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11-104300 4 { tw City of Federal Way � Demolition Community Development Services Permit #: 11 -104300-00-DE P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: GONZALES Project Address: 31238 28TH AVE S Parcel Number: 092104 9214 Project Description: Demolition of dilapidated single family residence. Owner Applicant Contractor RENEE GONZALEZ DALE LARSEN EXCAVATING INC DALE LARSEN EXCAVATING INC PO BOX 3603 30220 28TH AVE S LARSOEI071K8(10/29/12) KENT WA 98032-0210 ROY WA 98580 30220 28TH AVE S ROY WA 98580 Additional Permit Information Demolition Valuation 4500 PERMIT EXPIRES Wednesday, October 23, 2013 Permit Issued on Monday, October 24, 2011 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 :nd the City of Federal Way. Q Owner or agent: Date: l? /7/ Way. OIt tnii 7 J • THIS CARD IS TO 'MAIN ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 11-104300-00-DE Address: 31238 28TH AVE S Project: RENEE GONZALEZ FEDERAL WAY, WA 98003-5007 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. ID Final-Building(4050) Approved By Date ,j--7-if Rough Electrical Final Electrical El of Way 111Approved ElApproved Approved By Date By Date By Date ' - !! 0L(' 3 CITY OF 11117; CO ME PL 6E EN FP Federal Way cc5,:t\MPERmIT ��,(sir 17 ? L- • Ca;(�kc�c�- J��.rnCOMMDEVoPSE .0PLICATION �y 253www.ci07•FAX 253-83om 6:5 �'��\ u �j L www.dtuo(federalwau.mm O�'` �,�` � • 'r _l SUITE/UNIT# SITE ADDRESS (g It: y J PROJECT VALUATION ZONING ASSESSOR'S� T� - P $ 4.500 ' � I 0 BUILDING ❑ PLUMBING 0 MECHANICAL TYPE OF PERMIT , - 11 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT q / (Tenant Name/Homeowner Last Name) ti ,4 I Q 5 .�,Q v—. 1e ode u--., dC' I cvn..2 • A- f QA/L PROJECT DESCRIPTION d Detailed description of work to pR�c-< < 0 e) ,I /SS i o--- & be included on this permit only t e .y..0 1`(' L U c Y 4 �,-R- . _ _ - - - PRIMARY PHONE PROPERTY OWNER NAME R,,,e t..e_ C C". !,x S C°6~`76 t'--5454' MAILING ADDRESS /t, ) E-MAIL 7-p v?oZ/ # O P 33 rt I .� CITY......:./1I 0 I n e S STATE ZIPS C l r rtr' t(''1 l (7t t -' NAME PHONE _ MAILING ADDRESS E-MAIL / . J CONTRACTOR 1 2'-1 y 1 c v.-A� ,: ., --=;.t_ FAX r 0.J5t-14/50,t.6.") (1/4',.,.,c4 . , CITY STATE ZIP I AC CA.- a—.- _ `l es '9/ 'S 9.— CO 5 --6 z 6 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME ... PHONE NAILING ADDRESS E-MAIL APPLICANT - 12S.! f / �''cl-L-.4 ..c?- Zev--CT u" 44 4c444..e C°CrptGSh STATE ZIP FAX . tom . CITY'r�` 14-1/+-- 'jc4/5/ 0-s3-5-'3-62-0 PROJECT CONTACT NAME_ PHONE ��1 �� _2 2 Z - S-7,'Z (The individual to receive and -.IOk-„c- 'o N respond to all correspondence NAILING ADDRESS s / 11%'('( I r`a4 v.-C. e �i ZJ a�-a�t-1 L.�I co:�cns i/ concerning this application) CITY STATE ZIP % FAX v "TAr,3,4--• c;;s v4./ .4--3--Z.2.Z -S-7 3 2 ALTERNATE CONTACT NAME: PHONE E-MAIL 1---"1,-.C--.- 4 2.50 ,, 2 s',-,,' 2.12, Si 3 2-. PROJECT FINANCING NAME �- 0 OWNER-FINANCED Required value of$5,000 or more PHONE (RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP 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 t city as a p of this application. y� yc�-- DATE 9'”" 5/, t SIGNATURE: PRINT NAME: �® 4/3/1-5 0" --- Bulletin#100-January 1.2011 Page 1 of 3 k:\Handouts\Permit Application Oct. 6. 2011 11 ; 26AM LUD Dev Svcs )_y--;No. 1224- VP. T ti -Nal rn ►(-a rscin vie L _ - � aaa � BPtr�iSNroNCoMMCrNrn"n)>vv�roPl�tvrSu�cvrCe6 d, )3"(c a 1. 33325 8�Avcauc South Federal Way,WA 9E003-6325 CITY OF 253-835-2607;Fax 253-835-2609 Federal Way ,�", c� �c ,;ca.:.0)w DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure or structures on a subject property.Check with,the City's Plying Division to see if the proposal exceeds thresholds that trigger an environmental review.An environmental review and submittal of oA environmental checklist may be required.,which will extend the time period before a demolition permit can be issued. ❑Prior to submitting a demolition permit the following items(as applicable)mast be sizzled by the r+eapeetfve agency(see attached Demolition Permit Contact List). Nome m4PPocAN: Utilities shalt be disconnected and services performed, if applicable,prior to issuance of the demolition permit.All applicable Wins below are to be sfpned and dated by the respective agency representatives. I.ASBESTOS ABA/ENEMY 6.ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be th`/ tf�r�d melte temeved) Agency provided) (Puget Sound Energy) 1 �1 Way Befit•in4 a" sal) S j -L., Z.t 2.GAS SUPPLY ' . 7.FUEL STORAGE TANKS (Gas to be shut off,meter removed and final bill paid) (Above or below grade fuel tames,have been pumped or removed under Fire Despartment pemit prior to any diatnantleje)ocavation) (Puget Sound Energy) ]1G— C t.e.9 - 'z j a i Fire and Rescue) 1.-f it - `0{26 — ? l7 77Adtnl-A-1/Ma 3,SEPTIC SYSTEM S.WATER-Public So rwe (Check applicable box) (Tank to be removed or tank ba be drained and filled) 3-Meter to be removed and final utility bill paid ',,Meter to remain and be protected V --1-Th t� p.r c ss•s f — �"'1 •c�...�. -� LA44 0 u<✓`I-) UTIY►rJ �u (1012, ounty Erse eotel Services) 1614(i( (Water Supper) +�7 `Z'- r �: .� '1 L, '-G/ 'r.3 L yr/wj/s AkkA I �rsxea OR axes** S /Zeg 4.SANITARY SEWER (Check app cable box) 9.WATER-Private Wdl(Check applicable box) o Sewer line rapped at property line A Private well Med and rapped o 6ds`tipn'g_sewer line to remain and be used by proposed new structure o Private well to be used purposes FEZ ' "W C1kT —i i Co 1,11-36c-Mb / (takehaven Utility District) (i4 ty Environmental Services) 5. /o. ( �2. — `2r �/ r 7: vy�. (All household garbage disp iced off and final bill paid) _ l 2. (Wast Mira agemerrtjdther Company) E 1 VEL �]Completed Construction Permit Application form O C Y 2 4 2011 o Provide the following Teets: 1.Demolition Permit Fee Based on valuation Seo table an pg 4 ofthe cootE y�nh it applications 2.Automation Fee WOO 3.WA State Surcharge 54.50 D Bulletin#121 -January 1,2011C Par-)a L .:so / IclFlaudotttstUemolition Permit Raluiramca�ts Z'd ZEL8 5 9F, I Ctre (.)res uoste1 lame( 10-12-2011 06:33 From-SKING +2534376711 1-360 P.001/002 F-497 411 S • PUGET SOUND ENERGY FAX SHEET DATE TOTAL PAGES SENT INCLUDING COVER SHEET /D /2 / "_ TO NAME FAX NUMBER PHONE NUMBER JO II —0-1 s o .2 - SG 6 2 6/ COMPANY DEPARTMENT FROM NAME FAX NUMBER PHONE NUMBER ,Tt4 So- COMPPrA�NY DEPARTMENT S GC j /J rS T l�.P SrJv.1I / COMMENTS: 720 y r G A0,1-rr, 3 6' " S . o_J w ins RECEIVED OCT 2 4 20f1 CITY OF FEDERAL WAY CDS If you do not receive all of the pages, please call the telephone number of the sender. 1028 4-05 PUGET SOUND ENERGY a subsidiary of PUGET ENERGY 10-12-2011 06:33 From-SKING +2534376TH 1-360 P.002/002 F-497 0 r.c•a 4. .....7„,,os coaraeontry velnewerrrsrrevrrax 33326 8o Avp Snaeh Federffi Way,WA '18003.6325 CITY CF ?53.875-26O7 Fmk 253435-2609 Federal 1! /ay .,,,...r. ,- �,t DEMOLITION P MIT REQUIREMENTS A*mobilo*permit is required to remove twy Structure orttructucts on a siitt1ect property.Check with the Cay's Planning Division to see if the proposal exceeds thresholds that ' an envimrumeatat review.An eitvirbranentol review and submittal of so eavaanme tai checklist may bercquired. ' will erdeud the time period before a demolition permit can be issued. 0 Prier to submittitrg a demolition permit,the Tallo0tµllnns(as applicable)must be shred by the reapecireve agency(see attached Demolition Permit Contact Ida). Novi NE4I IW; Ud litiics,r,*clll IN ells•averred end services pe f +Ioppiknb/e,priors Luaq ct ajrate ekvlofitfa8 pewit iUl apptrrubde UM in b low are to be aygiipy as ogengy�r1� 7� 1.ASBESTOS ABATEMENT AL dbCTR Y (CQpy of approval kir and asbestos ms 'testi Reel Sand Clean Air (Eiectricity to bo Stat dtr and meter mowed) Agency Provided) MOofFederel Way Wading Official) ? Sound Energy) 3 sj .�y4� - ti > f)--7-7 7 2.GAS SUPPLY 7.FUEL STORAGE TANKS (Cas to be suet•• riveter. . . ,a • • . bill paid) (Above or beicw grade fuel tants,have been pulped or removed 0 //�.�.eI--...d..de.—... under Fire Department permit prior to any dismantle/excavation) •Energy )1/C-— rla-Sr - P__ a .- 5-11"7 3 (south tang Fero and Raswe) F, u- W. 3 .- ei r< -b e/z ( 3.5i�1>Dt:s it 8.WATER-Public Source (creek abolieebie bot) (Tani to be reamed or tank to be drained and filled) o IrU'ntrto be nomad and falai vt4Ety fl paid a Meter to remain Arid be protected (;.M1 GO" '..--. .0.7.t" u ,.33 L es purr • woe maw OR*0 k ignI. 4.SANITARY SEINER (Check applicable box) 9.WATER-Privabe Well(ceedc applicable box) o Sewer sae Comped at maxi y am o Poirate_i Med and upped Cl ung xwer ane to remain and be road by proposed eels abvQure o Pritotc well to be Used for other purposes (m.al�aNen unity Ohlrlex) 4 $ . : . • _ � • 5.GARBAGE s 53—— cfq 1 2. 2. $s- (Aa heusehdd garbage disposed off and final bri paid) ^"_`^^' 'i' (Al c ile. &Atm Moriicienrentlatner t]Co p{etrd Cvenbactien PermirtApp&atim largo n Provide the following rtes. 1.lamer Permit Foe ancd on nikseicia.Set haricot)pp 4 ditheamertructiar mad appliance. 2.Auttruation Fee 56.00 3 WA Stitt b ntlItr i $4.5e slaw 0 IIn.-Jimmy I.20i1 Fate 10r kiEseasreiDenrdhiaa Pbirnir Raprere ssou .d ZiL9 l ESESZ untiel leu 8(` OCT-06-2011 15:07 From: • To:912533956806 P.2r3 SCS—' 61 Arak QarAeziegt r4P COIeau.Panr DavoLorstortrirans7CIS 33325 itw Agree Sawh CITY OF p r0 'y,WA 91001-6..V.1 Federal Way 25343S-2607;Fox 2534:115-2609 DEMOLITION PERMIT REQUIREMENTS A demolition permit.is Inquired to remove any structure or structures Cu a subject property.Cheek with the City's Planning Division to see if the proposal exceeds thresholds that trigger an eat&unnenzal review.An eatvirotmiental review and submittal of on environmental checklist may be required,which wilt extend the time period before a demolition permit oat be issued. El Prior to submiLt g a denatitian permit,the>editor wg items(us applicable)usuat be signed by lie respective ovary(me entailed Domotltrio Permit Cathect Ust). NO=TYMISrreGflvr: &Miresshedt be goaeormeeladfoe 1Performed IofPbcoble.prier 10 homer m er ofa r eleaaol s cin Pernm.AAJ ePpL othie tient Way wr ro be azigiagykiapy the lecrhe agency rep:Qerrrcthrs. L Assesros*M TEHeJT et. - (Dopy of apt avy toren and asbestos acne{,mon,Pullet sand C3 .'Jr , off, . , , Agmy P drill 4I 4 LAV Sdit Puget sound - - . ) `�" (may at Perteral Way euedlop OffiroV) L- " 7,-, `.i- 5 7.7 3 (2.GAS SUPPLY 7.FUEL STORAGE TANKS (Gas to be shwa off,toter removed and final blit pall) (Above or below grade fuel rank Have been pimped or removed under Are Department permit prior to any dtsmanttejewcavamon) (Punct Saud Enemy) ts'a 4� - L> f'?'? _ (south king Fire and Rescue) AF*' 7c. ` ' 7e --69z • 3.:4 PTEC SYSTEM 8.WATER-Piddle Source (check applicable box) (MO to be maxim!or tank to he drained and tiled) o"Meter to be yenned end final utilty Id piled a Mata to remain anti be protected COu {term `e,RY_ ct lSuf �3 .2— � yuppliEr sasoo�o opt 4.9ARITAPI/SEWEtt (Check applicable bot) 9.WATER-Private Well(Check applicable tax) a Sewer Arne raged at property Ike a Primite*V filed and tapped 0 6bsting rower lee to remain and be used by proppsed net/structure a Private nyl to bo use/for other printer 5.t3AkldABE -,/› 3— LI !i - Z.2 err —Dam CawrncV Soaker) (rt household gartrmee dosed or at Anad d/paid) 'j.a 1��•C &4.". { ( lOa1+er•Confper i) Cl Completed pkeed Coltsti tion Permit Application form Q Provide the following hey_ L Demotion Permit Fee eased on valuation Sr*table at pea 4 of the can>xition permit anpli eimi Z Automation Fee S6A0 3.WA State Snr karge SAM Wadi.0121-hew*I.2011 Pape 1 all kAilindoweDebitior 1'osoft Ragdrentarra t.d ZE,LRte9E9Z uosioi"tor I • • il Puget Sound Clean Air Agency Notice of Demolition 1 31232 28th Ave. S., Federal Way, WA 98003-5007 1. Approved Transaction Page 1 of 1 pscleanair.org Pipet Sound Clean Air Agency Notification Case #: 201102860 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#VWNF2FCA24AD Transaction Date 10/14/11 Owner's Name Rene Gonzales Phone (253)222-8732 Project Street Address 31232 28th Ave.S. City Federal Way Zip 98003 Contact Person John Larsen Phone (253)222-8732 Mailing Address c/o Genesis Property Management,Attn:Mary Patre Ili @ 32014 32nd Ave.S. Federal Way,WA 98001 This project includes a demolition. Demolition Start Date 10/24/11 Completion Date 11/02/11 Demolition will be completed by a demolition contractor Demo Contractor Dale Larsen Excavating Inc. Contractor Job 5 31232 Contact Dale Larsen Phone (253)843-1930 Mailing Address 30220 28th Ave.S. Roy,WA 98580 (1)I certify that the information I have provided is to the best of my knowledge true and accurate. (2)I understand that 1 must file an Amendment to this Notification if: • The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The projects start or completion date has changed. (3)I understand one Notification must be filed for each structure.The only exception is for a single-family residence that includes multiple ancillary structures,such as a detached garage or other outbuildings having the same street address.If there is no street address,I have used a building number. (4)I understand the fees for this Notification are nonrefundable. Create Another Notification View History Lou Out If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 10/14/2011 i Asbestos Abatement Letter of Completion ipso31232 28th Ave. S., Federal Way, WA 98003-5007 hie Environmental LLC Phone (253)566-5818 P.O.Box 9578 Fax (253)566-5878 Tacoma,WA 98490 Lic.# ABLEEEL906K5 Email:ableenvironmentaotmai.com September 20'x',2011 Rene Gonzales c/o Genesis Property Management Attn: Mar/Patrelli 32014 32" Ave.S. Federal Way, WA 98001 Re:Letter of Completion(Asbestos Abatement) 31232 28`"Ave.S. Federal Way,WA 98003 Dear Ma'am or Sir, This letter serves as notice that Able Environmental LLC has properly removed and disposed of the friable gold vinyl sheeting and tan mastic flooring within the kitchen at the project location,as addressed within the Good Faith Asbestos Building Inspection. If during renovation or demolition,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,cement siding or skirting,cement pipes,cement wallboard,electrical cloth,electrical wiring insulation,thermal paper,wallboard,joint compounds,vinyl wall coverings,spackling compounds or any other suspect TSI),they should be treated as Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. If you have any additional questions,please feel free to call the office at(253)566-5818. Sincerely, CCC � ' � � e��> Heidi Hamilton General Manager Able Environmental LLC • II GOOD FAITH ASBESTOS BUILDING INSPECTION Able Environmental LLC P.O. Box 9578 Phone (253) 566-5818 Tacoma, WA Fax (253) 566-5878 98490 Lic. # ABLEEEL906K5 Sampling Report # AH2O11-118 PROJECT LOCATION 31232 28th Ave. S. Federal Way, WA - 98003 • ` y 4Y "aa PREPARED FOR: Rene Gonzales do Genesis Property Management 32014 32"d Ave. S. Federal Way, WA 98001 Prepared By: Able Environmental, LLC PO Box 9578 Tacoma,WA 98490 Phone: (253) 566-5818 FAX: (253) 566-5878 • • INTENT OF SURVEY On July 8th, 2011, Able Environmental, LLC personnel conducted an Asbestos Building Inspection on the home located at: 31232 —28th Ave. S., Federal Way, WA 98003 The purpose of the building inspection was to identify any Suspect Asbestos Containing Materials that may be present and would require professional abatement prior to demolition. INTRODUCTION On July 8th, 2011, Heidi Hamilton(Cert#110395) of Able Environmental LLC mobilized to the project location to perform a good faith asbestos building inspection on the single story residential home. The two story home with a basement is in severe disrepair and appears to have been abandoned for quite some time. The home and garage have open access and the main entry to the home faces north. Both the garage and home are cluttered with large amounts of debris. Throughout the home, both ceilings and floors have begun to cave in due to weather exposure and moisture damage. The home has appears to have had a minimum of 2 bedrooms upstairs, most rooms on the main floor are missing portions of wallboard and have large amounts of debris and building materials throughout. The building materials of the two upper floors consist of wood slate floors covered partially with vinyl and textured/painted walls and ceiling. There appears to have been one bathroom on the main floor, which currently has no fixtures and is open along the east wall. The basement has a dirt floor with cement block and wood walls. The exterior of the home is wood shingles and a composition roof. This Asbestos Building Inspection Survey and a Puget Sound Clean Air Agency (PSCAA) notice are required to obtain a demolition permit. This survey, the PSCAA notice and the demolition permit should be kept on site during any remediation or demolition activities. Prior to any demolition or renovation, any friable and non-friable asbestos containing materials (ACM) are to be removed and disposed of in accordance with applicable Federal, State and Local regulations. • ASBESTOS SUMMARY • The AHERA regulation, 40 Code of Federal Regulations (CRF) 763, is the primary governing regulation when performing asbestos surveys. This regulation was originally enacted for school buildings, but has since been applied to public and commercial buildings. Puget Sound Clean Air Agency(PSCAA) Regulation 111, Article 4.02(a)requires an Asbestos survey before the renovation or demolition of any structure over 120 sf. AHERA Protocol determines the number of samples of each material to be collected, depending on its category and amount of material present. AHERA regulations segregate suspect materials into three categories: • Surfacing Materials: A sprayed or troweled on texture applied to walls, ceilings, wall cavities and structural members for acoustical, decorative or fireproofing purposes. AHERA requires a collection of a minimum of 3 to 7 samples per homogenous material depending on the quantity of material. • Thermal System Insulation: Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducting, furnaces and other components of hot and cold water systems and heating, ventilation, and air conditioning systems. AHERA requires a collection of at least 3 samples of each homogenous material. • Miscellaneous Materials: Other, largely non-friable products and materials such as floor coverings, ceiling tile,roofing, outdoor siding, concrete pipe, silver coatings and many other building materials. AHERA requires the collection of at least one sample per homogenous material. After identifying the suspect materials, bulk samples were collected and taken to an independent accredited laboratory to be analyzed for the amount and type of asbestos, if any. The bulk samples were analyzed using Polarized Light Microscopy(PLM) stain dispersion staining techniques in accordance with the EPA Method 600/R-93/166, which has a reliable limit of quantification of one percent asbestos by volume. Survey Findings (&,31232 28th Ave. S., Federal Way, WA 98003 There were a total of 34 (thirty-four) suspect building materials (bulk samples)removed and analyzed from the home and garage during this inspection. Based on the lab analysis, ONE of the 34 samples tested positive for asbestos above 1% and therefore asbestos abatement will need to be completed prior to demolition. EPA AND LABOR& INDUSTRY EXTRACTS Current federal regulations (NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS, NESHAPS, CFR 40, PART; 61, SUBPART M [REVISED SUBPARTB])require that no renovation or demolition activity release asbestos fibers to the environment. Therefore, all affected asbestos containing materials must be removed by a certified asbestos contractor prior to renovation or demolition • • • WAC 296-62-07707, Identification, requires an owner to perform a good faith inspection to determine whether materials to be worked on or removed contain asbestos. LIMITATIONS In accordance with your request, Able Environmental LLC has conducted an Asbestos Building Inspection. Able Environmental LLC warrants that the inspection was performed with the usual thoroughness and competence of this profession, and within the limits of accessibility to materials. The survey was conducted within the guidance provided by 40 CFR Part 763, Subpart E, Appendix C. Able Environmental, LLC is not responsible for materials; hidden from site, that cannot be found with reasonable diligence, such as materials in foundations or slab floors. We are providing this information for the express use of Rene Gonzalez and we make no warranty of sufficiency of data to any other parties. This Asbestos Building Inspection, the Puget Sound Clean Air Agency Notice and the Demolition permit will need to be present on site during any renovation or demolition activity. LABORATORY CREDENTIALS All suspect materials were analyzed by Orion Environmental Services in accordance with 40 Code of Federal Register Chapter 1, Part 763, Subpart F. AIHA Bulk Asbestos Analytical Testing Program (102911). 3-Ceidi 3-lamifton, ( M Heidi Hamilton General Manager Asbestos Building Inspector CERTIFICATION NUMBER: 110395 Expires: 1.26.2011 / 1.26.12 • • • ,P11.----) Building Inspector Certification 1 cm C N m . c Q c ul Q `'i' (0 Z —) i NIS N N 0 a r y c �•4 O m ° l �1s) �.-. W41i.„-;.•,,-,•:•,,,,,,,,, 4 �.r m = �K ice( (SS V NCC I W o 1, O E LU N . \ 4--, Cl)_ 0) vJ •n < • � _c E 1.—( ' a) (s) . L, ....., 7 O �� PACIFIC Er' ) iell .4 C � ' � ISI ' i N .ry •C u- tn rn Z [ m� CC 8 4 3 Q �O • U " i pct. 74 II m / w ZZ c13 4 /� +4 1_ Q O e' •1.4 to G/, I- C � tme oristp _2 2, co N O �' Jaz v � Z C -1----:,/,-2� 73 .(....i?i 2 ) ' n¢. . �; AN w I F,C! r` i • • Asbestos Building Inspection Analytical Results, 7.8.2011 II 31232 28th Ave. S., Federal Way, WA 98003-5007 ORIOIV Environmental Services An Environmental Compliance Consulting Firm ■ _ — I Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client Able Environmental LLC Date July 11,2011 P.O.Box 9578 Page Page 1 of 4 Tacoma,WA 98490 Invoice 112953 Attention:Heidi Hamilton Date Received July 8,2011 Project Number AH2O11-118 Project Name Genesis-31232 Client Orion Sample Asbestos Other Number Number Stereo Scope Exam Treatment Percent Type Fibers la 10708-119a Roofing Composition Ash ND - Cellulose Homogeneous Fiberglass lb 10708-119b Building Paper Chloroform ND - Cellulose Assoc.w/1 2a 10708-120a Blue Composition Roofing Ash ND - Cellulose Homogeneous Fiberglass 2b 10708-120b Red Composition Roofing Ash ND - Cellulose Homogeneous Fiberglass 2c (0708-120c Dark Sealant Chloroform ND - - Assoc.w/2b 3 10708-121 Wallboard - ND - Cellulose Homogeneous 4 10708-122 Window Putty Chloroform ND - - Homogeneous 5a 10708-123a Roofing Compositing Ash ND - Cellulose Homogeneous Fiberglass 5b 10708-123b Roofing Compositing Ash ND - Cellulose Homogeneous Fiberglass 6 10708-124 Insulation Paper Back - ND - Fiberglass Homogeneous 7a 10708-125a Roofing Compositing Ash ND - Cellulose Homogeneous Fiberglass 7b 10708-125b Roofing Compositing Ash ND - Cellulose Homogeneous Fiberglass 8a 10708-126a Rooting Compositing Ash ND - Cellulose Homogeneous Fiberglass 34004-91h Avenue South • Suite A5 • Federal Way,Washington 98003-6740 Tacoma(253)952-6717 • Seattle(253)874-8118 + Facsimile(253)927-4714, Email Info@OIionES.net WBE W2F9219763 • i • ORION Environmental Services An Environmental Compliance Consulting Firm Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client Able Environmental LLC Date July 11,2011 P.O. Box 9578 Page Page 2 of 4 Tacoma, WA 98490 Invoice 112953 Attention: Heidi Hamilton Date Received July 8, 2011 Project Number AH2O11-118 Project Name Genesis - 31232 Client Orion Sample Asbestos Other Number Number Stereo Scope Exam Treatment Percent Type Fibers 8b 10708-126b Building Paper Chloroform ND - Cellulose Homogeneous 9 10708-127 Slip Sheet Ash ND - Cellulose Homogeneous 10a 10708-I28a Skim Coat - ND - Cellulose Assoc. w/10c 10b 10708-128b Plaster - ND - Cellulose Assoc. w/10c 10c 10708-128c Wallboard - ND - Cellulose Homogeneous 111 10708-129a Vinyl Tile w/Self Adhesive - ND - - Homogeneous llb 10708-129b Gold Vinyl Sheeting - 15 Chrysotile Cellulose w/Gray Felt Backing and Tan Mastic Non Separable 12 10708-130 Texture - ND - Cellulose Homogeneous 13 10708-131 Insulation - ND - Fiberglass Homogeneous 14 10708-132 Popcorn Ceiling Texture - ND - Cellulose Homogeneous 15 10708-133 Popcorn Ceiling Texture - ND - Cellulose Homogeneous 16 10708-134 Popcorn Ceiling Texture - ND - Cellulose Homogeneous 34004 -9a'Avenue South • Suite A5 • Federal Way, Washington 98003-6740 Tacoma(253)952-6717 • Seattle(253) 874-8118 • Facsimile(253)927-4714 + Email Info@OrionES.net WBE W2F9219763 i S . . , OlUONEnvironmental Services An Environmental Compliance Consulting Firm Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client Able Environmental LLC Date July 11, 2011 P.O. Box 9578 Page Page 3 of 4 Tacoma, WA 98490 Invoice 112953 Attention: Heidi Hamilton Date Received July 8, 2011 Project Number AH2O11-118 Project Name Genesis - 31232 Client Orion Sample Asbestos Other Number Number Stereo Scope Exam Treatment Percent Type Fibers 17 10708-135 Texture - ND - Cellulose Homogeneous 18 10708-136 Popcorn Ceiling Texture - ND - - Homogeneous 19a 10708-137a Texture - ND - i Assoc. w/19d 19b 10708-137b Skim Coat - ND - Assoc. w/19d 19c 10706-137c Plaster - ND - Cellulose Assoc. w/19d 19d 10706-137d Wallboard - ND - Cellulose Homogeneous . 20a 10706-138a Tan Mastic Chloroform ND - Cellulose Assoc. w/20c 20b 10706-138b Skim Coat - ND - Cellulose Assoc. w/20c 20c 10706-138c Plaster - ND - Cellulose Homogeneous 34004-9th Avenue South • Suite A5 • Federal Way,Washington 98003-6740 Tacoma(253)952-6717 • Seattle(253) 874-8118 • Facsimile(253)927-4714 • Email Info@OrionES.net WBE W2F9219763 • • ORIONEnvironmental Services An Environmental Compliance Consulting Firm Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client Able Environmental LLC Date July 11,2011 P.O. Box 9578 Page Page 4 of 4 Tacoma, WA 98490 Invoice 112953 Attention: Heidi Hamilton Date Received July 8,2011 Project Number AH2O11-118 Project Name Genesis- 31232 Client Orion Sample Asbestos Other Number Number Stereo Scope Exam Treatment Percent Tyne Fibers Dup: Laboratory QA/QC Duplicate;M;Mastic[(a),(b), (c),etc.]: Sample layers numbered from front to back. Comments: For layered samples,each component has been analyzed separately. ND means non-detect for asbestos fibers by EPA Method 600/R-98/l 16.Disclaimers: PLM has been known to miss asbestos in a small percentage of samples that contain asbestos. Thus,these laboratory results represent due diligence,however negative or<1 %PLM results can not be guaranteed.Per EPA guidelines samples will be archived for 30 days then will be disposed of This report may only be reproduced in full with written approval of ORION Environmental Services. Analyzed By c\-Th jb,_` , . . - ,L,,_,...- Reviewed By `1 i7* a ennis Rauschenber. 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