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17-104098City of Federal Way Community Development Dept. 1 P 33325 8th Ave S Federal Way, WA 98003 In Ph: (253) 835-2607 Fax: (253) 835-2609 AM Project Name: XU Project Address: 1909 SW 356TH ST Project Description: Demolition of single family residence Demolition :17 -104098 -00 -DE Request Line: (253) 835-3050 Parcel Number: 252103 9004 Owner A li Contractor LEON & SOPHIA XUMAYFAIR LLC R LLC LEON & SO013 R L CLEARING & EXCAVATING 31704 53RD AVE SW 317 V RLCLEEI097N2 (5/2/18) FEDERAL WAY WA 98023 FEDEI 98023 PO BOX 4203 FEDERAL WAY WA 98063 I hereby certify that the ab( and the occupancy and Owner or agent: 011111191� why >nal P it InfortA C 'w Tuesda 0 February, 2018 n u a. August 24, 2017 correct at the construction on the above described property accor with the laws, rules and regulations of the State of m anity of Federal Way. d Date: � / THIS CARD IS TO REMAIN ON-SITE C"orW Construction Inspection Record Fec1Y INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 17144098 00 Address: 1909 SW 356TH ST Project: LEON & SOPHIA XU FEDERAL WAY WA 98023-7254 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 Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By - Date 40k GTY OF Federal Way RECEIVE® PERMIT APPLICATION AUG 7 4 2017 PERMIT CENTER + 33325 8f Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com CITY OF FEDERAL WAY 1 - Qor"PMENT PERMIT NUMBER — —( ITY —/ — —V c�- P —( — TARGET DATE �/ _ � ul / 2 — SITE ADDRESS SUITE/UNIT # 0 3S-6-tti T,4m ( Ww WA 9g� , PROJECT VALUATION $ ZONING ASSESSOR'S TAX/PARCEL # 1 2 v 0 _2400 feco -7�? J_- a - - � -- TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL VDEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (A S o✓f 'f otepnoZIR h6eyty PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS 31704_ E-MAAIL )� � S7iiW �'�Tr''lai (om CITY (!A( " STATE I w ZIP a NAME K P 373 3s J dj vo J X q 1 1! MAILING ADDRESS E-MAIL q Y1 �,Yeqv� 61, Ccz, CONTRACTOR CITY STATEZIP FAX A,(bkrh WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME "1� i PRIMARY PHONE � �(- T LSA APPLICANT- MAILING ADDRESS /1 n �.. E -L _., � (IV f CITY STATE ZIP FAX NAME L C0� �U PRIMARY �v� P ( C e d v PROJECT CONTACT MAILING ADDRESS, ( /y.r�� 31 V Y`, ' /� ` SV✓ E-MAIL �' (The individual to receive and respond to all correspondence CITY W �r STATE WA ZIP r A FAX concerning this application) PROJECT FINANCING NAME ),rV1 OWNER -FINANCED When value is $5,000 or more IRCW 19.27.095) MAILING +�ADDRESS,,,gTY, STATE, ZIP � /� /� �A �/7 / PHONE 7170 1 �3Y�'i /R /C y� %'.1� 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 / �( LFO / A V it fNA PRINT NAME: Bulletin #100 –January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application VA MECHANICAL PERMIT LUE OF MECHANICAb WORK , Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commerciai) BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR PLUMBING PERMIT FOR OFFICE USE r # of Additional Information EXISTING/PREVIOUS USE LOT SIZE (Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain. BATHTUBS (or Tub/slower combo) LAVS (Band sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Pi6scribe) DRAINS SHOWERS VACUUM BREAKERS .: ` t DRINKING FOUNTAINS SINKS (Kitchen/utility) WATER HEATERS (Electric) t HOSE BIBBS SUMPS WASHING MACHINES TAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS FOR OFFICE USE r # of Additional Information EXISTING/PREVIOUS USE LOT SIZE (Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? s'.. ❑ Yes ❑ No s' , ❑ Yes ❑ No e'!�.!` .Z 'e2r �1 ?��1. FIRST FLOOR (or Mobile Home) i , •�1 W RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL j FOR OFFICE USE r # of Additional Information Square Fee FS"11tL.G3',f a Stories s'.. / 'iA -Wr` 4"E. ••'$� ,f. ,?, ' � E' }Q e'!�.!` .Z 'e2r �1 ?��1. FIRST FLOOR (or Mobile Home) , •�1 W _.____._._._------.___..__Y....__....____—_..._....._...__._._..__._................ '.� , .x- a CS ',+.. ,li. f£1 ✓' ,.''t a :.h.,. Zk .. .. -� ...................................................... .... _......... _... _......_............ .: ` t ,1.++.�..y �i ✓ '�-�- �.': Area in AREA DESCRIPTION Square Occupancy Group(s) -----.._.._._..___...................... _....... _..... _-_-__ COVERED ENTRY Additional Information Feet a y1�i't' r3 4'• ,.{'/ ..,r Trm" .z .._.._ . ............ _...... _._..._.._.___._....__.._......... _.__.—_......._._—_........ _..._— __ LE 'fir»' TENANT AREA ONLY �kx �•',e GARAGE ❑ CARPORT ❑ 2�M h 1It ___ -------- -----'-.Pf`R if i3R Area Totals WaSTIHG PROPOSED TOTAL ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION Bulletin AREA DESCRIPTION ` rea In Occupancy Groups), Construction # of Additional Information Square Fee a Stories ,n" � � ZY � �ri' / 'iA -Wr` 4"E. ••'$� ,f. ,?, ' � E' }Q { viG Y e'!�.!` .Z 'e2r �1 ?��1. eWri.^'�'. , •�1 W n� s ADDITION COMMERCIAL — REMO L/TENANT IMPROVEMENTS Area in AREA DESCRIPTION Square Occupancy Group(s) Construction # of Additional Information Feet a Stories .z 106 'fir»' TENANT AREA ONLY �kx �•',e !r " : 2�M h 1It #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application 40k CITY OFV Federal Way COMMUNITY DEVELOPMENT DEPARTMENT 33325 8`h Avenue South Federal Way, WA 98003 253-835-2607; Fax 253-835-2609 www.cityoffederalwU.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. ❑ Address of Demolition: 3AtA Sr> ee-r 5w, f -ea eot ❑ 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 Perm&Appiication form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Mbce oflntentfrocn Puget Sound Clean Air Agency and copy ofirispection report by AHERA-certified inspector) 0 -4419 -y -D, (City of Federal Way Buildi g Official) 2. FUEL STORAGE TANKS ❑ Under grade tank(s) is/are present ❑ Above grade tank(s) are present ❑ Tank(s) has been pumped or removed under South King Fire & Rescue permit prior to andismantling or excavation (Soufb King Fire and Rescue) S. ELECTRICITY (9 , t (Pug t and Energy/Tacoma Power) L 6. NATURAL GAS (Puget Sound Energy) 7. WATER - Pub ' Source --, (Lakehaven Utility District) 3. SEP C SY E .DECOMISSIONING '410 I AA ___ __ 8. WATER - Private Well (King County Environmental Services)c Kk lh� ��U (King County Environmental Services) 4. SANITARY SEWER 1014 (Lakehave UtilityDistrict) ❑ Please Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. (Applicant) Bulletin # 122 - May 13, 2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements 0%1NII Nil DEQ EI OPNII N I DEP %R rNlEN l 03 CITY OF Federal Way DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove anv structure on a subject property. Demolition of separate structures mai require separate permits. �.w Iq 356t IN smart 2,3 71 Address of Demolition: 0 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. F7. A completed Construction PermitApplication form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice of Intent from Puget Sound Clean Air Agency S. ELECTRICITY and ropy of inspection report by AHERA-certifiedinspector) (Puget Sound Energy Tacoma -Power) (City of Federal Way Buiidino Official) 2. FUEL STORAGE TANKS Under grade tank(s)is/are present Above grade tank(s) are present Tank(s) has been pumped or removed .ander South Kmg Fire & Rescue permit nor to any dismantling or excavation l� (South King Fire and Rescue) 3. SEPTIC SYSTEM DECOMISSIONING (King County Environmentai Services 4. SANITARY SEWER (LikehaveV Uhlity District) 6. NATURAL GAS (Pet Sound Energy) 7. WATER - PubliE Source / (Lakehaven Utility District) 8. WATER - Private Well (King County Environmental Services) Please Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. I21111cUn 1' \1Jv 1', 'ft i (Appi cart) _ t':i;� 1 .•d i I, iLmd++ut. I>enn,lni+a: i'crmn 12ryu:r, ,nnt. 8/24/2017 MM- - shiwy166@hotmaii.com PSCAA notification gabriel ruiz <ar.const.206@gmail.com> fflR 2017/8/24 5:05 &q),,:sophi shi <shiwy166@hotmail.com>; View Account History Create Amendment 201704046-2 Notification Details for Case *: 201704046-1 Fee Amount $210.00 Transaction Date 68/17/17 Owner's Name Mayfair LLC Phone (206) 61"863 Project street Address 1909 355th St Sw City Federal Way Zip 98023 Contact Person Leon chane (206) 614 68d3 Mailing Address 31704 53W Ave Sw Federal Way, WA 98023 This project includes asbestos reaserai. Project Size 100 linear feet 1 330 square feet Prajed Start Dine 08128/17 Complebon Date 08/29/17 Asbestos will be removed by a licensed asbestos abatemenk contractor Contractor AaR Construction LLC Contractor lab r CDatact Gabriel Ruiz Phone [208! 707-2089 M"ingAddress 15232 SE 272nd'St #107 Kent, WA 98042 Note: Notifications cannot be amended after the completion mate. httpsJ/ouUook.live.com/0waqpath=/mailfinboxlrp&realm=hdmaii.com 1/12 A -T Asbesto-Test, Inc. 1429Ave. D. #/87, Snohomish, WA 98290 425-489-4040 www.asbestoiestcom ASBESTOS SURVEY House and Sheds (a, 1909 3560 St. SW., Federal Way, WA 98023 Page 1 of 9 August 1, 2017 C21 70 736 Mayfair LLC 31704 531d Ave. SW., Federal Way, WA 98023 206-666-4985;206-619-8863 Attn.: Sophi Shi shin 166@botmail.com On July 24, 2017, Asbesto-Test personnel conducted an Asbestos survey (per U.S.E.P.AJA.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the house & sheds 0)1909 356 St. SW., Federal Way, King County, Washington 98023. This survey purpose is to identify the Asbestos Containing Materials that may be present and will require professional removal prior to renovation. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is a single story wood frame on a basement foundation. The siding is wood. The siding vapor barrier materials were sampled. The roofing is composition. The composition roofing materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior construction is drywall. The drywall/taping materials were sampled. The vinyl flooring materials with relating backing and mastic materials were sampled. The misc. mastic materials were sampled. The masonry tile and associated mortar and mastic materials were sampled. INSULATION: The insulation was sampled. continue to page 2 1 a�a BBB . Nor .36073 1 Page 2 of 9 August 1, 2017 C2170736 Asbesto-Test, Inc. 425-489-4040 House and Sheds 6a 1909 356" St SW.. Federal Way, WA 98023 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be the kind to be ACM. The power may have been "on" at the time of the inspection, thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI (Thermal System Insulation) found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM: There is a forced air furnace in the house. There is ACM TSI taping visible on misc. ducting joints. These materials were sampled along with the flue mortar packing. THERE MAY BE ADDITIONAL ACM TSI PRESENT (ASSOCIATED WITH THE FURNACE AND/OR DUCTING) IN THE STRUCTURE THAT IS CONCEALED FROM VIEW (i.e. within the walls, ceilings, and/or floors, inside additional ducting areas, or within the furnace unit itself). Note: It was not possible to dismantle the heat ducting to locate and/or evaluate any additional suspect ACM which may be concealed from view. If any additional relating suspect asbestos containing materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. ALL TSI THAT MAY BE LOCATED THAT IS NOT VISIBLY FIBERGLASS AND/OR FOAM MATERIAL IS PRESUMED ASBESTOS CONTAINING. MISC.: The window glazing materials were sampled. ADDITIONAL STRUCTURES INCLUDED IN SURVEY: There are two wood framed sheds on the property. The glazing on the wood framed window units were sampled. Both sheds have metal roofs. # of structures included in survey: one house, two sheds Requested by: Sophi Shi Carl Dykstra Inspector, certified A.H.E.R.A. Accred. #1626911 exp. May 10, 2018 BBB continue to page 3 1429Ave. D. #187, Snohomish, WA 98290 425-489-4040.f775-665-0420 www.asbestoiestcom info&sbiestoiestcom Page 3 of 9 August 1, 2017 C2170736 Asbesto-Test, Inc. 425-489-4040 House and Sheds a 1909 356' Sk SW., Federal Way, WA 98023 THE ASBESTOS CONTAINING MATERIALS LISTED AS "NON -FRIABLE" REMAIN NON -FRIABLE (NOT EASILY AIRBORNE) UNTIL FORCES EXPECTED Tp ACT ON THE MATERIAL WILL RENDER THE ACM AS FRIABLE (EASILY AIRBORNE). SUCH FORCES INCLUDE, BUT ARE NOT LIMITED TO, EQUPMENT USED IN THE DEMOUTON PROCESS, WEATHER INCIDENTS, AND OTHER DAMAGES THAT RENDER THE ACM FROM NON -FRIABLE TO FRIABLE ANY AND ALL MATERIALS IDENTIFIED AS ACM OR PACM IN THIS REPORT (AND/OR ADDITIONAL MATERIALS ASSOCIATED WITH THE STRUCTURE THAT MAY BE DISCOVERED AND LATER IDENTIFIED AS ACM OR PACM), MUST BE PROFESSIONALLY ABATED PRIOR TO DEMOLITION. ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION. SAMPLES #144 ARE ASBESTOS CONTAINING MATERIALS EXCEPT THOSE SAMPLES LISTED AS "NAD" ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL 1.0 ACM TSI TAPING yes H chrysotile H 65% non-fibrous materials, FRIABLE ACM cellulose THERE IS ACM TSI TAPING VISIBLE INSIDE/AROUND THE VENT BOOTS AND ON MISC. DUCTING THROUGHOUT THE HOUSE. NOTE: THE INSPECTOR WAS NOT ABLE TO DETERMINE QUANTITIES OF ACM TSI THAT IS PRESENT AS ADDITIONAL ACM TSI MATERIALS MAY BE CONCEALED WITHIN THE WALLS, CEILINGS, AND/OR FLOORS. ALL TSI THAT IS NOT VISIBLY FIBERGLASS AND/OR FOAM MATERIAL IS PRESUMED ASBESTOS CONTAINING. QUANTITIES OF ASBESTOS FOR ABATEMENT ASSESSMENT AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION. 2.0 FLUE MORTAR PACKING yes H chrysotile // 2% NON -FRIABLE ACM CIRCLE OF PACKING MATERIAL AROUND 2 FLUES LESS THAN 2 SQ. FT. 3.0 LINOLEUM FLOOR TILE yes H chrysotile H 2% NON -FRIABLE ACM LIVING ROOM — COLOR: GREEN PAINTED WHITE NOTE: THE ASBESTOS IN THE HARD TILE SURFACE MATERIAL APPROX. 300 SQ. FT. 4.0 mastic/backing beneath previous sample listed NAD non-fibrous materials non-fibrous materials, adhesive, cellulose, tar NOTE: ANY ADDITIONAL COLORS OR KINDS OF VINYL FLOORING AND/OR TILE WITH ANY RELATING MASTICS/BACKINGS THAT WERE NOT DISCOVERED IN THIS SURVEY AND MAY LATER BE LOCATED IN THIS STRUCTURE ARE ALSO PRESUMED TO CONTAIN ASBESTOS UNLESS TESTED OTHERWISE BY LABORATORY ANALYSIS continue to page 4 1 0 B PfB8 1429 Ave. D. #187, Snohomish, WA 94290 415-489-4040;f775-665-0420 i",wasbestotest.com; tnfbCa)asbtestotestcom Page 4 of 9 August 1, 2017 C2170736 Asbesto-Test, Inc. 425-489-4040 House and Sheds 0)1909 356`" St. SW.. Federal Way WA 98023 ANALYSIS ID ASBESTOS//TYPE//OUANTITY OTHER MATERIAL THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES BASEMENT: 5.0 burner gasket on furnace face — color: cream 6.0 chimney brick 7.0 mortar holding previous sample 1 7.1 mortar holding previous sample 2 7.2 mortar holding previous sample 3 8.0 CMU block foundation 9.0 mortar holding CMU blocks sample 1 9.1 mortar holding CMU blocks sample 2 9.2 mortar holding CMU blocks sample 3 MAIN FLOOR: 10.0 masonry floor tile kitchen & bathroom — color: tan 11.0 mortar/mastic holding previous sample 12.0 backer board beneath previous sample 13.0 drywall/taping compound/paint bedrooms composite 14.0 drywall/taping compound/paint bathroom composite 15.0 drywall/taping compound/paint hall composite NAD fiberglass, cellulose NAD non-fibrous materials NAD non-fibrous materials, cellulose NAD non-fibrous materials, cellulose NAD non-fibrous materials, cellulose NAD non-fibrous materials NAD non-fibrous materials NAD non-fibrous materials NAD non-fibrous materials ILIM. 1 non-fibrous materials NAD adhesive, cellulose, CE) non-fibrous materials NAD non-fibrous materials, 425-489-4040,f775-665-0420 cellulose, fiberglass NAD non-fibrous materials, cellulose, gypsum NAD non-fibrous materials, cellulose, gypsum NAD non-fibrous materials, cellulose, gypsum continue to page 5 - A6e CE) 1429Ave. A #187, &whorish, WA 98290 425-489-4040,f775-665-0420 www.asbestotest.eam injoAasbiestotest.eom Page 5 of 9 August 1, 2017 C2170736 Asbesto-Test, Inc. 425-489-4040 House and Sheds (a),1909 350 St SW.. Federal Way WA 98023 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL MAIN FLOOR cont: 16.0 drywall/taping compound/paint NAD non-fibrous materials, living room composite cellulose, gypsum 17.0 drywall/taping compound/paint NAD non-fibrous materials, dining room composite cellulose, gypsum 18.0 drywall/taping compound/paint NAD non-fibrous materials, kitchen composite cellulose, gypsum 19.0 masonry tile NAD non-fibrous materials kitchen counter & backsplash 20.0 mortar/mastic NAD adhesive, cellulose, holding previous sample non-fibrous materials 21.0 insulating material NAD non-fibrous materials, kitchen on underside of sink cellulose, polymers COMMON AREAS: 22.0 insulation 23.0 vapor barrier material beneath siding exterior 24.0 composition roofing 25.0 vapor barrier beneath composition roofing 26.0 mastic holding composition roofing SHED 1: 27.0 window glazing SHED 2: 28.0 window glazing 0 BBB NAD fiberglass, cellulose NAD cellulose, tar NAD cellulose, tar, non-fibrous materials NAD cellulose, tar, fiberglass NAD NAD NAD continue to page 6 CD 1429Ave. D. #187, Snohomish, WA 98290 425-489-4040;j775-665-0420 wew.asbestotest.eom info(rDnsbtestotesixom cellulose, adhesive non-fibrous materials, cellulose non-fibrous materials, cellulose Page 6 of 9 C2170736 BBB August 1, 2017 Asbesto-Test, Ina 425-489-4040 House and Sheds 0)1909 3560 St. SW., Federal Way, WA 98023 continue to page 7 CE) 1429Ave. D. #187, 9whomish, WA 98290 425-489-4040; (775.665-0420 vww.asbesuNestcom: in foAasbrestotestcom uro37s5toJs3lgs o ue :umo3 TvaloJsagsv At,— OZ60'S99-SLL %'0606-686-SZ6 06Z86 VM WSn—g-lN'L8/# 'Q WV 6Z6! CD g a8nd of aWmwa 8-086 VM nM Inlapa j MS 7S w995£ 606I SPa4fS pun asnoH OkOY-68b-SZY *jul `isal-oisa9sV L IOZ `I 1sn8nd 9£LOL IZ3 6 fo L a2nd Page 8 of 9 August 1, 2017 C21 70 736 Asbesto-Test, Ina 425-489-4040 House and Sheds (a)1909 356"` S . SW., Federal Way, WA 98023 _0 B continue to page 9 1429Ave. D. #187, Sholromish WA 98290 425-489-4040; f 775-665-0420 www.asbestotest.com; info(a)asbtesiotest.com Page 9 of 9 August 1, 2017 C2170736 Asbesto-Test, Inc. 425-489-4040 House and Sheds a( )1909 350 SSC SW". Federal Way, WA 98023 Samples taken are listed with their corresponding analyses. If asbestos is detected, those samples containing asbestos are listed first and noted with the initials ACM". Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials, as prescribed by A. H. E. R.A. guideline. If, during demolition or renovation, any additional suspect asbestos containing materials are located (may include but not limited to: sheet vinyl flooring, tile flooring, wall or ceiling texturings or paints, concrete siding or skirting, cement pipes, cement wallboard, electrical cloth, electrical wiring insulation, thermal paper, wallboard, joint compounds, vinyl wall coverings, spackling compounds, or any other suspect TSI (Thermal System Insulation)), those materials are presumed Asbestos Containing Materials unless determined to be non -asbestos by laboratory analysis. Asbesto- Test, Inc does not guarantee approximations of quantities of ACM, which may be listed with the analyses. It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear etc.), or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance in renovation or demolition. PLM (polarized light microscopy) has been known to miss asbestos in small percentages of some samples, which contain asbestos, thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM (scanning electron microscope) or TEM (transmitting electron microscope), to insure analytkal accuracy when asbestos is reported in small percentages Analytical test method: USEPA 6WIR93/116•• (PLM); WAC 296-62-07753 App. J —One percent is the USEPA regulatorylimit forasbestos in bulk samples. &K FRIABLE'signifles TasilyAirborne" ACM signifies Asbestos Cmtoinusg Materiar PACM signifies TresumedAsbestos Containing Materiar CAB signifies Concrete Asbestos Board' < signifies less than' 731 signifft'rbermalsystem Insulation' HVAC signifies 'Heating VentiWagAir-Conditioning' NAD signifks "No Asbestos Detected' END OF REPORT ArLynn Hammond, Pres., BSc. Analytical Chemist, AIHA proficient Inspector, certified A.H.E.R.A. accred.#1628675(Expires July 26, 2018) 1429Ave. D. #187, Snohomish, WA 98290 425-489-4040,f775-665-0420 wkw.asbestotestcom: infoCa)asbtestotesLcom