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07-104301 City of Federal Way Demolition Permit #: 07-104301-00-DE Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 F Inspection Request Line: (253)835-3050 t Project Name: DIACONOU Project Address: 30024 20TH PL SW Parcel Number: 012103 9115 Project Description: Demolish an existing 1420 sqft accessory dwelling unit. Owner Applicant Contractor JOHN DIACONOU TERRY JENSEN CONSTRUCTION CORP TERRY JENSEN CONSTRUCTION CORP JUDITH I DIACONOU PO BOX 1326 TERRYJC016OZ 5/20/07 30024 20TH PL SW ISSAQUAH WA 98027 PO BOX 1326 FEDERAL WAY WA 98023 ISSAQUAH WA 98027 / Additional Permit Information ) , r.// O0 y , 22 CONDITIONS: or , ov n�lo p vide city staff with documentation that septic tank has been drained and filled moved PRIOR to Fi I Inspection and refund of Bond. 2.After final inspection is complete and approved,please contact Kari Cimmer by e-mail at Karic @cityoffetralway.com OR by fax at 253-835-2609 to receive a refund of cash bond. PERMIT EXPIRES Saturday, August'', 2009 Permit Issued on Thursday, August 2, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. p Owner or agent: .' Z1.4 Date: D 2—O r 3 -7- f. 11 X31 3 • THIS CARD IS TO REMAIN ON-SITE `' r CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-104301-00-DE Owner: JOHN DIACONOU Address: 30024 20TH PL SW FEDERAL WAY, WA 98023-3404 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 % 7 Date % f! For inspector reference only D Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date III . RECEPED .._ c, „,Agift,4, _O----= 1 0 LI 31r9i Federal Way AUG 0 2 200? PERMIT SF MF CO ME EL P DE N FP COMMUNITY DEVELOPMENT SERVICES 33325 8Th AVENUE SOUTH•PO 9278,9718 w � LI CATI O N FEDERAL WAY,WA 98063-97 TY OF FEDE �---- 253 835 2607•FAX 253 835 2 ten•, tx1.,1x:.t;hlorlecle:rsili,;raticorn BUILDING DEPT. The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS_- Olt)2'.1 (•© °vi Pc. S4■,3 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# Cs ( 2 t Q 3 - ( I ( S LOT SIZE(4) 16 Q p 1 577 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT `❑'BUILDING ❑ PLUMBING ❑ MECHANICAL )(DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detoilPd description of work included on this permit only) peg►© CIc76 Aia m PROJECT NAME(Name of Business or Owner Last Name) R 1 4 CON OLl • PEOPLE INFORMATION PROPERTY NAME nn PRIMARY PHONE OWNER 315/4 NJ U trio:A k. ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 3c>c> c 20 T/-+ # - c',4' F'w wa. 44045 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 1tiV`( J`eNs - c oNs-r Toezt i) ase,... (yts)ss7 - 95e MAI ING DRESS CITY,STATE,ZIP CELL PHONE Os 6otic 1 31,6 'SS'A 44444 w s 9027 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Ict _.crri LO7 8'63-- 0 64- (,- 31 -07 ( ) - COPY of card roquired ��++�� CONTRACTOR'S REGISTRATION NUMBER / EXPIRATION DATE E-MAIL ADDRESS tth each application C:/ rc n A` rc 0 g ‘02. /� —2S APPLICANT COMPANY NAME (y APPLICANT NAME OFFICE PHONE 5 P'n"1"t_ ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT ,Q FAX NUMBER ❑Architect ❑Tenant ❑Agent ❑ Other )4,j4J•en. ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT al f/35 ./'-) ( ) - LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - IN DETAILED BUILDING INFORMATION p 0 EXISTING USE C C 4-SS Cr 4 y b�'i1Jc• 4' ) PROPOSED USE A. t C°S'So2•Y 0 M -c ./r`S EXISTING ASSESSED/APPRAISED VALUE$ 3Oa(6QZ? VALUE OF PROPOSED WORK $ 2 Z O(D0112' SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL sq.FT. sg.FT. sg.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I cert(fy under penalty of perjury that the information 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. i NAME/TITLE _� �r ��' ' DATE Z�Q (Sign:u (Title) RELATIONSHIP • PROJECT ❑ Owner ❑Agent `Contractor ❑Architect ❑ Other POR oFI`tCE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 441 ithiss C 33325 8`h Avenue South CITY OF RECEIVED P9 Box 9718 Federal Way WA 98063-9718 F eieral Way 253-835-2607;Fax 253-835-2609 AUG 0 2 2 Q7 www.cityoffederalway.com CITY OF FEDERAPL WAY DE DEMOLITIONu MITT REQUIREMENTS A demolition permit is required to remove any structure or structures on a subject property. Check with the City's Planning Division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can be issued. 6d Prior to submitting a demolition permit,the following items (as applicable) must be signed by the respective agency (see attached Demolition Permit Contact List). NOTE TO APPLICANT: Utilities shall be disconnected and services performed, if applicable,prior to issuance of the demolition permit.All applicable items below are to be signed and dated by the respective agency representatives. 1.ASBESTOS ABATEMENT 6. ELECTRICITY (Copy of approval form; - ••sto ,ey from Puget Sound Clean Air (Electrici► to .- •'u..ff and meter removed) Agency provided) a V (Puget Sound Energy) (City of Fe.- lions • . 1 he 2.GAS SUPPLY 4 7. FUEL STORAGE TANKS (Gas to be shut off,meter removed and final bill paid) (Above or below grade fuel tanks, have been pumped or removed &Jd t'' under Fire Department permit prior to any dismantle/excavation) (Puget Sound Energy) v$.- (South King Fire and Rescue) 3.SEPTIC SYS ---- - 8.WATER- Public Source (Check applicable box) (Tank t removed or tank to be drained and -d) a. Meter to be removed and final utility bill paid 6 ■ Meter to remain and be protected R r en,.. D e-n o �.G , ►�/ F� (King County Environmental S= ice ) 6 ` P ,k . • (Water Supplier) ******OR ****** 4. SANITARY SEWER (Check applicable box) 9. WATER- Private Well (Check applicable box) o Sewer line capped at property line o Private well filled and capped o Existing sewer line to remain and be used by proposed new structure '(Private well to be use for other purposes Ale) l (Sewer District) v(R' County nvironmental Services) 5. GARBAGE (All household garbage disposed off and final bill paid) (RST Disposal/Federal Way Disposal) ----- ECompleted Construction Permit Application form L' rovide the following fees: 1. Demolition Permit Fee $67.50 2. Automation Fee 5.00 3. WA State Surcharge 4.50 4. Cash Bond Deposit 500.00 (Refundable upon Completed Final Inspection) $577.00 Bulletin#122.—January I,2007. Page I of 1 k:\Handouts\Demolition Permit Requirements Page 1of1 Puget Sound Clean A ir Agency Single-Family Notification Case#: 200702733 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid 50.00 Credit Card Transaction # VREF1BDFF4DC Transaction Date 08/01/07 Owner's Name Dr. John Diaconou Phone (253) 838-0306 Site Address 30024 20th Place SW Site City Federal Way Zip 98023 Contact Person Brian Alexander Phone (206) 396-8655 Mailing Address ,AK This project includes a demolition. Demolition Start Date 09/04/07 Completion Date 09/10/07 Demolition will be completed by a demolition contractor I certify that: (1)This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2)The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification View History Loy Out If you have questions, contact us at asbestos @pscleanair.org or 206.689.4058. RECEIVED AUG 0 2 2007 CITY OF FEDERAL WAY BUILDING DEPT. https://secure.pscleanair.org/Asbestos/Approved.aspx 8/1/2007 • SSURED UA,L,ITY ENVIRONMENTAL INC. General Contractors Specializing in Asbestos/Lead 2702 "A" St. • Tacoma, WA 98402 Removal, Interior Demolition and Mold Remediation Tacoma (253) 572-7175 Seattle (206) 763-7177 Port Orchard (360) 769-7175 Fax (253) 779-4020 ASSURED QUALITY ENVIRONMENTAL INC. SITE INSPECTION REPORT ASBESTOS "GOOD FAITH" SURVEY PROPERTY: 30024 20th Place SW Federal Way, Washington PREPARED FOR: Jensen Construction RECEIVED AUG 0 2 2007 CITY OF FEDERAL WAY BUILDING DEPT. Good Faith Asbestosvey • SCOPE OF WORK On March 26, 2007 Assured Quality personnel conducted a"Good Faith" asbestos survey (per U.S.E.P.A. /A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State Labor & Industries) of the structure located at 30024 20th Place SW in Federal Way, Washington. Field inspection, data collection and report generation were based on the following Scope of Work: • Perform visual inspection to identify and inventory all accessible suspect- asbestos containing materials. • Bulk sampling and analysis of all identified suspect asbestos-containing materials. • Provide written report. BASIC CONSTRUCTION The structure is a residential structure built in the 1940's. The exterior of the structure is wood siding. The roof of the structure is composite roofing. HEATING AND VENTILATION SYSTEM A forced air system provides the heat in this structure. PLUMBING SYSTEM The plumbing is metal piping. INTERIOR CONSTRUCTION, FINISHES AND FLOORING The interior finishing of the structures are vinyl sheeting, vinyl tile and wallboard. SAMPLE METHODS AND LABORATORY INFORMATION A walk through inspection of all areas was performed to identify which building materials may have the potential for containing asbestos. After identifying the suspect asbestos-containing materials, bulk samples were collected, placed in plastic bags, numbered and recorded. Care was taken to clean all tools between sampling in order to avoid cross-contamination. The samples and appropriate chain of custody forms were then sent to IATL Laboratories to be analyzed for the type and content of asbestos, if any. The samples were analyzed using Polarized Light Microscopy (PLM) Stain Dispersion Technique in accordance with EPA Methods 600/R-93/116. Assured Quality Environmental Inc. April 2, 2007 Good Faith Asbestos rvey • SUMMARY OF MATERIALS FOUND POSITIVE Upon completion of the survey and review of the laboratory data, none of the tested materials were found to contain asbestos at the structure designated as 30024 20th Place SW in Federal Way, Washington. DEFINITIONS Asbestos means the asbestiform varieties of Actinolite, Amosite (Cummintonite- grunerite), Tremolite, Chrysotile (Serpentinite), Crocidolite (Riebeckite), or Anthophyllite. Asbestos-Containing Material means any material containing more than one percent (1%) asbestos as determined using the method specified in EOA regulations (Polarized Light Microscopy). Friable means materials that can be crumbled or reduced to powder by hand pressure. Homogeneous Areas means an area which appears similar throughout in terms of color, texture, and date of materials application. Miscellaneous Materials means interior building material on structural components, structural members of fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation(AHERA definition). Surfacing Material means material that is sprayed-on, troweled-on, or 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 (AHERA definition). Thermal System Insulation means material applied to pipes, fittings, boilers, breeching, tanks, ducts or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. Assured Quality Environmental Inc. April 2, 2007 • 0 0 eel N O a N. 0 to U U U U U U U U U P C +O+ rO+ co rrl Q Q Q Q Q Q Q Q .n O O O O O O O O O z z z z z z z z z d A • 3 .3 W 3 a? a? a? Pi f..,� U L U C' U E.11 U 0 CA O C) ca) C C at,° � c ct a 0 4c1 4 E-1 E 1 tEi E-i „ 3 to O O 0 = ,� .� "0 4 4 A g A E� � � � < 3 � 3 a ct V N N N N ct D 0 0 0 • � 0 0 e U w z 4 w w w z z 1 co a> °O O° � a 0 d -a - cw to O E j III I O © o o O ', y bA N bA 0 O bA ?DJ) tO O O N N et -0 0 ,L 0 . . O O c,' y— W d' O • - O f+ Q o Q Q W M E 1 E ■ E-■ W o M N c V') %.o N 00 d 1 v ~ ' ' c7 O" I d- O 0 •O N N N O O Ga O N N N N N N O O O O O c) 1 O iw R t O — O --- O O 0 0 0 0 0 Q CJ a U M O M O M M M M M M M L ` Good Faith Asbestostrvey CONCLUSION Abatement and disposal of asbestos-containing materials must be conducted by a Washington State Licensed Asbestos Abatement Contractor using Washington State Certified Asbestos Abatement Workers. Should employees or contract personnel encounter any suspect asbestos-containing materials, it is their responsibility to: • Contact a representative of the owners. • Consult the inspection report to determine whether or not the suspect material contains asbestos. • Ensure that all employees and contractors are informed and advised of the location and type of materials that contain asbestos. Any additional hidden or covered suspect materials, discovered during demolition or renovation, that are similar to those identified in this survey must be treated as asbestos- containing materials unless determined otherwise by laboratory analysis. Note: Assured Quality Environmental does not guarantee approximations of quantities of ACM, which may be listed with the analysis. It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear foot, etc.), or by site assessment. Any and all materials identified as ACM in this report must be abated prior to ACM disturbance, renovation, or demolition. All materials identified as ACM must be professionally abated by a licensed asbestos abatement contractor prior to any disturbance. A copy of this report should be kept on site during any asbestos abatement, renovation, or demolition. Please contact the undersigned for any further assistance or if any questions or concerns arise relative to this report. Sincerely, Shannon Tiffany AHERA Building Inspector 3509-06-06-07 Expiration Date June 16,2007 Assured Quality Environmental Inc. April 2, 2007 Good Faith Asbestos tirvey Appendix #A INSPECTOR'S CERTIFICATION Assured Quality Environmental Inc. April 2, 2007 ' V e14i41��.p 1! tlb- 1' Srpi y y r ' 1;l s' } oi= g .. �. • •t ' „,,*,..4 Y y� .'Vr,,,,`•• t�y^>y� ��l Ii” t9FS..g� ♦.. a��,l VA '�� � r� t / T�� �1_1 � � `gf �,,,,,--..„,),,,,;;,-,..::-'1.?",, `. + a �� �; '', - ,.§ ` � .¢ - Y t= , ,t 4 3 Y , N $ v ' (r t1 t.'& � f� � 1c'f. � °.`d A` t 1,. ,. { �� � �,r '�'r / t > t Yfpt�l�µ' ' ��� ,,:''''',A11,19,.;V �'/t 6 y�pr }1 r V i '-',,t � ' 2 � �' ( / �-q xt�S'♦ ��r i '� ti�. 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J.Iy °�+ �'t�w .4� �� } _ L+ � � y $S t t, S; i F, tp `; ,,,',„,.),Y .ia ! ,' :;,,, LrX .; 1.r 1 7 •fi T #1 �. �7'���� �y, � � in k � Y! .��' t � �� i. ��'11t t) a'r -f s t �{� �..._ .•(� `�.r a� � rt � tdti { f J ��jt/tti � � ?j kM1 1 X 1 1 71 1 ' � � 1"' �1) 114 a, ' i�1 f iti '' 1 rr '' - •}� y 12: o r'+1� l a r� � +.. y f � t � v aG• f r '.f t{ b �� ]j � o f ': Good Faith Asbestos vey Appendix #B FIELD DATA / LABORATORY RESULTS Assured Quality Environmental Inc. April 2, 2007 w RECEIVED 04/02/2007 09:01 2537794020 ASSURED QUALITY t APR. 2. 2007 12:00P� • NO, 4069 P. 2/7 IArrIJ g Lb International Asbestos 16000 Horizon Way Unit 100 Mt.Laurel,NJ 08054 Testing Laboratories Telephone:856-231-9449 Fax:856-231-9818 CERTIFICATE OF ANALYSIS Client: Assured Quality Env. Report Date: 4/2/2007 2702 A Street Project: 30024 20th P1 SW Tacoma, WA 98402 Project No.: Federal Way,WA BULK SAMPLE ANALYSIS SUMMARY Lab No.: 2888610 Description/Location: Tan Vinyl Sheet Flooring Client No.: 30024-01 Kitchen,Laundry,Dining Room %A,4 altos Bps %Non-Asbestos Fibrous Material Type "Ian-Fibrous Material None Detected None Detected 20 Cellulose 80 Lab No.: 2888610 Description/Location: Tan Mastic Layer No.: 2 Client No.: 30024-01 Kitchen,Laundry,Dining Room %Asbestos pe %Non-Asbestos Fibrous Material Tape %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No.: 2888610 Description/Location: White/Tan Floor Tile Layer No.; 3 Client No.; 30024-01 Kitchen,Laundry,Dining Room %Asbestos Type %Non-Asbe2gFibroutMaterial Type 4/e Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No.: 2888610 Description/Location; Tan/Clear Mastic Layer No.: 4 Client No.: 30024-01 Kitchen,Laundry,Dining Room %Asbestos Tym %Non-Asbestos Fibrous Material Type %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA Lab No.100188 This confidential report relates only to those item(s)retied and does nor represent an endorsement byNIST-NI LAP,4.0IA or any agency ofthe U.S.government This report shall norbe reproduced excepr in full,without wrirrdn approval oldie laboratory. Analysis Method: EPA 600/R-93/116 —Cornmenta: (PC)indicates Stratified Point Count Method performed, Method not performed unless stated. Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope, Therefore,negative PLM results cannot be guaranteed.Electron Miamian!can be used as a confirming technique, Regulatory Limit is based upon eta sample matrix. Quantitieation at<0.25%by volume is possible with this method. Analysis includes all distinct separable layers in accordance with EPA 600 Method. If not reported or otherwise noted. layer is either not present or the client has specifically requested that it not be enalyzad Analysis Performed By: S.Robb Approved By: Frank E.Ehrenfeld,III Date: 4/2/2007 Laboratory Director Page 1 of 4 RECEIVED 04/02/2007 09:01 2537794020 ASSURED QUALITY APR, 2. 2007 12: 01 PM • NO. 4069 P. 3/7 IA T L International Asbestos Testing Laboratories 16000 Horizon Way Unit 100 Mt.Laurel,NJ 0$054 Telephone:856-231-9449 Fax:$56-231-9818 CERTIFICATE OF ANALYSIS Client: Assured Quality Env. Report Date: 4/2/2007 2702 A Street Project: 30024 20th P1 SW Tacoma, WA 98402 Project No.: Federal Way,WA BULK SAMPLE ANALYSIS SUMMARY Lab No.: 2888611 Description/Location: White/Tan F1o0r Tile Client No.: 30024-02 Bathroom 1 %Asbestos l's Non•Mbeslos Fibrous Material 9's Non- fibrous Material None Detected None Donated None Detected None Detected 100 Lab No.: 2888611 Description/Location: Tan Mastic Layer No.: 2 Client No_: 30024-02 Bathroom 1 %Itsba Ina] %Non-Asbestos Fibrous Material Type %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No.: 2888612 Description/Location: White/Tan Floor Tile Client No.: 30024-03 Bathroom 2 %Asbestos Type %Nan-Asbestos Fibrous Material Type a/c Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No.: 2888612 Description/Location: Tan/Clear Mastic Layer No.: 2 Client No.: 30024-03 Bathroom 2 %Asbestos a %Non•Asbestos Fibrous Material Type %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA Lab No. 100188 This cori idcnlial report relalcs only to those item(s)tested and does not mpreaent On endorsemenr by MT-NI/LAP,.,1111A or any agency of the U.1 government This report shall not be reproduced except in fd1,without wrl tten approval of the laboratory. Analysis Method: EPA 600/R93/116 Comments: (PC)Indicates Stratified Point Count Method performed,Method not performed unless shred, Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope Therefore,negative PLM results cannot be guaranteed Electron Microscopy can be used as a confuming technique.Regulatory Limit is based upon the sample matrix. Quantification at<0.2.5%by volume is possible with this method Analysis includes all distinct separable lams in ace rdanee with EPA 600 Method. If not reported or othanwise noted. layer is either nor present or the client has specifically requested than it not be analyzed. Analysis Performed By: S.Robb Date: 4/2/2007 Page 2 of 4 RECEIVED 04/02/2007 09:01 2537794020 ASSURED DUALITY APR, 2. 2007 12: 01 PN1 • NO. 4069 P. 4/7 IATL International Asbestos Testing Laboratories 16000 Horizon Way Unit I00 Mt,Laurel,NJ 05054 Telephone:856-231-9449 Fax:a56.231-9818 CERTIFICATE OF ANALYSIS Client: Assured Quality Env. Report Date: 4/2/2007 2702 A Street Project: 30024 20th P1 SW Tacoma, WA 98402 Project No.: Federal Way,WA BULK SAMPLE ANALYSIS SUMMARY Lab No.: 2888613 Description/Location: White/Tan Sheetrock Client No.: 30024-04 Kitchen %Asbestos Type %Non-Asbestos Fibrous Material Type %Non-Fihroue Mate�iaJ None Detected None Detected 20 Cellulose 80 Lab No.: 2888613 Description/Location: Oft-White Wall Texture Layer No.: 2 Client No.: 30024-04 Kitchen %Asbestos %Non-Asbestos Fibrous Material kse %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No,: 2888614 Description/Location: White/Tan Sheetrock Client No.: 30024-05 Kitchen %Asbestos Type %Non-Asbestos Fibrous Material Type %Non-Fibrous Material None Detected None Detected 20 Cellulose 80 Lab No.: 2888614 Description/Location: Off-White Wall Texture Layer No.: 2 Client No.: 30024-05 Kitchen %Asbestos aps %Non-Asbestos Fibrous Material Tie %Non-Fibr4Ra Material None Detected None Detected None Detected None Detected 100 NIST-NVLAP No. 101165-0 NY-DOH No. 11021 ATHA Lab No.100188 This confidential report relates only to thaw item(r)tested and doss nor represent an endorsement by NIST-1'fPLAF.ATHA or ony agency of the CIA government This reporr shall norbe reproduced except in)54 without',rittan approval ofihe laboratory. —- Analysis Method: EPA 600/R-93/116 Comments' (PC)Indicates Stratified Point Count Method performed.Method not performed unless gated, Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope.Therefore.negative PLM results serum!be uaranteed Electron Microscopy can be used as a confirming technique Regulatory Limit is based upon the sample matrix. Quantif cation at<0.25%by volume is possible with this method. Analysis includes all distinct separable layers in accortl;mce with EPA 600 Method. If not repotted or otherwise noted _T layer is either not present or the client has specifically requested that it not be analyzed. Analysis Performed By: S.Robb Date; 4/2/2007 Page 3 of 4 RECEIVED 04/02/2007 09:01 2537794020 ASSURED QUALITY APR. 7. 2007 12;O1 PN1 NO. 4069 P. 5/7 jr[[_ 1"nternati0fbal Asbestos 16000 Horizon Way Unit 100 ML Laurel,N)08054 Testing Laboratories Telephone:856.231-9449 Fax:856.231.9818 CERTIFICATE OF ANALYSIS Client Assured Quality Env. Report Date: 4/2/2007 2702 A Street Project: 30024 20th Pl SW Tacoma, WA 98402 Project No.: Federal Way,WA BULI( SAMPLE ANALYSIS SUMMARY Lab No-: 2888615 Description/Location: White/fan Sheetrock Client No.: 30024-06 Kitchen V.Asbestos Type %Non-Asbestos Fibrous Material i Ttroe °10 Non-Fibroaa Material None Detected None Detected 20 Cellulose 80 Lab No.: 2888615 Description/Location: Off-White Wall Texture La y er No.: 2 Client No.: 30024-06 Kitchen %Asbestos Tyne %Non-Asbestos Fibrous Material TYPe %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No.: 2888616 Description/Location: Off-White Window Glazing Client No-: 30024-07 Outside %Asbestos Type Va ojt-Aabcstos Fibrous Material Tye %Non-Fibrous Material None Detected None Detected None Detected None Detected 100 Lab No.: 2888617 Description/Location- Brown/Black Shingle Client No.: 30024-08 Roofing;Outside %Asbestos Type %Non-Asbestos Fibrous Material Type %Non-Fibrous Material None Detected None Detected 10 Fibrous Glass 90 NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA Lab No. 100188 This confidential report relates only to those item(,)tested and does not represent an endorsement byNIST-Ni AP.ANNA Or any Vency ofthe U.S.governnenr This report shall not be reproduced except inMt without written approval of the laboratory. Analysis Method: EPA 600/R-93/116 Cemmehis: (Pa)Indicant So-atilied Faint Count Method performed.Method not performed unless stated Small asbestos fibers may be miaecd by PLM duo to resolution limitations of the optical mianseape.Therefore,negative PLM results Cannot be gaarenteed.Electron Microscopy can be used as a confirming technique. Regulatory Limit it based upon the sample matrix. Quantification at.0,25%byvolume is possible with this method. Analysis includes all distinct separable layers in accordance with EPA 600 Method,If not repotted or otherwise noted, layer it either not present or the client has specifically requested that it not be analyzed. Analysis Performed By: S.Robb - Date: 4/2/2007 Page 4 o(4