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05-106243City of Federal Way Community Development Services Demolition Permit #: 05- 106243 -00 -DE P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: QUADRANT CORP Project Address: 32911 42ND AVE S Parcel Number: 618141 0060 Project Description: Demolition of an existing, approx. 2400sgft residence Owner Applicant Contractor QUADRANT CORPORATION, THE QUADRANT CORPORATION, THE QUADRANT CORPORATION, THE PO BOX 130 PO BOX 130 QUADRC *221 OF 9/10/07 BELLEVUE WA 98009 BELLEVUE WA 98009 PO BOX 130 BELLEVUE WA 98009 Additional Permit Information CONDITIONS: After fins #spection is comps and approved, Please contact Kari Cimmer by e-mail at Karl. I'm "ciSederal- wav:Wa us t6 receivea refund of cash bond. dP �I� 0 gl a� c� THIS CARD IS TO UMAIN ON -SITE c„y or- Pommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 05- 106243 -00 -DE Owner: QUADRANT CORPORATION, THE Address: 32911 42ND AVE S FEDERAL WAY, WA 98001 This card is part of your required inspection documents. 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 By <f, CAJ Date C3 %� �� RECEIVED " " °F A DEC 0 7 2005 Federal way PERMIT COMMUNITY DEVELOPMENT SER) 33325 AVENUE SOUTH • PO B 'SUIILLDINGED LI CATI O N FEDERAL WAY, WA 98063 -9718 253 - 835 -2607• FAX 253 - 835 -2609 w w u'. cihio((ederalwn u. cum The followina is - an will not be 0 1-1:;)D\ t062 SF MF CO ME EL PL DE N FP cepted. Please print legibly (in ink) or type. SITE ADDRESS 32-W/ 7 z /�7/� yLt�G / SUITE /UNIT # ASSESSOR'S TAX /PARCEL # � j �q /� /J �/ -j O ®t0 y� LOT SIZE (s,� LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Ne7, L %2<<C �1W46- bj l/) 5/tJ$ 2 Zl !Attach separate page for lengthy legal dew N PROJECT-INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL fia'DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this ermit onl / 0m 5. -r PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE MAILING ADDRESS CITY, STATE, ZIP 72 2 COMPANY NAME �G l ✓�lYl��?�i.%� 61Vrnes APPLICANT NAME JIM .7 z-a OFFICE PHONE ) l,.qL - :334r OFFICE PHONE MAILING ADDRESS P 67, Sex 1-3-lo CITY, STATE, ZIP /e V,,,-, tVlq 9�bb% CELL PHONE ,� (4120 �L av % b CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 1 9 0 f 1 1 j EXPIRATION DATE !i /3 i /nom FAX NUMBER (*'0 LPL - Yl33 -3 d -/ -B L FAX NUMBER (its) fj - 411 CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE v AQt- C- 12-2 -/ of COMPANY NAME Q APPLICANT NAME 5 OFFICE PHONE ) l,.qL - :334r U,4-ollq7..'r mssm ►-�T a MAILING ADDRESS Pa. r3v CITY. STATE. ZIP ale AIf W41 CELL PHONE (YZ ) 5b - ��n ax lee �+^� RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent 0,'6-ther (Describe) FAX NUMBER (its) fj - 411 NAME i PRIMARY PHONE YL �l - d�7 /� E -MAIL ADDRESS 1 w�. 5 rah t� 4A a lee �+^� Per RCW 19.2T.098: Lender lr{j'ormatton is requirett {J'prOmt Val" exceeds $tI.000 NAME N /� MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE /mac S7 dLry/ i AAL PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE �$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES WNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES WATER SERVICE PROVIDER VQLKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER VLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) p ►• AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S , FT. BASEMENT ,(� �V FIREPLACE INSERTS COMPRESSORS FURNACES FIRST GAS PIPE OUTLETS PLUMBING SECOND SHOWERS DISHWASHERS SINKS THIRD SUMPS WASHING MACHINES URINALS FOURTH VACUUM BREAKERS a YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) o YES a NO FLATTED LOT? DECK (COVERED ?) DEMO PERMIT REQUIRED? a YES GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS H81 /TRlO PROPOSED TOTAL TOTAL XXISTDPD SP TOTAL FROPOSM 8F TOTAL SF " "NEW HOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ of each type offurture to be installed or relocated as part of this project. Do not Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS BBQS FANS BOILERS FIREPLACE INSERTS COMPRESSORS FURNACES DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS (or Tub /Shower combo( SHOWERS DISHWASHERS SINKS GAS PIPE OUTLETS SUMPS WASHING MACHINES URINALS LAVS (Bathroom Sinks( VACUUM BREAKERS GAS LOGS HOODS (commeroia0 RANGES GAS WATER HEATERS WATER CLOSETS (roiiet( DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS to remain. REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I certify under penalty of perjury that the Wormation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made, 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 of Federal Way, 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. r NAME /TITLE DATE 12-1-7 / �� (Signature) (7Y tie) Q RELATIONS PTO ROJECT ❑ Owner �nt ❑ ractor ❑ Architect i--Other JL liter FOI OP**17 ONLY a NEW d ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? d YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO '- NEW ADDRESS REQUIRED? a YES ❑ NO UP /SEPA /SU? o YES a NO FLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin #100 —January 7, 2005 Page 2 of 4 k\Handouts\Permit Application Dec -02 -2005 08:26 From -PSE ELECT IST RESPONSE 253 395 6620 T -0300 P.002/002 F -017 (� L� W �yq 1)"ARTMT OF C0.4%nrtff Drsvnopth -r SERV= CITY t}F 33325 8m Awauc Sonth PO Box 971 Federal Way ];Deccan Way WA 98063x9718 3 253.835.26071rim 253 -835 -2609 Www.6ltVeEFg 9M -UaM DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to wmovc any stuctute or strucnttos an a subject property, check with the City's ]?ltttsniss Division to sec if the proposal excccds tiu'esholds'that trigger an onvironmental review. An envick with Eb review grid 8 be issued. of an en�rontncntal chcckl;st may be required, wbhicb will extend the time period before a damoligonper tit cats be issued. 17 agency to See W Hch a demoliEtol I>el'Im t, the following items (as applie ble) must be signed by the respective agency (sae attactsed Detttolitio>tr, permit Contact List). Norr roAPPIJCAI477 Utltltier alaall be dlacDnrnrotcd and sir►' +cis perfarmg4 jap Gcablc for ro isar+ xve of the demolltten lremr below err to ba F pe�rrrlt, Alt a ��bi'tJre raapecdyE agauyr rrpre�enrativrr. pPlicabte I. ASB t3$ BATEME 4AgepY a W! corm snd SU►veY from Puget Sound peon Air 6. CT CxT Y F t 0 aVXj (Qtr of rat way 6U q Z GAS SUpPi,Y r"N, mater removed and Anal hilt paid) (� (Pu9at trrergy) 3. SEP710 SyrSTEM (f art% to be re rimved or tank to be drained and filled) ( �Cllnty rime Services} 94 SA1+rrARYSEWER (Check appilcable box) 901var line CwPcd at praperry fine �9 Me to to anti used by proposed new $WCWm (Sewer t]i5trict) S. tiBACiE (till houeelluid gaftga dispo5pd arf and Gnat bill pald) (RS7 asPesayFec+erei Way Dlsposaiy Cl Completed Cons1cuctiolt permit Application form 7. Fun STOmrm TANK9 (Above or belaW grade fuel tames, here been pumped or removed =Ir— ent pErmit prior t4 any df5R1dl1he /excavation) eras Way Fire P o+r39} B. WATER - public Soured (Check applicable. box) TTAM ier to b em cd and final Ity bill paid bo main be pro M+a r uppr ;er) t 9. WATOR - Private Watt (Cheek applicable box) G private well Ailed end capped o Prlvdba we itbe Lped^ bthcr purposes Wre WUnW Environmental fVlces) © Provide the following fees: A. Demolition Permit Fee I Automation Fee I IYA Stnte. Surcharge 4. Cash $orid Deposit bultaein 1!1, 1, 4, moo; Paget of 1 $68,50 5.00 4.50 500.00 (Rerundable upon Completed Final Irspection) $573,00 Raq¢i==0 Agency Case No. 200500866 Agency Use Only PUGET SOUND CLEAN AIR AGENCY 110 Union Street, Suite 500 r, Seattle, WA 98101 -2038 www.pscleanair.org Id ' i'.._ NOTICE OF INTENT F NOV Date Received 0 2 2005 UUEl SOUNU UtAiq AIR AdfacV,1 -Only A. Project Type: f ❑ Friable Asbestos Removal 2. ❑ Friable Asbestos Removal & Demolition 3: © Demolition Only B. Property Owner: Quadrant Homes Phone: 425 8 6 4 0070 Mailing Address: P.O. Box 130 city: Bel l e v u e State W A zip: 980009 C. Asbestos PLEASE PRINTCLEARLY,THIS WILL BE YOUR RETURNMAILING LABEL. None Required Contractor: " 51 dV 1 ner /CEO: Zi 98001 /0 t / Contractor tt Mailing Address: t� o Job No.: AHERA Building Certification #: 1 OJ 6 8 4 5 Rc 1. has not been identified. City: State: Zip: Fax: fiamil residence does not include rental property, mulli-family multi-family units, or any mixed -use building. D. Site 32911 42nd Avenue South Address: Federal Way Ci y Zi 98001 Site Jim Sprott Manager: I Local Phone: 425 6 4 6 8364 E. Ld Asbestos Survey or No. of 1 Date of Asbestos 8 / 10 / 0 5 Was Friable Asbestos Identified? Yes No L3 man Presumed Structures: Survey: Was Nonfriable Asbestos Identified? ❑Yes IZINo Attach a copy of the survey when friable asbestos AHERA Building Certification #: 1 OJ 6 8 4 5 Inspector: Carl Dykstra Ex p. Date: to IN7 has not been identified. An AHERA Survey is required before all demolition projects F. Demolition Start 11/11/05 No. of 1 1. Training Fire (List Fire Dept.) Information: Date: Structures: 2. ❑ Ordered Demolition attach copy of rder Demolition Insert demolition contractor's mailing address on back. Will nonfriable asbestos be left in place during demo? LJ Yes L21 No Contractor: Thomas Construction If yes, list type and qty. Note disposal requirements in Step 6 (on back). G. Friable Asbestos Project Information: Start Date: Completion Date: Work Days: M T W Th F Sa Su Hours: Will all friable asbestos ❑ Yes materials be removed? ❑ No Total Qty. to be Removed: Linear Ft. Square Ft. Boiler \Furnace Insulation LJ Duct Insulation LJ Pipe Insulation Ll Fireproofing U Paints LJ Plaster U Textured Coatings Cement Board LJ Cement Pipe LI Friable Flooring 11 Friable Roofing Material Other: H. Asbestos /Demolition Project Categories: Notification Period Project Demolition 1. Single- Family Residence (owner- occupied): Fee Surcharge A. ❑ Asbestos Removal Project Only A. Prior Notice A. $25 B. ❑ Demolition Project (with or without asbestos removal project) B. 10 Days* B. $50 *(Asbestos removal can begin upon notification; demolition must wait 10 days) Note: If the single family residence is owned by one family who has been or will be using the residence as their domicile, the above boxes lA or 1B may be checked. If this is not an owner- occupied residence, one of the categories listed below must be used instead A single fiamil residence does not include rental property, mulli-family multi-family units, or any mixed -use building. 2. 11 Other Demolitions (with no Asbestos removal or Nonfriable Asbestos 10 Days $100 only or less than 10 linear feet and/or 48 square feet of friable Asbestos Friable Asbestos Projects other than Single Family Residence): Asbestos Demo 3. U >_ 10 - 259 linear feet and/or >_ 48 - 159 square feet of asbestos Prior Notice 10 Days $100 $100 4. U 260 - 999 linear feet and/or 160 - 4,999 square feet of asbestos 10 Days $200 $100 570 >1,000 linear feet and/or >5,000 s uare feet of asbestos 10 Days $600 $100 6. U Emergency Asbestos Project or U Emergency Demolition Project Prior Notice $50 Emergency Fee (Single - Family Residences are exempt from emergency fee; however, property owners must provide a written emergency request) I. I certify at the information contained in this notification & supplemental data is, to the best of my knowledge, accurate & complete_ Agen se O I 4, Signature Representing Date Reviewed By Clean Air Agency Form No.: 66 -160 (Revised 2/05) TS // /�d T- r The Puget Sound Clean Air Agency requires advance notification before any person commences a friable asbestos project involving materials equal to or greater in size than 10 linear feet or 48 square feet and for all demolition projects (regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation III, Article 4). All asbestos removal and demolition notifications must be submitted to the Agency on current Agency forms. Asbestos removal and demolition projects involving materials and structures below the notification threshold are still subject to all other requirements of Regulation III, Article 4. After receiving a complete notification with the appropriate project fee, the Agency will review the form and return a copy to the asbestos and demolition contractor by mail. The returned copy will be your validated notification. J. Demolition PIEASEPRINT CLEARLY THIS BILL BE YOUR RETURN MAILING LABEL. Contractor: Thomas Construction Owner /CEO: Tom Barghausen 23713 SE 264 St 425 432 8450 Contractor's Mailing Address: Phone: Job #: city: Maple Valley State: WA zip: 98038 Fax: 425 432 8457 GUIDELINES FOR SUBMITTING AN ASBESTOS\DEMOLITION NOTIFICATION Step 1. Check the appropriate project type in Box A. Friable asbestos includes popcorn ceiling material, sheet vinyl flooring, cement asbestos board siding, and duct insulation. Nonfriable asbestos is normally found in vinyl floor tiles, window putty and most roofing materials. Step 2. Enter property owner information in Box B. Step 3. Enter the asbestos contractor or property owner information, if the property owner is conducting a single - family residential project, in Box C. Print clearly this is your return mailing label. Step 4. Enter the site address for all notifications in Box D. For multi - structure projects, attach supplemental sheet with a site map (include an address for each site) and a list of the type and amount of friable asbestos to be removed from each structure. Step 5. Check either asbestos survey or material presumed in Box E. All demolitions require that an Asbestos Hazard Emergency Response Act ( AHERA) asbestos survey be conducted by a certified AHERA building Inspector. Attach a copy of the survey to the notification of a demolition project when only nonfriable asbestos or no asbestos is identified on the survey. Step 6. Enter the project information in Box F. and check the training fire or ordered demolition box if appropriate (a copy of the official order must be attached). All asbestos must be removed prior to conducting a training fire. Additional training fire requirements are contained in Regulation I, Section 8.08. If any nonfriable asbestos materials will be left in place during demolition, check yes and list the type and quantity of material. Note: Demolition debris containing nonfriable asbestos materials must be labeled as "nonfriable asbestos - containing waste" and be deposited at an authorized waste disposal facility. Step 7. Enter asbestos project information in Box G. List types of friable asbestos material to be removed: surfacing material such as popcorn ceilings or plaster, sheet vinyl flooring, duct and pipe insulation, cement asbestos board siding or pipe, etc. Step 8. For owner - occupied Single- Family Residential projects, check BOX H1A for renovation projects or BOX H1B for demolition projects (with or without asbestos removal). Asbestos removal may be conducted after a complete notification is received, but demolition activities can only begin on the 10`h day after the notification is received. Note: If the single family residence is owned by one family who has been or will be using the residence as their domicile, boxes lA or IB may be checked A single family residence does not include rental property, multi family units, or any mixed -use building. For Commercial asbestos projects (or projects that do not qualify as Single Family Residential); check the project category H2 - 5 that matches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropriate surcharge (additional fee) in your payment. To file for an emergency asbestos or demolition project, check the appropriate box 1 — 5 and the applicable emergency box in H6. All emergency requests must be accompanied by a letter from the pro eem owner demonstrating the need to conduct the project immediately in accordance with the requirements in Regulation III, Section 4.03 (c). Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box I. Mandatory amendments to the notification are required for changes that increase the project category, change the types of asbestos materials to be removed and changes to start date, completion date and work schedule for asbestos projects. No fee is required for work schedule changes if the contractor is participating in the Agency work schedule fax program. A $25.00 processing fee is required for all amendments. Puget Sound Clean Air Agency asbestos regulations and forms can be downloaded from the Agency web page at www.pscleanair.org. For technical assistance call (206) 689 -4058 and for administrative inquiries call (206) 689 -4090. Puget Sound Clean Air Agency Form No.: 66-160 (Revised 2/05) TS A -T ASBESTO -TEST, INC. ASBESTOS SURVEY 3291142 °a Ave. S., Federal Way, WA 98001 Page I of 4 C#250829 August 17, 2005 Quadrant Homes 1110112` Ave. NE Suite 300 P.O. Box 130 Bellevue, WA 98009 Attn: Jim Sprott Ph: 425- 646 -8364 c.4254W4 -0070 fax: 425 - 646 -8363 Note: Samples of Asbestos Containing Materials were taken perAMERA protocol and analyzed for the presence ojasbestos. jthere is any additional suspect ACM located prior to or during denwfildon (such as, but not Grnaited to, those materials listed on the "page of this report), that was not discovered in this survey, the materials) must be Presumed Asbestos Containing Material unless tested otherwise by laboratory analysis. On August 10, 2005, Asbesto-Test personnel conducted an Asbestos survey (per U.S.E.P.AJAILE.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the house (a), 32911 42nd Ave- S, Federal Way King County, Washington 98001. This survey purpose is to identify any Asbestos Containing Materials that may be present and will require professional removal prior to disturbanc& NARRATIVE OF FINDINGS BASICr CONSTRUCTION: The house is two story wood frame. The exterior siding is wood. The sid}'ng vapor barrier materials were sampled along with the masonry roofing and vapor barrier. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall and wood. The drywall/taping materials were uniformly sampled. Vinyl flooring materials with relating:, backings and mastics were sampled per each located homogenous area. The laminant mastic was sampled from the bathroom countertop. INSULATION: The insulation was sampled. EIJWT ICAL SYSTEM: The electrical wiring insulation did not appear to be of the kind to be ACM. The power was "on" at the time of the survey, thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI (Thermal System Insulation) found in, arotm;4 or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. CONTINUE TO PAGE 2 1429 Ave. D. PMB #187, Swbowd* WA 98290 pd: 206- 914 -5500 fax: 360-563 -2469 page: 206- 540 -2401 0 0 Page 2 of 4 August 17, 2005 IAW2$0829 Asbesto -Test, Inc. (206) 91¢5500 3291142"d Ave. S., Federal Way, King County, Washington 98001 HEATING ANIP VENTILATION SYSTEM: The furnace is electric forced air. There was no visible suspect ACM located associated with the furnace or ducting_ THERE MAY BE ACM TSI PRESENT (ASSOCIATED WITH THE FURNACE AND /OR DUCTING) IN THE STRUCTURE THAT IS CONCEALED FROM VIEW (ie. within the walls, ceilings, and/or floors, inside additional ducting areas, or within the furnace unit itself). ALL TSI THAT MAY BE LOCATED THAT IS NOT VISIBLY FIBERGLASS AND/OR FOAM MATERIAL IS PRESUMED ASBESTOS CONTAINING. Note: It was not possible to dismantle the furnace and ducting to locate and/or evaluate any additional suspect ACM which may be concealed inside the unit, or associated in hidden areas. It is our opinion any further handling of the furnace system should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. Any additional located TSI inside or outside the furnace and/or ducting system including but not limited to all gaskets, joint compounds, sealants, and/or insulations, are PACM' unless tested otherwise by laboratory analysis. Any metal insulated chimney system is also presumed asbestos containing. There was no visible suspect ACM located associated with the wood stove insert system. Misc.: None. ADDITIONAL STRUCTURES INCLUDED IN SURVEY: None. # of structures included in survey. one Requested by: Tim Sprott Carl Dykstra Inspector, certified A.H.E.R.A. accred. #1016845 (Expires 6/22/06) continue to page 3 A -T 0 0 Page 3 of 4 August 17, 2005 I1Y#250829 Asbesto -Test, Inc- (206) 914 -5500 3291142a°Ave- S., Federal Way, King County, Washington 98001 THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN ANALYSIS ID ASBESTOWrYPE//OUANTITY OTHER MATERIAL 1.0 tile flooring NAD non - fibrous materials beneath stairwell & hot water heater - color. mauve & gray 1.1 mastic NAD adhesive 2.0 sheet vinyl flooring NAD non -fibrous materials, downstairs bathroom & Laundry- color: off white cellulose, fiberglass 2.1 mastic NAD adhesive 3.0 drywall NAD non - fibrous materials downstairs paint, gypsum 3.1 drywall taping compounds NAD non - fibrous materials, SAMPLED PER AHERA PROTOCOL cellulose, fiberglass 3.2 surfpce paint homogenous throughout NAD paint, cellulose 4.0 sheet vinyl flooring NAD non - fibrous materials, upstairs bathroom- color: off white w /pastel colors cellulose, fiberglass 4.1 mastic NAD adhesive 5.0 drywall NAD non - fibrous materials upstairs paint, gypsum 5.1 drywall taping compounds NAD non - fibrous materials, SAMPLED PER AHERA PROTOCOL cellulose, fiberglass 5.2 surfpce paint homogenous throughout NAD paint, cellulose 6.0 insulation NAD cellulose, fiberglass mineral wool fiberglass 7.0 laminant mastic NAD adhesive, cellulose bathroom countertop 8.0 masonry tile roofing NAD non - fibrous materials 8.1 roofing vapor barrier NAD cellulose, tar material beneath roofing file 9.0 wood siding vapor barrier NAD cellulose, tar material beneath wood siding exterior A -T Continue to page 4 • r w Page 4 of 4 August 17, 2005 I7V#250829 Asbesto-Test, Ina (206) 914 -5500 3291142"d Ave. S., Federal Way, King County, Washington 98001 Ile analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous as prescribed by A_Ii.E.PA. protocol ples taken are listed with their corresponding analyses. If asbestos is detected those samples containing asbestos are listed first noted with the initials "ACM ". during demolition or - renovation, any additional hidden or covered_suspect materials similar to those identified in the survey are Vied [may include but not limited to: sheet vinyl flooring, the flooring, wall or ceiling texturings or paints, concrete siding or i Wng; cement pipes, cement wallboard electrical cloth, electrical wiring insulation, thermal paper, wallboard joint compounds, ryl wall coverings, spackling compounds, or any other suspect 7SI (Thermal System Insulation)], they should be treated as bestos Containing Materials unless determined to be non - asbestos by laboratory analysis. Asbesto-Test, Inc. does not guarantee approximations of quantities of ACM, which may be listed with the analyses. It is Fore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of is ACM material (Le. square or linear foot, etc.), or by on site assessment and all materials identified as ACM in this report must be abated prior to ACM disturbance, renovation, or demolition. AU vials 4Wd& red as ACM awst be professionally abutted by a licensed asbeaps abatement coetrea- prior to any disturbance Analytical test method USEPA 600/R93/116 ** (PLA4), WAC 296 -62 -07753 App. J Key: ACM signifies "Asbestos Containing Material" PACM signifies "Presumed Asbestos Containing Material" CAB signifies "Concrete Asbestos Board" < signifies "less than" TSI signifies `°17rermal System Insulation" IIVAC signifies "heating Ventilating Air - Conditioning" NAD signifies "No Asbestos Detected" **One percent is the USEPA regulatory limit for asbestos in bulk samples. PLM has been known to miss asbestos in small percentages of some samples, which contain asbestos, thus negative PLM results cannot be guaranteed Floor tiles and wipes should be tested with SEM or TEK to insure analytical accuracy when reported in small percentages. Asbesto-Test, Inc_ claims responsibility for sample content only_ END OF REPORT A-T l " 1