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14-100305
• • Demolition City of Federal Way Community&Econ.Dev.Services Permit #: 14-100305-00-DE 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: MAKSIMCHUK Project Address: 32814 38TH AVE S Parcel Number: 614360 0565 Project Description: Demolition of an existing 1200 square foot residence Owner Applicant Contractor JAMES 0 OLSON FOUR SEASON BUILDS LLC FOUR SEASON BUILDS LLC 32814 38TH AVE S 223 SW 327TH PL FOURSSB892P7 (11/12/15) FEDERAL WAY WA 98001-9664 FEDERAL WAY WA 98023 223 SW 327TH PL FEDERAL WAY WA 98023 Additional Permit Information Demolition Valuation 3500 PERMIT EXPIRES Thursday, January 21, 2016 Permit Issued on Tuesday, January 21, 2014 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 . accordance with the laws, rules and regulations of the State of Washington si4:7„ and the City of Federal Way. Owner or agent: Date: 1 /Z- 1 /19 r F7 ,- AL D 1 • THIS CARD IS TO AIN ON-SITE CITY of Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-100305-00-DE Address: 32814 38TH AVE S Project: JAMES 0 OLSON FEDERAL WAY, WA 98001-9664 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 Final-Building(4050) Approved � � Date 3�A.k--- ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITU OF PERMIT APPLICATION Federal Way JAN 17 2014 i CITY O( QL) F FE ERAL UAY -- k`� PERMIT NUMBER ' _ C G _ ti TARGET DATE C1 SITE ADDRESS SUITE/UNIT M .2. 51 L �1J ' ANA, S t---ed Park \A 001 PROJECT V" ° 4N — ZONING ASSESSOR'S OR'S TAR/PARCEL# c $ ` '� ./ l9 I LI 3 lv 0 . 0 Co S f TYPE OF PERMIT ❑BUILDING ❑PLUMBING ❑MECHANICAL X DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT PROJECT DESCRIPTION rAx Jl\ O� 1 1 1-‘Oa` 2" Detailed description of work to be included on this permit only NAME - PRIMARY PHONE PROPERTY OWNER I' \K, �lv,C(\ �C�\L'I- \�V\,L gS3--. * "I Zc MAILING ADDRESS il E. 9-9, Si- 39-")t-l't -p1 tteiTi , CITY STATE ZIP NAME!ThHONE VMK..\ c-)1 L \ \C \U' -- 3-339-4121- i MAILING ADDRESS E-MAIL ._CONTRACTOR �Z SW 31� ", 1 �1`�tc�l11^iA,1/4.1(1`�,Ct`:�' CITY Fn ce. Y)c STATE ZIP/fit L� t�_ -51/ )(.J'� WA STATE CONTRACTOR'S LICENSE �U,'`/A•/,t. Elm'`RATION DATE FEDERAL WAY BUSINESS LICENSE# '-C 1'`-SS�ZD` `)9'YF-7 I l / 1 L i`-i NAMEff// PRIMARY PHONE APPLICANT MAILING ARESS // E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT / /1(The individual to receive and MAILING DR ss / E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING 1S1. OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27095) 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 ' iance of the city, including its officers and employees, upon the accuracy of the information supplied to th city as a part • is application. SIGNATURE: _ .,,,alb, 1 AWA, DATE VP-144 44 I t PRINT NAME: lioe E 7 : A. Bulletin#100-January 1,2013 Page 1 of 3 k:\l-Iandouts\Permit Application ` • • VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(caa( COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK 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(nocmo( HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS v EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? i 00 ❑Yes\No ❑Yes o RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) r — SECOND FLOOR ------------_.".-- ------._—_.... COVERED ENTRY —"'-_"-_—_--`•"—__`—_----'_`---'—"._-_�__ DECK -----_____---_-- __.--- GARAGE ❑ CARPORT 0 OTHER(describe) _ — -- EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feeta Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100-January I,2013 Page 2 of 3 k:Handouts\Permit Application III I COMMUNITY&ECONOMIC DEVELOPMENT DEPARTMENT 33325 8a'Avenue South Federal Way,WA 98003-6325 CITY OF "'"`-' 253-835-2607;Fax 253-835-2609 Federal Way www.citvoffederalway.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 sipped and dated by the respective agency representatives. 1.ASBESTOS ABATEMENT 6.ELECTRICITY (Copy of ap 'l.//form and asbestos survey from Puget Sound Clean Air (El ciity�t-oybe shut off and removed) Agency pro ' i4 `vrki ` " o� �' 1 ( ug Sound Energy) (c? . ..i ! In ) 2.GAS SUPPLY,. 7.FUEL STORAGE TANKS (Gas to be shut o ,peter removed and final bill paid) (Above or below grade fuel -,have been pumped or removed (Puget Sound Energy) under Fi e De,. 1- sun prior to any dismantle/excavation _ _ /South King Fire and ,''_". -) to 4,..).-'c" 3.SEPTIC SYSTEM 8.WATER-Public Source (Check applicable box) L(Tank to be removed or tank to be drained and filled) df'Meter to be removed and final utility bill paid o Meter to remain and be protected 1 .Z/S/I 3 C� L!� 1-IA./E-N-) U f i L l l/ D i S rit k c..l _........ ...___... (ling County Environmental Services) (Water Supplier) ******OR****** 4.SANITARY SEWER (Check applicable box) 9.WATER-Private Well(Check applicable box) o Sewer line capped at property line o Private well filled and capped o Existinger lirto remain and be used by proposed new structure o Private well to be for other purposes 7-, (Lakehaven Utility District) 'ng County Environmental Services) 5.GARBAGE (All household gaa disposed off and final bill paid) 611 aaste Management/Other Company) Ef mpleted Construction Permit Application form rovide the following fees: 1.Demolition Permit Fee Based on valuation.See table on pg 4 of the construction permit application. 2.Automation Fee $20.00 3.WA State Surcharge $4.50 Bulletin It 122-February 14,2013 Page I of 1 k:\Handouts\Demolition Permit Requiremencu Approved Transaction 12/17/13 10:44 AM • pscleanaIr.org Puget Sound Clean Air Agency Single-Family Notification Case #1 201304351 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 # VT3FB499AFC7 Transaction Date 12/17/13 Owner's Name paul maksimchuk Phone (253) 509-8181 Project Street Address 32814 38th ave s City federal way Zip 98023 Contact Person paul maksimchuk Phone (253) 509-8181 Mailing Address 223 sw 327th pl federal way, WA 98023 This project includes asbestos removal. Project Size linear feet / 555 square feet Project Start Date 12/26/13 Completion Date 12/31/13 Asbestos will be removed by the home owner This project includes a demolition. Demolition Start Date 01/10/14 Completion Date 02/10/14 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. https://secure.pscleanair.org/Asbestos/Approved.aspx Page 1 of 1 U.S. EPA WASTE SHIPT RECORD FOR REGULATED ASBTOS WASTE MATERIAL R.O.Hazardous Substance:Solid N.O.S.(asbestos):ORM-E NA-9188 This form is prepared in accordance with 40 C.F.R.61.150(d)(NESHAPs) GENERATOR 1 Work site name: Location: 3 Mailing Address: fat _ ZA9 16 a3 County K+ V � Owner's name ne\As (Y► k.14 Owner's Phone:( o S, 5 6 9- -')d' 2 Operator's name: J Contractor I.D. Number: Mailing Address: S Ylv-e l Contact Person: Operator's Phone: 3 Waste disposal site(WDS) Destination: Name: Cedar Hills Regional Landfill Mailing Address: 16645 228th Ave. 5.E. WDS Phone: 206-296-0494 Maple Valley, WA 98038-6209 WDS Address/Location: 4 Namd address of responsible agency(Local, District or EPA Office where demolition/renovation notification was sent): 1 e q; • • • TABLE OF CONTENTS INEVLLry 1.0 SCOPE OF WORK 3 LABS H D U ITE N L RIAL 2.0 SURVEY METHOD 4-5 SERVICESr.... 3.0 LABORATORY INFORMATION 6 4.0 BUILDING DESCRIPTION 7 Good Faith Asbestos Inspection 5.0 FINDINGS 6.10 32814 38'Avenue S Federal Way,WA 98001 6.0 CONCLUSIONS AND RECOMMENDATIONS 10-11 • 7.0 LIMITATIONS OF SURVEY 12 APPENDICIES A Sample Locations(Floor Plan) B Laboratory Analysis Results Prepared For Ms.Megan Maksimchuk C AHERA Certification&Laboratory Qualifications Property Owner 223 SW 327'Place Federal Way,WA 98023 Project Number 2013-1045 Inspection Date December 11,2013 Report Date December 16,2013 Inspected By Tan Khan AHERA Certification 142267 Expiration Date May 22,2014 22214 ran Amus S. TLa14 321°Avenue S. Fetlpal Way.WA 96601 P lwal Way WA 96001 ProivNumeer:2013-1045 Pegg Nuaper2013-1046 1.0 SCOPE OF WORK 2.0 SURVEY METHOD A Good Faith Asbestos Inspection was conducted on the property,located at 32814 38.Avenue S, Asbestos Survey Method Federal Way,WA 98001 on December 11,2013. Tan Khan,an AHERA certified building ins The NVL Labs field inspector is an Asbestos Building Inspector,certified under the requirements of ng pecor,conducted this inspection at the request from the United States Environmental Protection Agency(EPA)Asbestos Hazard Ms.Megan Maksbnchuk(property owner). Emergencydin Appendix Response ) Act(AHERA)regulation 40 CFR 763,Subpart E.A copy of his certificate is provided n Appends C. The purpose of this inspection was to identify all suspect asbestos-containing materials which wouit The AHERA Guidelines dictate the following: be impacted by the planned demolition of the structure.Destructive sampling methods were utilized to collect samples of suspect building materials.No soft/limited demolition was performed during this The inspector must determine homogenous areas,which are defined as an area of Thermal S stem inspection.However,please note that hidden materials may exist within the stricture,and all suspect Insulation,Surfacing Material,or Miscellaneous Material that Is uniform in texture and color. y materials must be treated as asbestos containing until testing proves otherwise. Once homogenous areas have been determined,the inspector must determine whether or not The survey constitutes a survey of accessible suspect ACM in the project area and was conducted in material is triable or non-friable. Friable is defined as a material,that when dry,can be crushed, accordance with: pulverized,or reduced to dust using hand pressure,and flee-blable material is defined as a material, that when dry,cannot be crushed pulverized or reduced to dust using hand pressure. Materials The National Emission Standards for Hazardous Air Pollutants(NESHAP)40 Code of Federal normally defined as non-friable can become friable by definition if sufficiently damaged. Regulations(CFR)Part 61 requires a survey by an accredited asbestos inspector prior to demolition of a structure. Once friability has been determined,the materials suspected of containing asbestos are divided into one of three categories: Thermal System Insulation(TSI),Surfacing Material(SM),or Miscellaneous This asbestos survey also satisfies the requirements for"Good Faith' inspection outlined in Material(MM). Generally speaking,701 and SM are considered to be friable,with the exception Washington Administrative Code(WAC)296-62-07221(2),identification,which requires the owner of TSI where the structural integrity of the insulation is in tact and the protective out wrap is undamaged a structure to provide contractors wth a written report identifying the asbestos-containing materials expected to be disturbed during renovation or demolition. Once materials am divided into one of the categories,samples are collected in the following manner. The asbestos survey section is written to comply with the AHERA asbestos sampling procedure as Friable Thermal System Insulation: stated in 40 CFR 763.86.This protocol is required under the Puget Sound Clean Air Agency(PSCAA Regulation Ill,Article IV,rev.July 13,2000)for all asbestos surveys prior to a building demolition. 1. Inspector shall collect three(3)randomly distributed samples; A Poor plan indicating locations of samples collected by NVL personnel has been included in 2. Inspector shall collect a minimum of one sample of each TSI materials that appears to Appendix A. have been used as a patch,as long as the patch is less than six linear feet or six square feet 3. Inspector shat collect in a manner sufficient,samples from areas of 701 applied to fittings, tees,and joints. Friable Surfacing Material: 1. Inspector shall collect samples in statistically random manner of surfacing materials as follows: a. Collect three bulk samples from an area believed to be homogeneous(defined as a material that appears to be the same or similar and was installed at the same time)that is 1,000 square feet or less in size; b. Collect five bulk samples from an area beloved to be homogeneous that is greater than 1,000 square feet in size,but less than 5,000 square feet in size: c. Collect seven bulk samples from an area believed to be homogeneous that is greater than 5,000 square feet. NK l�manaren.Inc NW Lahore..ha 4 vs A.,.Ave X 4709 Aurora Ave N Seel.WAs61er $ease,WA Berns Phone(2061547-0100•Far(20619341936 3 4 Phone 1206)s4>-0100•Fes 12061004-1006 • . 3251e r?Avenue S. 32814 35r Annus S. Penal Way.WA 00001 Polon!Way.WA 95.001 Prapa'ember 20131015 Pinto N0 Mgr 2010-1055 Miscellaneous Materials: 3.0 LABORATORY INFORMATION 1. Inspector shall collect samples in a manner and number sufficient to determine if the Laboratory Analysis:Asbestos maternal is asbestos-containing or not All Materials Determined to Be Non Friable: In accordance with 40 CFR Chapter 1(1-1-67 edition)Part 763,Subpart F,Appendix A,asbestos samples are analyzed at NVL Labs using polarized light microscopy(PLM)with dispersion staining.If 1. Inspector shall collect samples in a manner and number sufficient to determine if the samples are not homogeneous,then sub-samples of the components are analyzed separately. All material is asbestos containing or not bulk samples are analyzed using EPA Method 600/R-931116 with the following measurement uncertainties for reported%asbestos:1%=0-3%,5%21-9%,10%=5-15%,20%=10-30%,50%=40- In addition to these sampling requirements,the AHERA Building Inspector is required to assess the 60%. Only materials containing more than 1%total asbestos were classified as'asbestos- ', awing of each a that is mired a be positithe A ER asbestos: containing'based on EPA,state,and local regulations. .. The condition of each material; Findings for samples containing more than one separable layer of materials are reported for each layer.The asbestos concentration in the sample is determined by visual estimation. 2. Accessibility; NVL Labs is accredited by the National Institute of Standards and Technology(NIST)under the 3. Possibility for air erosion. National Volunteer Laboratory Accreditation Program(NVLAP)program for bulk asbestos fiber analysis;NV(AP Lab Code 102063-0 Once the samples have been collected,they must be analyzed by an accredited laboratory,and they using Laboratory Accreditationmust be analyzed g polarized light microscopy methods,commonly referred to as EPA Method 600IR-931116. Profess-oral accreditation for NVL Laboratories,Inc include the following: NVL Labs collected samples and obtained analytical data for suspect asbestos-containing materials NVL Laboratories,Inc.is currently accredited by the National Institute of Standards and Technol identified in the budding. Once collected,each bulk sample was sealed in an unadulterated plasticoak (NIST)under the National bag to eliminate the possibility of cross-contamination. 'Chain-of-Custody"tracking was followed to Volunteer Laboratory Accreditation Program(NVIAP)program for bulk maintain sample integrity during handling and data reporting at NVL Labs. asbestos fiber analysis. A walk-through inspection of all accessible areas of this structure was performed to identify potential NVLAP Lab Code 102063-0 asbestos-containing materials. The walk-through inspection included a review of the internal and extemal aspects of this structure.The locations and types of potential asbestos-containing materials NVL Laboratories,Inc.is approved gmfby the American Industrial al Hygienes. Association(AIHA)Asbestos were noted. Analysts Registry(Anse)program for airborne asbestos fiber analysis. Homogeneous MaterialsAAR Counter 1D 7412 Homogeneous materials are defined as an area of asbestos-containing material or presumed NVL Laboratories,Inc.is currently accredited by the American Industrial Hygiene Association(AlHA) asbestos-containing rmateriallswdef under the Industrial Hygiene Laboratory Accreditation Program(IHLAP). The IHLAP program is appears similar throughout in terms of color,texture,and date of material application.The report listing for homogenous materials will appear as follows: designed specifically for laboratories involved in analyzing samples to evaluate workplace exposure. Sample Number Malarial DrrryNr*LowL.aiaxan AwNrb �� I ROMP IHLAP Certification Number 563 s Lanr2 IsaMbs�Wins Imbona 2. % If 1.M. I VW. NVL Lax*,Inc NVL Labmsorw.inc 41765AuaNAr N 4709 Aeon Ave N Satyr,WA 99103 Sway.WA 58103 Plane 12061 8 47-010 0•Fax 12051534-1038 5 Phone(208)547-0100•Fax(265)5x1535 6 32814 98.'/Wows S. 32814394 Arenme S. Fed.N Wry.WA 95001 00001 Pnjel Hunter 20131015 Federal Way.Number oers-r Prgea Nuntar 20131015 4.0 BUILDING DESCRIPTION 5.0 FINDINGS tharibirGeneral Building Type This is a single story residence of traditional wood framed �� I�rt32scr den 0yt4yr - Lambe mem. _ FY�YI2 construction. 2Ma-f04N-1 P065 es ceOrosulth PION Fanaymas.eaMaa 5% ar511 ria 20111saL14 Nat a 5.11 Frea2nom.mins Mot AnsNrN Primary External Components The exterior of the residence is hardie and wood siding. 2a11,04114 NY Analysed 11116q mow.<N60 Ne Andy*N 2N11ra ti 61a51 NMI5.51 5:3% h aarecaPmna Dinka reem„alYeaa 2ND Isle] yr Foundation Type The foundation of the residence is an on grade concrete slab. 22111M1.14 Net An lyst OOwO mut eaU.Y tytAryr i 2013.111514 Not Arr6W ONwe mans.rant NY Net AAYyrO Roofing Mateelal(s) The roofing of the residence is rolled asphalt. 2013.1045.1-7 1:11VY 1.022Y1,matBallvaant.salt ma r:M Z 00.0 z no 2013-100441:WY letlynratO pit 1:10 Window Type(s) The windows of the residence are wood framed withor glazing, w Dothin rant,wed*IN 2 M and vinyl framed with no caulking/glazing. 221.1046191:0260 iiwtar 2•12 1:10 c62aa Ylesnt.alio 220 Flooring The flooring in the residence is carpet,vinyl floor tile and 1:hint compound r:ret sheet vinyl. 2015-10463-1 2A01 compound Weft mum,WlY 2l6 x110.+2 ItND Thermal Systems With insulation The residence is heated via forced air heating system with 1:N.irmN nirN 1:x0 fiberglass insulator. 2013r0464z 2gonWMar Laundry rami,olaml. 210 1:Rad NO 1:111 Finishing The residence is finished with textured drywall,popcorn and L 9xi.aptNec magic 210 ceiling tiles. gala-/aWa Lando man,Naar twd N. Ilea Ns 20% c Mak 2406& a:ND 1:berm Ni 1:a15 1013-11101.2.4Ltan moans Fanwy man.mom L2% We Ns 3:axi alpuec fee tlAmtarmepp 21D - a 053. 1 1:D.N prey mates! Lal%roan.finer 1:ND 2 Neckaapbaew meek i NNWcao•O 210 so Nei 3Yalr . titsheft sten mese war marme.Oneil.a Ms kro.sausiap.r aarmexa w,.comer. i needs.orabr.rw may all.Oa trmiy and mane. . Tow aaoNse.e way rwaxrai of we ata.mrmamg m..Nlawmw.wew she.Amex,a lime asanisa amoeba welted by no asbestos isanre cone..on sy. NA Labmain..inc NVL Laboratoras.inc. 1708 Aaron Ave N 4765 Aurae Ave N $I110.WA 2203 Sea*WA Os103 Phan(20 5)557-0100•Fee(205)s34153s 7 Phom(265)ear-ace-boo(265)5541539 e • • 32814 38s.Away S. 3281438"Avon.S Fedeel Way,OVA 90001 Fades Way,WA 58001 Preset Nw10r 20111016 Project Nun.ar 2013-1045 FINDINGS(continued) My suspect material(s)not identified above should not be disturbed and should be tested immediately. Al suspect materials must be treated as asbestos-containing until testing proves otherwise. ellenee �O1"i1O0051�vn0yw°' 1oW1p "'°i1os F�ae I 6.0 CONCLUSIONS AND RECOMMENDATIONS 1: YNye.et ebel 1:NO z:warrior b.dmrp wlh nr.r5e 2.14D The following is an inventory of asbestos-containing materials identified during the Good Faith 2013-104044 x OfFe is sheet reel Kw.,Sex 2ND Astestcs Inspection Of the subject residence: 4:Matte backing*eh meas 4:ND 1. Popcorn ceiling(Friable) Them is approximate) 375 y square feet iof n a own. . are Sample numbers-2013-forst-1,1-2&1-3 asbestos containing popcem ceiling located in the family room and dining room. 1:SWhwwr 1:ND 2 Vel..m..ec 2 TO nee21110454.7 B:Tan Peer‘NO Weebetlepleell �4 S:PC 4:Wile Wein. 4:ND a Tees meee 5:ND t:Wale eh!aryl 1:ND 20/3-104e44 20Ie1as beeline lib mote 9.eaacte Boor 2:ND 3:�,meaNl r 3. Wei texture with paint(Friable) There is approximately 180 square feet of Sample numbers:20124045.14,1-5 6 1-8 asbestos containing wall texture with paint 1:cele Levee We c 410 inclocated on the interior wall of the dining room. 2015014444 222rxrpreeemr5c IW e .ee1,2&NCSeer x50 e' roe 1111 1:Wino South Wee 1:No 2013-1045110 BMrsm1 2:Coffee de we peke 2,cels 2:ND 201110453-11 1:06.4111a aNAlmw1:x0 bees Was x pee Melee*with debi 210 m111aiirz 1:Teem*b.s Wee. deer 1:ND 3. Red&black tiles Nan•friable There is 2ereeenr.s ; z:ND ( 1 approximately 110 square feet of Sample numbers:2013-1045-3-3 asbestos containing 9x9 red and black floor tiles located in the laundry room.The associated 20111W6113 1:anted Neill rWeaa buNee.mon Real 1:40 black asphaltic mastic is non-asbestos- x W.Sreed pure)eaMe a mo containing. Substrate is concrete. 1:car msww 1:ND 0013-10151/4 2 avec roof pleb Real.eneni i.collet 290 it S Meet be ;40 20111045116 1:Wile Woe web print De Nap 2ND ■ 3 2 81.WI*.Nl 2:10 4. Brown tiles&tan mastic(Non•Frlable) Them is approximately 280 square feet of 20111045116 Ed.einem,2Narg star pro Bedroom;*does ND Sample numbers:2013-1045-3-4 asbestos containing brown tiles with tan mastic None Deeded - located under carpet in the family room. ND Substrate is wood. , Tee Nibi0y of ON nt.eS we dee.ed New tine 0100 hereon.Sre.tpuere ad...ew as elm., roma..or.beeer.e may Mid Os**trey ode nee. Tues quo**N say s.e2r.42 ofthe.rwtm olnladrq nw.,i1 dsmrand on era Aecusry of ewe eedsees rue be weed ey We ee*abeam*m*.ear on We NV1 Le*. NW labors...,Inc 4705 Asn eve N 420e Aurora Ave N Sea,WA 96103 SeeW.WA 92103 Phone(208)547-0100•Foe 11206)550-Than 9 Phone gee)547-0100•Fa 1050)8341928 10 3281e le A,wae S. 32814 le Avenue S. .Ns Way.WA 98001 Fadrd Wry,We 05001 Project Nue.,20111045 Pry.Number 29111045 5. Dark brown tiles(Non-Friable) There is approximately 375 square feet of 7.0 LIMITATIONS OF SURVEY Sample numbers-2013-10453-9 asbestos containing dark brown floor tiles located in bedroom 1, bedroom 2 and the The sale purpose of this Good Faith Asbestos Inspection report to,document asbestos-containing materials discovered on the property,located at 32814 38°1 Avenue S.Federal Way,WAA 080 980 0101. hallway.The associated black asphaltic mastic iiiiiiis non-asbestos-containing Substrate is wood. The purpose of this inspection was to identify all suspect asbestos-containing materials which would be impacted by the planned demolition of the structure. Destructive sampling methods were utilized to collect samples of suspect building materials.No soft/limited demolition was perforated during this inspection.However,please note that hidden materials may exist within the structure,and all suspect materials must be treated as asbestos containing until testing proves otherwise. This site visit consisted of a thorough visual walk-through of the building for the purpose of viewing Contractors should be aware that concealed suspect asbestos-containing building materials may be and sampling potential asbestos-containing material. As hazardous materiel surveys are non- uncovered during the course of demolition or renovation walk.Contractors should have contingency comprehensive by nature,NVL Laboratories,Inc.cannot be held liable for materials which require plans that include stopping work,evacuation of the immediate area and sampling by a certified destructive means to access,materials which are hidden from sight(e.g.materials hidden behind AHERA Building Inspector whenever these materials am found. Concealed suspect materials may walls),materials which cannot be found due to their obscure nature,or which otherwise cannot be include,but are not limited to:non-fiberglass pipe or roof drain insulation;spray-applied coatings; discovered with reasonable diligence. cement board;asphalt or paper vapor barriers;floorings and adhesives. This document is the sole property of NVL Laboratories and the property owner,or his agent, If discovered,all asbestos-containing materials that will be disturbed as a natural part of renovation authorizing this survey. and/or demolition are required to be removed and disposed of in accordance with Washington State regulations. Washington State Department of Labor and Industries and PSCAA require that the Inspected By Reviewed By abatement be performed using Certified Asbestos Workers under the direct on site supervision by a • Certified Asbestos supervisor. i el v •- i {t_ a NVL recommends that an AHERA inspector/project manager be on site at the tree of renovatien/demolition to ensure that any potentially asbestos-containing materials uncovered during the process of renovation/demolition be dealt with properly. Tanner Khan Syed Hasan AHERA Building Inspector Manager Field Services Based on our conclusions,NVL Labs,Inc.is making the Following reoommendations regarding AHERA Certification x 142267 asbestos: Expiration Date May 22,2014 1. A copy of this inspection report should be maintained at the project site during the duration of any renovations 2. A copy of this inspection report should be provided to the General Contractor and any Sub Contractors working on the renovation project 3. A licensed asbestos abatement contractor must be utilized to remove any asbestos-containing materials that will be impacted by the renovations. . eel 4 000ia.Inc Net Lebarabeiee Inc 1. 0708 euee eve N 4705 Au.a eve N Seattle.WA 94102 Seattle,WA 98103 Phone(208)547A1m-Fax 1208)034.1836 1 1 P.m(ZOO 547-0103•Fs(208)6341528 12 • • N ,L 30r.41E:fei.(i,.��er.kt. rr.!F 1Jee's,2a 3. Appendix A '.'' a_ ,..;,N Sample Locations(Floor Plan) I i au e, • • • L NVL Laboratories,Inc `� I` 4700 Aurae Ave. Bawls..N..B .,WA 08103 F mope amwarMAA0 Lab Cada 1020820 N Tet 208541.0100, Fac 208.834.1030 rws.n.tebravrr Bulk Asbestos Fibers Analysis By P0087000 Light tuao.00py Gan NVL Amid Saslow Division Batch t 132038100 AOdaac 4708 Aurora Ave.N. Meat Project*:2013-1045 Salle,WA 58103 Deo ReceMd:12/1112013 Sana.Rrely W 25 Attention:Ile Taev..r Kb.e Sample.Ambled:21 Polk{Lacaltoni 32814 3881 Ave.SFed04N Way.WA 88001 Were EPA6 0R-03n18 &EPA90004482.020 /appendix B Lab ID:13142075 ClMne&s/:2013.1045.1.1 Loalbn:32814 38111 Ave.SFadrei Way,WA 90001 taw,a 1 time ipllem Mae Nappy loony material with peed Laboratory Analysis Results Nm-Fdnlra Alabaalc Other FAraa Materia:% Aabnsk*TyM:% Calcleore pride.,8indaf59.r,Syntaticloam None 00400860 ND 0480.454.0% Palm Lab ID:13142078 Client Sample*:2013-104512 Sample 5800Da: Not Analyzed Lab b:13142077 CIMS Sample 9:2013.1045-13 Sample Streit Not Analyzed Lab I0:13142078 Client Sample 8:2013.10451.4 Langan:32814 381h Ave.SFedarel Way,WA 90001 Lame 1 at 2 D..olplb.OBealla beaded compacted powdery material Mal paint NanfFlbmo.Materials: Other Fibrous Mantes:% Asbestos Type:% Calo♦era pride.,*04.8T01r.Petit Nap Detected W Caysotll.3% Law 2 et 2 D..a 1piere While conpead po/1ry material 481 paper Non-Fmral Ma.r W r Other Fibrae Materab:% AMbNB.a Type:% Calaveras 901114..,88aauF78r Cellulase 60% Nora DM5604 NO Lab 00:13142079 Clint 8emp4e12013.1045-5 Sample 31a1na: Not Anayzed Lab ID:13142080 COsmt Sample 9:2013.1045-14 Sample Shuts: Not Analyzed Lab 01:13142081 Giant Sample 8;2013-10151-7 .00108W 32814 38th Ave.SFadral Way,WA 85001 Sampled by:Gert Analyzed by:Naderitla Prysyatllnyurl 0ate:12/122013 Reviewed by:Nick Ly Osla 12/122013 Nit"/^` Ni - aaa.8 rraa w a M.ryaar,nn tame*.et ea aroma..—.890.84 apart'.aa lea arena an and-S heti EPA aoonaante r4 aea.a2L0 sweat am I,.leers.entrraar maraca W la mad%Ars 11%<r4.arta%158.0-154 0'010.30%805.4000%}Ti MOW Maw mal tote las toad Irma.eta wt..*h1'NVL perish*lM p.m4ap.tram h sub 4 H alli adaep/ea..h d er.Amps and,Ma m.*.nal So r.rveaad apt to SA arra ala appwe of IAA lebrftehe he.Rama nabs tattletale.8ateettnew anal W asta•amy alwepnry iter Ue Onaaera peal ala S ! WI Laboratories,Inc GeVlikla NVL Laboratories,Inc peva/ma 4708,Ware Ake.N.,6.010 WA 03103 yeno,wc..of oo mtdon adv:.r..lab Code 1020830 4708 A4sn Ave.N..Swath WA 91103 w to 221.row MAP Lab Cade 1020134 T.L 206547.0100, Few 201.634.1236 391238d4T.0f00, Fac3160y4,tp]6 Mwar.yteb.mrh Bulk Asbestos Fibers Analysis , .W..y+elacon Bulk Asbestos Fibers Analysis BY Polarized Light Mkamopy By Poled Light ABvoempy ' Cant NV1 Feld Swim=Won Batch*1320368.00 Coat NVL Fella swim DNs6, Batch 0:132030500 AAdr.08 4708 Aube Ave.N. Chen!Project4 2013-1045 Mime:4708 Woo Ave.N. Ctrs Probe!it 2813-1045 Seattle,WA 68103 Dab limelva0:12/118013 Seethe.WA 98103 Dale%Wes:1211112013 Bowles Amino:25 Samba Pansiead:26 =salient Mr.TamestNlw Bowies Analyzed(21 MOW..,:W.Tower Ilan Surpbe Analyzed:21 ProNEtlnra38 32814 38th Mo.Weldon Way,WA 98001 Method:EPA/OMR-93r110 Pooled Localbrrt 32514 38th Ave.3Fedena Wal,WA 90201 Melhd:EPA80bR-037118 8 EP*/*aWd2320 &EPA000014d2 90) Law 1 of 2 0rvlpin,Whits tensed compacted Powdery was=Mb pint tab ID:13142084 C1Wrt Sample is 2013-1085.7-1 NOFblou.48016: Other Fops Melaleb% Asbestos Type:% LwsOon:32814 33h Ave.07.8..26 Way,WA 98001 Calces wades,046596Febr,Palm None D0teced ND Nona Detected 1D Layer 1 d 3 Batmen:Dtwh0e compacted poetlern material Lew 2 of 2 0.1, 6 c Witte chary material.0h pep.. NoRFbou.Materials: Other Flews Malerle6% Asbestos Type:% booRtrous Mele0 1.: Other Flaws Mabrlel*% Asbestos Type:% 02013 re parades,Beter/Fler None Dalerad ND Nene 0ebmd NO Fins p2M1se,GyyraoBoder C 520.20% Now Manta NO two 2 d 3 boons..WNW compacted powdery materiel x71 White!stout nosh Glass Mara 3% Na-fibrous MMaisb: Other nabs*4991.% Asbestos Type:% Lab 1D:13112062 Chant Sample F.2013.10454.8 Cabman.parades,Dthdar179/w Partite gees 95.8.20% Norha 091.33.4 NO Location.3281438th Ave.SFdr4 Way.WA 98001 La*'3 d 3 Oe.cnoten:Whits chalky nota..Mb paper layrl d2 Oeenleaa.:Whitelexbued collo_,. ad ep.d.yrnalend with pail hbnF4rae.MatMNe: Other About Leto10% Asbestos Type:% Non.Fibbtt Mel20M: Other Fiords Maeaie % Asbestos Tye.:% Fine parades,Olpe2O8Mer Cabe,.18% None Detected ND Calarsora parades,0/200791er,Ps6d Nome Detected ND 6 .0. 460 Glass Item 4% Later 2 d 2 3.eele0..,:While chalky nnedel with pepr La ID:13142085 Client Sample F.0813.10453.2 Non-Fibrous 8201212: Other Fibrous Mab0Ne% Asbestos Type:% Location:32814 39th As..SFede al Way.WA 90001 Fab prabee,Gypsum/Binder Cd4bse 15% Nene Deleted ID Lar 1 ef 2 Oeonsaan:Wok bed wit extols! Glass Melt 3% NnFbmue 88020 Other Shame PlieWc% Asbestos Type:% Lab 10:13140883 Client Sample 11:2013-1045.14 0.082377469.20 SyMwlle Are 7% None deem/NCI ratlo:32814 38th Ave.SFederal Way,WA 98001 041070.. 2% ln Lay*'1 d 2 8.Orp66n:While badud compacted powdery male=Wer pint Ley.2 of 2 Oeablgbr:Gnat or 1:8ao s materiel NwlFbwe Materia: Other Flows Mslehb% Asbestos Type:% Noonan.Meecela Other Fibmhe l 20.% Asbestos Typo:% Calcareous parades,Binde0F2r,Plant Now=WSW ND Nae 096214 ND Ana particle,CAmenOBi tter None beaten NO Nam 0202ted NO Law 1 d 2 0.20124..:Whke chalky mend tab papa Lab ID:131/2080 CNet Sample*2813.10/83) Nm14Porbe 831220 Other Fibrous Meeleali Asbestos Type:% Location 32814 38th Ave.SFedrai Wag.WA 98001 Fine panicle..Gyplom40lder Cellulose 17% Neu De62ted ND taw 1 of 4 0eenipti.Red ye Gam Oban 2% Nconat s Mabne9: Otter name MeenW:% Asbestos Type:% VeyVel dr,Calcareous potties None Detected ND 0.ryn9 7% ' S.11Co pled by: ad eapt4br00.nt 1 Analyse by:Neestea Pneyad.6nik Sate:12/12/2713 / I %i� Amime�ir Nadadtls Ryryr a,y.A Dste:12/120813 I.vL_ ,C1,,.._ _ 1 Reamed by:Nklk LY De12:12/122013 .5..._a. :414 '."^:- - , Reo4.4 by:Nick Ly Mae:1211212013 -a_'=..77.4rr17. ryewawa.are mt Wm:Ma...3..n 3br.sY88.em.3M.ao..;.d.em.a........0..'•wh d ukp lob... Nese r..eYo m 2......,ren admen.of ft came fen any.l ae.sa.Altai amp.n eyed dabs tech 814 01612.1221111.1100M42.020 4x116 wh no blies nm.wm.2m3ot..for.mpu.l%Meta(11.64%.e%ot.%101.6-192. 9061221011!ed 021a.4.020 Webb eh...re menyval.MU be no aped!%M..b(110010%0%914%s%.s1r6 2Y(02%,57%8088%).m mead v..oW 11Y bm3Y.E.2 mem me na akin by W.P...a S.be 4ve42.2f...Woe 301.100616et%-4020%).mmart.el....Oe no Svesstl.2sm...m.oyla6da*AL meoawt Oen Y.m..w et as..Nr anatl by In nye!bdoe'ed.m.y 4,On own.co.eb.m mart Mw not be coastal mW in LA Mme Wee..1st 4,W. MOM by eta.833!9423.26.aa or Y amp.epee m 9006 she not le meow.es.p b 1A wool.ten Mec*M of NAL LiaiwY,A3 MM..d.modb dram POdrd.d...nnOy NOW any Oen..of in its Gem* Wm..no OSSI et m ud bey.Pod.00430008,0 by WAAD way 2!117..0824,1.1.331.38.[ Peat ale Poo.. NVL Laboratories,Incblo NVL Laboratories,Inc trevllaket 4706 brae AW.N.,Scat,WA 94103 Fa On nee d saw. .Met Lab Cate 1620830 4708 Auer.Aw N.Saba WA 10103 Porde.amel vemitn..4.NIOAP W Cede 20201210 Tr 2a.6•T8100, Fac f06d11.1k12 ye,2c6.54T.000a. Fee 2(8.gµ.10..8 w.r.mA.b.aan Bulk Asbestos Fibers Analysis ykbemen Bulk Asbestos Fibers Analysis By Pderiad Light ka a opy By Potedmd 1.043 Microscopy Cam NVL Fwd Seto.DN4da Batch*1320308.00 Cart NVL Fee SeMom Dekko Batch a it20300045 Maniac 4708 Auaa Ave.N. C(lenl Prpjesl Widow 2013.1045 ac 4708 Aa An.N. Caere Pe4ebt.2013-1015 S.448e.WA 98103 Deb Rambo4:12/112013 Snell,WA 98103 Dab Ra2rd:12/11/2013 Swain Rewired:25 Samples Rothavo:25 Allende.Mr.Tower Khan S.rplea Analysed:21 Amnon:W.Tower Deer Bombs An.yab 21 Pro1Bct Location:32814 388 Ave.SFedend Way,WA 06001 *2000:EPA800(R473L118 Prokd Location:32014 38th Ave.Stades!Way,WA 98001 MAW EPA3405312-43/1l0 8 EPA80004482.420 8 EP8801304482020 Layer 2 of 4 Omeriprlbh:Biedr erhhel8c mastic law 2 d 3 0.1bMbn:Boat asphaltic mastic(n Wood) No0Fhbe Materiels: Other Flews Materiel:% Asbestos Typo.% b80501oos Mawwe Other Fibrous McYws.% Asbestos Type:% ARha6OBlnde,Maric'B/der Ceel3. 3% Nae 02020 N0 AsWeBBOWr,MWice der 0.95.0 5% Mee Dale ted 110 Lew 3 of• Oe.c0P980-Bleck t Lab D:13142000 Mont Sample t 2013.1045.34 330.700*.Materna Ober news Whence% Asbestos Typo:% Location:32814 3801 Aw SFedenl Way,WA 98001 Vey4Bin50,,Calcareous paNdes None=WSW ND Chryaed*5% Lew 1 et! L1eWiplbn:WNwigysteel vinyl Lbw 8 at 4 Oua7O3:Black whelk ones& 800-7 0.8 Material: Oiler Fmous Maerials% 4.6.38..Type:% KmFihws MaYwc Oder Fbwa Merws% Asbestos Type:% Vk/437*1r.Synthetic ban None Detected ND Now Detected NO Ap0M 3Inder.O9NdBtde Nae Defected NI) Nem Dented NO Lana 2 d 5 ...OM,Light pray Strata backing with mastic Lab ID:1314208T Client Sample*2013.104533 Non-FYNbs Materials: Other Fb0..Meiotic% Asbestos Typo:% Location:32814 3801 Are.SAW..Way,WA 98001 Fine particles,BirdenFM,MadrjBMN9r OeLlose 30% Nae Oste4M 40 Lar 1 of 3 381cr003nt 8mwn SW Syl(3Mrs 20% NonFbbs Materials, Other%roue Memer% Asbestos Type:% awn Ike Viry48bder,CNarebs parades None Detected ND =tweak.3% Lear 3 d$ Demi..=Web deet vinyl Layer 2 of 3 3.9919*..h:Ton hate moat(n wood) Non-Fibrae Makable Otter teas Malrws% Asbestos Type:% Nonfmmhs Wearied: Other Fibrous Menials:% Asbestos Type:% lAnylk bW,Syr88tk 4.01 None Defected ND Nam Demoted ND Mastic/Binder Cellulose 4% Chyao4le2% Lar 4 of 5 Oew91We=Wee lbws baddre wlh mac Ly.r 3 of 3 DNdpeeth Bleck ap148c Amus fee Nan-Abram Materiae: Ober Fibrws M edals% Asbestos Typo:% Nn.Fbwus 12awws: Other Fibrous Mea*'ie9:% Asbestos Typo:% Fina prase..Bide0Flr,Mastka do Cobb.70% No,,.Deleted ND Aspha08indr Csti6ee 75% Noe Debated ND Lab D(13142008 Cdrd Sample 81 2013.104533Glen Mrs 4% L8Oo:320143808 Ave.SF4rI Way.WA 98001 tame d 0 OaealplYn:Cagy WI crumbly'Weft(o wood) Nan FLobs Malrws: 011w Flaws Albr9le:% Asbestos Typo:% Layer 1 d 2 9.ebM9n:Dark gray en trader.. Other Fl N0FFbous MaternaAbram MCWiW% AstM8Me T Cabana. Celebes 4% Now Oelseled NO % Lab D:13142000 Clem S/ntheik Bl dr DOWN'DND Nae Detested ND Location: 01 201}10153-T Location:32812 388 Ave.97-adrel Way,WA 90001 8soepled by:Clem • i / 6.931.4 by:Clra Aearya4 by:Na8Mds PryayeOmryuk 099:12/122013 '�J A1Wyad by:Na battle / -.jf-/-b� PIYSVmIanRk Dete:12/12/2013 -f/=�-- RseaWd by:NNk LY OSY:17//7/2713 Rn4s.sd 641:NkA LY 812:/2/122071 NkA .�tJ eF'iior Wt...hw.are no hommee0o em ten.or 26080.3380918 83 2010.4 p9234.'.N OM eenaa re Amy.oathcon EPA Not.'.2 mover oerr Mot...be DM..4,Y aae011n.as Moly*1 Mda.N Stam..o.11W.d die bob... 9000011E.aaa1.R-030 W3dr Me.lellotare mra.wm4 um...b 300.p..d%Ai.ce(1%.OJ%,614=12%1082.16%, 88318461116 eel 12.2123030 We.Mt Ile M9dee 3Y3rm0 amen e.ba.no01%4.444.(1%082%01.1294,1011S1r1 001.1840%.9.%8003%1 m m.oe M.my103.8n Yob IIen.me.400994 by res.Y..2.Om.ra3aey et Y..6. 0011,1020%,828020%).mhW3 m .ale maim On.6.rple ma.W eYteley NAoaoaM.ee2.mrq OM M.. ifebisd by ye'steal and May d.11 wee can..m con eM eta mw8d sed 08.11 In IA M2e.wa.ppowil of NAL dad by 08 rebid.em..e'at 6n.tins ekes.The neat OW n l be 90,405 emne in 11 all 0.ee,eu4re411 4,171 Wm..ea IMe net S.dbdenpoo.*my.by NMAP..y dr mem atm De 00.2.1 Wboa3l.a,fm.aid no ewe*wows.*toy now ow dw mew.le bows. P.B..da Pari.. • • • NVL Laboratories,Inch NVL Laboratories,Inch 410803303.N.,8.21e,WA 4100 paw..mpd.medw.ud.NMAP Lair(:ay 10x151-0 4000 Nays Am.K,S.CS WA 4103 Fort carol m utar ewe Lab Ca.R1@0030 Ta024a41.0100. F¢2008N.146 T1t206547.OI$. Fac 24.3..1836 wa...e.am Bulk Asbestos Fibers Analysis van.eeaan Bulk Asbestos Fibers Analysis By Polarized L41±Mboecopy By PafY(nd Light MAmootpy Cierv:PML Field SCNoas DNbbn Bitch 6:1320 _08 Client NVL Field SarvNae Division Batch 6:1320366.00 Add:..:4708 Nees Aw.N. Cies Pr.018:2013.1045 Address:4708 Aurae Aye.N. 08001 Prole t 8:2073-1010 5,20.,WA 98103 Date Rocabe0:1211112013 SMIBa,WA 4703 DateReclined:17/1172073 Sento.Received:25 Sande:Repaired:26 Attend.:Mr.TM..Keen Samples An2yzed 21 AlbtNon:lar.Tarmac Pon Samples Arply wt 21 Pup.Lawton:32814 38th Ave.SFoda:al Way,WA 98001 Idshot EPAROOR8Y110 Prided LorsNm:??87138th Ave.SFedarel Way,WA 98001 Meted:EPA90dR-0&116 3 EPA/6030.1442-0208 EPAROOM142.p2p ley./M Ow 5 olpsas&ono 8os 01 hcompressed 1400..m*Wi2wllh white/lig.glean tN 3ed surfs. Low l of 5 D.a.kd.0 Dray.naseY nlaaW Nm-Phnom I 4.49 Dtlw Haws MaW41C% Asbestos Type:% NdFFOmus WWI.: OBr Rens MelrfalC% Asbestos Type:% Fire pertltles,BbdedFYer Cellulose 90% Nose Wow NO Caicerewr pradeA SYrdKOi.r Cellulose 2% Nath O06ew NO Loser 2 of 5 Osses.240:Valor ebb manic Lab O:13142062 Client 01*11pls6 2013.101634 Non-Fibrous Nofrile Oar Fb..MSIr6W:% Asbestos Typo:% Location:32814 38111 Ave.Wada.Way.WA 98001 AeetlnSrtlor CaWlae 3% None Oeeeeed YO taper 1 el 2 wooers Disk Mosel i Lam S d 5 0.4001.Tat popKfeel paint Na-P4*0 t Md.r Other Flees Meteriae9. Aaboslds Type:% Nos 04000s M0Obls: Oder Fibrous Msbdale% Asbestos Typs:% Vb334OLdK.Cai4was particles Nogg Daid00 NO Citywide 1% Fine porkies.MhedvVBFder,Paint Cellulose 96% None Oaeded NO Layer 2 of 2 armies :Bleck SOW.eel..Ion 3.00) Low-4 d 5 0.4del on:Dark Isom het NMFampSesssd Wws medal wN2 w Ilatipht grey fattened surfs. NbmFirwr Matenols: Other p01bls Mebnek% Asbestos Typos% Non-Fibrous Mot.. Other Fbtous Mat14.49% Asbootds Type:% AepNABhrdr.Mastic/Bider Nona DabWd ND NOM 000ded ND Fine partici .B490ellt. Cellulose 92% Now Often.NO lab 10:13142003 Client Swots i.2013.10404.10 Layer 0 d5 Owuiptlar:Tatlow soft medic(on wood) LOo8nn:32814381hAva SFedaei Way,WA 08037 Non-bots Materiae: Other Fibrous Materee:% Asbestos Typo:% La.1 d I Drwphe:Tan mmpeeed fibrous mat..efth paint 18es9o0tndr Cellulose 5% Naw DatOed NO Noabroua Wen.: OBpr Fibron Mao ials% Asbestos Type:% Lab O:11142001 COW Sample*:2813.10464.8 Foe ponchoAeheaiw'HY1dr,Paint Celheose 9596 Yat 130.4.1 NO Lonrho:32814 3881 Ave.&Fede.Way,WA 98001 L.r 2 K 2 peened a Brown co pee d Syms material 3181 pain Lary 1 of 3 O.saWare ORW1ss shies!vlrr,8 Napalm.Mlgf W: Other Fibrous Moer0 0:4 Asbestos Typo:% Non-Fibrous 440900 s: otter fico.Mashie:% Asbestos Type:% Rne panicles,Penile.Paint Cellulose 89% Nose DM..NO Vinyl/Blois,Sint..700.11 Nona Deeded ND Nara Dabpad NO Label:13142004 Clientit aei L.yer 2 d 5 00.opion:Oft-while fibrous abedd g with mastic L0ua4:32814 38th Ave.SFed.24 Wavy,W 310163. 11 A 9800 Nm-Pori M0WM2: Other Flews Mated 0:34 Asbestos Typs:% Lew/of 2 Owuk8oa:Olt..rubbery maks. Fine particles.Bb 1,3-1.,,MoeBdBin0K Cesubee 85% Nate Detested NO Non-Fibrous Werge: Other Foran M4Wisls:% Asbestos Typo% Ole..Oben 5% 909.0101_a tone Deeded NO Nag Owen*NO 331891 4 by:Client Our" On Cert _ ,...."0" A by,Ns...P,YnysaaMSk 006:12/122513 AlwyMd6y:Nedebde P5Y3Ysde,yuk 17ee:17I712013 /i•/��� Rsd.wd by:Nick Ly Dae:12/120013 Nick L, rbc 00.45..4 by:hack LY OaN:12I1212013 Kok-•..''. Nate B.wp . .Ism...M.Wwne.d hoavpon...M064 *e.Nsueem44a.e394*3.11 0..... tide N.eNwnMl..mp..3aa M*04140rdho.,pv.na raw errwergaM'.009* nN4oerp er.le 146 Ei•A e0al 1/119.d 6001bffia2a N.sar r.pe NI.An414 fl4 l....b Meuse%Aewh(1% t%.41h0ML 10%=etaL 9061.311111 ed 820.825203.0300*11.SoS1.s w�wMarwwng .&4o Npew1%MFYw0%.O.3%.AMIM410YR15%. 2O%1).a0%70.1.05 %).710111001sW1P ONybh A.Oerdr4.e.a 10 Mos4ald0NKprsa.g,Mh..o..ydh20.04 W%-1040%.52003430%).TN.31st sidwane'0.h Ana...thepleasMsisal.by res....M Nr cnnq>hs..In ..by h m3a.lgq N.a0.d h ass.ca..Tho 3000 dos M t tsses.d..p b LL*as.deie rppanl d NVL 811080139408/00.039031.0644.metas. 11..ii.1 dos 0.l a wowed top b LL SPat ares iPOY of NVL 1.90.0.46ec a dos....a1bdt0 0.indsa.rwlbylM3p Maw sam.orw.03.mw3 LmO�W.I�ttdWMw,awbd.3 poial.mo.rertlbyNulAPara.ydrasewd/W1a....11 Praed. Pep7ds NVL Laboratories,Inc DeritiLkip NVL Laboratories,Inch 4700 Asa.Asa N.,Sass.WA 4103 rverrmiumoueaen u0..nous Leo lode 10x1630 404 0.10101 Ave N.,Sews INA 4103 Frhm3.mruNnud.NVU1 Lep Coy 102430 Td:xNba7.Ow.. e34.,4a Bulk Asbestos Fibers Analysis ` Td:245'i , �834.193e Bulk Asbestos Fibers Analysis 0y Polarized light U04102 bpy By Polarised LightMidoeoopy Caen PM.Field San ..Division Batch 6:1320366.00 Client NVL Feld Services Division 5.840 8:132036600 Addeo:4018 Aeons Ass.N. Cis.holed a:2013.1145 Address:4708 Aurora Ave.N. Glow Prey.8:2013-1045 506024,WA 98103 Oak.Received:12/11/2013 Settle,WA 4103 Ude Reoskb0:12/11!2013 Sarno.Received:25 Sens.Panhe4:25 Ausse.n:W.T.nvesr pant Samples Analyad:21 A1bstM1:Mr.Tema.IO.. Samples Andy..:21 Proles L3®fgn:32814 3881 A..&Federa Way,WA 98001 Method:EPA00052-03/119 Pmecl Location:32814 341 Aye.SFOdr.i Way,WA 96001 94et:00:EPA/600/R-93/156 &EPA/6001144-8202D &EPAeO0R,/4,92-020 Layer 2 d 2 O.weNeoro Disc 006 adhesive met dank Lahr 2 et 2 Ovlp..:Bieck asp.*meanie NonFbra,4 MaisWs: Ohm Fibro.L000ne00:% Asbestos Typo:% Non+lbeux 440 34019 Other Fibrous leamrials% Asbestos Type:% AdWvMl3ider Celebes 7% Naw Mealad NO Mpg9OSirder Catch. 8% Naw 50 00.0 NO Lab 0:13142088 Client Blinpls 8,201340484.12 fryer 1 d 3 O..adpbn:Sion Or IOMp0n:32814 3811 An.SFedora/Wry,WA 98001 NapFitas Materials Wier Fibrous M34.. % Asbestos Typo:X Ls.1 d 2 r21.02009an:Tan 10 Rly materielAsph0Bher None D... ND NOM Wesson NO Nan-Flm0us Materiels: Cher Fibrous MaterWis:5i Asbestos Type:% Lab 10:13142008 Client Swots*:20134045445 RWber/&nOr None Oebded ND Na..0411.0141 ND Location:32814380,Ave.SFedau1 Wry,WA 99001 Layer 2 d x 0.00166oe:Bro.trlNe nloaiiC layer 1 ef 2 Deobaea Pink teit6e nutria 0tlh pent Napahau.Materials: Other Room MatanO¢% Asbestos Typo:% Non-Flows 0409049. Wier Phnom Mdarlaa:% Asbestos Type:% Maslici(ider None Detected ND Mons Debces NO Fins part...0Y14K/FBryar.Paint 0030*,55% Naw00000460 Lab ID:13142006 Client Swots*2513-10453.13 Layer 2 d 2 Oeenla0sn:Berk asphaltic fibrous fait tm008:3281438th Aw.SFadera Wry,WA 98031 00Kbbs Moeris4: Other Homes Lle000% Asbestos Type:% layer 1 d 2 D o03p69 r Bttl1asphaltic!hose t.up 8032.124 Mph.' Cert..80% Yule 0.baed 60 NoFFhons Metra4: Other Fibrous Mated.% Asbestos Type:% Lab 0:13142080 Client Sample It 201310454.16 Asp,ai801 alar Chas Poets 48% Naw De0O00d ND London:32814 388 Ave.SF0800 d Wry.WA 90031 Layer 2 d z IMapipte0:131.a.LK n00 yr..roofinglever 1 a 1 D0.Opeis O8Fwidt putty mcbtl M.paint NoyFbrws Me stele: Other Fibrous M.001*:% Asbestos Typo:% 140nilxuus M0._a: Olt'Fibrous Matareb:% Asbestos Typo% A.puNBIMer,Orad None Detected ND NeseDe681d NO Cahn .particles,09,4KIF:br,Pain Nona Detected ND Nae Osba.NO Lab 10:13142097 Gent Sample 6:2013-1054.4 Location:37814 38th Ave.&Federal Wily,WA 88001 loser 5 d 3 O..apbn:Cler.o8nwOgW Non-Fibrous Materiae: Other Fibots 1160244.:% Mimeos Type:% Bb4KIFRer Naw 0000804 NO Noes Debated ND Sam..by:COant Secedes by:09wn / Anaiyas by:Nadando nney.hny. 010:12/122013 Anaiyas 5y Nada..Pryays0K9tlt Oats:12/12r2013 '~%/�nea�7s. Renewed by:Asha Ly 136.:12/12/2013 t2d1 6dOr Revered by:Nick Ly 13st0:120122813 i.ia�s.1 2N1>yvvM.wl 00 br.pe.e,MaOr..NWedhmwvwY 0.3 adyud.p.d.y.M s..R. 0024. 093 b.2105Nies nn.00lmq.ae,MOgw.N04Nr®p0etr Hsr Mw41101_a.02 wk.wdw0.Mala 0%0.5% e00R4Ytw.d a00btd2L2JY0.9..4N hbkeW6 rn.n.6rrrtrnvbYll..lothnpeb4%A1b.dor 11%.0.9%5%.141%.10%-51916 000145/1/8 ede0Me3.320 N.ieb.e.haille.res.a.r0....bh.fOW YA0.4..11%Oe16 rM14%St.5-15L O4%=tO80%,0%.40_%FITkreOerwew sic b0ebwSsSd,fwabre.Meeealw MlM lweo:aNLMM061 016rr,w:b4. 20.10-20%,...2114 T., 1,�Iw0MW.o WWI.......e..........M.sols.... ..% *09980*nr.sl0ter rd.244 d h were es... 19.5th WS.e 6 sertls.s auP 4 4A WO.......... tom M h,'*00.ed=y d h.e.e 201....0i eve dos rote HP..moo h wt robe si...wet d wt WadsW6030 solos alt r0btlwnP00d.Obaes.ea/MNIWagpwgeydh.Goawwe La...ft.RdaaMewe.brYe....d.w.../MAM army ahs w.ey ll..oo.Pn... 3orede P.O.. 410 • NVL Laboratories,Inc. NVL Batch ID -NVL Laboratories,Inc- CHAIN of CUSTODY NVL Batch ID 4706 Amin Aw N.Sbyye•WA 36103 CHAIN of CUSTODY 4708 Awa Aw N.Seattle,WA 08103 Tec 206.547.0100 Sawa.CAA 206.914.4640 SAMPLE LOG 1320366 Tee 206.547.0100 Nene Cee:208.9143046 SAMPLE LOG 1 366 1.8881 ...n. M_L58S(683.5227). erumm 1a88.N _LANE(686.521/)....mdaba.ann 1320 caw{NVLLaboMdfa61nc NVL 314631 Nmnbr.-_ _ C9ertt NVLlebolebea Inc we Baths Somber __ -_ Seem 4708 Aurora Ave N ----_- street Cew1 lob Number 2013.1045 str.r 4708 Aware Ave N CNr bb Number 25)3-2045 -_. - SZrtla,WA98103 `�.. Tar sample. AS Sew..WA 913103 Taw 90010).0,S -- Preface Wnp.r Syed limn Tan Arron.nm.,140 0448. ga 076 r014:1rawer 54.4d Haman Tern Amend TM"air O 125. Ma co ,arra❑mare 7a 31.14 eM...Leer.n 328143w Ave.S _4.e.❑aria J4 pwNd lnarla FedN3Way WA 440.0ewer..T04 ATWI.--.-mal w. Federal Way,WA 98001 ewer cal a TAT law r-324.8 Federal Way,WA 88007 fare selNws 1ald04a40.03aal9dLa316 Erroll earwig PEND rarhi4. Rarer(283)509-8181 Fa:n- Wars 125.71804-01M Fra:n- _ L-eleeaar Alr I[-PC1317608117400) 11791 MOEN7400 []TBI0409884 ❑TBI8490 A80) 0006. l]A.b.eIwAir ICFGM(M08N 7400)_t-'TM 13110614_74021 ❑T0IWIERW ❑1133 TPA lsa18( 0004. I 'Pf®le.YwM•a PLM RPA900�R-Ca118(QPIM IEP1APoa Crawl Q PM'(EPA GorOMN)015011W5 �AM.mardtipLN, cEPAmOOa4917181 P1PlA1 BAPoM Ca+N).3PLM(SP/-Lia'5)-.1=1 MAeuu0 _I 'l�wwurra I'0W89 Dwd Bat 10aanr.r allenNon ' �Malaarerer. OMm Ar^Mese Zi7a�w.wruwnlwrw � J-7 elTALS Oat Len INNMa 0452 eros -0448 j❑�•�r aa�la e�N-rus. ,: �L Ob a ser aaA www UMftCAxa 1'3 Tete DFAA(ppm)1088 Fear USM r:14440 44 0cNa.eerrlC ❑FM(ppm), f�A1wAc(b) 00040040(0 j r TRF ❑ICP(Ppm)1D 13KAYrp m.a Prue CNps".x[,earn(BN ❑52wp'b) ❑eropr(an T'7012 ❑ICF team) ❑tldwna•+w r NW Clvw1.13,0 Rohm(EN 052.4O+W C.ppw(C')I i c58 nosAA(wpi0 WANS(hw) Flet Chew--af lcad.aen(0d) ❑want'MW 0N8MUW Ir.:' Oere ❑SFAA(Pro)0 MANN*(FAN 0P.m,.0•-i.:,040.(CM ❑14.4114)El a„. __ __ arcan QOea Typw _7Fbw9wa L7 Names waO.merneDrat [.G 060(speo4n EderTypos .73 Permian 01Aaa Mance Out [086r(SpaAy1 arALrk*_U T1 warr ,Pmelals near. _ rl aaN u4ere ease......____ C.nsv11%6101313taev11%6101313 0 Goad❑0eraad(m.s n.) C Sewderw9.hpwse) ._-- ae6eenat p.a36.:00.01❑0.naaad(w"WON ❑Sev.ederaga(rpsla.) Isw.al i.no .Taatserwl.lwwl C..arydl. - l I [a.sl) LOOP-- _J q!nea.aola_1w.twLee.is T' 1 I _ _I l�3-1005-3-7 1 I _1 sM3-40)5-r-y I .S7aa A7 heir I�}Af/7AtE 9_I I _ 73__ I _ i• '1-�; a 1 _ -IA -4 I _I_-_ /-3 I .51! /JT J KT Jivai. 1 4 - 9-ro _ 1 i 1 _ .__ I _/-7_ SmS_.As_ �C!.fSsilirE ... i 8 I I - al 4 ! a 1 Sao 1 1 ?±_I 3'Z 1 JJ t2 ( 3-3. • lie I __. , �_. 10 I.. 3 Jf I 13 1 �_'1 14 _ J 54 I'1s 1 •I - - I 1 1s I I =3-G I is 1. a 'I- - _ i s.mss Ye 8w I ret' M0,- IC�.v AWL_ 9r#-13'� I 6awr err T/A'1 '�wr✓W, 1� NVL •..ir/s Ir•� I awnarl.lra by 4 wA42.-. 12-1143 127,204 f RaReraw.eb i t My-- -'o�/r I�2.'ic7yj ervee 6t'1i4aef l _I A(Y[. 17 lune.17.40) I I_isms by fA!P 1-.- • j_ rel' 'nu 1 I be /1//0.44.4- -r" I Net /L-ANt.4j0,44t i CaWabe Na ii0- I J '_E- 1.,i Artalwod by �I Romeo Faxedby I I I I Awes Fared I _-- _.- _J 1i Irratrualbere Urine n.er6My hro88 aeo.ryw.1 badepw.d dew 0)anb earaalyea • Spacer Instructions:UAw NP.Med In edNrp.all anarres el bode/owl dew(2)web~wawa [Rawl.RaerNemb.So o Rwrd a _--- Pail Ila 1 a;ot IN L 6 0It i i11 1 N •% 1 I0 • a Appendix C c s; I o o ® v 1' X @I • AHERA Certification& e= W ri Laboratory Qualifications E m O �' �..a tie ue i N . E rey Widi, as E = A 2 g , as� � 1 G 0 E- re, 4, g ° rz6 o i az g © may }--...`-� M. ' a asCD ; > .g.,, mg5$ to 0 ts7"2 // c) A ! a =SI ( E O E Z Y i e L) O• 1 N ♦1 \� • • r���7i . National Voluntary ,,,,e-4,--\. IAV V'.�L Jam) Laboratory Accreditation Program ga I N SCOPE OF ACCREDITATION TO LSO/IEC 17025•.2005 m g 0 NVL Laboratories,Iae, o-Pt 1 4708 Amara AvenueN. ! m�. Seattle,WA 98103 ...i iy-5 m $ R .fi Mr.Ngh(ep Vi Ly r >4 t7 Phone:206-547-0100 Fn.206-634-1936 m 5 E-Mail:nick.IQnvBabs.com ; 7'•0 I. 03 o. URL:httFl/ww,nv0abs.com C cl , y <, Pt of V c `� A SULK ASBESTOS P1BER.ANALYSIS(PLM) NVLM LAB COBE 1j063.0 �► =1 S N Id Q+ ^L`J Z $ - 05 m j� MVV/.rel CI, DHl$I.u'h9'�JIIGe'.]LICR t 4- 7+1 C -+ a c*r c 14/A01 EPA600/M4-82420:hater=Medved for the Dmom nation of Asbestos in Bulk Insulation t 0 C ~ O(o Sampins ,... '.)++ �613 G'ty. •u"f„ iew� FY m - s? W a: =u T ' Q ° i. `� �y E o m m 4.4r :n ` p 3,� IQ L r� o y ¢ `- 1n ,--..F.i •.. 3. C,7'.--.......:11.!' :2;7-' . 1 ) i v Q through �1 �(�J 2012-10-01 tbugh 201:+_09-30 V-.igi [ .. .. ______... ____ .._.- __ Els insi&Ins For Ste Naxaw haat.of Stanwiw zed r.damlapy • Page 1 0 1 nNML18 GE`+.1005-1-IS • • Four Season Builds LLC Invoice Invoice No. 1007 Invoice Date: January 20, 2014 Bill To: Paul&Megan Maksimchuk Address: 32814 38th ave s federal way w P:253-334-9209 [Customer Address Line 2] www.4seasonbuilds.com Phone: [Customer Phone] paul@4seasonbuilds.com E-mail: [Customer E-Mail] F:253-517-3709 Fax: [Customer Fax] Description Units Cost Per Unit Amount one removal of old septic tank 1 $ 300.00 $ 300.00 Invoice Subtotal $ 300.00 Tax Rate 9.50% Sales Tax 28.50 Other Deposit Received TOTAL $ 328.50 Make all checks payable to Four Season Builds LLC Total due in 15 days.Overdue accounts subject to a service charge of 2%per month. Thank you for your business!