16-106048 - ,f. . A
Demolition
City of Federal Way , Permit #:16-106048-00-DE
Community Development Dept. ._ .
33325 8th Ave S ," �'
Federal Way,WA 98003 L '-_.- - Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BARRETT
Project Address: 1836 S 308TH ST Parcel Number:785360 0008
Project Description: Demolition of single family residence and detached garage.
Owner Applicant Contractor
KELLY BARRETT MARK BARRETT
2529 S 304TH ST 2529 S 304TH PL
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
PERMIT EXPIRES Saturday,22 December,2018
Permit Issued on Thursday,December 22,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the e will be in accordance with the laws,rules and regulations of the State of
ngton and the City of Federal Way.
Owner or agent: Date: /02/2-2//t
-
THIS CARD IS TO REMAIN ON-SITE '
j •
�' Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 106048 00 Address: 1836 S 308TH ST
Project: MARK BARRETT FEDERAL WAY WA 98003-4820
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
By Date /6./I
Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
rNED
PLI ATION
CITY OF � '1'1.'4.., PERMI'$�AP C
�E� 2 �+ - PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way253-835-2607 + FAX 253-835-2609 + permitcente a ityoffederalway.com
QV OF FEDERM.WAY
cps
PERMIT NUMBER / wW — / 0 U y X _ L
V V "'fff--��� TARGET DATE
SITE ADDRESS SUITE/UNIT#
t‘ ?v art" E c LL,A-y LAa 5l8O 3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ G., c 6 `7 S 3 v - v g
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL gbEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION • 1,4-04-%S EA��� `
Detailed description of work to
be included on this permit only
NAME / PRIMARY PHONE
PROPERTY OWNER i2'< {��iJ Ik/ZfZ GTT ,�S 3--et�i�►->`/Fa
MAILING ADDRESS E-MAIL
y1z izinV- a MSN C"
CITY STATE ZIP
Cr F 6)4 � i� I'GC1°
NAMEPHONE
OM^G
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
ken
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAM `' PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING Qr OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE f 49-2 J
PRINT NAME: M 1V KL l?
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\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(Goo)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of future 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
niSHWASHERS RAINWATER SYSTEMS URINALS OTHER(Descrihe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) 1 EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals I �
**NEPJ HOMES ONLY**
ESTIMATED SELLING PRICE$ — l # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction # of
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
• , RECEIVED •
DEC �'n COMMUNITY DEVELOPMENT DEPARTMENT
33325 8th Avenue South
C OF FEDERAL Adz Federal Way,WA 98003-6325
�
CITY OF o 7 ''''' � '- ` 253-835-2607;Fax 253-835-2609
CFederal Way www.cityoffederalway.com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure on a subject property. Demolition of separate
structures may require separate permits.
El'Address of Demolition: /e 3(, �' I" 49e 9
❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency
or their approvals attached. Items not applicable to your project should be marked N/A.
❑ A completed Construction Permit Application form is also required.
1.ASBESTOS ABA '3 ENT
(Pr vide .ny of N. - .f Intent from Puget Sound aean Air Agency 5. ELECTRICITY
co! •f in�9s.- .. re rt by AHERA- entified inspector)
/d ,�'_ , / 444)( ( liYh e is v
<_,/� ' of Federal ui d g Official) J6✓rR � d (Puget Sound Energy)
2. FUEL STORAGE TANKS 6.GAS SUPPLY
o Under grade tank(s)is/are present
o Above grade tank(s)are present A"/A-
❑Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy)
Rescue permit prior to any dismantling or excavation
/1/,A.
(South King Fire and Rescue) 7.WATER,- Public Source
1/-- A ' 4-c,
-`• (Water Supplier)
3.SEPTIC SYSTE�M/ / '
J /4- 8.WATER- Private Well
(King C unty Environmental Services) A
/V
(King County Environmental Services)
4.SANITAAR�Y SEWER
V-. , �'�C —
/ / akehaven Utility District)
Bulletin#122—May 13,2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
1
• DEPARTMENT OF CO•LAITY DEVELOPMENT SERVICES
33325 8`h Avenue South
CITY OF
Federal Way,WA 98003-6325
Federal Way 253-835-2607;Fax 253-835-2609
www.citvoffederah,vay.com
DEMOLITION PERMIT CONTACT LIST
This list of agencies may assist you in expediting the demolition permit process.Refer to the demolition permit
requirements for signature blocks.All applicable signatures are required prior to permit approval.
1. Asbestos Removal: Puget Sound Clean Air Agency
110 Union Street,Suite 500
Seattle,WA 98101-2038
206-343-8800—OR—800-552-3565
www.pscleanair.org
2. Electricity: Puget Sound Energy Tacoma Public Utilities
Attn: Construction Coordinator Customer Service
22828 68th Avenue South, Suite#102 —OR— 747 Market Street
Kent,WA 98032 Tacoma,WA 98402
888-225-5773 253-383-9600 or 253-383-2471
3. Gas: Puget Sound Energy
805 156th Avenue NE
Bellevue,WA 98004
888-225-5773
4. Telephone: Qwest Communications
801-962-2475 (phone)/801-237-6491 (fax)
5. Water: Lakehaven Utility District Tacoma Public Utilities
Technical Service Division Customer Service
31623 First Avenue South —OR— 747 Market Street
Federal Way,WA 98003 Tacoma,WA 98402
253-941-2288 253-383-9600 or 253-383-2471
6. Garbage: Waste Management
655 Second NW
Auburn,WA 98071
253-833-3333 (residential)—OR—253-939-9792(commercial)
7. Sewer: Lakehaven Utility District
Technical Services Division
31623 First Avenue South
Federal Way,WA 98003
253-941-2288
8. Septic: King County Environmental Services
14350 SE Eastgate Way
Bellevue,WA 98007
206-296-4932
9. Fire Department: South King Fire&Rescue
33325 8th Avenue South
Federal Way,WA 98003
253-946-7248
Bulletin#109—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Contact List
• •
\jomAbatement Company,LLC
Notice of Asbestos Removal: December 22, 2016
Mark Barrett
1836 S 308th ST
Federal Way WA,98003
To: Mark Barrett
Completion of Asbestos Removal: at the property listed above
On December 19t 2016 Tacoma Abatement Company, LLC removed all asbestos containing •
Popcorn and mastic (glue dots). All identified ACM have been removed and cleaned and cleared
from the structure.
Per the Department of Labor and Industries WAC regulation 296-155(9) Part S and the Puget
Sound Clean Air Agency revised Asbestos Regulations section 4.02 (b) a, all accessible
asbestos containing materials have been removed from this property. Work practices,
engineering controls along with air sampling have shown that the area is clear and ready to he
occupied I re-built.
If you have any further questions please feel free to contact me,
Pat Culver
General Manager
F4 C:l'VED
UEC 2 2 `'f'
CITY OF FEDERAL'WAV
5111 S Burlington Way,Tacoma,WA 98409
Phone:253-830.5945: Fax:253-383-1592
M •
4r
• ,1. :`
TACOMA ABATEMENT COMPANY,LLC
,e.
December 2. 2016
RE: Mark Barrett R'+
1836 S 308th St •
4 * _
Federal Way WA,
Dear Mark Barrett
Tacoma Abatement Company. LLC has conducted a limited asbestos Good Faith survey on 2-18-
2015 at the property listed above. Asbestos samples were collected for the purpose of
determining potential hazards to workers during repair, remodel and or demolition of this
residential unit. State laws require hazards be identified before structures or components are
impacted as part of demolition activities.
Suspect materials included 1) Texture, 2) Popcorn, 3) Joint. compound, 4) Mastic, 5) Glue dots
6) Tile 7) Lead 8) Sheet Vinyl and 9) Roofing. A total of 23 samples were collected for asbestos.
Y P k. �
Unless presumed asbestos containing, any materials or components containing greater than one ""`
percent (>1%) asbestos is regulated by federal, state and local air agencies. Regulated
materials containing asbestos are as follows: r,' '•
:;,.
Sample number 1, 2, & 3 Popcorn is 2+% Chrysotile Asbestos $,
Sample number 15 & 16 Brown Mastic 2+% Chrysotilebestos • 1,1
All other components did not contain asbestos or contained less than one percent. No other 'V'
suspect materials or components were identified in association with the residence
Let me know if you have any questions or if we may be of further assistance. :. .r
Professionally Yours, ` _•'
Tacoma Abatement Company, LLC
}
Pat Culver
:t.
.. ri
AHERA Building Inspector#BI-NES-01-26-16-02 Expiration 01-26-2017
,04
5111 S Burlington Way •Tacoma, Washington 98409
Telephone (253)830-5945 • Facsimile(253) 383-1592 • email pculver@tacomaabatement.com
• •
PLM Certificate of Analysis
E Coealtmes 6 Cuwi.0
Sample# Type Location Positive/Negative
1 Popcorn Bedroom 1 Positive
2 Popcorn Bedroom 1 Positive
3 Popcorn Bedroom 1 CL. Positive
4 Texture Living Room Negative
5 Texture Bedroom 3 Negative
6 Texture Stair Entry Negative
7 Texture Living Room <1
7b Joint Compound Living Room Negative
8 Texture Bedroom 3 Negative
8b Joint Compound Bedroom 3 Negative
9 Texture Bedroom 2 Negative
10 Texture Bedroom 2 Negative
11 Texture Bedroom 1 Negative
11b Joint Compound Bedroom 1 Negative
12 Texture Hall Area <1
13 Joint Compound Kitchen Negative
14 Tan Mastic Kitchen Negative
15 Brown Mastic Hall Area Positive
16 Brown Mastic Hall Area Positive
17 Tan Mastic Kitchen Ceiling Negative
19 Vinyl Bathroom Negative
19a Tan Mastic Bathroom Negative
20 Vinyl Bedroom 2 Negative
23 Roofing House Negative
24 Roofing Felt Garage Negative
• 0
_.,. .
.".iops,,,i;:,.., 4=,. ....n.mier., , ;t',At!'"',.., „..,<41,-;',:v:,l'-....._ ,.....--- -"ji•:',,,.
"" -----3;t-tri- ,494. .'-.'i.:;.; .•'.',.7.-. .-..-7-47,1- i .-*'::;' .--'%.-----'-'7',----..-;.'..•: - -'- -' ''
`'.... - - ,-P"--7' -,--
r,i1,:'siLvit.r...-,l'I::: .$4.,-,-,.. .,,,.-„.',1,...,.... .?:...,/-iti,,,-.-:..,-,-,___.. .-:,.;-..,5ix..--- --.;..',.,-:: :.-,..‘,..,..(_/"..,---,,,,,e-i.:14-*•::c.:4?-:::1/2,.. .At---,-,,,,,,-,. ,',,•-•--....,,,,,...'--,t.
,
e.A.: .:Vigt::::W17'.'.7,*"&';.'N'4":11.‘:.*4'''''?.):';':''firZ7e'ilki!letW55;'''. ';'07,7:7•.,§K:f.VW,.:577.-,41;;; Iii,IN.,,:',.i.i:,y-. ,%.4,,,,, ,,114,a0 .,i.,,,_ f./^t,-.:01 Vg„.**,',,k
r .: .1..z,-;f„,-.,.,..„,.11.5.,,-?:,,• _. ,,!.,,:,,-z,c-,,,,,,,, ,,,,ft.,1--...;...,:.-,. :,itt:.,:tik.Ati,Airst-,,•,q-,.--:::1, -,,,A,•,..,,,,,::;:.-„,,cf:;:.....F,„::. ,-,:..---,..;•20::::,.i;;:yi.::-;7:-.,;.:',0..- ::.,',, 44
-.....-- 1.-„„ii-v.:.-.•• ••,-..-.1,,
..,..4„....„...........„.......,„ ,..:„.......„...40,:,....„.„,......„,....,.,..__:,..&,...p.,?,,....:_....:.,1„:1...--,:.:...„.....„..,-.„,.... ,.......„,..-,........„...":-,,,..-k,,, ,,,,.„
- - —
- --- 1j
1.11. 'n. ,.,.,..'''.:.,'..'.'.,,,\.._,'.;f,1.-:"i'''-•:,..,...:''z.:.':,.':.,...'.3,'',"..'f',',.':‘,.....''..,'''Tl.('''''''
i.:.-•::,..,'://,../,71.,-',;!;-..1 11...,,..?..,:. ..„
, -11•-....,-.'.:ii,
.i....T. .,,•:;!,. 1
,-....kA •,.„ 'Ili, ;ilki
,...,,,..,..,..,.......4..,„_,
.,i.,-, ...s., ...t
i.-:,,,,,....::,:z. ,, :,..
.c.,.,...- ...„;;:,,,
x-,,..,,,i•(,„;.,:p., _...--1 ....... .:,
t 5..„!„....,,...,:...
•Ag.20,,, .
- • ,
•,....„.
.. ..: .
.. ,. ,
•-4t- --.-: ':'
ji 1,
':•....1,A.•:••...,;ki,,,k, .. 0 ..,..
Iii;'4•''.0:.'''1:1' -I-, C _
,i ..'.,-...:4,..ri.-.?:;:4-•:•1 (1) •-
k- '7
_
,— .
.-. ,--,z.,-:fi i
--- " - ' o" z
c ce) tc,: cc) C\I (1•%-z*.,7,..s..4.
.,‹.....i....„. -,,,I, LLI *.,4[,,,. ,'k-•t#
•:1:,1 •- ;,,,,:: ' co I ,...._. .:,.
,.:i.1 ?:. ,T ,.,4 1-"" •h: 0 4-' • cp 1,:,• - ,
( 0 0
inn mum TS -0 0 LL C4 ',.
- (1)
Cl) ..-' C°
:1:1;,!.::?bqc..7,4..,:'.1)
q. ,'.......;;;,4:;;;•,:.il . r 1 1
(...) LL L. -a 3 Mt `.." ‘...- a) m CY)
'' ,.1'`1,.
'''-jr,V..'-1,;-'1! ui 1..„. 2 ci) it.; .-- (.1., s..--_-,•_ 6
ii..:':'.fr.•';',',2,''). .'''''''
?1••,1,_ ,:, 1‘ Cill Cl. Ce ÷-;... 0-W -0 ILI .4., 4-• cy)VD . .._ .
I
it.v Ii
j.?''.104 1
I CI) Lli •-.E Z 0 = .0 13 rbi _ 0 -— LI)
cia u) -C 1
4%. .:" .., , Unamil Z (.) a) o < )-7( a t•-,
C (D ea C\I 1 •,,:to',-,..,.1.• .- •
ki• :1 : t'•44-'1 I
(
\g: .,,, ..,..11,
,,,t::,,i::;',,(•'Y'::',,t-1,-,
p c --- ....-....
1.k....---i,?iz,:.:1 ...— .
4' ,, 111 = 0 re °
'..:'-, ••••• Li.)
U.1 .D. "4+4 r) 61) -C 2
-,, , I.- .Ln_ (13 (0 -1-,
4- c -C 0 C (NI ,.....-
CDN CI .5-C .
: ',:l. ;':-.
aim .0 elk CO 0 :.---' a) 0 - C 0) '141:...-4
1.,..,.:13 );•,pli .4.<
(i) ED a)
...! ILLI ... -....
•'.... 0 (1)
--,...
no. _ce -- — 13 -0 c .7.--, .0
- --
(
-.--,,-- -.--
... . .: I CO LL
C.)
C C Cr)
•..tl. i.;i
LLI Di, ,0° b— ,i..c.) 0 03 ms
— 0 --- < —, - !Izi,... ,,, ,,,
- '
- -(7.3 0
c •— 03 • • • ,•• -- 4,•
:,..3;s•..-Li!:',--• a) al " _c : i.i-.•:,.::;i.p
a) ril I ...;,...•',.://4 4::A
+-• C 4-, ..•.• t•:t.r.i.'.4.7,-,/k.ri,•.'
• I ‘--..,:eT•:•1....i a) •t./3— • ..‘:-.Y.:,C.'11,11 TA)
,ir-.1!,. .4-t:.:•.(;`,! I'...:.! 09
.
,O..,-.. -,... al E ..c
,r....-. -i,..,,,....:::)...,.. I ..
., .
_c w
,-- -o !I.,;[:..,, ,...
.-_ .:
o Ci5 !If!r.., ''.'41
(..) 1-.
>
•,,. :7=/: Af':". ,,,- . , : .-•.„
, . ,,,,, : -.4:.•;;•.'' .,:.. ,;',
..,:i '1,t.,' ,-..,,--,Y1.. -,
,. • .. .„ • '..-...:--...,-:,-4-1',,,,A
11.41 ,-:-B- ‘•
. , •• -- --,:,-3-,-.,-•,-,--,„ ,-,..L...„-- •--,, -- , L.,,,. - ,•-• ,--- ',' • --- • i---,,i-!;1,'',,--r:,...,•,',-• ,,1-,' ' -‘,,----..•,•,- -'-:- ' ' .,-.. -.--.,i '-----;,--.::'i
-' - -: -..',...,.,:-,i,,.-----,-,;, ----_--,,-,----.,,,-,r•-•.,,,, .----,.-,__._..., - ,,,;,•,.., .-,-, ..,:-',,,.,-.,.-,-.,-..,. , .-,----,-_- ',:.:.,,N:.;... -7,i'f- 1-'..c-c-r-vt'i-.i--.., :.•,-.01..,:
_ .. ,- •- -__.,._ - ,__ __ _ - . , _ .,,
l .
•
12/7/2016 Approved Transaction
pscleanair.org
Puget Sound Clean Air Agency
Single-Family Notification Case #: 201605855
This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available
for inspection at all times at the asbestos project or demolition site(Reg III, 4.03(a)(6)).
Fee Amount Paid $25.00
Credit Card Transaction # ALOFE12F8A4A
Transaction Date 12/07/16
Owner's Name Mark Barrett Phone (253) 830-5945
Project Street Address 1836 S 308th ST
City Federal Way Zip 98003
Contact Person Pat Culver Phone (253) 830-5945
Mailing Address
This project includes asbestos removal.
Project Size linear feet / 400 square feet
Project Start Date 12/19/16 Completion Date 12/19/16
Asbestos will be removed by a licensed asbestos abatement contractor
I certify that:
(1)This is a single-family residence project. The structure is used by one family who owns the property as their domicile.
(2)The information I have provided is to the best of my knowledge accurate and complete.
(3) I understand the fee for this Notification is nonrefundable.
Create Another Notification View History Lon Out
If you have questions, contact us at asbestos@pscieanair.org or 206.689.4058.
https:/lsecure.pacleanair.org1Asbestos/Approved.aspx 1/1
•
12/2/2016 www.lra.wa.gov/safety/topics/atoz/asbestos/FormDataDisplay.asp?FormID=135529°/23%231532TACOM227976
.Dept. of Labor & Industries, Division of Occupational Safety &
Health
Asbestos Project Notification Form
Form ID: 135529##1532TACOM227976
Notice Date: 12/2/2016
Start Date: 12/19/2016
Completion Date: 12/19/2016
Status: Initial
Site Work Hours: 8:30 am-
Site Work Days:
Monday
Contractor: TACOMA ABATEMENT CO LLC
Job Site C.A.S.: Matt Ware
Your email address: aguzman@tacomaabatement.com
Contractor Phone Number: 2538305945
Property Owner
Name: Mark Barrett
Owner's Agent:
Company:
Address: 1836 S 308th ST
City: Federal Way State: WA Zip+4: 98003
Phone: 2538305945
Job Site
Address: 1836 S 308th ST
Building Name:
Room:
City: Federal Way
Zip+4: 98003
htipJ/www.lni.wa.gov/safety!topics/atoz/asbestos/FormDalaDisplay.asp?FormtD=135529%23%231532TACOM227976 1/2
! t►
12/2/2016 www.ini.wa.gov/safety/topics/atoz/asbestos/FormDataDisplay.asp?FormID=135629%23%2315.32TACOM227976
County: King
Facility,
Type: House
Age: 1965
Size: 1200
Type of activity: Repair
Quantity of Asbestos to Be Removed Indoors
Quantity: 400 square feet
Popcorn ceiling
Other:Glue dots
Quantity: linear feet
Control Measures
Neg.pres. enclosure
Wet methods
HEPA vacuum
Critical barriers
Manual methods
Respiratory Protection
1/2 mask APR
Type C pressure demand
Comments:
Date/Time Submitted
12/2/2016 8:17:35 AM
httpJ/www.Ini.wa.gov/safety/topics/atoz/asbestos/FwmDataDisptay.asp?FormID=135529°/x'23%231532TACOM227976 2/2