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13-104505 • • Demolition City &Federal Way Permit #: 13-104505-00-D E CommuniEcon.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: DIWAN Project Address: 2250 S 298TH ST Parcel Number: 768380 0071 Project Description: Demolition of single family residence. Owner Applicant Contractor RUCCHI DIWAN SUNEET DIWAN OWNER IS CONTRACTOR 1900 S PUGET DR 1900 S PUGET DR SUITE 203 RENTON WA 98055 RENTON WA 98055 Additional Permit Information Demolition Valuation 2500 PERMIT EXPIRES Saturday, October 10, 2015 Permit Issued on Thursday, October 10, 2013 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: (a 7(6 1/ 3 i pi., ....&k:....., . THIS CARD IS TO MAIN ON-SITE ` CITY OF ,.4,. Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-104505-00-DE Address: 2250 S 298TH ST Project: RUCCHI DIWAN FEDERAL WAY, WA 98003-4216 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. El Final-Building(4050) Approved By (2 t\—_-- Date S-2fr- vi El Rough ElectricalCI Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECSVED 11111 OCT 10 2013 v177-1 CITY OF FEDERAL WAY PERMIT APPLICATION Federal Way CDS PERMIT NUMBER /3 - / 0 Y 5 05 _ 6 TARGET DATE (n...........•,.... ) SITE ADDRESS SUITE/UNIT# 2250 S 298th St.Federal Way,WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ $2,500 Residential 7 6 8 3 8 0 _ 0 0 7 1 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL El DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT 2250 S 298th St Tear down house,as well as rebuild when teardown is complete. PROJECT DESCRIPTION Detailed description of work to IN 2 be included on this permit only NAME - PRIMARY PHONE PROPERTY OWNER Rucchi Diwan 206-494-0401 MAILING ADDRESS E-MAIL 1900 S Puget Dr rucchid@gmail.com CITY STATE ZIP Renton WA 98055 866-696-0892 NAME PHONE Mitch Diwan 206-853- 1370 MAILING ADDRESS E-MAIL P.O.Box 58264 sudeepchwan@yahoo.com CONTRACTOR CITY Seattle STATE W A ZIP FAX 98138 866-696-0892 WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 4 NORTHCL879DA 9 / 21 /2014 603 250 521 NAME PRIMARY PHONE Suneet Diwan 253 -961 -3836 APPLICANT MAILING ADDRESS E-MAIL 1900 S Puget Dr suneet@dimensionre.com CITY STATE ZIP FAX Renton WA 980.55 866-696-0892 NAME PRIMARY PHONE PROJECT CONTACT Mitch Diwan 206-853 - 1370 (The individual to receive and MAILING ADDRESS E L respond to all correspondence P.O.Box 58264 sudeepthwan@gmail.com concerning this application) CITY STATE SW EA ZIP 98138 FAX 866-696-0892 PROJECT FINANCING NAME Mitch Diwan fl OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP H (Rcw19.27.09s) P.O.Box 58264 Seattle,WA 98138 206-85.-O i.70 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. Ifurther 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 a -- out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a•• of this application. SIGNATURE: \ DATE j i 0 /10 / d 01 PRINT NAME: �.C.C I I V i A r\ Bulletin#100—January 1,2013 Page 1 of 3 k:\I-landouts\Permit Application • COMMUNITY&ECONOMIC DEVELOPMENT DEPARTMENT 33325 86 Avenue South Federal Way,WA 98003-6325 CITY OF °� " 253-835-2607;Fax 253-835-2609 Federal \/ /a , 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 sgned 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 off and meter removed) Agency provided) 4-44aCr1�" 1 CCt1 (Puget Sound Energy) (City of Federal Way Building Official) 2. GAS SUPPLY 7. FUEL STORAGE TANKS (Gas to be shut off, meter removed and final bill paid) (Above or below grade fuel tanks, have been pumped or removed N�- under Fire Departs nt permit prior to any dismantle/excavation) (Puget Sound Energy) (South King Fire and Rescue) 3. SEPTIC SYSTEM 8. WATER- Public Source (Check applicable box) (Tank to be removed or tank to be drained and filled) o Meter to be removed and final utility bill paid N� ©Meter to remain and be protected (King County Environmental Services) 'n (Water Supplier) ******OR****** 4. SANITARY SEWER (Check applicable box) 9.WATER- Private Well (Check applicable box) at Sewer line capped at property line o Private well filled and capped o Existing sew of line torremain and be used by proposed new structure o Private well to be used for other Ars (Lakehaven Utility District) (King County Environmental Services) 5. GARBAGE (All household garbage disposed off and final bill paid) frPt- (Waste Management/Other Company) ❑ Completed Construction Permit Application form ❑Provide 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#122—February 14,2013 Page 1 of 1 k:\Handouts\Demolition Permit Requirements 90/9/13 • Approved Transaction • seleanair.org 'ug et Sound t I-in Air Agency Votification Case #: 201303637 "his 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)). wee Amount Paid $65.00 S'redit Card Transaction # VLFFA13470B5 Transaction Date 10/09/13 owner's Name Rucchi Diwan Phone (206) 494-0401 project Street Address 2250 S 298th St S'ity Federal Way Zip 98003 Tontact Person Aeron Reddy Phone (206) 494-0401 'Nailing Address 1900 S Puget Drive Renton, WA 98055 This project includes a demolition. Demolition Start Date 11/01/13 Completion Date 11/30/13 Demolition will be completed by a demolition contractor Demo Contractor North Lake Construction Contractor Job # 2250 C:ontact Mitch Diwan Phone (206) 853-1370 Mailing Address PO Box 58264 Seattle, WA 98138 1) I certify that the information I have provided is to the best of my knowledge true and accurate. 2) I understand that I 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 project's start or completion date has changed. 3) I understand one Notification must be filed for each structure. The only exception is or a single-family residence that includes multiple ancillary structures, such as a letached 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. :.reale Another Notification you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 1/1 • • LAKEHAVEN UTILITY DISTRICT SERVICE CONNECTION APPLICATION Please type or print legibly.All applicable fields/information required. (Check One or Both) ❑ WATER SERVICE CONNECTION/METER INSTALLATION(SITE/METER PLAN REQUIRED) ❑ SEWER SERVICE CONNECTION(SITE PLAN REQUIRED) PROPERTY INFORMATION Building/Property Address '-;L a. S a 5 a 9 5,-. ''- 5 Address City I j= I,vwd I State I VvA I Zip I ;;� 0"S Tax Parcel No. -7 6 5S --3 5j 000 i u I Property Area g q a square feet Plat/BSP/BLA [ Recording# Lot#(s) Block#(s) Attach Legal Property Description to Service Connection Application Form on Separate Sheet Property Elevations(NGVD-29 High Low Source of Information datum) Yes No If"Yes",List Service Number(s) Previous Connection(s)to Water? Yes No If"Yes",List Service Number(s) Previous Connection(s)to Sewer? PROPERTY OWNER INFORMATION -. Owner Name(s) Q 1.4 c:CP\i U r L.A.A0 I Phone# oao 6 - t4 G L+ -0 Lia) Mailing Address Address ��jj I f��OJ ; P 0 3 e_�- p r City I i2 in F3;,, I State I wil I Zip I g g 0 S S Email ktAcch;(24 ci Q, i ,c--0rio Fax# I '66 --696 - 0190.- Contact Name A er-C Qedcl Phone# I a 06 _ci qq_04 Ext I Contact Email G+e(-v n 4,1,- ,. d 0,,,,.,a;) ,C.,d nContact Fax# '6: _ 6q 6 -3/q 3_ BUILDING/SITE INFORMATION Finished Floor Elevations High Low Source of Information (NGVD-29 datum) Bldg.Area ' q 1/49- square feet #MFR Units Irrigation ❑ Fire Sprinklers ❑ Business Type(describe if necessary) /Z e,; 4,t.j,r/i/ Howe WATER SERVICE INFORMATION _ New-Full w/meter nNew-Stub w/o meter❑ Existing-Upsize _ *Existing-Abandonment❑ Permanent❑ Temporary(perm. service/temp.location) ❑ Short Term(e.g.,project terms)0 Classification Residential El Multi-Family III Commercial/Non-res. ❑ Public Authority ❑ Irrigation ❑ Fire Protection El Fire Protection System Demand(GPM,if residential(SFR or MFR)fire protection system is proposed): SEWER SERVICE INFORMATION(attach site plan) New-Full(Bldg. Connection) ❑ New-Stub Only El Repair❑ *Existing-Disconnect Permanent ❑ Temporary(perm. service/temp.location) ❑ Short Term(e.g.,project terms) ❑ Classification Residential E Multi-Family 11] Commercial/Non-res. ❑ Public Authority ❑ Contractor Phone# Contact Phone# Email Fax# Grinder Pump ❑ Make Model Emergency: Storage❑ Power El Continued on Page 2---* ServConn App-2013.docx(Form Rev.5/9/13) Page 1 of 2 • • LAKEHAVEN UTILITY DISTRICT SERVICE CONNECTION APPLICATION Please type or print legibly.All applicable fields/information required. RESIDENTIAL PLUMBING FIXTURE INFORMATION . (in accordance with the Uniform Plumbing Code) Fixture Total# X Total Ct. Bathtub or Combination Bath/Shower with'h"Fill Valve 4.0 Bathtub or Combination Bath/Shower with 3/4"Fill Valve 10.0 Clothes Washer 4.0 Dishwasher,(domestic,built-in) 1.5 Hose Bibb/Spigot/External Faucet(1st) 2.5 Hose Bibb/Spigot/External Faucet(each additional) 1.0 Sink(Kitchen,domestic) 1.5 Sink(Lavatory/Bathroom,Bar) 1.0 Sink(Laundry/Wash Tub) 1.5 Shower Stall,per head(separate from Bathtub) 2.0 Water Closet/Toilet(1.6 GPF Gravity or Flushometer Tank) 2.5 Water Closet/Toilet(greater than 1.6 GPF Gravity Tank) 3.0 Total UPC Fixture Count NOTE-Below information required for all commercial(non-residential),irrigation&public authority water&tor sewer service connection applications. Annual Gallons used to calculate Capital Facilities Charges. Max/Min rates used for water service/meter sizing. Max rate=most fixtures anticipated on at the same time.Min rate=least fixtures anticipated on at the same time,but not zero(0). I tenant in o is not known at the time of application,a 11/2"Service Stub Connection may be installed to accommodate 5/8"x3/4"-11/2"size meters later. NON-RESIDENTIAL SYSTEM USAGE INFORMATION Applicant's Estimated Water Annual(gals) Max.Rate(GPM) Min.Rate(GPM) Usage Data ***PROPERTIES OTHER THAN SINGLE-FAMILY-RESIDENTIAL PROPERTIES,WITHNEW OR MODIFIED SERVICE CONNECTION AFTER 12/31/2007,MAY BE CHARGED FOR USAGE EXCEEDING ACQUIRED SYSTEM CAPACITY* Length of Private Water Supply Line(Meter to Building—commercial&public authority only) feet 1" ❑ Ph" ❑ 5/8"x3/4"❑ 1" ❑ Requested Water Service Line 2" Requested Water Meter 11/2" ❑ 2" ❑ ❑ 3 ❑ q Size 4" ❑ 6" ❑ Size 3,7 ❑ 4 ❑ 8" ❑ 6" ❑ 8" ALL APPLICATIONS(attach,as applicable):Private Utility Easements NON-RESIDENTIAL APPLICATIONS(attach,required):Water Use Questionnaire&Sewer Use Survey *-Legal Property Owner Signature required for service disconnects/abandonments As owner,or with express permission of the owner,of the subject property,I hereby apply for water and/or sanitary sewer service in accordance with the current rules and regulations of Lakehaven Utility District(Lakehaven),or such rules and regulations of Lakehaven as hereafter made or amended. In addition,I acknowledge,agree to,and certify,by my signature below,the following: —Applicant hereb Ya ecs-to-idem�y�ropeil comers-and/or easement boundaries to-assist with-the-proper location-ofthe-water meters and-that clearly marked stakes will be used for such purpose. Applicant hereby acknowledges Lakehaven's recommendation,for properties that have not been surveyed,that Applicant secure at Applicant's expense the services of a licensed land surveyor to locate and document the property corners and/or easement boundaries. In the event of any errors relative to staking or marking,Applicant hereby agrees to pay all costs to Lakehaven to abandon the installed meter,and to relocate and install a meter in the correct location,including applicable deposits for the work. • Applicant understands and by his/her signature to this application agrees to indemnify,defend and hold harmless Lakehaven,its agents and employees from and against any and all claims,losses or liability, including attorney's fees arising from injury or death to persons or damage to property occasioned by any act, omission or failure of the Applicant,his officers,agents and employees,in performing the work authorized by this permit. This paragraph shall not apply to any damage resulting from the sole negligence of Lakehaven,its agents and employees. To the extent any of the damages referenced by this paragraph were caused to obligation or resulted from the concurrent negligence of Lakehaven, its agents or employees, this g ation to indemnify, defend and hold harmless is valid and enforceable only to the extent of the negligence of the,his officers,agents and employees. • Applicant agrees to allow Lakehaven personnel to enter onto Applicant's property as, or if,necessary for the purpose of recording water usage, &/or other necessary operation&maintenance tasks performed on Lakehaven-owned water system facilities. • It is Applicant's responsibility to know Lakehaven's requirements and any applicable City,County,or State requirements or regulations. Lakehaven may waive any of the above requirements. Such waiver or waiver by acquiescence by Lakehaven of any provisions or conditions stated above shall not be a waiver of any other provision or condition of this permit. • I hereby certify that the information provided on this application is true and correct and that the applicable requirements of Lakehaven will be met. Missing and/or incomplete information will delay processing. • Application will expire 30 days after date of applicatio 't • t notice,and a new application will be required to be submitted at that time. Service connection costs are subject to applicable fees,charges,& .osits at the ti e a complete application for service is received by Lakehaven. f . I0/ �/ Jj \Signature) (Date) ServConn App-2013.docx(Form Rev.5/9/13) \ Page 2 of 2 i W ENVIRONMENTAL SERVICES, INC. Environmental Consulting & Compliance October 3, 2013 Rucchi Diwan 1900 South Puget Drive Renton, WA 98055 RE:Asbestos consulting at the residence located at 2250 South 298th Street in Federal Way, WA Dear Ms. Diwan, NOW Environmental Services is pleased to present this survey report for suspect asbestos-containing building materials analysis conducted at the residence located at 2250 South 298th Street 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, • t/75-2-% Todd Rickert AHERA Building Inspector Accreditation No. UMP-NES1-053113-03 (Exp. 5-31-14) NOW Environmental Services Enclosure: Asbestos Survey Report 34004 9th Avenue South, Suite 12,Federal Way,Washington 98003 Phone: (253)927-5233 Fax: (253)924-0323 www.nowenvironmental.com • W ENVIRONMENTAL SERVICES, INC. Environmental Consulting & Compliance Limited Asbestos Survey Prepared For: Rucchi Diwan 1900 South Puget Drive Renton, WA 98055 October 3, 2013 Subject Property: Residence 2250 S 298th Street Federal Way, Washington 98003 Prepared By: Now Environmental Services 34004 9th Avenue South, Suite 12 Federal Way, Washington 98003 Contents Section Introduction 1.0 Executive Summary 2.0 Regulatory Compliance 3.0 Sampling Plan and Laboratory Analysis 4.0 Survey Results 5.0 Conclusions and Recommendations 6.0 Limits of Survey 7.0 Appendices Laboratory Results A Maps B Certification(s) C 34004 9th Avenue South,Suite 12, Federal Way,Washington 98003 Phone: (253)927-5233 Fax: (253)924-0323 www.nowenvironmental.com • i Section 1 .0 - Introduction On October 1, 2013, AHERA Building Inspector Todd Rickert of NOW Environmental Services conducted a limited inspection for suspected asbestos-containing building materials at the residence located at 2250 South 298th Street in Federal Way, WA. Mr. Rickert is an Environmental Protection Agency (EPA) Accredited Building Inspector Accreditation No. UMP-NEST-053113-03 (Exp. 5-31-14). Accessible areas were visited and samples were taken of building materials suspected to contain asbestos (vinyl floor tile, gypsum wallboard, roofing etc.). These samples were analyzed for the presence of asbestos. Please see Table 1 for an inventory of asbestos containing building materials. Please see Table 2 for an inventory of sampled suspect building materials. Sample locations are indicated on the attached site drawings. *k QUANTITIES ARE APPROXIMATE AND ARE NOT TO BE USED FOR BIDDING PURPOSES. PROSPECTIVE BIDDERS MUST SITE VERIFY QUANTITIES AND SITE CONDITIONS. RESIDENCE-225D SOUTH 298Th STREET IN FEDERAL WAY,WA PROJECT#N13-0423 Section 2.0 - Executive Summary Building Description The structure is a one story residence of approximately 700 square feet. The structure was built in approximately the 1950's and is a wood structure on a concrete foundation. Interior wall systems are gypsum wallboard and wood paneling over wood framing. Other interior finishes include carpet,floor tile and sheet vinyl. The exterior finishes include painted wood siding and a three tab composition roofing system. Asbestos Table I Summary of Asbestos Containing Building Materials sampled at the residence located at 2250 South 298th Street in Federal Way,WA Material Description Friable Material Sample Location Analytical Quantity - (Laboratory) Results Vinyl Floor Tile, 9"x9" Non-Friable Bedroom 1 Floor Tile: 2% 700 SF Tan Chrysotile Asbestos Dark Vinyl Floor Tile Non-Friable Bedroom 1 Mastic: 2% 700 SF Mastic Chrysotile Asbestos *"QUANTITIES ARE APPROXIMATE AND ARE NOT TO BE USED FOR BIDDING PURPOSES. PROSPECTIVE BIDDERS MUST SITE VERIFY QUANTITIES AND SITE CONDITIONS. RESIDENCE-2250 SOUTH 29&' STREET IN FEDERAL WAY,WA PROJECT#N13-0423 • • 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. RESIDENCE-2250 SOUTH 29B'"STREET IN FEDERAL WAY,WA PROJECT#N13-0423 I Section 4.0 - Sampling Plan and Laboratory Analysis Asbestos Objectives The objective of the survey was to determine the quantity and location of building materials (vinyl floor tile, roofing, gypsum wallboard, etc.) that contain asbestos within areas to be impacted by planned renovation work. 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). 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 I (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. RESIDENCE-2250 SOUTH 2951"STREET IN FEDERAL WAY,WA PROJECT#N13-0423 • • Section 5.0 - Survey Results Asbestos Table II Summary of Suspect Asbestos Containing Building Materials sampled at the residence located at 2250 South 298th Street in Federal Way,WA Material Description Sample Number Material Sample Location Analytical (Laboratory) _ Results Window Putty N13-0423-001 Exterior Non-Detect 3-Tab Composition Roofing, N13-0423-002 Roof Non-Detect Gray Black Vapor Barrier N13-0423-003 Roof Non-Detect Acoustical Ceiling Tile,White N13-0423-004 Hallway Non-Detect 1'x1' Black Vapor Barrier N13-0423-005 Exterior Siding Non-Detect Joint Compound N13-0423-006a Bedroom 1 Non-Detect Gypsum Wallboard N13-0423-006b Bedroom 1 Non-Detect Joint Compound N13-0423-007a Bathroom Non-Detect Gypsum Wallboard N13-0423-007b Bathroom Non-Detect Joint Compound N13-0423-008a Bedroom 2 Non-Detect Gypsum Wallboard N13-0423-008b Bedroom 2 Non-Detect Vinyl Floor Tile,Tan 9"x9" N13-0423-009a Bedroom 1 2%Chrysotile Asbestos Black Mastic N13-0423-009b Bedroom 1 2%Chrysotile Asbestos Sheet Vinyl,Beige 4"Tile N13-0423-010 Kitchen Non-Detect Pattern Sheet Vinyl,Off-White N13-0423-011 Bathroom Non-Detect Construction Mastic,Yellow N13-0423-012 Bathroom Non-Detect %2" Insulation Board N13-0423-013 Dining Room Non-Detect Knob&Tube Wire Casing N13-0423-014 Dining Room Non-Detect Pink Batt Insulation N13-0423-015 Shed Non-Detect Black Vapor Barrier N13-0423-016 Shed Non-Detect Built-up Roofing N13-0423-017 Shed Roof Non-Detect RESIDENCE-2250 SOUTH 298TH STREET IN FEDERAL WAY.WA PROJECT#N13-0423 • • 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 should 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 Ill, 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 296-62-07728. Personal protect 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 be impact asbestos should 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. RESIDENCE-2250 SOUTH 298TM STREET IN FEDERAL WAY,WA PROJECT#N13-0423 • • 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. Materials sampled were limited by the scope of work as defined by the drawings provided. Lead based paint &TCLP testing, mercury light tubes and/or other hazardous materials were not included in the scope of work during the course of this survey. Other 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. A TCLP sample was not collected of the building to determine levels of leachable lead in building debris. 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 management, and that all asbestos containing materials are abated during one project by the same asbestos contractor. Written By: Todd Rickert AHERA Building Inspector Accreditation No. I/MP-NEST-053113-03 (Exp. 5-31-14) Reviewed By: A_ Donna McNeal CEO/Laboratory Director RESIDENCE-2250 SOUTH 2981"STREET IN FEDERAL WAY,WA PROJECT#N13-0423 • APPENDIX A Laboratory Results . • ORION Environmental Services NO t AIM 34004 Ninth Avenue South,Suite Al2, Federal Way,WA 98003 Blum ,:I. Compliance&Consulting 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: Rucchi Diwan Rpt.Date: 10/2/2013 Address: 1900 South Puget Drive,Renton,WA 98055 Page: 1 of 2 Attention: Rucchi Diwan Invoice: 134871 Project Name: 2250 S 298th St Demo Date Rcvd: 10/1/2013 Project Number: N13-0423 Asbestos Client Orion Material SampleAsbestos Other Containing Sample ID Sample ID Description Treatment Material Type Fibers 01 210 131001 Window Putty crush ND cellulose 20131001 cellulose 1 002 3 Tab Composition Roofing ash ND -132 fiber•lass 003 20331001 Vapor Barrier chloroform ND cellulose ee 20131001 Ceiling Tile . cellulose ee 20131001 Vaporchloroform - -135 20131001 006a Joint Compound ND cellulose -136 oe.. Sheet Rock ND cellulose 20131001 007a Joint Compound ND cellulose -137 007b Sheet - ee:. 20131001 Joint Compound -138 ee•. Sheet Rock ND cellulose eo• 20131001 Vinyl Tile crush 2 Chrysotile -139 e e•. Mastic chloroformChrysotile 010 2101001 Vinyl Sheeting • cellulose 011 20131001 Vinyl Sheeting a cellulose 012 20131001 MasticchloroformND -142 013 20131001 Insulation Board ND cellulose -143 014 1441001 Knob&Tube Wire Casing ND cellulose . • Polarized Light Microscopy Test Report (cont.) Client: Rucchi Diwan Rpt. Date: 10/2/2013 Address: 1900 South Puget Drive, Renton,WA 98055 Page: 2 of 2 Attention: Rucchi Diwan Invoice: 134871 Project Name: 2250 S 298th St Demo Date Rcvd: 10/1/2013 Project Number: N13-0423 Client Orion Material Sample Asbestos` Asbestos Other Containing Sample ID Sample ID Description Treatment Material Type Fibers 015 1451001 Insulation ND fiberglass 016 204031001 Vapor Barrier chloroform ND cellulose 017 1471009 Built Up Roofing ash ND cellulose 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-98/116.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. Analyzed By(Print) Date Reviewed By(Print) Date Dennis Rauschenberg 10/2/2013 Donna McNeal 10/2/2013 Analyzed BBy(Signature) Time Rev' we By(Signature) Time • • APPENDIX B Field Notes P.. I 1 1 • 1 . fIj I 1 1 , , I I , r ' A a y . 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' �P/ft /t ^. \'>.^i� A/ .•�!/:A:4 `'T` �,nAS• rr 1 . i• yiii�� i 1 \ �E�' �C,: i • 3-� !+� �T ^}N'r '1 7t+'/ At 1 1' e. . r 1s, Yn tl'4" 1!-' :".i,WPr.. tila);,"•-••:•,- -=--.7--.: V.,/)/ `:.'r`'''''�c�.^,.•`- 1ffi f t ; ..,,,.,, ria-"'4✓ /o?tn--!---....,,,.!1 _ , 1. l,: i f: . +' aw, .�,+ 't� /'_.'i7:S.S._ `j�: �'•`,17� 1it�;1' ...4....._„ ,..„...,,,,,.„,,,,,....,...4-' \;.....,......,„_1.,..,,P.,10.—,� _�`'+i-...,...t....!:.,),;.,� 1 ;..' • • NOW Environmental Services, Inc. (253) 927-5233-Fax(253)924-0323 34004 9th Avenue South, Suite 12 Federal Way,WA 98003 • 10/07/2013 SALE Total: $575.00 Credit Card xxxxxxxxxxxx9205 Exp. Date: xx/xx Name: _ _ucct�i,Diwa �r� ././y/ e/7 S , e) Auth.Code: 055477 QuickBooks Trans. No: Trans. ID: ME0134036561 Merchant No.: 5247710000190165 Thank you for your business CUSTOMER COPY