Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
17-103932
— Demolition City ofFederal Way Permit #:17-103932-00-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: MIRROR LAKE HIGHLANDS Project Address: 604 SW 312TH ST Parcel Number: 072104 9024 Project Description: Demolition of a single family residence& detached garage. Owner Applicant Contractor DAWN L MCCAFFREY WILLIAM MCCAFFREY OWNER IS CONTRACTOR 30929 37TH PL SW 30929 37TH PL SW FEDERAL WAY WA 98023-2194 FEDERAL WAY WA 98023 Additional Permit Information PERMIT EXPIRES Sunday, 11 February,2018 Permit Issued on Tuesday,August 15,2017 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 Ci of Federal Way. Owner or agent: M/l �,I. Date: , j ) 1 l THIS CARD IS TO REMAIN ON-SITE "TY°F '-' Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 17 103932 00 Address: 604 SW 312TH ST Project: WILLIAM J MCCAFFREY FEDERAL WAY WA 98023-4817 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 DateG_ (7 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED , 4.16,........ 5 2017 PERMIT APPLICATION CITY OF AUG 1 Federal Way o FEOE wi PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325 AMM OF FY t LoPMEt i 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com PERMIT NUMBER / r,L _. / 0 3 ? 5 _ nCC�� TARGET DATE �� SITE ADDRESS (( SUITE/UNIT# PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 6 o a 0 n 2 t �' - O 2__ I. TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION Cl ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT tvl 1 i P.- Lk K t 'fit l 6 a lA -k, Y c. Q60v PROJECT DESCRIPTION L ctlt),b OE It `J tc.t .s T �.'i "- ,E Detailed description of work to () .. be included on this permit only s NAME PRIMARY PHONE j‘UR LP Vtl 04 LAP ib i--G C/ ' 5 -1 3``i `1 4 7 PROPERTY OWNER - .. . - "" MAILING ADDRESS E-MAIL C_ -`1 31 P - rug CCA FE%-i ( _. CpYi ` STATE ZIP 9 `o e v5 i` (LA NAME PHONE �t C04; QUO , 0 0 /J4 Q \ 3 -10'1 - V--1 -7 MAILING ADDR - E-MAIL CONTRACTOR 3 0.1 LC\ • ri " . ' 1)--). e- CIT ZIP� �) f \l'-1 FAX A . V �,,��.. 1 Ci. 0 C.,.✓ PA WA STATE CO ' CTOR'S LICENSE# EXPIRATION DATE. FEDERAL WAY BUSINESS LICENSE# W t cb 3`'( M(o" Ej/ a-5-/ 1 e) NAME i '✓ 0 �a` o `.is , 1 0 r PRI PHONEL APPLICANT �E E-MAIL 1 ter MAILING AD " `l/' t CITY 1) -A 1 STATE ZIP FAX NAME ' //�� PRI Y PHONE PROJECT CONTACT I L l`t,CCA r c`&-( f...)--)----7001 - e)-140 (The individual to receive and MAILING ADD ESA SIA E-MAIL c respond to all correspondence q fVL concerning this application) CITY h A� STATE ZIP FAX n NAME "tv'1.t. J^'� PROJECT FINANCING X OWNER-FINANCED When value is$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 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 ttoo the city as a part of this • •plication. LSIGNATURE: }A4A iMi(_ ' I DATE C ' 1 L L 1 t PRINT NAME: 11\T IrlZ\I %L L c 4 r K_y Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL 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. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES ( VALUE CF PLUMBING WORK 1 PLUMBING 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. BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ # OF BEDROOMS COMMERCIAL—NEW/ADDITION Area in I Construction I # of AREA DESCRIPTION Occupancy Group(s) Additional Information Square Feet - .Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application 4‘16., COMMUNITY DEVELOPMENT DEPARTMENT 33325 8th Avenue South Federal Way,WA 98003 CITY OF 253-835-2607;Fax 253-835-2609 Federal Way www.uilYol'1'ede��alwny.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subjectproperty.Demolition of separate p structures may require separate permits. ❑ Address of Demolition: LA:A em 1-2-ty` 'ft:. r AI koAq, \(v,,, _ 90 2. 3 ❑ 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 (Provide copy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY and copy of inspection report by AHERA-certified inspector) 'CC 005t,Cwk p (•ugetSouris.EE ergy acoma •ower) (City of Federal Way Building Official) 2. FUEL STORAGE TANKS 6. NATURAL GAS in Under grade tank(s)Is/are present ❑Above grade tank(s)are present AID Tank(s)has been pumped or removed under South King Fire& (Pugeiound Energy Rescue permit prior//to any dismantling or excavation t\PC (South King Fire and Rescue) 7.WATER-Public Source 4-e7A,",rmi .F,-7 3.SEPTIC SYSTEM DECOMISSIONING ��, (Ll�2c4 Distrfct)� ikttgelk W 8.WATER-Private Well (King County Environmental Services) (King County Environmental Services) 4.SANITARY SEWER (Lakehaven Utility District) 0 Please Note: Erosion control measures must be in place duri :/the demolition and through completion of the site clean-up. ',A) A - „_ IOC YVA4 5 1 ►,� (Applic• '� Bulletin#122—May 13,2015 Page 1 of 1 k\Handouts\Demolition Permit Requirements Mpprovea I ransacuon pscleanair.org Puget Sound<: ..,,, -'. Agency Single-Family Notification Case #: 201703639 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 $25.00 Credit Card Transaction it ATOFFD1667B0 Transaction Date 07/27/17 Owner's Name Bill McCaffrey Phone (253) 709-8747 Project Street Address 604 SW 312th St. City Federal Way Zip 98023 Contact Person Tim Brooks Phone (425) 757-6873 Mailing Address This project includes asbestos removal. Project Size linear feet / 611 square feet Project Start Date 08/08/17 Completion Date 08/10/17 Asbestos will be removed by a licensed asbestos abatement 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 Loa Out If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. nttrec rlcore.ra nrrloanair nm/aehaciraefpnrrrnvorl aenv li1 Public Health Seattle & King Count REPORT OF WASTEWATER TANK ABANDONMENT Return completed form to Public Health—Seattle&King County,Environmental Health Division, 14350 SE Eastgate Way, Bellevue,WA,98007,Tel. 206 296-4932. Faxed copies will not be accepted due to data entry purposes. PARCEL(APN): 01 L l ot 0 4 DATE: 5 , 0, / l.-7 Instructions for completing form: This form is to be completed by any persons permanently removing a septic tank, seepage pit, cesspool, or other on-site sewage system wastewater tanks from service. Complete and submit this report to the health officer within thirty (30) days of the abandonment. Authority: Chapter 13.04.054,the Code of King County Board of Health, Title 13. General Information (Please print): Name of Owner/Occupant of Property: (B ) t in c C"4t,4 ., Address: Let o y — S. 3"tom 51-- q&,,,.\ (., 4 6r 2-3 Wastewater Tank Data: Type of Sewage Tank: eptic Tan Pump Tank Holding Tank Other: Number of Compartments Pum 0 niE. Number of Gallons Pumped: SQ Checklist Item Yes No Not Applicable Comments Septage removed by an approved pumper?* V Tank lid removed or destroyed? Tank void filled with compacted soil or gravel? r 1 *OSS Pumper Name: e, © % King County Certification Number: Beer J, H;l ( ,s t i-1p 19 Reason for wastewater tank abandonment: Property being served by public sewers Property being served by replacement tank XStructure being demolished Comments: Report of Wastewater Tank Abandonment Revised 11/9/2012 • • Make payments payable to: N. INVOICE BENSON HILL SEPTIC TANK SERVICE i itt A -k`''S' P.Q. Box 6191 Federal Way WA 98063-6191 .� j (253)874-4496 (253)631-7979 (425)432-9344 (253)841-2280 Date: - 1' - 1 Terms: ),‘ Service Delivered: Job Site: Name: '`'" i _' - - Name: a l Address: Address: , '3 4 City, State, Zip: City, State, Zip: ; wa.yuwaatatynopu alovasoeStos+ronnuaiauispiay.asp!rorMiu=lwnota7et37ot41a1/rugew1a/ytl .Dept. of Labor & Industries, Division of Occupational Safety & Health Asbestos Project Notification Form Form ID: 14662901577Puget425798 Notice Date: 7/27/2017 Start Date: 8/8/2017 Completion Date: 8/10/2017 Status: Initial Site Work Hours: 8:30 a.m. -4:00 p.m. Site Work Days: Tuesday Wednesday Thursday Contractor: Puget Sound Abatement LLC Job Site C.A.S.: Josiah Moliga Your email address: danpugetsoundabatement.com Contractor Phone Number: 4252510864 Property Owner Name: Bill McCaffrey Owner's Agent: Company: Address: 604 SE 312th St. City: Federal Way State: WA Zip+4: 98023 Phone: 253-709-8747 Job Site Address: 604 SW 312th St. Building Name: Room: City: Federal Way httn•lhvunu nnuteafohultnnirciatmtachactneMnrrnllotrlicnla..aan7Pnrrnin=I4AR7Q0i 740/.791 c77 ,ino.4 c74R 17 f Lt ittt i f www.Irn.wa.govrsa►etyrtoptcsratoziasoestosrrormuatautspiay asp'rormw=lwoo.y 7a4J7oeo 10 r r rugewzor ao Zip+'4: 98023 County: King Facility Type: Residential Age: 1936 Size: 2000 Type of activity: RemodelMaintenance Quantity of Asbestos to Be RemovedEncapsulated Indoors Quantity: 611 square feet Popcorn ceiling Asbestos paper Quantity: linear feet Control Measures Mini enclosure HEPA vacuum Critical barriers Manual methods Respiratory Protection Type C pressure demand Comments: Date/Time Submitted 7X2712017 8:35:20 AM hnn-tfuteutnte ini aro nnsJeainlullnoire/MnviaahvelneMnrmtlolorlienlmt aen?FnrmlrinldRR)Qel_77o/741c77o.nnldlc7Q 7r7 ASBESTOS SURVEY "� _y ., „. �. sf a t 4 r r II �- 6w i+ ,, w..•f „s. ti, r \ } 604 SW 312th St. Federal Way, WA 98023 Prepared for: Bill McCaffrey Mirror Lake Highland, LLC 30929 37th PI. SW Federal Way, WA 98023 By: Cole & Associates Training and Consulting, Inc. 8657 South 190th St. Kent, WA 98031 Phone: (425) 793-5505 • Fax: (425) 793-5552 Project# 2017-0481 May 25, 2017 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 TABLE OF CONTENTS EXECUTIVE SUMMARY 1 SCOPE OF SERVICES 1 WARRANTY 2 ASBESTOS SURVEY 3 Methodology 3 General References 3 Visual Inspection 3 Homogeneous Material Classifications 3 Sampling Procedures 3 Laboratory Procedures 4 Method of Analysis 4 Laboratory Quality Control Program 4 Findings and Observations 5 Survey Findings 5 PHOTOS 6 REPORT SUMMARY 16 APPENDICES 17 Appendix A— FLOOR PLANS & SAMPLE LOCATIONS Appendix B — LABORATORY BULK SAMPLE ANALYSIS REPORT Appendix C — INSPECTOR & LABORATORY CERTIFICATIONS 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 EXECUTIVE SUMMARY Cole & Associates Training and Consulting, Inc. (hereafter "Cole & Associates") was retained by Bill McCaffrey to conduct an Asbestos Spot Sampling Survey to determine the presence of Asbestos-Containing Building Materials (ACBM) at 604 SW 312th St., Federal Way, WA 98023. Residence is four bedroom, one bath, two-story with basement single-family house, year built 1948, roof replaced within two years. House is scheduled to be demolished at a later date. The survey was conducted on Thursday, May 25, 2017, beginning at 11:30am by AHERA-Certified Building Inspector David Thulin, and included the testing of each material as specified by the client. At the request of the client, a visual inspection was conducted and samples were collected and tested. Samples were transported to and analyzed by the NVLAP certified laboratory, EMSL Analytical, Inc located at 3317 3rd Ave S, Suite D 2nd Floor, Seattle, WA 98134. One or more Homogenous Groups tested POSITIVE for Asbestos-Containing Building Material (ACBM). SCOPE OF SERVICES This survey includes testing and approximate quantification of suspect ACM and/ or ACBM in the materials of this home for the purpose of demolition. A visual inspection was conducted in accordance with general Environmental Protection Agency & Asbestos Hazard Emergency Response Act (EPA/AHERA) sampling guidelines to determine the presence of exposed or accessible suspect ACM (Asbestos Containing Material) and/or ACBM. A physical hand pressure test was conducted to determine the friability of selected suspect materials. Bulk samples were obtained from the suspect materials. Bulk samples were analyzed by EMSL Analytical, Inc by Polarized Light Microscopy (PLM). The analytical results are presented in Appendix B. Page 1 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 WARRANTY Cole & Associates Training and Consulting, Inc. warrants that the findings contained herein have been assessed and reported in general accordance with accepted professional practices as applied by similar professionals in the community at the time of this report preparation. Changes in state of the art or in applicable regulations cannot be anticipated and have not been addressed in this report. The field and laboratory results reported herein are considered sufficient in detail and scope to determine the presence, condition and hazard potential of the suspect ACBM at the time of this survey. Test results are valid only for the materials tested. This report is prepared for the express use and benefit of Mirror Lake Highland, LLC managed by Bill McCaffrey. The information in this report or portions thereof may be required to be included in notifications to employees, contractors or other visitors to the building(s). This report is not intended to be used by the owner or its agents as a specification contract document or work plan for any work suggested or recommended in the report. This report is based upon conditions observed at the property and information made available to the inspector. This report does not intend to identify all environmental hazards, nor is it intended to indicate that other hazards do not exist at the premises. There is a distinct possibility that conditions may exist that could not be identified within the scope of the survey or that were not apparent during the site visit. Conclusions cannot be drawn regarding the presence or absence of other ACBM on the subject structure due to the fact that this survey covered only those areas that were exposed, visible or physically and/or readily accessible to the inspector and as specified in the scope of services. All areas as specified in the scope of services were inspected and sampled to the extent practical. Quantities of materials observed are estimates only and should be verified prior to any abatement work. Sampling of most materials was accomplished using a bulk sampling method. During renovations, abatement or demolition, if additional suspect material is discovered it should be assumed to be ACBM until sampled, analyzed and determined to be non- asbestos containing material. The survey was limited to the information available from the client at the time the survey was conducted. No other warranties are implied or expressed. Page 2 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 ASBESTOS SURVEY Methodology General References Inspection, sampling, and assessment procedures were performed in general accordance with the guidelines published by the EPA in 40 CFR Part 763 Subpart E, October 30, 1987. The inspection consisted of the following major activities: visual inspection and bulk sampling of suspect materials. Visual Inspection The visual inspection was performed by David Thulin, an AHERA-Certified Asbestos Building Inspector. A preliminary walk-through was conducted to determine homogeneous areas and the presence of suspect materials that were accessible or exposed and included in the scope of work. Materials that were similar in general appearance were grouped into homogeneous sampling areas. Homogeneous Material Classifications The walk-through of the structure was also conducted to determine areas of materials that were visually similar in color, texture, and general appearance and that appeared to have been installed at the same time. These are termed "homogeneous materials" by the EPA. During this walk- through, the approximate quantities and locations of these homogeneous materials were noted. Only materials that were accessible or exposed, included in the scope of work and suspected to contain asbestos were identified. Sampling Procedures Following the walk-through, the inspectors collected selected samples of exposed or accessible materials identified as suspect ACBM. Destructive sampling was limited to accessible materials. No samples were taken that would cause damage to the structural integrity of the item being tested. EPA guidelines were used to determine the sampling protocol. Sampling locations were chosen to be representative of the homogeneous materials. Samples of surfacing material were collected in general accordance with the EPA random sampling protocol outlined in the EPA publication, "Asbestos in Buildings: Simplified Sampling Scheme for Friable Surfacing Materials" (EPA560/5-85-030a, October, 1985). Samples of miscellaneous materials were taken as randomly as possible, while attempting to sample already damaged areas so as to minimize disturbance of the material. Page 3 • 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Laboratory Procedures Method of Analysis Analysis was performed by visually observing the bulk sample and preparing slides for microscopic examination and identification. The samples were mounted on slides and then analyzed for asbestos (chrysotile, amosite, crocidolite, anthophyllite, actinolite, and tremolite), fibrous non-asbestos constituents (mineral wool, paper, etc.) and non- fibrous constituents. Asbestos was identified by refractive indices, morphology, color, pleochroism, birefringence, extinction characteristics, and signs of elongation. The same characteristics were used to identify the non-asbestos constituents. The microscopist used a stereoscope to visually estimate relative amounts of each constituent using a stereoscope to determine the volume of each constituent in proportion to the total volume of the sample. All bulk samples were analyzed by Polarized Light Microscopy (PLM) as described by the "Interim Method of Determination of Asbestos in Bulk Samples, EPA 600/R-93/116 Method." This is a standard method of analysis in optical mineralogy and the current accepted method for the determination of asbestos in bulk samples. A suspect material is immersed in a solution of known refractive index and subjected to illumination by polarized light. The characteristic color displays that result enable mineral identification. It should be noted that some ACBM may not be accurately identified or quantified by PLM if the building material involved milling of asbestos fibers to extremely small fibers. As a result, these fibers may go undetected under the standard polarized light microscopy method. Transmission Electron Microscopy (TEM) analysis is available for a more definitive analysis of these very small sized asbestos fibers in those types of building materials. Laboratory Quality Control Program EMSL Analytical, Inc is certified by NVLAP and maintains an in-house quality control program. This program involves blind reanalysis of ten percent of all samples, precision and accuracy controls, and use of standard bulk reference materials. Page 4 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Findings and Observations A material is considered by the EPA to be asbestos containing if at least one sample collected from the area shows asbestos present in an amount greater than one percent (>1%). Please refer to the sample analysis sheets for a more detailed description of the microscopic analysis of these samples. The EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) requires an inspection for asbestos be done on facilities that are to undergo demolition or renovation work. Materials found to contain asbestos may need to be removed prior to the start of such demolition or renovation work. NESHAP defines Category 1, 2, 3, and 4 non-friable asbestos-containing materials such as gaskets, resilient floor covering, and asphalt roofing products that contain more than one percent asbestos, and Category II non-friable as any materials, except for Category I non-friable, that contain more than one percent asbestos and cannot be reduced to a powder by hand pressure when dry. NESHAP defines a Regulated Asbestos Containing Material (RACM) as: (a) friable ACM, (b) Category I non-friable that has become friable, (c) Category I non-friable that has or may be subject to sanding, grinding, cutting, or abrading, and (d) Category II non-friable that may or has become friable during demolition or renovation. Survey Findings Samples were collected on May 25, 2017 and grouped together by homogenous materials found in the table below. Laboratory analysis data sheets can be found in Appendix B. Page 5 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 PHOTOS Sample No. 1 Photo(s) Result(s): NEGATIVE (None Detected Description: Ceiling, Drywall Location(s): Room 1, Living Rm 1,1 Comments: Sample No. 2 Photo(s) Result(s): NEGATIVE(None Detected Description: Green Ceiling Material Location(s): RM 1, Living Rm Comments: tv AA Sample No. 3 Photo(s) Result(s): NEGATIVE(None Detected Description: White Drywall Photo not legible/See Floor Plan Location(s): RM 2, Kitchen Comments: Page 6 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 4 Photo(s) Result(s): NEGATIVE (None Detected Description: Red Brick Siding Location(s): RM 2, Kitchen Comments: Sample No. 5 Photo(s) Result(s): �: NEGATIVE(None Detected Description: White Mortar Wit. Location(s): RM 2, Kitchen W r - :- Comments: k ` Sample No. 6 Photo(s) Result(s): '. NEGATIVE (None Detected Description: Upper Brick Caulking/ ` „ , / Mortar !It'll , ;'Location(s): RM 2, Kitchen '` � Comments: '-4111t11` Page 7 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 7 Photo(s) Result(s): NEGATIVE (None Detected Description: Brown Fiberous Wall Photo not legible/See Floor Plan Material Location(s): RM 6, Hallway Comments: Sample No. 8 Photo(s) Result(s): POSITIVE 2%Chrysotile Description: Yellow Troweled on Plaster Photo not legible/See Floor Plan Location(s): RM 6, Hallway Comments: Texture was positive only not backing Sample No. 9 Photo(s) Result(s): POSITIVE 2%Chrysotile Description: Green Popcorn Wall Photo not legible/See Floor Plan Location(s): RM 6, Hallway Comments: Texture was positive only not backing Page 8 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 10 Photo(s) Result(s): POSITIVE 2%Chrysotile Description: White Popcorn Ceiling Photo not legible/See Floor Plan Location(s): RM 6, Hallway Comments: Texture positive only not drywall Sample No. 11 Photo(s) Result(s): , ,, POSITIVE 3%Chrysotile ; .x, Description: White-Blue Linoleum/Texture/ Mastic & ` 4 Location(s): RM. 3, Bathroom... Comments: Texture only positive not Linoleum or Mastic Sample No. 12 Photo(s) Result(s): � ' NEGATIVE (None Detected Description: White Caulking around bathtub Location(s): RM 3, Bathroom Comments: -, Page 9 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 13 Photo(s) Result(s): NEGATIVE (None Detected Description: White Caulking above sink .. , Location(s): RM 2, Kitchen Comments: 4c'K 11.;;; Sample No. 14 Photo(s) Result(s): A ' n f`Di NEGATIVE (None Detected Description: White Plaster on Stair Support Location(s): RM 2, Kitchen Comments: Sample No. 15 Photo(s) Result(s): NEGATIVE (None Detected Description: White Patch on Stair Support Location(s): RM 2, Kitchen Comments: Page 10 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 ,,,, ;1 4,ii:"4;:":' Sample No. 16 Photo(s) Result(s): 4 NEGATIVE (None Detected Description: White Floor Caulking Location(s): RM 3, Bathroom Comments: Sample No. 17 Photo(s) Result(s): NEGATIVE (None Detected Description: Brown Attic Insulation Photo not legible/See Floor Plan Location(s): Attic Crawl Space Comments: Sample No. 18 Photo(s) Result(s): NEGATIVE (None Detected Description: Yellow Patch Photo not legible/See Floor Plan Location(s): RM 9, Stairwell on the right going into RM 11 Comments: Page 11 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 19 Photo(s) Result(s): NEGATIVE (None Detected Description: White Patch on Bathroom Door Location(s): RM 3, Bathroom Comments: Sample No. 20 Photo(s) Result(s): NEGATIVE (None Detected Description: Yellow Patch Photo not legible/See Floor Plan Location(s): RM 9, Stairwell on the right going into RM 11 Comments: Sample No. 21 Photo(s) Result(s): NEGATIVE (None Detected Description: White Plaster around Patch Photo not legible/See Floor Plan Location(s): RM 9, Stairwell on the right going into RM 11 Comments: Page 12 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 22 Photo(s) Result(s): ¢x' NEGATIVE (None Detected Description: Painted Plaster over Brick Location(s): RM 12, Basement Comments: Sample No. 23 Photo(s) Result(s): NEGATIVE (None Detected Description: Grey Brick Mortar Photo not legible/See Floor Plan Location(s): RM 12, Basement Comments: Sample No. 24 Photo(s) Result(s): NEGATIVE (None Detected Description: White Heater Vent Grey Photo not legible/See Floor Plan Patch Location(s): RM 13, Basement Comments: Page 13 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 25 Photo(s) Result(s): POSITIVE 7%Chrysotile Description: Black Roofing Paper Photo not legible/See Floor Plan Location(s): Shed Comments: Sample No. 26 Photo(s) Result(s): NEGATIVE (None Detected Description: Black Roofing Shingles Photo not legible/See Floor Plan Location(s): Shed Comments: Sample No. 27 Photo(s) Result(s): Iamb- NEGATIVE(None Detected Description: Blue Concrete Location(s): Exterior of Shed Comments: Page 14 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 Sample No. 28 Photo(s) Result(s): NEGATIVE (None Detected Description: Brown Wallpaper Under Photo not legible/See Floor Plan Siding Location(s): Exterior of House Comments: Sample No. 29 Photo(s) Result(s): NEGATIVE (None Detected Description: White Window Caulking Photo not legible/See Floor Plan Location(s): Exterior of House Comments: Page 15 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 REPORT SUMMARY Project Number: 2017-0481 Inspector: David Thulin Survey Date: May 25, 2017 Location: 604 SW 312th St. Federal Way, WA 98023 This survey includes testing and approximate quantification of suspect ACM and/ or ACBM in the materials of this home for the purpose of demolition. Some Homogenous Groups tested POSITIVE for Asbestos-Containing Building Material (ACBM). /(g_,/(, - David Thulin AHERA Certified Building Inspector CERTIFICATE # 18-BI-2355 Cole & Associates Training and Consulting, Inc Office Phone: 425-793-5505 Page 1 604 SW 312th St. Asbestos Survey Federal Way, WA 98023 May 25, 2017 APPENDICES Appendix A— FLOOR PLANS & SAMPLE LOCATIONS Appendix B — LABORATORY BULK SAMPLE ANALYSIS REPORT Appendix C — INSPECTOR & LABORATORY CERTIFICATIONS Page 2 APPENDIX A FLOOR PLANS & SAMPLE LOCATIONS 1 I __ - - -----1 S-12 S-13 S-3 ROOM 4 11 S-25 1 ' S-14 S-16 S-26 i ROOM 2 S-4 S-15 --uP j ROOM 3_ - _I 1 L S-5 S-9 S-11 S-10 S-27 S-6I S-8 S-19 1 SHED S-28 S-7 I I ROOM 6 J S-29 !PI ROOM 1 ROOM 5 11 S-1 S-2 MAIN FLOOR I -H LL 0 0 J o 0 o z N O co N o cs) J CC w 0 U 0 4 CL a CO a 2 U 0 H U a H F- 0 2 ►� 0 0 v) a } _ I ROOM 13 S-24 ROOM 12 S-22 S-23 Up- BASEMENT APPENDIX B LABORATORY BULK SAMPLE ANALYSIS REPORT EEMSL Order: 511701517 MSL Analytical, Inc. Customer ID: COLE21 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: Tel/Fax:(206)269-6310/(206)900-8789 http://www.emsl.com/seattlelab@emsl.com Project ID: Attention: David Thulin Phone: (425)793-5505 Cole&Associates Training&Consulting Fax: (425)793-5552 8657 South 190th St Received Date: 06/06/2017 2:00 PM Kent,WA 98031 Analysis Date: 06/08/2017 Collected Date: Project: 2017-0480 Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type S-1 White ceiling drywall Brown/White 40%Cellulose 45%Gypsum None Detected Fibrous 15%Non-fibrous(Other) 511701517-0001 Heterogeneous Inseparable paint/coating layer included in analysis S-2 Green ceiling material Brown/Tan/White 35%Cellulose 50%Gypsum None Detected Fibrous 15%Non-fibrous(Other) 511701517-0002 Heterogeneous Inseparable paint/coating layer included in analysis S-3 White drywall Brown/White/Green 30%Cellulose 50%Gypsum None Detected Fibrous 20%Non-fibrous(Other) 511701517-0003 Heterogeneous Inseparable paint/coating layer included in analysis S-4 Red brick siding Red 100%Non-fibrous(Other) None Detected Non-Fibrous 511701517-0004 Homogeneous S-5 White mortar Gray/Tan 5%Cellulose 5%Mica None Detected Non-Fibrous 90%Non-fibrous(Other) 511701517-0005 Homogeneous S-6 White upper brick Tan/White/Red 7%Mica None Detected mortar caulking Non-Fibrous 93%Non-fibrous(Other) 511701517-0006 Homogeneous S-7 Brown fibrous wall Brown/White 95%Cellulose 5%Non-fibrous(Other) None Detected material Fibrous 511701517-0007 Homogeneous S-8-Texture Yellow plaster trowled White/Green 98%Non-fibrous(Other) 2%Chrysotile on Fibrous 511701517-0008 Heterogeneous Inseparable paint/coating layer included in analysis S-8-Backing Yellow plaster trowled Brown 98%Cellulose 2%Non-fibrous(Other) None Detected on Fibrous 511701517-0006A Homogeneous S-9-Texture Green popcorn wall White 98%Non-fibrous(Other) 2%Chrysotile Non-Fibrous 511701517-0009 Homogeneous Inseparable paint/coating layer included in analysis S-9-Backing Green popcorn wall Brown 98%Cellulose 2%Non-fibrous(Other) None Detected Fibrous 511701517-0009A Homogeneous Inseparable paint/coating layer included in analysis S-10-Texture White popcorn wall White 98%Non-fibrous(Other) 2%Chrysotile Non-Fibrous 511701517-0010 Homogeneous Inseparable paint/coating layer included in analysis S-10-Drywall White popcorn wall Brown/White 20%Cellulose 60%Gypsum None Detected Fibrous 20%Non-fibrous(Other) 511701517-0010A Heterogeneous S-11-Texture White/blue linoleum White 97%Non-fibrous(Other) 3%Chrysotile Non-Fibrous 511701517-0011 Homogeneous Initial report from:06/08/2017 14:03:37 '"1 Printed:6/8/2017 11:03 AM Page 1 of 3 • EEMSL Order: 511701517 MSL Analytical, Inc. Customer ID: COLE21 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: Tel/Fax:(206)269-6310/(206)900-8789 http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type Inseparable paint/coating layer included in analysis S-11-Linoleum White/blue linoleum Gray/White 25%Cellulose 75%Non-fibrous(Other) None Detected Fibrous 511701517-0011A Heterogeneous S-11-Mastic White/blue linoleum Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511 701 51 7-00118 Homogeneous S-12 White bathtub White 100%Non-fibrous(Other) None Detected caulking Non-Fibrous 511 70151 7-0012 Homogeneous S-13 White sink caulking White 100%Non-fibrous(Other) None Detected Non-Fibrous 511701517-0013 Homogeneous S-14 Stair support white White 100%Non-fibrous(Other) <1%Chrysotile plaster Non-Fibrous 511701517-0014 Homogeneous Inseparable paint/coating layer included in analysis S-15 Stair support white White 100%Non-fibrous(Other) None Detected patch Non-Fibrous 511 701 51 7-0015 Homogeneous S-16 White floor caulking White 100%Non-fibrous(Other) None Detected Non-Fibrous 511701517-0016 Homogeneous S-17 Brown attic insulation Brown 80%Cellulose 10%Non-fibrous(Other) None Detected Fibrous 10%Glass 511 70151 7-0017 Homogeneous S-18 Yellow patch Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511 70151 7-0018 Homogeneous S-19 Door patch White 100%Non-fibrous(Other) None Detected Non-Fibrous 511 70151 7-0019 Homogeneous Inseparable paint/coating layer included in analysis S-20 Yellow patch White 100%Non-fibrous(Other) None Detected Non-Fibrous 511701517-0020 Homogeneous S-21 White over plaster White 100%Non-fibrous(Other) None Detected patch Non-Fibrous 511701517-0021 Homogeneous S-22 White plaster over Gray 20%Quartz None Detected brick Non-Fibrous 80%Non-fibrous(Other) 511701517-0022 Homogeneous S-23 Gray brick mortar Gray 20%Quartz None Detected Non-Fibrous 80%Non-fibrous(Other) 511701517-0023 Homogeneous S-24 White heater vent Gray 15%Quartz None Detected gray patch Non-Fibrous 85%Non-fibrous(Other) 511701517-0024 Homogeneous S-25 Black roofing paper Black 93%Non-fibrous(Other) 7%Chrysotile Non-Fibrous 511 701 51 7-002 5 Homogeneous S-26 Black roofing shingles Gray/Black 25%Glass 75%Non-fibrous(Other) None Detected Fibrous 511 701 51 7-002 6 Homogeneous S-27 Blue concrete Gray 15%Quartz None Detected Non-Fibrous 85%Non-fibrous(Other) 511701517-0027 Homogeneous (Initial report from:06/08/2017 14:03:37 3t-:a,1 h Printed:6/8/2017 11:03 AM Page 2 of 3 EMSL Order: 511701517 EMSL Analytical, Inc. Customer ID: COLE21 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: Tel/Fax:(206)269-6310/(206)900-8789 http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type Inseparable paint/coating layer included in analysis S-28 Brown wall paper Beige 98%Cellulose 2%Non-fibrous(Other) None Detected under siding Fibrous 511701517-0028 Homogeneous S-29 White window White 100%Non-fibrous(Other) None Detected caulking Non-Fibrous 511 701 51 7-002 9 Homogeneous •Analyst(s) Jason Stuhr(34) Lauren Kerber,Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Seattle,WA NVLAP Lab Code 200613 (Initial report from:06/08/2017 14:03:37 3S_ =r,4 )t:uil 3010" v.73 Printed:6/8/2017 11:03 AM Page 3 of 3 • APPENDIX C INSPECTOR & LABORATORY CERTIFICATIONS 4 i \\•,,,.., '14,42,, ,- e / + .cr � �pws '7- 'I a .:A a w �+` � r f'� ' +:i'i ;� � i� \S;!1..;;;!" s M�, 0 .,esii �_oNmto `s9p ✓li Ia�uaa=.A � 0a : rig n in4774� � i'v �r `,. ,_n , :� , �- :1, .nin�Y' ,, , e �w-.2� �o ` te�... ,� y � y� ��f' (} Vitalli / \ j Ia iliPiel, ,____Ii&I,0,1:::::::a Attoortp 4%41^ ,■+` prat tea„_ :°`,®®+ U �.A III \ \�`,..�®,�/ VAt�I 4.4 tel. LIJ '. --;.;%:o� 17t: if "< CA CIL .. CIL d / g a; :;\i. ±+ c) :.,...(),\t* tiro;+�' 411L-w.,r. C y ..:(1;",-;:44 \14:**iiii:/3:111•-”.171.':glr A''..1 • 1 (2.1 RI -.^ .1%.1....*:::*. ‘11tn 1 .. ' MF.., . , al E i 0 1-` < 0 if Ij •6& I09 kk q.!.., a H Uo ,o. I:4 .. ,aft i, ,1) a -g I .0 w a 1 I + ; U1► r iia',A,,,,...: //' ,, .,7d- Z ,.., \s, i „, tf1 !* \3.j -a EAVtiii.$1 ea CZ) t� o /':.^`':� W ami ` "' �,�•j;� 4 ,020 ,l a , H wVswi (WIMP, o as -itictilEaltm, :1-4 tin ;solitigiontA/77- ...soRitt ,0 --"'ii0.a . / tY� t.r4. .'-' UJI 61 IC Wif,..;46:4A : . + �w ��.iiae►�„ ` aa..a�`. '* * \\% 4 ��► 1�!` '//i1 t //j = = 11 ' ll• A \ :„..kw.;„A,,..",-- � rL-7. ; ,, ,7rZ , ,w4ti '® ios;4l t�.rrs0&1ni :rI �1,4� �u9 -�r. au. I,AoV� ',iis ce l� �.'wmsN ,,, PFst �14:\.4„rI / ® . n tei ;i0, "' Z. r P. . Wr v . z' „�`e At...:: 0. "c5) ca 1.0 ---:: co . Lri ciz 0 0 Zr ,0 0 0 -, CV i0 1 CNI cN (T3 c, - . . UI) •=1..' 0) ' . .f, CN1 (1) U .4 E 0 0 41, I% >i N. 41 ' „... ,,... ._ 0 . a.) A, ..., 00 0 ,..., c 1.. 0 a) .c E Q Z (I) E ° 0(e"-- ...... ......, co ,.. ..c2 co 2,- 77_ CD co 1-6 cr1/4 -E ..% E 1— 0 ,,,...0 L. c.) E C".5- z LL. zi •...0 q) (..) E --- 0 -0 (1) mom 4: 1.4 4..... (13 ....., :3.c.;:5 1 73-: ;d: (1).:0,.., *7: :.....: 1..:44N: o 0 ,...„.. el e. .13 :`-' C 'r4 '*--c1) LL (I) litl `(':: L... 0 -4-• -1.1 Alma •• "4-4 0 co 6 c r. 0 (...) CD cc C I.\ ....1 -4t 0 4,, 4- r (73 \ r) ._ s., -0.a, ' ...e0 RIS < c) „, . Ca, 0 0 ::::) •MI= , (n a) a) 4-. Z co C.) (1) Ci) a_ -0 — 'FE) en 'lb' (13 •E CD .7''' CO liCt c C D 0 CZ 10 Q CI) t'43 CD Z CD co _ co lo a' u .II .P -..:: CC ,- c.) o - Lu c.) () v) . u) _ C .— 0 _ q1) .. CD (...) • , IR' National Voluntary. . e 1 , , Hw,_ Laboratory Accreditation Program ....›. t s.,-..TEs cft SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 EMSL Analytical, Inc. 3317 3rd Avenue S. Suite D Seattle, WA 98134 Ms. Lauren Kerber Phone: 206-269-6310 Fax: 206-900-8789 Email: lkerber@emsl.com http://www.emsl.com ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 200613-0 Bulk Asbestos Analysis Code Description 18 ‘0 1 EPA 600,M4-82-020. Interim Method for the Determination of Asbestos in Bulk Insulation Samples 18/03 EPA 600/R-93/116:Method for the Determination of Asbestos in Bulk Building Materials Airborne Asbestos Analysis Code Description 18 102 U.S.EPA's"Interim Transmission Electron Microscopy Analytical Methods-Mandatory and Nonmandatory-and Mandatory Section to Determine Completion of Response Actions"as found in 40 CFR,Part 763,Subpart E,Appendix A. I For the National Volunta lit.orat.. Accreditation Program ../' Effective 2016-10-01 through 1017-09-30 Page I of 1