Loading...
17-101947 far .-1111111110 Demolition City of Federal Way Permit #:17-101947-00-DE Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: WONG/TAM Project Address: 29016 MILITARY RD S Parcel Number: 042104 9123 Project Description: Demolition and site clean up of single family residence. Owner Applicant Contractor PETER WONG A PLUS DEMOLITION&EXCAVATION A PLUS DEMOLITION&EXCAVATION 2701 21ST AVE S 12035 SE 236TH ST APLUSDE847CD(2/4/18) SEATTLE WA 98144-5217 KENT WA 98031 12035 SE 236TH ST KENT WA 98031 Additional Permit Information PERMIT EXPIRES Sunday,28 April,2019 Permit Issued on Friday,April 28,2017 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. Owner or agent:f Date: `( Z 0 ,11111 1111, THIS CARD IS TO REMAIN ON-SITE «noF ' Construction Inspection Record Federal Way INSPECTION REQUESTS : (253) 835-3050 PERMIT #: 17 101947 00 Address: 29016 MILITARY RD S Project: PETER WONG FEDERAL WAY WA 98003-7914 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. Q Final- Building(4050) Approved By AN Date 5/Zijr-) CI Rough Electrical ❑ Final Electrical 111Right of Way Approved Approved Approved By Date By Date By Date , RECEIVED PERMIT APPLICATION CITY OF - Federal Way APR 2? 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permitcenter(acityoffederalway.com CITY OF FEDERAL WAY COM/N(TY DEVELOPMENT PERMIT NUMBER f '7 6 ( G/JC--- __.) / TARGET DATE SITE ADDRESS SUITE/UNIT# 29 0 1 i N'\.ILI--A�.v R . Sc . , feAL \AV PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ i 8�� n (12. 1 0 y - G I Z 3 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT \4 or10 l / t bak--10 DiEMoLt ,{ l 5(10) sc . FT— OusZ REmove 'DE-BR s PROJECT DESCRIPTION I r Detailed description of work to LL .vv= Lr'1 CL,E"%'\O c Qa_A7i( j Ci 240 t.-3-t 1 EA- be included on this permit only to)--V ,, -+ PRIMARY PHONE PROPERTY OWNER C.l eft ��NG /R�TXI I A PA MAILING ADDRESS E-MAIL c t,, � N zip mus O q- E K __` PHONE 14 MAILING ADDRESS '.,,,` CONTRACTOR 120 8 E. Sr. f4 P Lu S I�.p i o v*'L€ G61^CAST.N Y\L Iv l FAX �V�,�. Z q X03 r WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE„‘ FEDE Wl&Y BUSINESS LICENSE A PUS AE }CD I 1 X 1i V112. 1-tk)s' bv-i oL.1.1-42:5/-1 I- E?rc q k,A-iAu 7.c;-,, PHONE 3 7 - get iii N E APPLICANT 0 ADDRESS E-MAIL 1203c S 23 Si'. A k s ROyltev € Covkc ;,- CT, STATE ZIP FAX Kk N i W4 � �5 tit h NAPRIMARY PHONE .. (, PROJECT CONTACT G 600•44-M-7 2-S-3” 2-I q ' 3 ,�" MAILING ADDRESS (The individual to receive and r` E-MAIL respond to all correspondence i Z O 3 y S E 7.3(i, 5',^ A eLU s (2C u✓At e.(O5c A S'T_ concerning this application) C gTA ZIP FAX ��tr tThskir ( el YU3 PROJECT FINANCING � ''-- I C'S-tv 6 c. 1J rtk p-'1/4- RI OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY, A E, 1'-�ZIP PHONE (RCW 19.27.095) Sri A 6n vE- 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 any person,including the undersigned,and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: °✓ G4 DATE (-i(271 7 PRINT NAME: B DcV N 3L • Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application 3/15/2017 Approvea i ransacuon pscieanair.org Puget Sound€ :; Alf Agency Single-Family Notification Case #: 201701187 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 $65.00 Credit Card Transaction # AS1FF443602A Transaction Date 03/15/17 Owner's Name Peter Wong Phone (206) 579-8488 Project Street Address 20916 Military Road So. City Federal Way Zip 98003 Contact Person Cynthia Lam Phone (206) 579-8488 Mailing Address This project includes a demolition. Demolition Start Date 03/29/17 Completion Date 06/29/17 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 If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 1/1 COMMUNITY DEVELOPMENT DEPARTMENT 333258`h Avenue South Federal Way,WA 98003 CITY OF ter""' 253-835-2607;Fax 253-835-2609 www.cityoffederalway.com Federal Way DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. /Address of Demolition: 2 Q f g (4 L L,rrA RY R.0• $o. , FE D E12AL.kelAY M. 354 ❑ 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 Application form is also required. 1.ASBESTOS ABATEMENT (Prov'.- copy of Notice of Intent from Puget Sound Clean Air Agency 5.ELECTRICITY .nd .. of insper •y� 'srt by AHERA-certifi-. inspector) / /� �t �Z AST r4C 4( t 7 • III , �• (Puget Sound Energy) (City of Federal Way Buil. n• Official) 2.FUEL STORAGE TANKS 6.GAS SUPPLY ❑ Under grade tank(s)is/are present o Above grade tank(s)are present S L L i`tEC`{ �� ❑Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy) Rescue permit prior to any dismantling or excavation i\f (SouthKing Fire and Rescue) 7.WATER Public Source I _ e (Water Supplier) N©j , -y 411, e I 8.WATER- Private Well 'ing County Environmental Services) (King County Environmental Services) 4.SANITARY SEWER /U/I\ (Lakehaven Utility District) Bulletin#122—May 13,2015 Page I of 1 k:\Handouts\Demolition Permit Requirements 4/28/2017 XFINITY Connect XFINITY Connect aplusremoval@comcast.net ±Font Size_ RI:: 29016 Military Road So. From:Matthew Brewer<matthew.brewer@pse.com> Fri,Apr 28,2017 09:10 AM Subject: RE: 29016 Military Road So. ,..;g1 attachment To:A PLUS REMOVAL<aplusremoval@comcast.net> Hi Bob; PSE's Electric First Response team removed the electric overhead service from 29016 Military Rd S, Federal Way on 03/14/17. If you or anyone from the city has questions, please let me know.Thanks Matthew Brewer I Associate Project Manager I Customer&System Projects—Southwest Puget Sound Energy I Cell#206-437-3266 I 3130 South 38th St,Tacoma, WA 98409 4100 `„- Please consider the environment before printing this e-mail ***This message is intended only for the individual and entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under state and federal laws. If you are not the addressee or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply e-mail and destroy this message. Thank you for your cooperation. From: A PLUS REMOVAL [mailto:aplusremoval@comcast.net] Sent: Friday, April 28, 2017 9:05 AM To: Brewer, Matthew Subject: 29016 Military Road So. Matthew, I have the verification letter from you regarding the gas cap and disconnect. What I have not received from PSE is the power disconnect verification. Is it possible to forward me that form so I can proceed with the demolition? I have asked the owner for this but was hoping that you could get it to me faster. Hoping you can assist, Bob Downie A Plus Demolition & Excavation 12035 SE 236th Kent, WA 98031 Phone: 253-737-1141 Cell: 253-217-7738 image001.png 8 KB https://web.mail.Comcast.neUzimbra/h/printmessage?id=C:264383&tz=America/Los Angeles&xim=1 1/2 4/28/2017 XFINITY Connect XFINITY Connect aplusremoval@comcast.net -Font Size- Attn: Bob From:Nicole Anderson<nanderson@lakehaven.org> Fri,Apr 28,2017 08:44 AM Subject:Attn: Bob ,0`1 attachment To:'aplusremoval@comcast.net'<aplusremoval@comcast.net> As requested,the water meter for the property located at 29016 Military Road South,Federal Way,WA was removed on 4/14/11. Thank you, Nicole Anderson Customer Service Rep 31627 1st Ave S Federal Way,WA 98003 253-941-1516 www.lakehaven.orq The contents of this email may be determined to be a public record and subject to disclosure pursuant to RCW 42.56 regardless of any expectations or claims of confidentiality or privilege asserted. 1akehavn Picture(Device Independent Bitmap) 1.jpg https://web.mail.Comcast.netkimbra/h/printmessage?id=264346&tz=America/Los Angeles&xim=1 1/1 '+ { I cd Z u r J iCI a tsii `` t$ i ; pZW r �c ... cs in G ev :. In ��i� rte , W c� �_ H ofd ' ; y,`n Z t9 ,_ a "�NI 7 cc sc En V! : C— •E ^ E IllCe n �w� • _ U ` ' y E. L .-.1.-1 = c c Cr. cc r E..p o o c - � Z'Q I a 2 U) c-- - < cV.Zn '� c U jf Z. U. `E 1 i- �U a<_I— cii : ¢o f � .. S „Y 4 03 . C7.3 z I 3 t_-IL ! a- r o `er ua — • E-`aOZU u i F i `a I-.C) v Z } w �n �= I mZFU ° .c t I U D Q Wtol �WW� v � � 4” a aW 'Ik : 1 a fa.u— Z L. —, �' 11 cOE 34 c ¢ ,x 5 Z o 'Z �p a V f.L. • 4 s Q F o j�r�. T. 4-44 i 1j.510. il) ›,-, a-• ''" AI 7 z < 0 .7 cil 1 d W OEyo3 c5 ..,,t.4 c.) ° x (t QBP4 °'x � L.) '' L.) t,'..-) 0 rUzF0¢ .i � cc G o 4.1 u In — = z aHw ^mo ..),e 4 a C.) VI o u7 5 8 '\ v v, v Q V" < y sv y M Qt Q ", 'ah ¢ V � v C/ vFtz xc O• V G" Z }y. o Vu] u < E a 3 .7.. ,..i G v .. , OO W 0›.. i O<11' '13.--* `� H • � Al" d '� t °° _ t� C V r,D4 g• p C v� m .n W a a m w f >"' WO NI k4 E r p z US • z o x c ? O , ' <Cl. IX toOW.( 17 4 O v CC ,.�. c o c c O \ Lt' U L�.2 C' .n 7q V m A E.rIII Z Z z A uo h = = � 0t 1 Zia v0 P .- g p i r_ .0 - ^ U V t7 c:; 'n O cc C wEW z I F, 5 5 ti No f r � t-,, we Crl C t". Oc * Iw ...e.- C �3 J V: L; _ J 6. J (.: r.. moi` _ --- ` �- w r J. ~i.' f - 66,n)/=e__ _ -'fS -,BL!/ -T- _174.5c7iLse V/Air/Nr jAgn O 3-al-ay V2/D7' c� -9/23-D d 90//r Ai/4/7--4-4- rte, S. pry ftur . �GR77ci > Un1DO6-113..2/ Ff/�. /...1/1y iu R. 'rro03 / 20' <206-640-749Y /t1a[ITA4Y e), Sa. 92! /L/=PAI R No Tic5 :4) AlSFR3 7D cen1,6 x/57/-J'6 sfFTiC 74AJ), il sc%'I/-:v n.,7eT- A A)$ ,r)-Db)e, 7 i/I postt/u.J a co L/.vIAL f/f7 of & 4 siP LLffSS ,Alar///b. W' G /,t)fAlrtfb /•uf/)t/Tio.N /o,,c'r.S, ---- SolL LOG o--YG' 7-YI)f V —ll'-- 7 I,— 7Rf�c'N hrery 3 ,l5Eb400n, /YanfC 2t' /g" ^+/-v a0' I141)t, Su4 h h REPAIR Room -- --- ---- -- - ----- -, AS BUILT /X)Sr/.0b /POP Got'0-' fEF7,c TA')R'• 0y°114Nfvo.E Fite .(Y' -- f/4 foe, -- /4/5r4 CG1 70.° O a -- AA/Lona-4(✓ �XrAYAT/ L" Po, d)w /V5/ Fiiten4ctAw,.4 d, 9gdk2 340-8dS-7/2/ -I- T-p' 4 51-/ g' —4,_10 le 4.140' j; I 2WSPAPau!kers 7" •ED F€CEEV, EASTGATF APR ..2 1j EASTGATE PUBLIC H�A1 Th 92' Seattle-King County Department of Public Health En,nronmental Health Division ON-SITE SEr/AGE DISPOSAL SYSTEM AS-BUILT CHECK LIST Address 1 ..)9LW, /14(4.-/T -f / Ste. Parcel 't `a(`f[a l/)6t't -19s/!.?;-?, TO BE COMPLETED BY THE DESIGNER/ENGINEER AS=BUILT CHECKLIST The following items must be checked orf below and be included on the detailed as-built plot plan or the plan will be considered incomplete and will not be accepted Additional information may be required pursuant to Title 13,the Code of the King County Board of Health GENERAL 1. i 10 Septic tank and septic tank pumpout lid �L� Dimensioned plot plan to scale 01 1'=19'or 1'=3Q' 11 Plumbing stub outlel(s) f Setbacks indicated(cuts,banks,lakes, Closed-joint(solid)line between building and �- streams welts,springs,dnveways, ` 12 septic lank j/ 02 water lines,walks,tills,pavement, t/ -^ _--— ,etc.) SJ Closed-joint(solid)line between septic tank - and distribution box or drainfield r/ Location,direction,of flow,and — - - 03 discharge point of alt interceptor 14 The distnfwtion box if and/or curtain drains t/r i required) �� - - 15 Drainfieid Ines and length of each .,,--- Location,size and shape of all buildings ._-------- 04 04 as related to septic system,include 16 Drainfield stepdowns(if present) underground storage tanks —-- - Boundartes of permeable cover added and amount OS Property and easement Ines ✓ 17 of cover added alter installation 06 Utikty Cores - V"'-'' \ 18 Reserve area boundary _ f 07 North Direction Arrow -. ` PUMP SYSTEMS ONLY: A/'�' WATER SUPPLY Sa Dosing tank(chamber)and dosing tank t T (chamber)lid 08 Location of private water source or / i—i-- - name of public water supply v 21 Effluent and electrical Imes 09 Location of water lines t/' 22 Alarm system design and alarm location SEPTIC SY4TEM INFORMATION:� Dosing tank(chamber)size ii I I I gallons System Type!. 4214 t!/1/‘ Iuu Pump Brand Name - 1 Drainfield marker or detection tape in place LM(YM) Model t 1 It not,Name of Licensed Surveyor I ______,.J Pump Size L __ I Downspout and Footing Drains Diverted LA (Y/N) Pump Cycle Duration LLJ minutes Locking cover on Septic Tank(if required)IJ(Y/N) Dose I 1 1 I gallons/cycle Septic Tank Size 1/i tr:56 1/gallons Pump Tested U (Y/N) Total Draintield Area F' ,7S Y, sq ft Date Pump Tested I i I I It I Total Orainfield Length I2� linear feet Date System Pressure Tested I r l t I t 1 Cover over Septic Tank I-CM-inches 4cc/-=5S r`i 6,-R. /'_ Alarm Operational LJ (Y/N) Cover over Dralnfeld(min/max) ((_1Zi 1))rJ Inches Monitoring Required LJ(Y/N) Final cover in place[21 (Y/N) Alarm Control Location I J I HEREBY CITIFY THAT THE INFORMATION CONTAINED HEREIN IS ACCURATE AND TRUE TO THE BEST OF MY KNOWLEDGE (Designer's Signature) (ID Number) (Date) DISTRICT HEALTH CENTERS ALDER SQUARE EAST CENTRAL NORTH 1404 Central Ave S Ste 101 2424 156th Ave N E 172 20th Ave 10501 Meridian Ave N Public Health Seattle &King County Environmental Health Division Pest No ON0064521 Unlawful to Alter or Deface this Permit—POST ON JOB SITE Date Issued 2124x2004 PERMIT IS NON-TRANSFERABLE Expires 2120/2006 PERMIT TO REPAIR ON-SITE SEWAGE SYSTEM TYPe Gravity Owner Name WONG PETER+UNA+TAM,YICENTE BM&l pe Single Family Cant Type R Pavel No 0421049123 Vand By EE0100089 Location 29016 MILITARY RD S Number Plat Name Apphcaot ENUMCLAW EXCAVATING INC (360)825-7121 Installer WALKER,DANIEL MI14S Dasigau: 1. The installer tit perform all wort in acct dance with Tide 13(Board of}INN h Rules and Irabulations f3) 2. Issuance of this permit does not constitute an approval of the sale or work contemplsied or perfonned. 3. OCCUPANCY OF THE BUILDING AND USE OF THE SEWAGE DISPOSAL SYSTEM ARE PROHIBITED UNTIL AN AS-BUILT PLANTS SUBMITTED TO ANA APPROVED BY THE HEALTH DEPARTMENT. Mound Sys.5it.Prep Designer Data Mound Sys.Bed Prep Deeigner Date Presser*Test Desipasr Date Do Not BACKFIIL(Cover)system until BOTH Designee and Health Department(EM)have approved(OK'd)to BACKFi n.L„ OK To Backfill Disapproved Date QK TO BaC'� , i Date Final Cover(Approved) Disapproved Date Magner Camoctiaoe Raggired (See reverse side for mom comedian) (Master/Associate)Imp was present at the above property supervising*cement of find cower. Time Date I have complied with all the sstsictions and recommendations as listed bythe system designer,and certify that radar I,or A Caseked Installer employed by nw;was present AT ALL TIMES daring the nutal atioo. Name of Master Installer(please print) Ztji¢t..,/,CJ2 Slam of Master Installer ��� Date ales ' .a, Public Health Seattle & King Countytr _ Environmental Health Division ,'-,gni',„ I ,%4,34.1.4_f Unlawful to Alter or Deface this Permit—POST ON JOB SITE Dale Issued 1,Ztxs-1 PERMIT iS NON-TRANSFERABLE U a.Ferrs :{t 1)i. .sI is REP V3.1)N-sr'1.-,SCW.CAF..,,%,--i-11\1 •>v tient nix kr_i'ravits owner'Name IN ONG PETER..i LIN 4 rAM,7ICE!+:'.-1: fyPe Natty*randy r arr,:, iype R Pmnml No 0421049123 '.ialtd By EEO IOO(M 9 , blown a,a n NO 16 MILITARY RD S LYt Member Iles Naive App ENUMCLAW EXC 1VATlNCI t?yC (J60)82S-7121 Installer lir ALKERDA.Y[EL MIUJI D :tgtrrt, I The tastafIer must pertotm nth work to accordance with Tube 13!Board of Heal*Ruirs Ind Regulations#31 Issuance alibis permit.toes not cc7aesttlnte an approval oldie stir or work conieaipleted or performed 3 OCCUPANCY OR TIO:B1I1LDLNG AND tin OF THE SEW AGE DISPOSAL SY STEM ARE PROHIBITED UNTIL VN AS-BL'ILT PLAN IS SUBMITTED TO AND APPRSYED BY THE HEALTH DEPARt N'T_ Mtoursd SSs.Scte Prep ------ Deettiarr Date —.. Monod Sys Bed Prep ----- Designer Dale Pre-is-we felt ----- Desiaurr, - taw Do Not Not B.1t:IJ I L fC.wvr)Tyska*inh7 BOTH Designer old health Department,E-H.5 t have approved(OK'd?to BACKFILL OK To S.:k.11t ---- Disapproved ---- D1. ------- C -— ------- i,..,approved ------ — lisle —J. //2 --' /, -- 9ft3; //i1�' 6i `4(L[/I/L f Z. - -- - tit:.7pfwsw,h - - - I,•htr ---- , ., .4.or.•t s 11—.'re,et .>isle Mr more:rmeett,yrr,• ,, -- ,,ht,tri .,..te>at tnlltr t`+a5,a-,yon Al da-,1.1.,1)4,, i+t•'ttnca >g•er,,ACA Ow et4•111 ,t'MAI •,.-' a,c,i+- - t.•>ate -- , :48,a 0.,vi1.•t,vuth tit.itr,-4titch.-1.t.-•Ltlu re(,>t7vrxs>rUn.-a x It ie3 mutic w4tr.,14)...114.9A-1 +rs,t,W U-f dM eiders I .,r 1' ..Zltt:.3 ttx Wit.r rrµk'y d Hv me,,a is SSn=,cit t t ILL 'I\tF S,xeetitg the rnaaedetx'n t4"4/110, t tita,.-r in_tenet•Ai Sh.r tweet, ,(} ‘,3/4-/_74/2/2 2 t - ( //-O�*-- 6 J {kite _?— /-d r 4.•rb11C•>t�,tb-!K w .1s1,-.: XC{ Contractor Registration#AAADNDNSS3KB ASBESTOS SURVEY REPORT Asbestos Contractor#1541 RRP#1016 ASBESTOS SURVEY REPORT Project Location: 29016 Military Rd. Federal Way,WA.98003 Inspection Date: March 17,2017 Report Date: March 22,2017 Prepared For: Suzanne Breen Email; aplusremoval@comcast.net Phone: 253-737-4441 Inspected By: Michael Neureiter AHERA Certified Building Inspector Certification#3509-16-09-5009 Expiration Date: 9/26/2017 Prepared By: AAA& D NW Environmental Services,Inc. 3632 49th Ave.SW Seattle,WA 98116 Phone:253-217-2537 Fax: 360-275-2939 Email: aaadnwinc a@yahoo.com AAA&D NW Environmental Services,Inc. Page 1 of 7 Project#017-125 29016 Military Rd. ASBESTOS SURVEY REPORT Federal Way,WA.98003 REGULATIONS: In the event of an Asbestos Removal or Demolition Project,Regulation III Article 4 of the PSCAA Asbestos Control Standards should be consulted. This Regulation is available at the following WEB Address: http://www.pscleanairarg/reg3/reg3.pdf. This survey provides the information required in order to meet the AHERA sampling protocol as stated in 40 CFR'763.86 National Emission Standard for Hazardous Air Pollutants(NESHAP), This sampling protocol is required for all Asbestos Surveys prior to Demolition or Renovation of a building under Puget Sound Clean Air Agency Regulation III Article 4.This survey also assists the building owner in meeting the"Good Faith"Asbestos Inspection requirements stated in WAC 296.62.07721,requiring the owner of a building to be Demolished or Renovated to furnish contractors with a written statement whether the material to be disturbed contains Asbestos. Current Asbestos Regulations require this report be kept on the site throughout Asbestos Abatement and/or Demolition or Renovation of building structures on the property. This Asbestos Survey Report complies with the AHERA sampling protocol stated in 40 CRF 763.86 Puget Sound Clean Air Agency,Regulation III,Article 4. SURVEY PROTOCAL Asbestos Survey Protocol The AAA&D NW field Inspector is an Asbestos Building Inspector,certified under the requirements of the United States Environmental Protection Agency(EPA)Asbestos Hazard Emergency Response Act(AHERA)regulation 40 CFR 763,Subpart E.A copy of this certificate is provided in the Appendix. The AHERA Guidelines state the following: The Inspector must determine homogenous areas,which are defined as an area of Thermal System Insulation, Surfacing Material,or Miscellaneous Material that is uniform in texture and color. Once homogenous areas have been determined,the Inspector determines whether or not material is friable or non friable.Friable is defined as a material,when dry,can be crushed,pulverized,or reduced to dust using hand pressure.Non friable material is defined as material,when dry that cannot be crushed,pulverized or reduced to dust using hand pressure.Materials normally defined as non- friable can become friable by definition if sufficiently damaged. Friability is determined at time of Inspection. Demolition,Renovation or Abatement may affect friability of Maternal. ,s1AA&D NW Environmental Services,Inc. Page 2 of 7 Project#017-125 S', 29016 Military Rd. ASBESTOS SURVEY REPORT Federal Way,WA.98003 Once friability has been determined,the materials suspected of containing asbestos are divided into one of three categories:Thea al System Insulation(TSI),Surfacing Material(SM),or Miscellaneous Material(MM).TSI and SM are considered to be friable,with the exception of TSI where the structural integrity of the insulation is intact and the protective wrap is undamaged. Materials are divided into ole of these categories and samples are collected in the following manner: Friable Thermal System Insulation: 1. Inspector shall co.lect three(3)randomly distributed samples; 2. Inspector shall collect a minimum of one sample of each TSI material that appears to have been used as a p .tch,as long as the patch is less than six linear feet or six square feet; 3. Inspector shall collect sufficient samples from areas of TSI applied to fittings,tees,and joints. Friable surfacing material: I. Inspector shall collect surfacing material samples in a statistically random manner as follows: a. Collect three bulk samples from an area believed to be homogeneous(defined as a material that appears to be the same or similar and was installed at the same time)that is 1,000 square feet or less in size; b. Collect five bulk samples from an area believed to be homogeneous that is greater than 1,000 square feet in size,but less than 5,000 square feet in size; c. Collect seven bulk samples from an area believed to be homogeneous that is greater than 5,000 square feet. Miscellaneous Materials: 1. Inspector shall collect sufficient samples to determine if the material is asbestos-containing or not. Non-Friable Materials: 1. Inspector shall collect sufficient samples to determine if the material is asbestos containing or not. AAA&13 NW Environmental Services,lac. Page 3 of 7 Project#1017-125 29016 Military Rd. ASBESTOS SURVEY REPORT Federal Way,WA.98003 On March 17,2017,an AA A& D NW Inc.AHERA Certified Building Inspector conducted a Good Faith Asbestos Survey per U.S EPAA.H.E.R.A guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State of a severely fire damaged single family residence located at 29016 Military Rd. Federal Way,WA. 98003 for the purpose of identifying any Asbestos containing materials that may be present and may be impacted prior to Demolition or Renovation. NARRATIVE: The structure is a one-story wood framed single family residence with wood siding and cement floors and wood floors.The structure was burned badly,all the walls and ceilings had collapsed except for a few remnants here and there.The only samples I could take were a remnant of a wall and ceiling in the living room and I could reach in where the kitchen door used to be to obtain a flooring sample.The rest of the structure was littered with debris and burnt rafters and floor joists and it was unsafe to try to obtain additional samples.I therefore strongly recommend an AHERA Inspector to be present during Demolition to identify any suspect materials asbestos<1%as a composite was discovered in the sheet rock and joint compound and is regulated by 23.3. SUMMARY: The summary of sample test results indicates no presence of Asbestos> 1%which is subject to regulation.The owner is advised to have a Certified AHERA Building Inspector present during the entire Demolition in order to identify any possible suspect materials for determination of ACM or PACM. Any and all materials identified as ACM or PACM in this report(and/or additional materials associated with the structure that may be discovered and later identified as ACM or PACM),must be professionally abated prior to Demolition or Renovation. ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION,AS LISTED QUANTITIES ARE NOT GUARANTEED AND ARE AN APPROXIMATION ONLY AAA&D NW Environmental Services,Inc. Page 4 of 7 Project#017-125 6 29016 Military Rd. ASBESTOS SURVEY REPORT Federal Way,WA.98003 KEY: H=HOMOGENOUS F=FRIABLE NF=NON-FRIABLE ASBESTOS CONTAINING MATERIA LS Analysis ID Asbestos Type/Pe-"ant Onantities NO Asbestos>1%detected.Recorimend AHED wilding Inspector during Demolition and Disposal,competent person and Air Sampling required for the drywall removal<1%. The following samples DID NO'S have any Asbestos Containing Materials: Sample# Location AAA&D NW Environmental Services,Inc. Page 5 of 7 Project#O17-125 • 29016 Military Rd. ASBESTOS SURVEY REPORT Federal Way,WA.98003 Some sample analysis listed may be representative analysis of individual and separate samplings and analysis of homogenous materia s,as prescribed by A.H.E.R.A.protocol. If,during Demolition or Renovati on,any hidden or covered suspect materials are located {may include but not limited to: sheet vinyl floe 1g,tile flooring,wall or ceiling texturing or paints,concrete siding or skirting, cement pipes,cer nt wallbo *di,electrical cloth,electrical wiring insulation,thermal paper, wallboard, joint compounds, rinyl w coverings,spackling compounds,or any TSI(Thermal System Insulation),they should be treated as Asbestos Containing Materials unless determined to be non- asbestos by laboratory analysis. Any and all materials identified as ACM in this report must be abated prior to ACM disturbance, Renovation,or Demolition.AP materials identified as ACM must be professionally abated by a Licensed Abatement Contractor prior to any disturbance. Wallboard Systems(sheetrock)containing<1%Asbestos must meet the removal requirements found In Washington Labor&Industries Regional Directive 23.30 which may require the presence of a Certified Asbestos Supervisor during removal. Analytical test method: USEPA 600/R93/116**(PLM):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" >signifies"Greater than" TSI signifies"Thermal System Insulation" ND signifies"None Detected" **One percent is the U.S.EPA 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 TEM,to insure analytical accuracy when reported in small percentages. The conclusions in this report resulted from a visual walk through determining the collection of samples of suspect materials.AAA&D NW,Inc.cannot be held liable for materials requiring destructive measures to access or materials which were hidden and could not be found with reasonable diligence. AAA&D NW Environmental Services,lac. Page 6 of 7 Project 0017-125 29016 Military Rd. ASBESTOS SURVEY REPORT Federal Way,WA.98003 Within the limitation of scope,schedule,and budget,our services have been executed in accordance with generally accepted practices in this area at the time this letter was prepared.No other hazardous material/waste was investigated.No other conditions,expressed or implied,should be understood. AAA& A NW Environmental Services Inc.claims responsibility for sample content only. Sincerely, dYLi Mi •e"Neureiter - AHERA Certified Building Inspector #3509-16-09-5009 AAA&D NW Environmental Services,Inc. AAA&D NW Environments!Services,Inc. Page 7 of 7 Project#017-129 APPENDICES L Sample Locations 2. Chain of Custody Form 3. Bulk Sample Log 4. Laboratory Tests Results 5. Inspector Certification 5; , . s ; SAMPLE LOCATIONS :.;;';;;•,}1r; 1••,,,,i; , „ „ - ,; i ';•k; •, ,, '.s, 4 A ., SAMPLE LOCATION...,,,,..A.,., IDENT/F100,...'•„„., • LABLED 0 N S1-1' ' , It- , ' , , , 4, ; .1 s p • ky',,‘I';,,,',.1';,-• '; ;- ; , ; .,,,,,,, ,... -'4';'", , •;',. , , 1 .;; •:,', it;:,'; ' k • ; 1''• 1, , 1 •1', ',.• .1; 1,', ; - ,,c' ,; • ,I. ,.,,; ,,..„; ; . 1 ; . . . , ; . . t, ' .; . ,.. ; tl i 1. . • I '4't .'4;II t !,'' ; ,.:4,-;t, ,' 'i I,' ;1•4 ',44,1i. H 'i f;)1; jJ . ,-,,•': ,,, , , it,:, r,c ,,,' f.;;.11,, :1:•' ...,L.'', -•,4',1;,,,,it ,,4;4....t.4 it' 1 t '".II il :' ,,..•i li , ,..' 1'., irt:',11, :1!, '..'';,' ",f `411 i ;,,, ,1 I 1 . ;(-,41,:1,....., .,,':,13,,.:41i',H, ''11' , 44,"-'':,,f,.'"il,/,'._' ilill,...'1,',,J'' -:::1,'" .',.1; ,•.`7,,l'.'.1'1'; ‘'.:: 1,,. ' •:::if,":;:ifi: 1 ';',!"r1:•'''t' l':',i',i`.44,,';'11!,' ';'*';',, •i,•'' . , ::: ' ',.. , : . ,,I, '', .,;',, ,L0,:.,:,-,1 '!:"..,,.ti,',,.),',.; •11 '',;',',11,ill :17,,, '''',• •ii ., ., - ''', ' , ' • : ' 1 i ''''''1'="*'1•1':::. r': 1[ ,.. l'il 1 -1".", '-! '.% '''• : ,. : , , ', ' ' '', :' : ' 2.,;..,•'-,, AN .11 - 11,:Ol illit „ .,,,' l :.f1'iL'10 11:,' i le,t*i. iil:?."'•'..,:. l''' ' . ., ! ',:1 1 .',,1 -')4'''l'ri 1 I' .ili 'i 1 c ''-'';';',, Ap II3 .t k 4 4:",' ', '44.13',. .'„I'3'3 I' .c•ti ..11;k111; .. , '','' I 2 t '44 i , 44 I .1, '' J1 . ';••::::4 1 '' , ''-•'1 1,,,i,, , ,., . . . , , . . ..0 . ..,,.1, ,1 r 1 . .1 1 , '•-•'. 1'r I I r 'r 't,,i/j4, t - 4 '. 1'1,-/1 -r-".1* J. LI, . :,.,,......,,-.,•,;'J:...„.-!/111'11titi,S!jo 'ft', 1 :,,ifii:l.` .- : ' - ; " 1 ' 1 4 , .''' '-,4,11,•,,'4,11'f. '11,,,,,,'1,,,','. ,,I, ,.•,•,', '1,4':11.:f ii Lfl ' ' ' , ' , 4 I;ilivoli, , t IF: j, .• ,,,.., ..1,', ;,lc' : li:' t.,:, ; - 1••..,,,l'• ,,t.i. ,, .,,.. .0., ',/,‘,4, -'.'',. p ' ''"' \` 7/ . _..- : ....1° ''... l' I\ (1\\\\‘‘., f / c-) . d N . • i. lig !` Y - * :II j el o y - ...... #--. '‘ t > t \ f i'—') 4 :::..-a . ___,_.., ..., r) to Al. t C., co rgl - g r..4 r) tri ti, • a 0 CfQ � d "' Zn xQ � > ar \\ L 1:4 3z $ B:ic > ' ; as tri 41.1.1.4C 'f. k' - ,....i (7: r"--",_, 0`"'" " m;) rt t• ...„.. CI m ri el 0 igt ;:g g rimy .....3 i . -a IzI driZ: f�' o z,41 o to 0 CZ ny ,,. ,< itt!!;" - (\. i a d° H .\ a to }d tcii Z ill K f „,2 ( i a•04 1:3 vr) . 1 ::- ..kwih.. - ' • y,, 8 AI N. ° �� p `moi/ �\ tri2 'Alt/ o id C� , 4••••is • t f' Z fill ' , ei" \\\, - ,'r\' t. t* ,I \ t f i = ' Contractor Registration RRP#R1016 Asbestos Contractor#1541 #AAADNDN883KB AAA&D NW ENVIRONMENTAL SERVICES,INC 3632 49th Ave SW Seattle,WA 98116 253-217-2537 FAX: 360-275-2939 aaadnwinc@yahoo.com BID PROPOSAL To: Cynthia Lam Phone: 206-579-8488 Email: cynthiawong168@hotmail.com From: Michael Neureiter Sent: Via Email Date: March 29, 2017 Re: 29016 Military Rd. Federal Way, WA. AAA&D NORTHWEST,INC is pleased to offer the following quotation for General Contracting/Selective Demolition/Asbestos/Mold/Lead and/or Consulting Services at the above site. We propose to provide the Supervision,Labor,Equipment, Supplies,Insurance,Regulatory Notifications, and Disposal necessary to complete the following scope of work: Bid Proposal: Site monitoring by AHERA ASBESTOS BUILDING INSPECTOR/CERTIFIED ASBESTOS SUPERVISOR to identify, isolate,remove and dispose of all PACM observed during Demolition. Firm Bid Price $750.00 Water and Electricity must be supplied by the Owner for use by our firm under this contract or a charge of$75.00 per day for water and/or electricity provided by Contractor will be added.We reserve the right to withdraw our bid after 30 calendar days following bid date.We will ac.cpt no back charges unless specifically agreed upon in writing.Should the General and/or owner tender his/her own purchase order/contract,all items and conditions of this proposal shall apply.All removable items must be removed from the work area(s)before our mobilization or an additional charge for re-mobilization will be separately invoiced and made part of the contract price.Exclusions: Save& salvage protection of saved surfaces,prep for new,electrical make safe,incidental damage from duct tape,encapsulant and/or staples, anything not listed&remobilization.Unless specified,our firm is not responsible for any non-asbestos disposal.Price does NOT reflect WSST:however,all applicable taxes will be assessed at the time of invoice.Payment is due in full upon completion of above referenced work.If applicable,there will be a 10-day mandatory regulatory notification period once the job is filed with the proper regulatory agencies (L&I and PSCAA)upon acceptance of this bid.Please schedule accordingly there will be a$500.00 cancellation fee if canceled less than 14 days before start date.All costs associated/incurred with past due collection efforts shall be due and payable in addition to the original Contract amount.ALL LIEN RIGHTS RESERVED UNTIL PAID IN FULL. Acceptance of Proposal: The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the work specified. Signature Date_ Please sign and return A Plus Demolition & Excavation 12035 SE 236th Kent, WA 98031 PH 253-737-4441 FAX 253-737-4760 CELL: 206-730-6448 aplusremoval@comcast.net BID DATE: March 10, 2017 TERMS: Net Due on Completion CUSTOMER NAME AND BILLING ADDRESS: PROJECT ADDRESS: Peter & Lina Wong &Vicente and Rita Tam 29016 Military Rd S Federal Way, WA 98003 CONTACT: Cynthia lam I PHONE: CELL: 206-579-8488 FAX: EMAIL: cynthiawong168@hotmail.com BID QUOTE $13,560.00 SALES TAX $ TOTAL BID $ (If applicable) Scope of work:We hereby propose to supply the labor, equipment, trucks and disposal for the above address, to include: INCLUSIONS: Bid is for demolition of 1,540 square foot fire damaged home. Home and foundation will be removed and site left clear of debris. Straw will be spread for erosion control. Bid includes Federal Way demolition permits, Puget Sound Clean Air permit, site plan, septic tank decommissioning (required per King County) and asbestos survey. NOTE: Per code enforcement officer, King County dump vouchers CANNOT be used for debris from the demolition of house EXCLUSIONS: Removal of hazardous material, any unknown underground tanks,power and or natural gas disconnect,asbestos abetment, UPDATE ON BID: All of the debris not related to the demolition of the house will be cleaned up and disposed of at no additional cost.The owners will supply"A Plus"with King County Solid Waste dump vouchers to compensate for cost of disposal of this debris. In addition to the demolition of the property 29016 Military Rd 5,we will also do the removal of brush,small trees and concrete pad at adjoining property of 29006 Military Rd S at no additional cost. *You must also contact Puget Sound Energy r h.eve the power lines,adisconnected from the house prior to a permit being issued.* � �o y , 1111' THIS BID DOES NOT COVER ASBESTOS ABATEMENT IF NEEDED. PAYMENT ARRANGEMENTS: 50%down at time of signing the contract $6,780.00 rQ11t (This enables us to cover permit fees,equipment mobilization and asbestos survey) 50%plus applicable sales tax the day of completion of work. $8,068.20 ($6,780.00+ $1,288.20 tax =$8,068.20) Quote is based upon one continuous operation.Should changed conditions to quote or stand-by occur-hard costs plus 15%will be added to the contract. The quote is bid to the project specifications and plans. We exclude any errors or omissions to the specification or plans. The quote shall become part of the contract and shall supersede all conflicts between the contract and the quote,unless agreed to in writing by both parties. FOR ASBESTOS PERMIT: Puget Sound Clean Air Agency-pscleanair.org/regulated/asbestos/default.aspx 44 to 1' 4/25/2017 XF IN ITY Correct XFINITY Connect aplusremoval@comcast.net +Font Size- -RE: 29016 Military Rd.gas capping schedule • From :Matthew Brewer<matthew.brewer@pse.com> Tue,Apr 25,2017 01:51 PM Subject :RE: 29016 Military Rd.gas capping schedule 01 attachment To :A PLUS REMOVAL <aplusremoval@comcast.net> Cc :Scott Steckline <Scott.Steckline@cityoffederalway.com>, rhtam@comcast.net Hi Bob; I was just notified that the crew is backfilling the hole at main and will be done within an hour.The service to the house has been capped. Thanks Matthew Brewer I Associate Project Manager I Customer&System Projects—Southwest Puget Sound Energy I Cell#206-437-3266 13130 South 38th St,Tacoma, WA 98409 • iX ,rf; .ON'ta Please consider the environment before printing this e-mail ***This message is intended only for the individual and entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under state and federal laws. If you are not the addressee or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply e-mail and destroy this message. Thank you for your cooperation. From: A PLUS REMOVAL [mailto:aplusremoval@comcast.net] Sent: Monday, April 24, 2017 1:03 PM To: Brewer, Matthew Subject: Re: 29016 Military Rd.gas capping schedule Matthew, Once this is completed could you forward me an email verifying this? I need that verification to submit with the demolition application in order to get the permit. Thank you, Bob Downie From: "Matthew Brewer" <matthew.brewer(apse.com> To: "Scott Steckline" <Scott.Steckline(acityoffederalway.com>, "A PLUS REMOVAL" <aplusremoval@acomcast.net>, rhtamCa�comcast.net Sent: Monday, April 24, 2017 10:00:19 AM Subject: 29016 Military Rd.gas capping schedule https://web.mai l.comcast.net/zi mbra/h/printmessage?id=C:263685&tz=Am erica/Los_Angeles&xim=1 1/10