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13-101416 • ! Demolition City of FederalWay Permit #: 13-101416-00-D E Community&Econ.on,Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p a Project Name: THE COVE APARTMENTS Project Address: 33131 1ST AVE SW Parcel Number: 182104 9053 Project Description: Demolition of leasing office/laundry building. Owner Applicant Contractor COVE APARTMENTS LLC SYNERGY CONSTRUCTION INC SYNERGY CONSTRUCTION INC 9757 NE JUANITA DR 14040 NE 181ST ST SYNERCI101JQ(4/18/14) KIRKLAND WA 98034 WOODINVILLE WA 98072 14040 NE 181ST ST WOODINVILLE WA 98072 Additional Permit Information Demolition Valuation 40973 PERMIT EXPIRES Saturday, March 28, 2015 Permit Issued on Thursday, March 28, 2013 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the e will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. /c2(//� Owner or agent: i./ Date: `� s ....‘...;:v.......o.scs 413 T.MAIN ON-SITE ' CITY OF Construction Ins ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 13-101416-00-DE Address: 33131 1ST AVE SW Project: COVE APARTMENTS LLC FEDERAL WAY, WA 98023-6130 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 ByC Date Rough Electrical Final Electrical111 Right of Way Approved Approved Approved By Date By Date By Date TY R•EIVED PERMIT #PPLICATION Federal Way MAR 2 8 2013 CITYOF FEDERAL( WAY ) M / PERMIT NUBER _ . (� n�{ ` ( (( 4 TARGET DATE SITE ADDRESS SUITE/UNIT# POJECTF VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ © /, 7 • ------ TYPE OF PERMIT ❑ BUILDING El PLUMBING ❑MECHANICAL pig DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 772 e. < ci&-- 0&--1L4C> . 6`,,,,e /;51 -.,[ PROJECT DESCRIPTION _ 5 G • _ Detailed description of work to �� L(/ /�/ 1,0 --- L2JI �-E_ /k/ t3 /�/ e- i J / UC'S be included on this permit only --X-J 771.--- k-)i t 23,a ?A , o ..g, - d4 NAME PRIMARY PHONE PROPERTY OWNER �c- j C(/A..)&72 ipe't 071f MAILING ADDRESS- E-MAIL ' 2,5 �/7 '�.M 'vi t fP/Lu Lie. Z C TY STATE ZIP /4,/t I"4 N-1 14-J,a /126' `. ! l/ NAME PHONE S / 72 <'GyS1. MAILING ADDRESS E-MAIL CONTRACTOR / 04%c-) / CITYSTATE ZIP FAX 4 a l L.e 1/Z.= A- 1(f6 .7 .2- WA WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME /i' C/1/4...4,y v. -�� PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAMEPRIMARY PHONE PROJECT CONTACT f /' ' ����j ���� 0 Si o a lie MAILING ADDRESS E-MAIL 4)/04 4:-1.-A15e V The individual to receive and respond to all correspondence C 3/Nb'4 y4 fort-61'4.y c? .,rs ,Gct concerning this application) CITY STATE ZIP FAX f NAME PROJECT FINANCING El OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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 knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim),which may be made by arty person,including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. //t3 SIGNATURE: /4--.(ifi , ..._ DATE 3/& Gv PRINT NAME: P)9"4"a YV / •LS V j l/ Bulletin 4100—January I,2013 Page 1 of 3 k:\Handouts\Permit Application • • VALUE OF MECHANICAL WORK I. 4 MECHANICAL PERMIT Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain_ AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(comm<rciah) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS or Tub/shower combo) LAVS)Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(iitche,/utnity) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOT I TURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF •a: ING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE)Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? P•%••SED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOT• FOR OFFICE USE BASEMENT — - - FIRST FLOOR(or Mobile Home) SECOND FLOCJt2 COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED ,cF TOTAL Area Totals .".'� ,;g Phil✓., OHIi �aa`,�-.`.'k.... ..�a.��$ , .. ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/• DITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories VIEW BUILDING? ` ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY �z X PROJECT AREA ONLY Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application • DEPARITMENT'OF COMMUNITY DEVELOPMENT SERVICES • 33325 8th Avenue South Federal Way,WA 98003-6325 CITY OF 253-835-2607;Fax 253-835-2609 Federal Way www.c i tvo ffeci era l tiv ay.c o m DEMOLITION PERMIT 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. 0 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 ABATE 1 T 6. ELECTRICITY (Copy of appy al form .frsbestos. - fro' P set Sound Clean Air (Electricity to be shut off and meter removed) _ Agency Pro Cral / c,..e7 o. ,g ' Tiloeiv/yt of Gil Oce p - (/ / l (Puget Sound Energy) I , •uidi g Official) 2. GAS SUPPLY 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 ,,V !;5 G under Fire Department permit prior to any dismantle/excavation) (Puget Sound Energy) ?' 6 AJ- (South King Fire and Rescue) 3. SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box) (Tank to be removed or tank to be drained and filled) ❑Meter to be removed and final utility bill paid (deter to remain and be protected /t2O4)5 (King County Environmental Services) (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 Existing sewer line to remain and be used by proposed new structure o Private well to be used for other purposes (Lakehaven Utility District) (King County Environmental Services) 5.GARBAGE (All household garbage disposed off and final bill paid) 4:".'4:".' t2 i �t (Waaga Management/Other Company) ❑ Completed Construction Permit Application form ❑ Provide the following fees: 1.Demolition Permit Fee Based on valuation.See table on pg 4 of the construction permit application. 2. Automation Fee $6.00 3.WA State Surcharge $4.50 Bulletin#122—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Requirements • DEPARTMENT OF CIMUNITY DEVELOPMENT SERVICES 33325 8th Avenue South CITY OF Federal Way,WA 98003-6325 Federal Way 253-835-2607;Fax 253-835-2609 www.citvoffederalway.com DEMOLITION PERMIT CONTACT LIST This list of agencies may assist you in expediting the demolition permit process.Refer to the demolition permit requirements for signature blocks.All applicable signatures are required prior to permit approval. 1. Asbestos Removal: Puget Sound Clean Air Agency 110 Union Street, Suite 500 Seattle,WA 98101-2038 206-343-8800—OR—800-552-3565 www.pscleanair.org 2. Electricity: Puget Sound Energy Tacoma Public Utilities Attn:Construction Coordinator Customer Service 22828 68th Avenue South,Suite#102 —OR— 747 Market Street Kent,WA 98032 Tacoma,WA 98402 888-225-5773 253-383-9600 or 253-383-2471 3. Gas: Puget Sound Energy 805 156`h Avenue NE Bellevue,WA 98004 888-225-5773 4. Telephone: Qwest Communications 801-962-2475(phone)/801-237-6491 (fax) 5. Water: Lakehaven Utility District Tacoma Public Utilities Technical Service Division Customer Service 31623 First Avenue South —OR— 747 Market Street Federal Way,WA 98003 Tacoma,WA 98402 253-941-2288 253-383-9600 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 8th Avenue South Federal Way,WA 98003 253-946-7248 Bulletin#109—January I,2011 Page 1 of I k:\.Handouts\Demolition Permit Contact List TC-- > Dave Yorgensen From: assuredquality2001@yahoo.com Sent: Wednesday, March 27, 2013 10:30 AM To: Dave Yorgensen Subject: PSCAA Demo Permit View Account History Create Amendment 201300373-2 Notification Details for Case#: 201300373-1 Fee Amount $65.00 Transaction Date 02/08/13 Owner's Name Weinder Investments Phone (425) 250-2943 Project Street Address 33131 1 St Ave SW City Federal Way Zip 98023 Contact Person Michael Ivancic Phone (206) 890-9320 Mailing Address This project includes a demolition. Demolition Start Date 02/18/13 Completion Date 03/30/13 Demolition will be completed by a demolition contractor Demo Contractor To Be Determined Contractor Job # Contact Phone Mailing Address Note: Notifications cannot be amended after the completion date. 1 S • A SSURED 111 LIALITY ENVIRONMENTAL INC. General Contractors Specializin in Asbestos/Lead 2702 "A'' St. • Tacoma, 1,VA 91O2 Removal, Intenor Demolition and Mold Remediation Tacoma (253)_5727175 Seattle (206) 763-7177 Port Orchard 0601 769-7175 1-a\ ( 5 ) 779 +CO March 20, 2013 LETTER OF COMPLETION 33131 1st Ave SW. Federal Way, WA 98023 Assured Quality Environmental, Inc. has removed Asbestos containing Tile and Mastic (1105SF). The work areas completed by Assured Quality have been cleared by visual inspections by State of Washington Certified Asbestos competent Person. The work area is now safe for re-occupancy and/or demolition activities. If during demolition or renovation, any additional hidden or covered suspect materials similar to those identified in the survey are located (may include but not limited to: sheet vinyl flooring, tile flooring, wall or ceiling texturing or paints, concrete siding or skirting, cement pipes, cement wallboard, electrical cloth, electrical wiring insulation, thermal other suspect TSI (Thermal System Insulation), they should be treated as Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. , t-L i (.. Liz Wyatt Office Manager 9000 Commerce Parkway,Ste B Mount Laurel,NJ 08054. Toll Free 8774284285 F NATI CERTIFICATE OF ANALYSIS Local:356-231-949 Faxi 856-231-9818 Client: Assured Quality Env. Report Date: 21512013 2702 A Street Report No: 296179 'Tacoma. WA 98402 Project: 3.3131 1st Ave SW Project No.: BULK SAMPLE ANALYSIS SUMMA RN' Lab No.: 490681 DeNcription;Location: BrowniCirey Vinyl Sheet Hooting Oka t No.: 6 1 amid AstVdt.fE> Noti-Aske,s,j2, FiEtons Material % Material 43a, None Iktected None Detected 25 Cellulose Trace Fillones Glass .ati No.; 4906811 Description/Location: Cream/Black Mastic Layer No.; 2 Client No,: 6 Land atsIs Ncari-taatzipa EdardatMatetial deitLgir03.s Material ( t to) 'f'.:T15i -b4 C brysorde None Detected None betected PC 98 o 911- Lab No.: 4906812 Description/Location; Black Roof Material Client No.: 7 Roof no Ashe,m Non-Achestaa Fibrous%Nadia': TVLV N(ttl-FtbUttitt MitWrittt None Detected Nene Deteeted Cellulose • - , „ „ .uataitation NIST-NV1,AP No. 101165-0 NV-D011 No. 11021 A1HA-LAP,LLC No. 100188 lie,,orAkond',Toff ,,n< 3.;tho,,itottftt tettt'd ",'<e,sin 11IST•Ni7,4P. to tgti-et;t:St£3'Ohio Rbsbbobrc-bi Ilns report dlati mu;b.,nlemio<gd 4-3M(tfa approrai to/tin'laborer Analytical Method: EPA Et10ER-9:E136, by Polarized I i,ht Microscopy commas; QicaraiEcatien at,o:1,%Sn"Annie 14 pOSSIbitt eon this Inethod (PCI ithlicasth Stratdied Point Coa.m Method performed (KA me)roext$thai tISEtStOtt eats&word bus ran othimitiable under the Point C,thrttmg refltoten An,,', s ttldttiktS ,thaable ttxtt.t.53 4eeortion, with EPA"Os,Method If no reported or other.thye ttore,layer no,not pftteill to the coon,n spe61thally,,,qtalmeki that ss not be 1tth0yth4 tes alyakth noel;x,sitlye instructh.rei:th Small a,beth>s Meth may hi,mthscd by WO citu,0,rewlat4th I,rlt.auorth tttt. 1110 opted microscope .n.threfoth,PIM is ans cothisthody td,anlon,cithecthng:Bbvitos ooa-frtable ofthmthaEly boom! f'.4.01.1.1 Itttlittrtat,(..?ItAttilttithett tZtlItStIttit51031;;IN.tt,ttt M) ns,troosjy the 0,4,thetkad that can pronthmthe,thnt11.41,as oothathest.comatthog Analysis Performed By: M,Mirza Date: 2 5i20 Page 1 01'4 • ' 900n c111Mert, 'e Partway..Ste B Mount Laura NJ 08054 IOU Ft'ee V7-428-4285 N Ti0NA j CERTIFICATE OF ANALYSIS Local:85.6,-231-9449 Fax;856-231-9818 . „ . Client: Assured flualitv Env Report Date: 2.15/2013 2702 A Street Report No: 296179 Tacoma, W A • 98402 Project: 3313 1 1s AveSW • Project No.: BULK SAMPLE ANALYSIS SUMMAR Y lab No.: 49068(0S Description .04:311011: I all/Wil fir Sheetrock Client No.: 3 Maint !ti../SsbsJit.5 Isoe Non,Asbestos Fibrom,Material None DelecW None Detected 10 Cellulose 88 Fibrous Glass lab No.: 4906808 Description/Location: Off-White"lexuire Plaster Layer No.: 2 Client No.: 3 Maim "u Asbestos INN Nou-Asbe.sMS fiblotIS Ma811,1 Tmrc JSoitt.b1 None Devised None Detected time Detected None Diitected 100 Lab No.: 49(16809 Description LOCA don: TanAkliite Sheetreek item No• 4 Maim AsbeqQk TNT% Non-AsbeStglagms Jt/Non.fitnsmm,. Nom,Detected NOM thriCrAtrd CCilulose 88 2 Fibrous Glass Lab No.: 4906809 Description/Location: Off-White Texture Plaster Layer No:: 2 (lino No.: 4 Mann Senor, 111:1N NOit-f itstoks:Matesi.0 one Detected None Deteeted "Pine Detected None Detected 100 ........ . . Accreditation N1ST-NV LAP No. 101165-0 NV-D01-1 No. 11021 AMA-LAP,1.1C No. 100188 tvwri ;ho in fOrta UM/Jo,thrt ir`,Orirrrg%Ito orld0,5,44,1 hi T1AV..S 14P.4i114 ails /s/ % rtitor%,hali repro,114:rd gi,ipi it,.1411, alma I,riven 0.1%Pir rot ofti.•i4thonaeHy .• Anarqical Method: EPA 600.1T,PV JO. 57,Poluitzed Light Microscopy e0mments: QuarAfwailari bs kl.stueltr rrOk'it;irleirCtri (PO nm,StrWifitri POISO Com;Method ps:Ainsws3 PC-Trace)moans thm asbesess:was sietemilna Isnot kii.Cint?flable onderthe Prr3Iri COirftliOg Ss,Ss aseg.desa diStiTSCi svpiossbia 13 3.(X041101eir WOrl PA toO!skits.sd if ml rt°,301%Od Or 011erOOri,"%Med esths,roil preswit or the Iien,ba ffmr,fkaits ars;3 4.1(C‘uratseg isthl I posthss,thstrwitles) Smaii ittibOaOS fibOiri may ks:rms.ssqi ho KM duo to rokstxtsso ismiswsorts Tit,r,fom PIM fel,abk so dstecnitA aabvs,is soRts.n.fcisasorgarawaity 1,04thd(VAS)matmak 0.aarktemts-5 IsAnsm,mon frilaosoisp!, reStjis CO%nrettly thrr that so ps.nuruu,ci,material 0'tutu sooth', Analysis Performed By: M.Mirza Date: Page of 4 0 0 .,!.. ---7---i'- - I IL::: P- ':. k 9000 Commerce Purkwas Ste B AL, Mount Laurel,NJ 08054.41 1 ' 5 - Jolt Free 877-4284285 CERTIFICATE OF ANALYSIS Local:856-23 I-94,49 Fa8:856-231-9818 ale:::— - Assured Quality Env. Report Date: 2/5/2013 2702 A Street Report Not 296179 Tawnitt, WA 98402 Project: 33131 1st Ave SW Project No.: ........_........ ....._____ ..._,......_ • _ BULK SAMPLE ANALYSIS SUMMARY Lab No,: 4004806 Description I Location: Oft-White Floor TUe ('hent No.: i Maim Bath.Etnry !ttiLl„ystMtstS. b.Ps 5.21SOn.7.11..b.c.stusiintttusA14104. Type 5..'1ort-FilgtN5 Moterial PC'kat chrysotile None Detected None Detected 100 Lab No.: 4906806 Description I Location: Black Mastic Layer No.: 2 Client No.: ; Motto Bath Entry ,'T AsbenRs iip9 .%...,, c'hA5ttestos l'ibtontt Matetia Trite . f-1 %,Non-f ibroul:',14jerial to)'' P €.3 car,:54-ailt None Detected None Deteeted PC 98.7 lath No.: 490681.i7 Description/1.,ocation: Ton/White Sheetrock Client Ne.: 2 Matnt %Asbe.t.t2A age.,, 'S Non-Aststono Fibtons lettaerial Tit& 111.Non-Fibtott Material \one!Mooted None Detceted 10 Cellulose 85 Fibrous<Hass Lab No.: 4901000? Description i Location: Oft-White Texture Plaster Layer No.: 2 Client No.: 2 Want lit-'S•Agst laveLt1StatItskitstLrilacaAMatettat 1.vat %,Non-F axons'1,4ttletial None Detected None Detected None Detected Non 11tetented 100 .......—.,..... ._........_ Accreditation NIST-NVIAP No.101165-0 NY-DOH Na,11021 AMA-LAP,LLC No. 100188 Thr ,,,?fielentlaf repot rels,e,.Ke.:i•:i,oNee lieou..,i frled ened d,,..,,,repv.yale WP Ord.r.ln,"hy WS F,V(1,,,(/',1111,1 or.43'ag01,y.141k,1/S goveenneem 1 Ito,yroo ahotiner he eepeelbe,:ste3,,,pf,OP 1kill,4.1090,41.1810,1approsvi of the hth0?0?0,,I. Analytical Method: EPA 60WR-93,.116. by Polarized light Microscopy ---- ----- (ouiliiiccst Quutilloitioo:it '3 25%be;volume i,p(),WK:8283011118 method,(PC)indwatos Mullett(Poo))(.:onnt Method performe),) WC-4rue)means z bar oobei:im,was detested but 0‘,not ovum()able,under the Peon.Coomn r1001:01.Analyao,includa$A&atom'iwporablo lay.,o%arroolonea oath 1:P.5 500 Mothod, if reol mooned or otherwise noted,5),01.ethernet present Or el,:theta has 1:50,(1)4;a1))„,,,equested that'not be analy,ed lex anal:,to text nown.notrueoont I Sown alitems fibers may he nbewdbY PLM due to tewh111.1.11mnauen11 of he optical nocrosiave Therefore,Pt Mn.not c,'txnrootjs reliable in&tooling wsbestoa in nen organ-n:41y bound(NOM nom:riots Qoantn.ion nonsmission eiodron onettotythy IrE141)O intratony toe oafs toothed that to,,prommpoo tatereah,as non.asbostos(..ontaintry — .. — — %nalysis Performed By: M.Mirza Approved By: c--- 4.14..4.c....a,....0. ...._ Date: 2/5/2013 Fent E litwenfeld,Ill Laboratory Oil wet. Pate 1 oft • S S • , ':::.1.: :i':: , 9 g)0 C,Immerce Farkwm,Ste B 1 ,..'Il: -' , Mount Laurel,NJ 08(454 ., . IA I ,,, 8 Toli Free 877428-428.S ,..... CERTIFICATE OF ANALYSIS Loral. Fax:856-23 i.44S18 , .. Client: Assured Quality 13,1w, Report Date: 2/512013 2'702 A Street Report No: 2%179 Tacoma, WA 98402 Project: 33131 lot Ave S\ Project Ne,: — — _ BULK SAMPLE ANALYSIS SUMMAIZY Lab No.: 49068 (.3 Description/Location: -4 an Mastic Client No.: 5 Maim llt,..Agm.t.:t5. 3...test ‘,,Non-Asbestoiythrouli„Nlattlial .LP,' ,„ . , None,EXtvox-d None Dotoctod \ono rktected NOM,Deiwo<1 ith: Lab No.: 4906810 Description/Location: Tan/While Shectrock Layer sc.: 2 cheat No.: 5 Maint .1k111 's,Noll-A,,bat.waibrotis A-lam:WI r-k Pc Nono Dowci&< NOM Detooted $0 Cellulose. (>8 2 Fitirmis Glass 1.ab No.: 4906810 Description/Location: Whitt Joint Compound Layer No..: 3 Client No.: 5 Mona L.A.:sb.tails. lyrc ,.,Non-Asbestos Fm's Ma/c,,1gi 'Ani.....!,,pn-FJiivou,AlzneriA Norio Doected None Deo,.....W Nom:Dettmed \ow:Dowted 00 Accreditut inn N1ST-NVLAP No. 101165-0 NV-DOH No, 11021 A1HA-1AP,1.,LCNo. 100188 174,,oqlokaia,,,p,o,,,f.soo,,,ork so di...kir imiii0 req./404,10r,ii,4,7,:,..),MI 0,44,,,,,,M by 41\i.,)if)' 41)14,.1n..s.age?o,b of Ow?r.,..-,!..-.,,,,,,o? no,nport'lid/no,in'ivpriatg-i,I,Attpt at full ti Nona 5%?WM appIr.,41?(-01£'iriboRlifity .. .,. ..-»..._ Analytical Method: EPA 00,R-03,116. toPmariaediaght Mieroscopy ...__. .... .....„_____. (4-gnintiip, Obanto`o,aoar:at,02 ,-,by,a/tote,.,..posilbie.with III.ITEEdloci ,PC)ladatv,Shwifiedl'oint<333,03 Mothod p,,rronm,,i f Pt-Ivaco oto.to...she..,:bas.o.,....io,det.mod bat 3.ant ipantifrabb,,nd...,tbe Poo0 c000ttog kToren .boat.','.oclod,it dOino wp.b.otblo lay o.,$ol..o,:coolliose woh<'0.044/Mohoui IC not 000ri,o,ogolo, byy...!b.3,d330003 -, K,4t/.a3s,oo,,tei,,m,0 no,,,,avab.,l(en al,' ,on&pit.to,Iwo...ail-An) Stat)Si,,,kMS u(h0 in*ht.n3,0n0.1by Pt 01:w to,tiOii,,.0.0 booLloor;of tha.:iplo,:ii 0000tKot..,, Thoreoro,PLM,not cons...If:Ally oiltabie in dowolog bAvsto,.in non•foahlo ooprooall,,boon),..0003 0,to,),Q3i.113tati.,,,,faE1,01,,i1:33;::1;,3,,,,..:bbros.copy 1,th.,f H nwth d that can prono,n,,mat-i.9...a,rioroasbt.os,o..1 ourt, A nalysis Performed By: Ili,Mirza Dale: 2.5'2013 Page..i of 4 • .. �� rri °n Z VI ,.,„. „.,.. H4 I ' " .....,, ,..,,...... G ti om:- rrid B-3tri z C - —r I '13 r _ CA ri J 714 U mr n 3 e ' • S • lo ORION Environmental Services 34004 Ninth Avenue South,Suite Al2,Federal Way,WA 98003 , tql6m.•.notUIIW Phone;(253)952-6717•Fax:(253)927-4714 Email:info@oriones.net•Web:www.orones:net WBE W2F9219763 Phase Contrast Microscopy Test Report NIOSH Method 7400A Client: Assured Quality Environmental Rpt Date: 3/5/2013 Address: 2702 South A Street,Tacoma,WA 98402 Page: 1 of 1 Attention: Liz invoke: 131156 Project Name: The Cove Apts. Date Rcvd: 3/4/2013 Project Number: Client Orion Sample Sample Total Flow Rate Volume Fibers Sample ID Sample ID Date Type Min. (liters/mm ) (liters) LOD Fibers Fields per cc F#5 20130304-127 3/4/2013 Cl 86 14 1204 ,003 3 100 <0 003 Observations In Office Area;2 Bathrooms;VAT&Mastic F#6 i 20130304-128 3/4/2013 FOL 0 100 .000 Observations Field Blank Observations Observations. Observations Observations, Laboratory Method Information Microscope Nomenclature Used for Analysis: Olympus 012 Microscope Field Size Area:0.00785 square millimeters Effective Collection Area:385 mm2 Blank Count Means:0 Fibers per 100 Fields Blank Count Fiber Density:0.0 fibers per square millimeter Limit of Quantitation(LOQ}; 7 fibers/mm2 ORION Environmental Services participates in the AIHA PAT Program. Analyzed By(Print) Date Reviewed By(Print) Date Allen Clark 3/5/2013 Donna McNeal 3/5/2013 Analyzed By(Signature) Time R Ted By(Signature) Time