact and recycled. This is a full good faith asbestos site survey, Hawk Environmental Services, Inc. Page 10 Sampling Methodology: Asbestos is a generic name given to a number of naturally occurring hydrated mineral silicates that possess a unique crystalline structure, are incombustible in air, and are separable into fibers. Asbestos includes asbestiform varieties of chrysotile (serpentine); crocidolite (riebeckite); amosite (cummingtonite-grunerite); anthophyllite; tremolite, and actinolite. Inhalation of asbestos fibers has been linked to diseases such as asbestosis, lung cancer, and mesothelioma. All asbestos sampling performed by Hawk Environmental Services is carried out pursuant to 40 CFR 763.86 as required by both AHERA and ASHARA. All samples will be collected by an AHERA accredited asbestos building inspector and analyzed by polarized light microscopy by a laboratory accredited by the National Bureau of Standards (NBS). All asbestos samples are taken under wet -removal method to limit the likelihood of airborne particles being released. Notes and terms: Homogeneous Sampling Area- An areas of suspected asbestos containing building materials which appears similar throughout in color, texture, and date of material application. Thermal System Insulation- Material applied to pipes, fittings, boilers, breechings, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. Surfacing Material- Material that is sprayed -on, troweled -on, of otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. Miscellaneous Material- Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include thermal system insulation or surfacing materials. Hawk Environmental Services, Inc. Page 11 Sampling Locations: Home, Main Floor• Front Porch Home, Upstairs• 2 1 1C (A-1) Hawk Environmental Services, Inc. Page 12 Garage: AM 2-01 01-01 Hawk Environmental Services, Inc. Page 13 01-03 06 03 05 S=FuldcaEmtcn QH-01-01 QH-01-01 QH-DI-03 QIi D1-03 QH 01-44 QH Di-04 QH t31-D6 QH-02 QH-i2 QH-03 QR-Cw 11 QQJI.rk4-01 04M-112 QH-04- 3 Qa3 QH-5 QiH-M QH-05 QH-07 :22X4861-Mi 220C4661-NI 2�861-ACC :22ME61-003 2MM61-M 2MM61 2 42.61-W 2 48dI.M 22DO456I.-W7 22CO4961-M 22CC14561-0:9 22MR61-010 "��f�861�3I14 L'i O61-011 22004.262-012 22C(9361-012 M004561413 Detailed layer data: Home: PL,y—A Iks¢i}e - cd lwia '.Hite MW CoAxA=6 uithFieh 1v� DamTaIl ulneIh)T ari With73= BdpJc&tC4yWmmd WIM DT,%wali Help Jaint �=Wdtd to n Felt t1 bte DnTrO wth r` hiM C�at� Jo�CCoara�ni Ggy DrwzU. B mm-cny'94` liMMd Vobtp, Jbiw Caramamd Mliw Drywall UrTy%-&'ATffii R+J Je�RCa¢Da�ad W& D,Nva11 &rsz[b��Caay Cast aro•: Cday Czamk Tib.- CIM S-,-I t (PC C+=) Brum C,aaanc TUe Hawk Environmental Services, Inc. Page 14 `fir— � a .4:*wm Dw'VCw� Y wle N73i Y 70% Y 1001. y n0ia CTRY2% Y M NT Y 27N. CHRY2% Y Br1r. IM Y 1{lCPa ND Y 3474 'sue Y 57". ? 7J y i a ND * 20% ND Y 0% ND Y 16 14 ND a 295. 10 Y sT. ND Y 10t1191. ND e' 0% ND Y IN I ND QN-a7 :209361-013 %%M %§= (NO GMM) Y 2061. ND QM7 '_ D4861-013 L[ a 'I 1(p,4 ND QH Cs 2�3U4861-014 Eruxe; n=Tile Y 5G?a 17C QN-03 22�7(. 161-014 Cizv Cava y lop". ND QH-Cs 2MS61-014 WbiteM= 3 3VA ND QH-CQ ? 351-013 Gsay.Bep stow 'Y OD% ND Q7H-D!D ''OD4261-015 L-AC1-q.Snag Y 1Tr ND Q I C9 Z �70.861-013 IL hie Dr}vraz No Saaiva) Y 31 a ND QH Ifj 2-20C4861 J16 Gnrseip Ste- y 79% Y� QH1U 2 7L4861-016 DwkGray.Ns_n" ] 3D*,,•b 7�E Q11-11-01 2-100 961-017 PiLk 7n&v]n Y 90% NM t� I1 i11 ?'rJLL+861-017 Black SuvaIapv 'Y n% im Q}€11a53 22or-861-615 Browuluulatiae y 100 a ND QH-12. 'MOD-$61-014 Blanc l 1ring ]fat -MILL Y 1W/. NM QH 13 22004961-On White Seal.131 Y i(ky- NIM QH-14 22 1261-Ml WhiteWMdQxG M 'P 100% NT QH-] ]-01 }'0048614M B!aa But7da: Papa Y 100% 1T QP-7 5-02 23004961-023 RlWk4-RrOUM ]3MM.UgpaFer Y ICOY IM QH-16 2_'004861.424 CAW Pa r-gmastc(Surtze) y 10% C1-FYP% QH 16 2'.4P48610r 4 P.e*&z Shiael wtch Rl k Gtmrs y 30'%� M QH 16 2:OP4851.424 Fs3a Shia`lead HLxIs SWC25 Y 3lD`d ND QH-16 L'OM41-024 Blacl Rw n; Feit Y 3V1 NIA QH-17 =00;ml-0116 -Vk-=eCaaparad Y klb ND QHH-17 1190 961-.3 CLUMDrfW& Y 47.. M Hawk Environmental Services, Inc. Page 15 Garage: QC-01-01 22004855-W1 'Wh- pcc ge kint Compourd Y MIX. C'1 RY <1 S Cr01.O1 220i? M-W1 Pink Dipan Y 801% ND Q&01-CQ 21064855-M2 UIL- ."Bep 14k i Compow3 Y M CERY Q QC-'0I-02 2204855-M Pink Diy aR 1 RM ND ( 11-03 22,OC 4955-003 WhiltmBdge Joint Cowpoim::l Y 20"1 CHRY 43 Q5 01-03 2.1ZjW955a3 A& Dr wa11 Y W14 ND QCs02.01 2.MD4855-044 Tan Tape Y 1011e ND QC-02-01 22004855-W4 ibY<Lmi) gall Y 9031. ND QG-0-0 22O1i U5 %iliaelklvau Y' 100". ND QG-03 22004955-M Tan 2a U& Y -W/. ND QG-03 22004835-Nd Sam %'W Y In. ND QG-04 22jDo4a55-Q0; Brown H4sdMabeauL 'Y 1CgN. ND QG-05 22jDD4855-M Y" 90% ND QG-05 220P4855-WS SitmBrmm Wrap Y' 10% ND QG-0,5 22OD4953-MG %Ih to T&- Y' L l Lm'4 2 Q&05 22004955-i9 YdImAdheim Y I5", r ND Hawk Environmental Services, Inc. Page 16 Accreditation Certificate of Completion This is to certify that Anthony Speer has satisfactorily completed 4 hours of online refresher training as an AH,RA Building Inspector to comply with the training requirements of TSCA Title 11, 40 qEp, 763 (A g% EPA PmVider 010135 1B231G CeMFrge Number ®Oct 5. 2C21 Expires in f yea. or Date(s) of Training -` Exam Score- WA InsbucrbDr. Andre7 SqAOgffl {ifapPleraL�} ARGV.R%CIFr—#<rZ1%544*ffl[w,MTEtp9 rlOFJ+�iE1S1[C7FR4Kf_ F+1NGtC+iN4iY 31ti11f6;YY7Yl, t�d(5iS�tClF4GGfJ1i Hawk Environmental Services, Inc. Page 17 ASBESTOS NORTHWEST 30620 Pacific Hwy S. 4103, Federal Way, WA 98003 (253) 9 1-4343 Asbestos NW Batch #: 2 � 2b Air Sample by PCM Chain of Custody Name/Compan PS P 5-kvCrL --- i o Date: -4 - Z.g •- 22, Address: 1_002 h I 0 16 Phone: -La 6— Project Location: 2 b 4 � 5 maw q14 r� Project # _ _ c Number of Samples: Rush arance Turn around time: I ©v 1�r Y f N sample ID Location �-"� C �r�� �� 4�v'4� Start Time ,' Fibers/ Fields !ua Type Q �� End Time 10 ; p Pomp #1 -W-U Activity Total Time Fibers/ cc , �, �� Environment - Start Rate 10- 0 Protection Worker a� ri.t\ V"O'N--0 End Rate f 1 i- 0 Date Decor Cert # Total Liters Sampled Sample ID Location 'fie° L �O C*-A � � r �� �o� Start Time if :o 0 Fibers/ Fields Type End Time t t Pump # Activity �-. 0 akk 1 '� Total Time 2P Fibers] cc ru� � I Environment r� Start Rate ej,•, 0 Protection c: Worker (3,w LA -7C- 0 End Rate q, (2 Date Decors Cert # Total Liters r, P J Sampled Sample ID 3Location c �� ` � law ��_ e ��� +�'' c�� startTime 11, 0 Fibers/ Fields �. j ''{0 Type End Time IV Pump # p Activity (I Cv pJP4 Total Time (- Flyers! cc Environment Al Start Rate 2, Protection C Worker may`° f End bate tl,o Date Sampled Decors Cert # ITotal Litersi I ,N O Sample III Location Start Time j,' p o Fibers/ Fields I O� Type 64A�- � d End Time Pump # Activity � � y�c. �v �� Total Total Time ¢q 0 Fibers! cc Environment Start Rate 10, Protection Worker o r v\_ 0,"� e 9 JEnd Rate 10, p Date Sampled Decon =Cert # Total Liters Sam led B : Q Date: - `25 2cL, Time: . RelingUished By: �,15,Date: *+- Zj - ��K, Time: _ A Received By: ' w Date: Time: : ,2Q Analyzed B Date, Time: ASBESTOS NORTHWEST 30620 Pacific Hwy S. #163, Federal Way, WA. 98003 (253) 9414343 Asbestos NW Batch #: 20 2 21 J 12 (-(� Air Sample by PCM Chain of Custody Name/Company: (q� Date: -- - 2 5 - 2 Address: Ai-oC)_� 5 IA h $-1- f31 i Phone: 'L❑ 6 _ 3 25 -..0(11 9 _ rA4 r r l v cl.L ivid1 iq =7i . L i C. -----i Lujeul fF - -- Project Location: -z 6L,--- 5 5�sxy* 1a1( 4-- Rd Number of Samples: Ciaarance r'6 cam\ vj� ` � : o A � � � D� Turn around time1, � k rS YIN Sample ID � Location tcro 'ram cr0ic W � � �,��� Start Time 1 %� � Fibers! Fields i If/ I Type r L, E End Time Time � , � Pump # 1,4, Activity � � f�,, t=({� 9 �"A �� Total Time �� �'ilaars! cc ,��� - Environment � Start Rate (� , � Protection Worker End Rate 10. � Date �� Deco€ t� Cep # e " f� t Total Liters ��0 Q Sampled 1 Sample 10 Location � � � �� �-�'�. Start Time Fibers/ Fields Type End Time Pump # Activity Total Time Fibers/ cc Environment Start Rate Protection Worker End Rate Date Deco Cert # Total Liters Sampled Sample Ili Location Stara Time F=iberst Fields Type End Time Pump # ActivityTotal Time Fikaersl cc Environment Start Pate Protection Worker End Rate Date l?econ Cert # Total Liters Sampled Sample ID Location Start Time Fibers! Fields .Type End Time Pump # ActivityTotal Time Fibers/ cc Environment Start Rate Protection Worker End Rate Date Sampled Decon Cert # Total Liters Sampled B 6---yz E-J,,tN -0 Bate; 1� - Z6 -Z Z lime: p Relinquished By. (S-.. Date: --T -- 1-5 q Z Time: Received }3y: i YijI '`��— Da -- te: �`���- Time: � Zak ,Analyzed 13 :IJ PLI61 -- Date. --I -. 2-'7 Time: V _` r a ASBESTOS IORTHWEST�� �bestos Northwest, LLC )620 Pacific Hwy S. 4103, Federal Way. WA 98003 ionel.;253.941.4343 Fax41253.9�1.4175 Attn: Ri6yo G. 4 Aces Restoration Des Moiiies 2003' S 216th. St. #99100 Des Moines, WA 98198 Pro . ect Location: 2647 S Star Lake Rd Federal Way. WA 98003 J Project 4 Asbestos NW Batch #: 202213126 Date Anal, i - Analyzed: 7'26/2022 Samples Analyzed: 5 Sample ID 1 StartTime Location CEN,rER OF GARAGE; Client ID 1 End Time sample Type PRE Activity Total Time Pump 4 Start Rate Environment Worker End Rate Protection Cert # Total Liters 9:00 Fibers/ Fields 6 100 10:30 90 Fibers/ cc 0.0031ec 10 10 Date Sampled 7/25112021 I 900 Sample 11) 2 Location FLOOR IN CENTER OF GARAGE Start Time 11:00 Fibers/ Fields 100 Client 113 2 End Time 1 130 sample'rype EX Activity TU,E REMOVAL I I Total Time 10 Fibers/ cc . < 0.045/ce Pump — 008 A Start Rate Environment N Worker ORLIN M-A'1'1-.-,O End Rate 2 Date Sampled 7/25!2022 Protection CA Cert N Total Liters. 60 Sample 11) 3 Location FLE FLOOR IN CNTER OF GARAGE Start Time 11:30 Fibers/ Fields 2 100 Client ID 3 EndTime 12:40 Sample Type TWA_ Activitv . TILE RFMOVAL L- Total Time 70 Fibers/ cc < 0.0 1 9/cc pump 008 I Start Rate Environment N I Worker ORLIN MATEO End Rate D, ate Sampled 7/25/2 Protection CA I Cert 4 Total Liters 140 Sample ID 4 Location OUTSIDE StartTime 11.-00 Fibers/ Fields 2 100 Client ID 4 End Time 12:40 Sample Type OA y, Activity TILE REMOVAL Total Time 100 Fibers! cc < 0.0031cc Pump 4 Start Rate 10 Environment Worker ORLIN MATED End Rate 10 Date 1 Sampled 7 /2) 5/2) 0 2 2 I — Protection Cert ft' .--- Total litersi 1000 Sampled By: GREBIL EDULFO Analyzed By: Seale Butler Date: 7/25/2022 Date, 7/26/2022 Page 1 of 2 ASBESTOS ;bestos Northwest. LLC 620 Pacific Hwy S, 4103, Federal Way. WA 98003 :ones° 253.941.4343 Fax h-253.941.4175 Attn: Rigo G. 4 Aces Restoration Des Moines 2003 S 216th St. 9,98100 Des Moines. WA 98198 Project Location: 2647 S Star Lake Rd Federal Way WA 9800" Project # Asbestos NNNI Batch #: 202213126 Date Analyzed: 7/25/2022 Samples Analyzed: 5 Sample ID 5 Location FLOOR IN CENTER OF GARAGE StartTinic 13:00 Fibers/ Fields 49 100 Client ID 5 - End Time 14:30 ;ample T,vpe CL ActivityTILE FLOORING Total Time 90 Fibers/ cc 0.027/ec Pump _ 4 Start Rate 10.0 ,inivironment N Worker GE End Rate 10.0 Date Sampled 1,2512-022 Protection CA Cert # Tota I Li ters, 900 Sampled By: GREBIL EDULF0 Date: 7/25/2022 Analyzed By: Crvstal AndrZ-.Jq%%-"e Date, 7i25/20122 Page 2 of 2