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15-102475 Demolition City of&FedEco Deyal y S Permit #: 15-102475-00-D E Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-26094111 E p a Project Name: TIEU r• Project Address: 27610 27TH AVE S Parcel Number: 516000 0070 Project Description: Demolition of manufactured home that was partially destroyed by fire. Owner Applicant Contractor HUE VAN TIEU HUE VAN TIEU OWNER IS CONTRACTOR 2002 S 272ND ST 2002 S 272ND ST KENT WA 98032 KENT WA 98032 Additional Permit Information Demolition Valuation 1300 PERMIT EXPIRES Sunday, May 21, 2017 Permit Issued on Friday, May 22, 2015 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: �/� Date: /v0 (.4j 2- , LE SNA THIS CARD IS TO REMAIN ON-SITE CITY OF 1.11111111ftift,w • Construction I�ection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-102475-00-DE Address: 27610 27TH AVE S Project: HUE VAN TIEU FEDERAL WAY, WA 98003 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 f By Date `7 ( 2.3 ( ' ❑ Rough Electrical Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date CITY OF NSD PERMIT oPPLICATION Federal Way ,,i, co/ MAY 222015 3 CITY QF F LWAY ,1 � ``-- PERMIT NUMBER / 5 _ 7 0 �( ?5 _ U ��11 TARGET DATE SITE ADDRESS SUITE/UNIT# g- - (s I b X? VC._ S W- (&)4-, ei 8-003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# I3 ,,c) o _ ') 5 1 G p v _ d V u1 `/ TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT � LC c PROJECT DESCRIPTION �� J 1 15 1Ci/V" ► �l - VA()�J1 _ ��v� Detailed description of work to7 1 - 6t&-",--L'c° l.e d/ be included on this permit only NAME ,, i\ PRIMARY PHONE 7 _ PROPERTY OWNER H L}L TIE V Zi_( 1 , �CI MAILING ADDRESS -, E-MAIL 21 6 [ D )-7-0,4,17/\\")e -e ,I'1 p .� C fro.1 cx, (t4 CITY, ^ h STATE ZIP r? ( (. kJt '-ti- t,+)_ 9 0 0 NAMEPHONE , s )L.._ T. / MAILING ADDRESS .,.v"�y 5.,..._ E-MAIL CONTRACTOR C->1 �j c • `— 2_ ° 1 CITY STATE ZIP FAX L-04 Wei t,t,s.- q iv C 2, WA S ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME ,� PRIMARY PHONE 104CE Ti-eU 23 - t 7c9 -_ 6i3i- MAILING ADDRESS , APPLICANT ; S 1 C� s . I:, Lam. CZf!fto( M --- CITY STATEZIP FAX K-Q Kt- ��O � CIS 0 5 , NAME PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY I STATE ZIP FAX NAME PROJECT FINANCING 0 OWNER-FINANCED ----_„, Required value of$5,000 or more LING ADDRESS,CITY,STATE,ZIPPHONE (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 to the city as a part of this application.I { SIGNATURE: DATE I/`(,i." ( cel, ,),_e IK-- PRINT NAME: ..l '{-�OE TI-E--13 Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application 01 (9 k 0 q.,..7-7 AN. . t-, N L ` - COMMUNITY&ECONOMIC DEVELOPMENT DEPARTMENT 33325 36 Avenue South CITY OF Federal Way, WA 9Rc,O3 (s325 Fed � 253-835 2607;Fax a53•A3526x9 yww ,cityc_... ralwaY.corit DEMOLITION PERMIT REQUIREMENTS A demolition permit is reytii;ed to remove any structure or structures on a subject property. Check with the City's Planning Division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can be issued. L.i Prior to submitting a demolition permit,the following items(as applicable)must be signed by the respective agency(see attached Demolition Permit Contact List). Nore TU-tt ruc:IAT Utilities shall be dirrrstmccild and se?vices performer'. if applicrrhie,prior to i.wuartce ofthe demolition permit.All applicable items bciow are 10 be Siiaert.lt Arai iGv the raspectivr cgeniy reprecentatires. 1.ASBESTOS ABATEMENT 6.ELECTRICITY (CoFy of apprOval form and aabests survey from Puget Sound Clean Air (E e'ttr i tO be,sshhuyt o a reve.r , ii ( 11 /i ,/r (City of Federal Way Builing Official) (il (Puget Sound Enegy} r 2.GAS SUPPLY 7.FUEL STORAGE TANKS (Gas to be snot trfr,meter rernc'rt 51.1 n,na!aai pari) (Above or below grade fuel tanks, have been pumped or removed ,1-k under Fire Department pe lit pri rtto any dismantle/excavation) (Puget Fnergy) (south Kin Fire and Rescue) 3.SEPTIC SYSTEM B.WATER-Public Source (Check applicable box) (Tank t0 be remavec or tank tc be drained and:`iced) ❑Meter to be removed and final utility bill paid A Meter to remain and a prOteCted Th King 0>unty Environmental Ser,ices) , , (water Supplier) r"x*=k:OR*...** 4.SANITARY SEWER (Check appii;abie box) 9. WATER-Private Well(Check applicable bOx) a Sewer line capped at property line o Private well filled and capped ci Existing Sewer Una to remain a be used by proposed new structure o Private well to be used fQr Qther poses P4 t ( a eh ver Utility District) (King Caun Environmentsrvioes)J S.GARBAGE {Ai!household garbage dispnc off Fin&bill paid) (Waste M trier Company) —._ O Completed Construction Permit Application form 0 Provide the following fees: 1. Demolition Permit Fee Rased on valuation.Sea table on pg4ofthe constructionpermit application. 2. Automation Fee $20.00 3, WA State Surcharge $4.50 — fluile:in It l22-Fannin, 14,20 i 3Pa ni i -.._._..._.---.T,atitaiiiitiitkiegeliboro Permit Requirements MAY 222015 CITY OF FEDERAL WAY CDS • • • COMMUNITY&ECONOMIC DEVELOPMENT DEPARTMENT 33325 8th Avenue South ,� Federal Way,WA 98003-6325 CITY OF .„„,„,, "� 253-835-2607;Fax 253-835-2609 Federal Way www.cityoffederalway.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure or structures on a subject property. Check with the City's Planning Division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can be issued. 0 Prior to submitting a demolition permit,the following items(as applicable) must be signed by the respective agency(see attached Demolition Permit Contact List). NOTE TO APPLICANT: Utilities shall be disconnected and services performed, if applicable,prior to issuance of the demolition permit.All applicable items below are to be signed and dated by the respective agency representatives. 1.ASBESTOS ABATEMENT 6. ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut o f and meter rem9ved) Agency provided) S—T_B, ' (.1 (Puget Sound Energy) (City of Federal Way Building Official) 2.GAS SUPPLY 7. FUEL STORAGE TANKS (Gas to be shut off, meter removed a/t final bill paid) (Above or below grade fuel tanks, have been pumped or removed Id under Fire Department permit pri r.to any dismantle/excavation) (Puget S nd Energy) N (South Kin Fire and Rescue) 3.SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box) (Tank to be removed or tank to be drained and filled) n Meter to be removed and final utility bill paid 7Q Meter to remain and be protected _ (King County Environmental Services) () (Water Supplier) ******OR****** 4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well(Check applicable box) n Sewer line capped at property line o Private well filled and capped u Existing sewer line to remain apti be used by proposed new structure ❑Private well to be used fQr gther poses (Lakehaven Utility District) (King Coun Environmental Services) 5.GARBAGE (All household garbage disp off lyJ final bill paid) (Waste Manag menntt/Other Company) RECEIVED ❑Completed Construction Permit Application form MAY 2 2 2015 ❑ Provide the following fees: 1. Demolition Permit Fee Based on valuation.See table L.l l T t-o aljyitapplication. 2. Automation Fee $20.00 • I i CDS 3. WA State Surcharge $4.50 Bulletin#122—February 14,2013 Page 1 of I k.l-landouts\Demolition Permit Requirements • Approved Transaction • • Page 1 of 1 • pscIeanar.org Pu„yet5os.fl Agency Single-Family Notification Case #: 201501954 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 # ALOFC2BA0107 Transaction Date 05/14/15 Owner's Name Hue Tieu Phone (253) 670-6135 Project Street Address 27610 27th Ave S. City Federal way Zip 98003 Contact Person Hue Tieu Phone (253) 670-6135 Mailing Address 2002 S.272nd ST Kent,WA 98032 This project includes asbestos removal. Project Size linear feet / 1200 square feet Project Start Date 05/30/15 Completion Date 08/30/15 Asbestos will be removed by the home owner This project includes a demolition. Demolition Start Date 05/30/15 Completion Date 08/30/15 Demolition will be completed by the home owner 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. Receive® MAY 222015 CITY OF FEDERAL WAY CDS https://secure.pscleanair.org/Asbestos/Approved.aspx 5/14/2015 • S Project Setup Report Project Setup Project Name Mobile - 27610 27th Ave S Affiliation Now Project No. N15-0235 Set Up By Angela Todd Project Mgr. Donna McNeal Set Up Date 5/19/2015 Field Techs Angela Todd -Client Info Contact Hue Tieu Relationship Company Address Phone (253) 670-6135 Fax Email P.O. No. Claim No. Bill Addr -Project Info Project Type Asbestos, Residential Site Addr 27610 27th Ave S, Federal Way, WA 98003 Status Open Dwelling Cap. Promised By 5/26/2015 Class Turnaround Rush Send Reports Via -Site Contacts -Site Visits Site Contact: Hue, (253) 670-6135 Tuesday, 5/19/2015 at 11:00 AM General Contractor: Abatement Contractor: Project Superintendent: —Billing — Notes Type of Billing One Time 3 day TAT per Donna Monthly Billing Day r �� CO-Y,1 02 Payment Type C Payment Method Pick Up At Site Amt Quoted Price $ 525.00 Printed by Donna McNeal p. 1 of 1 5/22/2015 MAY/22/2015/FRI 01 :30 PM NOM ENVIRONMENTAL FAX No. 253-924-0323 P. 001 • s -f'' From the Desk of Todd Rickert i34004 91°Avenue South Alt 1' ENVIRONMENTAL SERVICES INC. Federal Way,Washington 98003 CONSULTING&COMPLIANCE Telephone(253)927-5233 Facsimile(253)924-0323 May22, 2015 Executive Summary NOW Project N15-0235 Hue Tieu RE: Limited Asbestos Assessment Mobile Home at 27610 27th Ave South Federal Way, WA 98003 Dear Mr. Tieu, NOW Environmental Services is pleased to present this survey report for suspect asbestos- containing building materials analysis conducted at the mobile home located at 27610 27th Ave South In Federal Way, Washington. We appreciate the opportunity to have been of service to you. If you have any questions regarding this report, please feel free to contact me at (253) 927-5233. Sincerely, '''# ::X:::i7-1--- Todd Rickert Project Manager AHERA Building Inspector/Management Planner NOW Environmental Services Enclosure: Asbestos Survey Report t 34004 9°'Avenue South,Building A,Suite 12,Federal Way,Washington 98003-6740 Telephone Tacoma(253)927-5233-Facsimile{253)924-0323 MAY/22/2015/FRI 01 : 30 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 002 11 Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA prepared Fort Hue lieu Subject Property: Mobile Home 27610 27th Ave South Federal Way, WA 98003 Prepared By: NOW Environmental Services 34004 9th Avenue South, Suite 12 Federal Way, Washington 98003 Contents Section 1.0-Introduction 1 Section 2.0-Executive Summary 1 Building Description 1 Asbestos 1 Section 3.0-Regulatory Compliance 2 Asbestos 2 Section 4.0—Asbestos Sampling Plan and Laboratory Analysis 2 Objectives 2 Asbestos Sampling Plan Protocol 2 Asbestos Sampling Procedure 3 Asbestos Laboratory Analysis 3 Section 5.0-Survey Results 4 Asbestos 4 Section 6.0-Conclusions and Recommendations 5 Asbestos 5 Section 7.0-Limits of Survey 6 MAY/22/2015/FRI 01 : 30 PM NOW ENVIRONMENTAL FAX Na. 253-924-0323 P. 003 • Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA Section 1.0 - Introduction On May 19, 2015, AHERA Building Inspector Angela Todd of NOW Environmental Services conducted an inspection for suspected asbestos-containing building materials on the mobile home located at 27610 27th Ave S in Federal Way, Washington. Ms. Todd is an Environmental Protection Agency (EPA) Accredited Building Inspector Accreditation No. BI-NES-11-2014-03 (Exp. 11-20-15). Accessible areas were visited and samples were taken of building materials suspected to contain asbestos. Material suspected of containing asbestos included window putty, insulation, fiberboard, vinyl flooring, ceiling tiles, caulking and silver coat roof application. These samples were analyzed by Polarized Light Microscopy (PLM) with dispersion staining, in accordance with the Environmental Protection Agency's (EPA) Method for Determination of Asbestos in Bulk Materials (Method 600/R-93/116). Percentage estimates are based on the analyst's best judgment following PLM/DS and examination with a stereoscope. Any materials or components containing greater than one percent (>1%) asbestos is regulated by federal, state and local air agencies. In addition, the quantities of asbestos-containing materials were estimated.* Please see Table 1 for an inventory of sampled suspect building materials, Sample locations are indicated on the attached site drawings. *QUANTITIES ARE APPROXIMATE AND ARE NOT TO BE USED FOR BIDDING PURPOSES. PROSPECTIVE BIDDERS MUST SITE VERIFY QUANTITIES AND SITE CONDITIONS. Section 2.0 - Executive Summary Building Description The subject structure is a mobile home located at 27610 27th Ave S in Federal Way, Washington, approximately 1,700 square feet, and built approximately in the 1970s. The structure consists of wood framed interior wall systems, wood paneling, vinyl flooring on wood substrate, tacked carpet and pad, laminate flooring with plastic slip sheeting, batt insulation, window putty, door caulking, fiberboard under metal siding, and a silver coat application on a metal roof. Asbestos All samples collected at the subject property were determined to be non-asbestos containing building materials, Please see Table 1 for an inventory of sampled suspect building materials. NOW Project N15-0235 Page 1 of 7 May 22, 2015 MAY/22/2015/FRI 01 : 30 PM NO1' ENVIRONMENTAL FAX No. 253-924-0323 P. 004 S • Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA Section 3.0 - Regulatory Compliance Asbestos The intent of the asbestos survey Is to comply with governing asbestos regulations required by the State of Washington and Puget Sound Clean Air Agency (PSCAA). Currently, the State of Washington requires a written "good faith inspection" for identification of asbestos-containing materials prior to any remodeling or demolition work. During demolition and construction work it is the responsibility of the owner and the contractors to make this survey document available to all concerned parties who may be handling the building materials. In addition, PSCAA requires that a copy of the written asbestos survey be made available on- site for inspection by a PSCAA Control Officer during construction and demolition work. The survey is required to be performed in accordance with 40 CFR 763.86. These federal standards require inspections to be conducted by an EPA Accredited Building Inspector with analysis to be provided by an asbestos laboratory certified by the National Bureau of Standards. The requirements are described in Article 1 and Article 4, of PSCAA's Asbestos Control Standards. All survey work was conducted in compliance with the above mentioned standards. Asbestos-containing materials are required to be removed and disposed of in accordance with Washington State Regulation 296-155 WAC, Part S prior to any demolition, renovation, or remodeling that would disturb these materials, Washington State Department of Labor and Industries and PSCAA require that the abatement be performed using Certified Asbestos Workers under the direct on-site supervision of a Certified Asbestos Supervisor in accordance with 296-65 WAC. Also see 296-62 WAC, Part I-1--General requirements for handling asbestos. Section 4.0 -Asbestos Sampling Plan and Laboratory Analysis Objectives The objective of the survey was to determine the quantity and location of building materials that contain asbestos. Asbestos Sampling Plan Protocol This survey was conducted using a protocol adapted from the Asbestos Hazard Emergency Response Act (AHERA).The protocol is as follows: 1. Group materials into homogeneous sampling areas. 2. Quantify each homogeneous sampling area and collect samples from each area using the "3-5-7" criteria for surfacing material to determine the number of samples needed. Quantify and collect a minimum of three samples of each thermal system insulation (the number of samples collected of miscellaneous materials was determined by the inspector). NOW Project N15-0235 Page 2 of 7 May 22, 2015 MAY/22/2015/FRI 01 : 30 PM NOW ENVIRONMENTAL FAX No, 253-924-0323 P. 005 • • Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA 3. Samples of each material were taken to the substrate, ensuring that all components of the material were included. 4. Sampling was performed by a Certified Building Inspector, and the use of proper protective equipment and procedures was followed. Asbestos Sampling Procedure 1. Spread the plastic drop cloth (if needed) and set up other equipment, e.g., ladder. 2. Put on protective equipment (respirator and protective clothing if needed). 3. Label sample container with its Identification number and record number. Record sample location, and type of material sampled on a sampling data form. 4. Moisten area where sample is to be extracted (spray the immediate area with water). 5. Extract sample using a clean knife, drill capsule, or cork boring tool to cut out or scrape off approximately one tablespoon of the material. Penetrate all layers of material. 6. Place sample in a container and tightly seal it. 7. Wipe the exterior of the container with a wet wipe to remove any material that may have adhered to it during sampling. 8. Clean tools with wet wipes and wet mop or vacuum area with HEPA vacuum to clean all debris. 9. Seal the sampling location with caulking compound, spackle or duct tape. 10. Discard protective clothing, wet wipes and rags, cartridge filters, and drop cloth in a labeled plastic waste bag. Asbestos Laboratory Analysis The bulk samples were analyzed in our laboratory using polarized light microscopy (PLM) with dispersion staining in accordance with US EPA method 600/R-93/116 as specified In 40 CFR Chapter T (7-1-93 edition) Part 763, Subpart F, Appendix A, pages 499-504. Polarizing light microscopy quantifies asbestos concentrations at between 100% and 1% detection levels. Levels below 1% can only be stated as "trace." For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled L-1 for layer one and L-2 for layer two, etc.) and a total percentage for the entire sample. The asbestos concentration in the sample is determined by visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. NOW Project N15-0235 Page 3 of 7 May 22, 2015 MAY/22/201 5/FR I 01 : 30 PM NOW ENVIRONMENTAL FAX Na, 253-924-0323 P. 006 • 4111 Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA Section 5.0 - Survey Results Asbestos All suspect building materials sampled were non-detect for asbestos. Please see Table 1 for bulk sampling results of suspect building materials found during this inspection. Table 1 Summary of Suspect Asbestos Containing Building Materials Sampled at the Subject Location pyozizi,AS%_t4.gg,Vgytgt2..'iit,igiMitgf.kttW.1-,T1VV.ctVg--*Mg*N.piaPZZ*:a,EP'i.42ZM atMeKnp:k.11,900:44145.00!".1.eAl:18 .44101t0palIpMp!, ,,t4.ii i:#:;?psP4A0.0,11mr.aMV WW,polksazizicA4ti:*J-0,, .VaNiV.Rgvai*.7;MY-Pr• 'N'xt;..05,04,0417,' i'41!,!WMAYMP:1-4zWftt'SlaSckrifl* Mafti/Axt.,440frtq0400.igiigAkiiPPAF04 POPONIC440:00P.*Zi ;*,04**tigNi*,4'Ul',-14**4a ghtgaghq:Atio*Wt;VW Window Putty 01 Exterior Windows Under Non-Detect Wood Framing Insulation 02 Batt Insulation Non-Detect throughout Walls, Ceilings and Undercarriage Fiberboard 03 Exterior Fiberboard under Non-Detect Metal Siding Vinyl Sheeting 04 White/Gold vinyl Sheeting Non-Detect with Gray Felt Backing and Yellow Mastic Ceiling 'Tile 05 Ceiling Tiles throughout Non-Detect Ceilings Vinyl Tile 06 Vinyl Tile with Self- Non-Detect Adhesive in Bathroom - - Vinyl Sheeting 07 Gold Vinyl Sheeting with Non-Detect Brown Pelt Backing under Stone Tile Caulking 08 Exterior Caulking on Door Non-Detect Frames Silver Coat 09-13 Silver Coat Application on Non-Detect Metal Roof NOW Project N15-0235 Page 4 of 7 May 22, 2015 MAY/22/2015/FRI 01 : 31 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 007 • • Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA Section 6.0 - Conclusions and Recommendations NOW Environmental Services is not responsible for materials which require destructive means to access, or materials which are hidden from sight, those materials hidden behind walls, or materials which cannot be found with reasonable diligence. Extreme caution should be used during renovation or demolition to ensure that additional unidentified materials are not disturbed. In the event that additional materials are discovered, the material must be sampled by an EPA Accredited AHERA Building Inspector and analyzed to determine if it contains asbestos prior to disturbance. Asbestos According to Washington Administrative Code (WAC) 296-62-07721, prior to the start of work, a building owner must Identify the presence, location, and quantity of ACM and/or presumed ACM (PACM) prior to renovation and demolition. This information must be communicated to contractors bidding on work, contractors performing other work, employees and tenants in or adjacent to the work area. The Puget Sound Clean Air Agency Regulation III, Article 4 requires that an asbestos survey be conducted prior to any renovation or demolition of existing buildings. This survey was intended to meet these regulatory requirements. Asbestos-containing materials are required to be removed and disposed of in accordance with Washington State Regulations prior to any demolition, renovation, or remodeling that would disturb these materials. Washington State Department of Labor and Industries and PSCAA require that the abatement be performed using Certified Asbestos Workers under the direct on- site supervision of a Certified Asbestos Supervisor. The only exemption is for resident owners performing removal of asbestos-containing materials other than furnace interiors and direct applied mudded asbestos insulation, ACM is identified as those building materials containing greater than one percent (>1.0%) of asbestos as verified by laboratory analysis. All building materials fabricated prior to 1980 are assumed to contain asbestos unless proven otherwise by a licensed building Inspector. Materials that contain 1.0% or less asbestos are not regulated for disposal purposes. However, removal of materials containing 1.0% or less asbestos is considered an unclassified asbestos operation by OSHA and WISHA. Unclassified asbestos operations cover employees likely to be exposed in excess of the permissible exposure limit (PEL), and who are performing operations not covered by Class I through IV. For construction work involving unclassified asbestos the applicable requirements will include: an exposure assessment, use of vacuum cleaners equipped with HEPA filters, use of wet methods and prompt cleanup of debris, use of respirators and protective clothing, training, and record keeping. Asbestos-containing joint compound associated with non-asbestos gypsum wallboard (GWB) assemblies is sometimes found in specific locations of a building. The presence of asbestos in this material requires personnel impacting the material to adhere to regulatory requirement outlined in WAC 296-62-17712(2) and training as outlined In WAC 296-62-07722(5) and WAC NOW Project N15-0235 Page 5 of 7 May 22, 2015 MAY/22/2015/FRI 01 : 31 PM NOW ENVIRONMENTAL FAX Na. 253-924-0323 P. 003 • • Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA 296-62-07728. Personal protective equipment and proper work practices are required pending completion of a negative exposure assessment. Such an assessment may include air monitoring of workers'breathing zones. Refer to WISHA Regional Directive 23.30 for additional information. The possibility exists that additional ACMs may be present in wall and ceiling cavities. Any previously unidentified material encountered during construction activities should be sampled prior to impact. Work that may impact asbestos must be performed by personnel having proper training and utilizing proper worker protection according WISHA standards. NOW Environmental Services recommends that a Certified Asbestos Project Designer design any asbestos abatement project to ensure that the job is completed according to regulatory standards. Section 7.0 - Limits of Survey Asbestos surveys are non-comprehensive by nature and subject to many limitations including those presented below. Our assessment has considered risks pertaining to asbestos; however, this survey is limited to only those locations sampled. This survey was not designed to identify all potential concerns or eliminate all risk associated with asbestos. Risks that were not evaluated with this survey; Risks such as 1) toxic and hazardous substances in (or in contact with or associated with) soil or ground water; 2) risks associated with structural, electrical, or mechanical working of the building; 3) risks associated with radon gas, slope stability, building settlement, moisture, or site drainage and flooding have not been evaluated during this survey. No warranty, expressed or implied, is made. The site visit consisted of a thorough visual walk-through of building for the purpose of viewing and sampling potential asbestos-containing material. Suspect PCB containing light ballasts were not estimated. Fluorescent bulbs were not quantified for recycling purposes. Mercury vapor lamps were not identified during the survey. NOW Environmental Services performed this survey in accordance with the generally accepted standards of care that exist in the industrial hygiene profession in Washington State at the time of this study. The asbestos survey was performed in preparation for removal of asbestos- containing materials in accordance with NESHAPS regulations. This survey is not Intended for use as plans and specifications. These estimates are for approximating actual bid prices from contractors only, and may not reflect the actual final costs of asbestos and/or lead abatement. They do not include sales tax, or Owner costs such as abatement project oversight and monitoring for compliance to law and/or compliance to project plans and specifications. These estimates assume that adequate, professional plans and specifications are prepared and the abatement costs are minimized by professional project NOW Project N15-0235 Page 6 of 7 May 22, 2015 MAY/22/2015/FRI 01 : 31 PM NO" ENVIRONMENTAL FAX No, 253-924-0323 P. 009 • • Limited Asbestos Assessment Mobile Home 27610 27th Ave S - Federal Way, WA management, and that all asbestos containing materials are abated during one project by the same asbestos contractor. Written By: ';;;77 Todd Rickert Project Manager AHERA Building Inspector/Management Planner Accreditation No. BIMPIR/NES-052814-01 (Exp. 5-27-15) Reviewed By: Donna McNeal CEO/Laboratory Director Enclosures • Bulk Asbestos Laboratory Reports • Field Notes • AHERA Building Inspector Certificate NOW Project N15-0235 Page 7 of 7 May 22, 2015 MAY/22/2015/FR I 01 :31PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 0 1 0 • • . Iiiitt .... ORION Environmental Services 34004 Ninth Avenue South,Suite Al2, Federal Way,WA 98003 Phone: (253)952-6717 • Fax: (253)927-4714 Email: info@oriones.net•Web:www.oriones.net WBE W2F9219763 Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client: Rpt.Date: Address: Page; 1 of 2 Attention: Hue Tleu Invoice: 152611 Project Name: Mobile-27610 27th Ave 5 Date Rcvd: 5/19/2015 Project Number: N15-0235 ':41M,IMMITAPPWI'OjntWhIgleal!llatOP1141.1.aaedMr4aliMFiR 1110154Waliqa5.;:i: IF,Iala,.5 HivizomIxim14,4111:Ityllp4q ,..„,......,"..... ... ..,..,,,,L,! ,..,,,,. „:„....,,,,,"„:„.„..„„,,,,,,,,,,,,,,,,...„,, v„...,",,,v,,,".„,„",...",,,....„....."#„*A,rS„v„..,1.1..41 , o .„, ai, wip011341114.1 .AliNi,NtlioNLI:11,Ili14no,k4r,,,ago.,;11: ,AP.:143EFfilin1;17 11.10,c.ilql,i'!!,t,19',1,1;,. .2..i#! !..k•w..i11,t,01111:;YIN!..1,'.' ;,,,t n4,:lilitilliP;ingrtildilt",*;;410,iblgtql4w$:iliii.0.44114,144Rilill lil;t:Ii.4.44.1i11:*:!q,41rlkilii.'s.s.iivi,ii'fte- Rplidl!1,1,:ilit!. :,12iy..66,c610,i!!4; Inr,cliotit:.piAt4P, .111v4fig.9,riolii.in.:1;0,5i(air :64,14.4M,ogio ..it;i.i...im.t:Iu.,-,4ii.i!.1: •m;I:1:flARFP.Okiii.ipli.l.q:: iiliiir 11!:'it'iI'A.S.b.,,I,Vi;irlil r,!';!;10•:ii•PP.7110.Viiii I!j .._'!1,',: !:i!linZi,o,i,A11,;;T,;,T,!,111 Lit,,...':':,31!`e,44111.ti 't; '.1.11.gi.;!!tiltiLl'IL.,"il•"..„_"H'i,4,1!'ir"ii'..t924R1r, !Illb4.!-1111!1!1',9!!.1a11.1. . ...r,i;!;,.. ;r4i:•.10a.71.!v-ir::;,4,..,!1..::.,:9.1iik.i.Z..:41e....;:.,e;.1j: ri,ftqayllt:404W,31:01:V1i,t.w.e,ip?5,?. .il.P.!.;t9n,5! #.1:4I,=,,•11;.„.•!rxr.pagrigt.. .t;I::214::.;,191kit.q.lal.F.g.I.;;::iit4,gixp.r.IL. ,;,!*...liotim:e.„Rnt„S..:ioNd:11 ','^i1li,:',,,,.A,.,.''r,:litup.,:tra.,Vorimitldpvitati:vizmtrAnlalil:...i,vvrg.!1!V, 1'11.11713'.1.4tt .1:;:w!tilf.;van:!!:z::644.'40iNsi6'.;4114itifru.Pi n',•irMfis!.,. qtg.,.,;;;;,1.!i, 01 I 20150519 Window Putty ND I -121 _ . . .. .. . .. . .. . . . 02 . • . •• :.,. • :•::• , •'• [siltation ..''. — ND . . • : .fiberglass. : 201350519 03 Exterior Fiberboard ND cellulose .- . • • .. . . . . . . . • . • •• • '••••• '. 20150519 :••• ••••:H:••::"'"::::.:-.: ':•-:.. . '. . - - .. .. . , " " • " • 04 • • . :••,• •• : .• •: •• :Sheet Vinyl,WhiteiGOld . 'ND. •• • ' ' : ; ;• 'cellulose . .. , . . . .• . , . ...... . . , • • . . ... . . . . . . . . 20150519 05 Ceiling Tile ND cellulose -126 * '• -' . ' . . '•• '. 20160519 .:':••::::;H••i:•••!..ri:, :'' •:•: ...-: . : .. • ••, , : . . , ,. . • . man-made 06 • • • • •::•.: • ...• 2:•Floor Tile,Self-Adhesive 'crush :' •• ;ND .. • : • • • - •• . . •• • '•: • fibers ': • ..•. 202150619 07 Sheet Vinyl,Gold ND cellulose _ . . . . . . •:.•.".. : . •20150519' ." •caunong' ;:' ••• • . . ND . - . . . . . . . . .. . .... • , . . . . . . . .. . . . .... . . . ... . .. . . 20150519 09 Silver Coat chloroform ND -129 , . , . .......... , . . .. 10 •:. '.::20Silver 1.50519 ""• •::.' •. r" 'Coat , . . . • • • • .. 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ND means non-detect for asbestos fibers by EPA Method 600/R-98/116.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. 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C4!ir .� � •U, ars •41sdi mii;a,: s _1.: MAY/22/2015/FRI 01 : 33 PM NOW ENVIRONMENTAL FAX No. 253-924-0323 P. 017 11111 NOW Environmental Services, Inc. 34004 9th Avenue South, Suite 12 Federal Way,WA 98003 (253)927-5233-Fax(253)924-0323 Federal Way,WA 98003 05/22/2015 SALE Total: $525.00 Visa xxxxxxxxxxxx4194 Exp. Date; xx/xx Name: Hue Tieu Auth. Code: 08895C QuickBooks Trans. No: N15-0235 Trans. ID: PF0023279326 Merchant No.: 5247710000190165 Thank you for your business CUSTOMER COPY