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14-101909City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 FILE 0 - ' Demolition Permit #: 14 -101909 -00 -DE Inspection Request Line: (253) 835-3060 Project Name: MCARTHUR Project Address: 1204 SW 300TH PL Parcel Number: 515320 0201 Project Description: Demolition of single family residence. Owne Al2RIlcant Contractor BONNIE MCARTHUR BONNIE MCARTHUR OWNER IS CONTRACTOR 1204 SW 300TH PL 1204 SW 300TH PL FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Demolition Valuation.............................................2000 PERMIT EXPIRES Wednesday, April 27, 2016 Permit Issued on Monday, April 28, 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 be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent &711�) M n� 1� Z Date: 41 FINALED • THIS CARD IS TO MAIN ON-SITE C�oF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 14 -101909 -00 -DE Address: 1204 SW 300TH PL Project: BONNIE MCARTHUR FEDERAL WAY, WA 98023-3412 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 (4U5U) Approved By Vko Date V f 1-2,1 14 Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date RECAED � cmoF ' PERMIT APPLICATION Federal Way APR 2 8 2014 CITY OF FEDERAL WAY PERMIT NUMBER 4 � _ 1Co / 1 �2 9 _ TARGET DATE SITE ADDRESS _ �q,� ,,,, .... =SUITEMNIT # Z.vy _5W 3oo-b PIacc , W w(4 g?oa3 PROJECT VALUATION \ J ZONING ASSESSOR'S TAR/PARCEL # 06_ 0__� TYPE OF PERMIT MBUILDING XPLUMBING J<MECHANICAL EMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT m - It k T if Lt b E m o E-X(5T)A3&% 57-R kc-ru tc E f4 nj iJ 2c�3u 1 L_.D PROJECT DESCRIPTION Detailed description of work to I O 'A�G7 (_L; F r�-► ri 1 `�! 2E�1 o>�it/ be included on this permit only NAME - PRIMARY PHONE PROPERTY OWNER 6NnlL jYlc R-K--rf}lA(Z o-ob-34q_eS(.;I_ MAILING ADDRESS 1 Z o L4 S (/J 3 oot-' e14 -c67 E-MAIL bm .144 D haf rn' i 1. mat CITY f--"C9-Mi LL)A-V STATE i� ZIP ggUa3 NAME (3 O n A r � l ►'1 �I� ►�-�(,t�. PT.T " �c0 ' MATT •vn... 12-og 12—oS iO -300 +-j-- iQ/ttc& E-MAIL b'W'j0(.O� {'(o►"al ,Cd)"'% CONTRACTOR FAX e�tcrctl � LOU ta-�r vv i4 $b:3 3 FEDERAL WAY BUSINESS LICENSE # WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE ft nn5 -T-C_?d NAME e) O rj nJ 16 me Piz -r ti-t,k Z PRIMARY PHONE 7-o (a 34q - q s& z MAILING AILING ADDRESS 1Lb $Lo 300' PrA-L15- E-MAIL bre-CI06 a)hj)hxa;2,Gan CITYSTATE F�'p�2f1-L vS1}y N1 r�- ZIP a �r 0x 3 FAX PROJECT CONTACT NAME BO A31U 1E me A-KiM it. 2 PRIMARY PHONE ZU(p "3 q - r6S (0 2 - MAILING ADDRESSE-MAIL 12-,0 1-1 5 LO 3 00+� — e 114- E b m e ) a� hof irlkl . (The (The individual to receive and respond to all correspondence CITY I r6 DE0_14(. W STATE LA)r*- I ZIP 9S Oz3 FAX concerning this application) PROJECT FINANCING BUN N Ie; L #\"- TH-(.i K OWNER -FINANCED Required value of x$5,000 or more (RCW19.27.095) MAILING ADDRESS CITY, STATE, ZIP 1.i 12•V4 5� o� fla iC �f4•LV" WP PPHONCEy /- Zo(b'34 q-6 Sla2— 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 clairN, 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: e J%lil.�C�� DATE PRINT NAME: �D n l Q am C�}K7J`1'LJ� Bulletin #100 - January 1, 2013 Page 1 of 3 kAHandouts\Permit Application 1. • DEPARTMIROF COMMUNITY DEVELOPMENT SERVICES 33325 81" Avenue South CITY OF Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 1111� "Oft www.cityoffederalway.com 1-C'delcil Way 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. ❑ Prior to submitting a demolition permit, the following items (as applicable) must be signed by the respective agency (see attached Demolition Permit Contact List). NOTE TO APPLICANT. Utilities shall be disconnected and services performed, if applicable, prior to issuance of the demolition permit. All applicable items below are to be signed and dated by the respective agency representatives. 1. ASBESTOS ABATEMEN (Copy of approval f nd s y om Puget Soun Clea Air Agency provid) r z (City of Fe al Way Building Official) 2. GAS SUPPLY (Gas to be shut off, meter removed and final bill paid) (Puget Sound Energy) 3. SEPTIC SYSTEM (Tank to be removed or tank to be drained and filled) (King County Environmental Services) 4. SANITARY SEWER (Check applicable box) ewer line cap at property line ❑ ,iogg sewer f ie to remain and be used by proposed new structure / (Lakehaven Utility District) S. GARAGE (All househgarbaged'�pos�dpff and f al bill) laid) (WasteManagement/Other Company) ❑ Completed Construction Permit Application form 6. ELECTRICITY (Electricity to be shut off and meter rem ved) Tcz%le 04-M 42e e, (P get Sound Ener(A) < N -t.) Cl"' . 7. FUEL STORAGE TANKS (Above or below grade fuel tanks, have been pumped or removed under Fire(lDepartrnpe t priorUoan��lisrnantle/excavation) (South King Fre and Rescue) 8. WATER - Public Source (Check applicable box) ❑ Meter to be removV and final utility bill paid *�iQNeterV/emain be protected / (Water Supplier) ` ****** OR ****** 9. WATER - Private Well (Check applicable box) ❑ Private well filled and capped ❑ Private welltoWA other purposes (Ong County Environmental Services) ❑ Provide the following fees: 1. Demolition Permit Fee Based on valuation. See table on pg 4 ofthe construction permit application. Bulletin #122 —January I, 2011 2. Automation Fee $6.00 3. WA State Surcharge $4.50 Page I of I k:\Handouts\Demolition Permit Requirements 8 Approved Transaction Page 1 of 1 p,scleanair.org Puget: Sound ck,;,m A= r Agency Single -Family Notification Case #: 201401118 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available foi inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction # VXHFBBOlEF99 Transaction Date 03/28/14 Owner's Name Bonnie McArthur Phone (206) 349-8562 Project Street Address 1204 SW 300th Place City Federal Way Zip 98023 Contact Person Bonnie McArthur Phone (206) 349-8562 Mailing Address This project includes a demolition. Demolition Start Date 04/07/14 Completion Date 06/30/14 Demolition will be completed by the home owner I certify that: (1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 3/28/2014 AW regional Disposal - 3rd & Lander. 2733 3RD AVE SOUTH SEATTLE, WA 98124 206-652-8865 :USTOMER 010030 CASH CUSTOMER 1 Seattle, WA 1111 ASBSETOS UNDER 750 SITE Ol TICKET # 916544 CELL -7v WEIGHMASTER IN - Drinda L. OUT - Kim L. DATEMME IN DATE/TWE OUT 02-17-2014 10:19 am 02-17-2014 10:24 an VEHICLE CONTAINER CASH o � CASH BILL OF LADING SCALE IN GROSS WEIGHT 5,720 NET TONS 0.03 SCALE OUT TARE WEIGHT 5,660 NET WEIGHT 60 INBOUND QTY; Uti7 DE$CRfPT14N11 1 -IRAQ � Tq�€ rc3tAk 0.00 YD TRACKING QTY 0.03 TN SW -ASBESTOS -FRIABLE SEATTLE/KING $210.00 $81.50 $2.93 $84.43 2 O V W O Payments) v CREDIT CARP -SCALE $84.43 or she has read and understands the terms and conditions a customer. SIGNATURE . $84.43 TENDERED $84.43 CHANGE FC o .mp o 0o N s ton N o c p N �- o � QD U j Q U N d o s rn H N rt d s Z Q N Osr-- N OC o Ld :ax .'rs cr O O b g LJJ cC o `o R 2 O V W O Payments) v CREDIT CARP -SCALE $84.43 or she has read and understands the terms and conditions a customer. SIGNATURE . $84.43 TENDERED $84.43 CHANGE 0 0 Regional Disposal Container # WASTE SHIPMENT RECORD 3, Waste Disposal Site (WDS) Name, Address, and Physical Site Location: wuS Pnone No.: Regional Disposal Co. 500 Roosevelt Grade Rd. 1-800 275-5641 Roosevelt, WA 99356 4. Responsible Local, State or EPA Agency Name and Address: P.S. Clean Air 1904 Third Ave. Suite 105 Seattle, WA 98101 5. Description of Woste Materials: v L 6. Containers 7. Total Quantity Vr! T`J �f/ r �/ !moi i�ldlll k"/ r,,,e'f; al-lu X11/// No. Type m 3 (Yd3) Asbestos Containing Materials DOUBLE BAGGED & LABELED 9. OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transport by highway according to applicable international and government regulations. R 13. Authorized Waste Disposal Site Owner or Operator: Certification of receipt of asbestos materials covered by this manifest except as noted in item 12 Printed/Typed Name Signature Month Day Year Vicky Read i TRUX Coordinator i WHITE: Return to Operator YELLOW: Waste Site PINK: Transporter WHITE: Operator .901twe i�?c y�T�t�r, �� f � AA 6/y ; I7 ;ZOly 10. Transporter 1 Acknowledgment of Receipt of Materials Printed/Typed Name Signature Month Day Year 17 2ZIV 11. Transporter 2 Acknowledgment of Receipt of Materials Printed/Typed Name Signature Month Day Year Rabanco Transfer 2733 3rd Ave. S. Seattle, WA 98101 206-652-8865 , l % '/` 12. Discrepancy Indication Space Waste Disposal RRLC R 13. Authorized Waste Disposal Site Owner or Operator: Certification of receipt of asbestos materials covered by this manifest except as noted in item 12 Printed/Typed Name Signature Month Day Year Vicky Read i TRUX Coordinator i WHITE: Return to Operator YELLOW: Waste Site PINK: Transporter WHITE: Operator 0 THERMATECH NORTHWEST, INC. LIMITED GOOD FAITH ASBESTOS SURVEY PREPARED FOR: BONNIE MCARTHUR 238 S Normandy Road Burien, WA 98148 Thermatech Northwest Inc. 10312 Sales Road S. Tacoma WA 98499 Ph. (253)-9841818 LOCATION OF SURVEY: 1204 SW 3001h Place Federal Way WA 98023 TTNW #SV130907 Report Date: September 10, 2013 PERFORMED BY: Robert J. Guiiey AHERA Certification #12-1802 Expiration Date September 13, 2013 Thermatech Northwest Inc. 10312 Sales Road S. Tacoma WA 98499 Ph. (253).9841818 c �1 a a m H f C P tp ID N W S &%V 43r 0 TABLE OF CONTENTS Page SCOPE OF WORK/BUILDING DESCRIPTION............................................1 Basic Construction Heating & Ventilation System Plumbing System Insulation Electrical System Interior Construction, Finishes & Flooring METHODOLOGY/ LABORATORY INFORMATION ..................................... 2 SAMPLEDATA............................................................................................ 3-4 SUMMARY OF MATERIALS FOUND POSITIVE ......................................... 5 DEFINITIONS............................................................................................... 6 CONCLUSIONS........................................................................................... 7 APPENDICES: Appendix A: Appendix B: Inspector's Certification Field Data/ Laboratory Results Theanatech Northwest Inc. 10312 Sates Road S. Tacoma wA 98499 Ph. (253)-9841818 Good Faith Asbesesurvey SCOPE OF WORK *Prepared for Bonnie McArthur On September 5, 2013 Robert J Guiley conducted a "Good Faith", asbestos survey (per U.S. ERA / A. H. E. R.A. guidelines as designated by Puget Sound Clean Air Agency) of the residence located at 1204 SW 300th Place, Federal Way WA 98023. Field inspection, data collection and report generation were based on the following Scope of Work: • Perform visual inspection to identify and inventory all accessible suspect -asbestos containing materials. • Bulk sampling and analysis of all identified suspect asbestos - containing materials. • Provide written report. BASIC CONSTRUCTION: The structure is a 1 story, single family residence, covering approximately 1340 sq. ft., built in 1950. The exterior is painted concrete block... The roof is peaked with asphalt shingles. The windows are single pane glass with wood frames. There is a detached carport with flat roof. INSULATION: There is no insulation in the walls. The ceiling is insulated with fiberglass. HEATING & VENTILATION SYSTEM: Heat is supplied by a gas-fired forced air furnace located in the utility area. The duct joints are metal to metal to metal with adhesive type tape and plastic flex duct. PLUMBING SYSTEM: The plumbing is galvanized pipe. No TSI was found. ELECTRICAL SYSTEM: The electrical system is a three wire bundle through a breaker box located in the utility room. INTERIOR CONSRTUCTION, FINISHES & FLOORING: The interior is finished painted brick, with a gypsum wallboard system in the areas that have been upgraded. The floors are a combination of carpet and sheet Vinyl over concrete. The walls throughout except the ceiling in the living room are painted plywood. 1IPage Good Faith Asbestopurvey 44repared for Bonnie McArthur SAMPLE METHODS AND LABORATORY INFORMATION A walk- through inspection of all areas was performed to identify which building materials may have the potential for containing asbestos. After identifying the suspect asbestos -containing materials, bulk samples were collected, placed in plastic bags, numbered and recorded. Care was taken to clean all tools between sampling in order to avoid cross -contamination. The samples and appropriate chain of custody forms were then sent to CEI Laboratories to be analyzed for the type and content of asbestos, if any. The samples were analyzed using Polarized Light Microscopy (PLM) Stain Dispersion Technique in accordance with EPA METHOD 600/R-93/116. The following section contains tables listing all materials sampled by location, description, type, asbestos percentage (if any) category, and results of materials sampled. 21 Page Good Faith Asbestos Survey ASBESTOS SAMPLE DATA Project: 1204 SW 300th Place, Federal Way WA 98023 Prepared for Bonnie McArthur SV130907 Sample # F-1 F-2 Location9/10/13 Carport Roof Roof Category Non Friable Non Friable Description Built -Up Roofing Black Gray Asphalt Shingles Black Paper Asbestos Type/% NoneDetected None Detected Quantity Square Feet F-3 Roof Non Friable None Detected F4 Exterior Around Windows Non Friable Tan Caulking Black Mastic Black Mastic Chrysotile 31% F-5 Utility Room Floor Non Friable Chrysotile-6-0/6- hrysotilea%F-G F-6 Living Room Floor Non Friable None Detected None Detected 46 F-7 Bathroom Floor Friable Tan Tile Pattern Sheet Vinyl F-8 Bathroom Vanity Non Friable Tan Tile Adhesive Ceiling Tile None Detected g F-9 Furnace Room & Closet Ceilin s Friable None Detected 20 F-10 Kitchen Floor Top Layer Friable Beige Gray Sheet Vinyl None Detected 124 F-11 F-12 Kitchen Floor Bottom Layer Kitchen Counter & Backsplash Non Friable Non Friable Black/Tan Mastic Tan Mastic Chrysotile 20 None Detected 1 1 124 25 3 1 P a g e 0 i Good Faith Asbestos Survey Prepared for Bonnie McArthur ASBESTOS SAMPLE DATA Project: 1204 SW 300th Place, Federal Way WA 98023 �---Sampie #_ Location Category Description F-13 Living Room SE Ceiling I Friable Light Orange Peel Wall Texture F-14 Living Room SE Ceiling Friable GWB & Joint Compound F-15 Living Room F-96 Living Room Light Orange Peel Wali Texture GWB & Joint Compound Asbestos Type/% me Detected Detected Detected SV130907 9/10113 Quantity quare Feet i 41 Page Is Good Faith Asbestolurvey *Prepared for Bonnie McArthur SUMMARY OF MATERIALS FOUND POSITIVE Upon completion of the survey and review of the laboratory data, the following materials found contained asbestos at the structure located at, 1204 SW 300th Place, Federal Way WA 98023. • The tan caulking located around the windows on the exterior between the brick and window frame. (Sample #F-4). + The original layer of black mastic located on the utility room floor. (Sample #F-5). • The bottom layer of black/tan mastic located in the kitchen. (Sample #F-11). 51 Page Good Faith Asbestpurvey 0 Prepared for Bonnie McArthur Asbestos means the asbestiform varieties of actinolite, arnosite (cummingtonite- grunerite), tremolite, chrysotile (serpentinite), crocidolite (riebeckite), or anthophyllite. Asbestos -Containing Material means any material containing more than one percent (1%) asbestos as determined using the method specified in EDA regulations (Polarized Light Microscopy). Friable — materials that can be crumbled or reduced to powder by hand pressure. Homogeneous Areas — an area which appears similar throughout in terms of color, texture, and date of materials application. Miscellaneous Materials — interior building material on structural components, structural members of fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation (AHERA definition). Surfacing Material -- material that is sprayed -on, troweled- on, or otherwise applied to surfaces, such as acoustical plaster on ceilings, and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes (AHERA definition). Thermal System Insulation — means material applied to pipes, fittings, boilers, breeching, tanks, ducts or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 61 Page Good Faith AsbestoPurvey CONCLUSION *repared for Bonnie McArthur Abatement and disposal of asbestos -containing materials must be conducted by a Washington State Licensed Asbestos Abatement Contractor using Washington State Certified Asbestos Abatement Workers. Should employees or contract personnel encounter any suspect asbestos -containing materials, it is their responsibility to: • Contact a representative of the owners. • Consult the inspection report to determine whether or not the suspect material contains asbestos. • Ensure that all employees and contractors are informed and advised of the location and type of materials that contain asbestos Any additional hidden or covered suspect materials, discovered during demolition or renovation, that are similar to those identified in this survey must be treated as asbestos -containing materials unless determined otherwise by laboratory analysis. A copy of this report should be kept on site during any asbestos abatement, renovation, or demolition. Please contact the undersigned for any further assistance or if any questions or concerns arise relative to this report. Sincerely, Robert Guiley AHERA Building Inspector Thermatech Northwest Inc. 10312 Sales Road S Lakewood, WA 98499 7 1 P a g e 0 • Appendix #A INSPECTOR'S CERTIFICATION ,Certificate of Completion This is to certify that Bob Gulley has satisfactorily completed 4 hours of refresher training as a A.HERA, Builchng Inspector in compliance with TSCA Title II AHERA 40 CFR part 763 U.S. EPA Region 10 Accreditation #792 Course Daae: 9/13/2012 C� e t { 12-18.02 Ftok"her required by 9/13/2813 1730 Minor Ave Suite 90o . ". , t. -• 4 Seattle, WA 98101 -888 281.8858 • _ .M°t - www.rgatraining.com om 0 is 0 Appendix #B FIELD DATA I LABORATORY RESULTS • THERMATECH NORTHWEST INC. 10312 Sales Road S Lakewood, WA 98499 PH: 253-984-1818 FAX: 253-984-1886 DATE: 9!5/2013 CLIENT: Bonnie McCarther ADDRESS: 238 S Normandy Road Burien, WA 98148 FIELD DATA SUMMARY TTNW JOB#:13-0907 INSPECTOR: BOB GUILEY SITE: NAME ADDRESS; 1204 SW 300th Place Federal Way; WA 98023 SAMPLE NO. Floor LOCATION DESCRIPTION OF MATERIAL F-1 Car rt Car Rort Roof Built -Up Roofing F-2 Roof Roof Black Gray Asphalt Shingles F-3Roof Roof Black Paper F-4 Exterior Exterior Around Windows Tan Caulking F-5 1 Utilit y Room Floor Black Mastic, F-6 1 Living Room Floor Black Mastic F-7 1 Bathroom Floor Tan Tile Pattern Sheet Vinyl F-8 i Bathroom Vani Tan Tile Adhesive F-9 1 Furnace Room & Closet Ceilin s Ceiling Tile F-10 1 Kitchen Floor Top Layer Beige Gray Sheet Vinyl F-11 1 Kitchen Floor Bottom Layer Black/Tan Mastic F-12 1 Kitchen Counter & Backs lash Tan Mastic F-13 1 Living Room SE Ceiling Light Orange Peel Wail Texture F-14 1 Livins Room SE Ceiling GWB & Joint Compound F-15 1 Living Room NW Ceiling Light Orange Peel Wall Texture F-16 1 Living Room NW Ceilig2 GWB & Joint Compound • Asbestos Report summary 8y: POLARIZING LIGHT MICROSCOPY CEI LAB CODE: A13-10741 METHOD: EPA 6001 R93 / 116 and EPA 6001 M4-82 / 020 - Client JD Layer Lab ib Color Sample Description r F-1 Al 549308 Black Built -Up Roofing None Detected F-2 A1549309 Black,Grey Shingle None Detected F-3 A1549310 Black Paper None Detected F-4 A1549311 Tan Caulking None Detected F-5 A1549312 Black Mastic None Detected I — „luruo is wacK Mastic None Detected F-7 A1549314 Tan Sheet Vinyl None Detected F-8 A1549315 Tan Adhesive None Detected F-9 A1549316 Tan,White Ceiling Tile None Detected i - s v n 10—Rill 11 beige,t rey Sheet Vinyl None Detected F-11 Al 549318 Black,Tan Mastic 11 WA F-12 Al 549319 Tan Mastic None Detected F-13 A1549320 Light Orange Wall Texture None Detected F-14 A1549321 Grey Gwb & Joint Compound None Detected F-15 A154937-2 Light Orange Wall Texture None Detected F-16 A1549323 Grey Gwb & Joint Compound None Deterlad Page 1 of 1 Client: Thermatech Northwest, Inc. CEI Lab Code: A13-10701 10312 Sales Road S. Date Received: 09-09-13 Lakewood, WA 98499 Date Analyzed: 09-09-13 Date Reported: 09-10-13 Project: McCarther ASBESTUS BULK PLM, EPA 604 METHOD Client ID Lab Lab NOH -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous % 9-1 Roel} -I In 0-0— u.t..1-1 - A1549308 -- -� -- ..�...W-.,�..�� -.�.a r1UFWU1a55 Iu%o 4jravei None Detected Black 50% Tar Fibrous Bound F-2 Shingle Heterogeneous 45% Fiberglass 15°A Gravel None Detected A1549309 Black,Grey 40% Tar Fibrous Bound F-3 Paper Heterogeneous 65% Cellulose 35% Tar None Detected A1549310 Black Fibrous Bound F-4 Caulking Heterogeneous 85% Caulk 3% Chrysotile Al 549311 Tan 2% Paint Fibrous 10% Binder Bound F-5 Mastic Heterogeneous 95% Mastic $1A Chrysotile A1549312 Black Fibrous Bound F-6 Mastic Heterogeneous 2% Cellulose 93% Mastic None Detected Al 549313 Black 5% Foam Fibrous Bound F-7 Sheet Vinyl Heterogeneous 50% Vinyl None Detected A1549314 Tan 50% Binder Fibrous Bound Page 1 of 4 Client: Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 Project: McCarther CEI Lab Code: A13-10701 Date Received: 09-09-13 Date Analyzed: 09-09-13 Date Reported: 09-10-13 ASBESTOS BULK PLM, EPA $00 METHOD Client ID Lab Lab NON ASBESTOS COMPONENTS ASBESTOS Lab 1D Description Attributes Fibrous Non -Fibrous % i Page 2 of 4 -..--••- „cncvyceicvus 1uu% mastic None Detected A1549315 Tan Fibrous Bound F-9 Ceiling Tile Heterogeneous 85% Cellulose 5% Paint None Detected A1549316 Tan,WNte 10% Binder Fibrous Bound F-10 Sheet Vinyl Heterogeneous 50% Vinyl Notre Detected Al 549317 Beige,Grey 50% Binder Fibrous Bound F-11 Mastic Heterogeneous 98% Mastic 2°A Chrysotile A1549318 Black,Tan Fibrous Bound F-12 Mastic Heterogeneous 100% Mastic None Detected A1549319 Tan Non-fibrous Bound F-13 Wail Texture Heterogeneous 10% Paint None Detected A1549320 Light Orange 75% Calc Carb Non-fibrous 15% Binder Bound F-14 Gwb & Joint Compound Heterogeneous 20% Cellulose 5% Paint None Detected A1549321 Grey 15% Calc Carb Non-fibrous 60% Gypsum Bound Page 2 of 4 Client: Thermatech Northwest, Inc. CEI Lab Code: A13-10701 10312 Sates Road S. Date Received: 09-09-13 Lakewood, WA 98499 Date Analyzed: 09-09-13 Date Reported: 09-10-13 Project: McCarther ASBESTOS BULK PLM, EPA 600 METHOD Client to Lab Lab WON -ASSES -TOS -COMPONENTS; Lab to Description Attributes Fibrous Mon -Fibrous ASBESTOS % F-15 Al 649322 Walt Texture Heterogeneous 10% Paint None Detected Light Orange 75°% Calc Carb Non-fibrous 15°% Binder Bound F-16 Gwb & Joint Compound Heterogeneous 20°/o Cellulose 5% Paint A1549323 Grey None Detected 15% Calc Carb Non-fibrous 60% Gypsum Bound Page 3 of EIL'ALQS LEGEND: Non-Anth = Non-Asbestiform Anthophylite Nan-Trem = Non-Asbestiform Tremolite Calc Garb = Calcium Carbonate METHOD: EPA 600 / R93 t 116 and EPA 6001 M4-82 t 020 The detection limit for the method is <1 % by visual estimation and 0.25% by 400 point counts or 0.1 % by 1,000 point counts. Due to the limitations of the EPA 600 Method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarizing light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. This report may not be reproduced, except in full, without written approval by CEI LABS. CEI LABS makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U. S. Government. ANALYST: — —6rivi, &W, Candace Olson C 14vt NVLAP Lab Code 101768 APPROVED BY: Tianbao Bai, Ph.D. Laboratory Director CEI Labs, 107 New Edition Court, Cary, NC 27511, Phone: (866) 481-1412 Page 4 of 4 CEIL- AC35 107 New Edition Court, Cary, NC 27511 Tel: 866-481-1412; Fax: 919-481-1442 • CHAIN OF CUSTODY LRS USE ONLY. 1 CEI Lab Code: A- p CECLab I.D. Range: 4)Sl,3D _ • 1S '2 �.vmrriri t �.v+v 1 Hl . i iFvrvKnm "vim Company: Thermalech Northwest Inc Client #. 26425 Address: 10213 Sates Road S Job Contact: Bob Sr. Lakewood, WA 98499 Email: Bobsr nw-Inc.com 8 DAY Tel: 253-984-1818 Pr ect Name: McCarther Fax. 253-984-1886 Pro'ect ID #. 13-0907 P.O. #: ASBESTOS METHC)D 4 HW 8 NR* 24 NR 2 DAY 3 PAY 8 DAY PLM BULK EPA 600 ❑ ❑ ❑ ❑ ❑ TEM BULK CHATFIELD„ ❑ 1:1 1-10 ❑ PLM POINT COUNT (400) PLM POINT COUNT 11000) PLM GRAVIMETRIC EPA 604 EPA 600 t EPA 600 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PLM GRAY w POINT COUNT OTHER: EPA 604 ❑ ❑ ❑ ❑ C3 E-1❑ ❑ ❑ ❑ POSITIVE STOP ANALYSIS ❑ SOUTH CAROLINA SAMPLES ❑ TEM INSTRUCTIONS BEGIN TEM ANALYSIS AFTER NEGATIVE PLM ❑ ANALYZE TEM SAMPLES SIMULTANEOUSLY WITH PLM ❑ REMARKS: If needed, combine samples from the same group to achieve sufficient weight for TEM analysis. to connrm RUSH analysis. (j Accept Sample; Reject Samples Samples will be disposed of 30 days after analysis l Mlf/..R.. FAI. /. -w •w � . r . � FEDERAL WA WATER AND SEWER • PERMIT NUMBER 2 S/N................................. ?AC,w.,r 73 s*zw4x- 9rs7xq,._ BOOK NO ........................... SIDE SEWER PERMIT DWG NO ............................ TOTAL PERMIT FEE $1.2,7.6.3.. 4 4 DATE.... July .. 23 .,...1.9.91.. . Garnet Hall SIDE SEWER Montieth Const. OWNER........................................................... CONTRACTOR ........................................,...... 300th . PROPERTY ADDRESS...1204.......SW. ..............P1 ......................... CITY.. F.ede,r.a.1..Wa23 .y ............... ZIP ............... . PLAT NAME .... Marine.View Estates ............................................ LOT NO. 2.0......... BLK.NO... 2........... .......................... ANY MODIFICATION TO SEWER SYSTEM MUST HAVE APPROVAL OF THE DISTRICT FEES App. 0791-0249-2 Number ULID/ULID 52 Acct # IN LIEU OF ASSESSMENT Front 11,153.44 Footage $ Other $ Developer Payback $ SUBTOTAL $ 11 , 153 .4 4 CONNECTION FEES 1 ERU CFC/OMC $ 1,490.00 AREA CHARGE S PERMIT $ 120.00 20•0``R -O -W $ R -O -W PRETREATMENT $ SUBTOTAL $ 1_, 6 10 . 00 12,763.44 TOTAL $_ Date Paid / Receipt No. ^' BILLING TYPE: ® RESIDENTIAL O NON-RESIDENTIAL AptJCondo/M.H. a Public Authority Z' GM DISTRICT INRk OUT❑ ' 03 g:_ TREATMENT 2 PLANT LIFT 36 ? STATION 52 ULID '/4 SECTION [� BOOK — APPROVEDBY ......................... DATE.................... SCALE ................ I HEREBY CERTIFY THAT TESTING HAS BEEN APPROVED AND THE ABOVE CONNECTION HAS BEEN MADE AS SHOWN. IN PLACE PIPE TEST: TYPETEST .......................................... BY ..................................DATE ................ Outlook Print Message https://blul75.mail.live.com/mail/PrintMessages.aspx?cpids=e9cef5... 7 Regarding 1204 SW 300th P1 Federal Way From: Dunn, Robert (Robert.Dunn@pse.com) Sent: Tue 3/25/14 4:31 PM To: bmc106@hotmail.com (bmc106@hotmail.com) Hi Bonnie. Here is your notification number you can use to track your cut and cap (industry term, means to cut the gas line from the home and cap it at the property line to use at a later time) for your address at 1204 SW 300th PI Federal Way. 500925483 Please refer to that number if you need any more information, you can also use your address too. This has been sent over to our service provider (InfraSource), and they will schedule the actual date they come out (2 weeks is standard, but really depends on their workload, could be longer, at this time I don't have a date). Thanks for calling today, and if you have any further questions please feel free to reply to this email, or call us at 888-321-7779 1 of 1 3/25/2014 12:58 PM From: B 'Mc <bmc106@botmail.com> Sent: Monday, October 07, 2013 12:18 PM To: PH EHS Septic, Help Subject: Septic tank location Hi, I am trying to get a copy of the original property map showing aseptic tank location on property that I purchased earlier this year. The parcel number is 5153200201 and the address is 1204 SW 300th Place, Federal Way, WA 98023. Thank you, Bonnie McArthur 1204 SW 30e PI Federal, WA 98023 Cell 206-349-8562 () V V�k N® AS.BU1LT FOUND FOR THIS ADDRESS �L 1 0 • SORRY: Bonnie WE SEARCHED THROUGH OUR RECORDS PER YOUR REQUEST FOR AS -BUILT PARCEL NUMBER: 5153200201 ADDRESS: 1204 SW 300th PL. WE DO NOT HAVE ANY RECORDS FOR THE ABOVE LISTED PARCEL NUMBER / ADDRESS. Mum, WASTE MANAGEMENT FEDERAL WAY DISPOSAL 32650 SR 20 E105 OAK HARBOR WA 98277 (800) 592-9995 (253) 833-3333 www.wmnorthwest.com Account Summary • • Page 1 of 3 Customer: BONNIE MCARTHUR Online WM ezPayID: INVOICE Invoice Date: 00012-55551-43004 12/01/2013 Invoice Number: 2256677-1055-5 Account Number: 831-0047397-1055-8 Due Date: 12/31/2013 Description Amount Previous Balance 170.33 Total Credits and Adjustments 0.00 Total Payments Received 170.33 - Total Current Charges 75.41 - Total Amount Due 75.41 - Total Amount Past Due 0.00 Service Period: 11/01/13-01/31/14 Total Current Charges Total Amount Due 75.41- 75.41 - Your account indicates a credit balance. Please do not send a payment. Invoice mailed 11/1912013. Account delinquent if payment not posted by 01/31/2014. If full payment of the invoiced amount is not received within 30 days of the invoice date, you Payment Coupon will be charged a monthly late fee of 2.5% of the unpaid amount, with a minimum monthly Your Account Number charge of $5.00, or such late fee allowed under applicable law, regulation or contract. Holidays: Regular service on all holidays except Additionally, if your service is suspended for non-payment, you may be charged a resume fee Thanksgiving, Dec 25th and Jan 1 st. If your collection falls to restart your service. For each returned check, a fee will be assessed on your next billing on or after one of those days, service will be one day later equal to the maximum amount permitted by applicable state law. that week. Weather Delay Updates: wmnorthwest.com Don [just Think Greenx, shop green. Visit our new online store for shirts, trucks, kids' stuff and more ... WMGreenGear.com Want to pay this bill on-line? Visit www.wm.com and click on My Account to make a convenient, secure payment. WWFV!Z. Payment Coupon Your Account Number Please detach and send with checks only (no cash). 831-0047397-1055-8 WASTE MANAGEMENT Please send all other correspondence to your local WM site. WASTE MANAGEMENT Invoice Date Your Invoice Number FEDERAL WAY DISPOSAL 32650 SR 20 E105 12/01/2013 2256677-1055-5 OAK HARBOR WA 98277 (800) 592-9995 Due Date Total Due Amount Paid (253) 833-3333 12/31/2013 75.41- www.wmnorthwest.com Learn how we Think Green at www.wm.coffi/thinkgreen 10 52.ICCLi.`iCccEE6iiCCCCCCCCCCCCCCCCCCCCCC 0010767 01 AV 0.357 "AUTO T6 0 7322 98023 -341204 -CO2 -P00000 -I 4 6 12565R89 WASTE MANAGEMENT BONNIE MCARTHUR FEDERAL WAY DISPOSAL 1204 SW 300TH PL PO BOX 79168 FEDERAL WAY WA 98023-3412 PHOENIX AZ 85062-9168 From everyday collection to environmental protection, Think Green: Think Waste .Management. FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1 • • Page 2 of 3 NOTICE: By sending your check, you are authorizing Waste Management to use information on your check to make a one-time electronic debit to your account at the financial institution indicated on your check. This electronic debit will be for the amount of your check and may occur as soon as the same day we receive your check. You agree, in order for us to service our account or to collect any amounts you may owe (for non -marketing or solicitation purposes), we may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages, facsimile messages or e-mails, using any e-mail address you provide to use. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device, as applicable. m 0 0 0 0 0 0 0 0 0 Please send all bankruptcy correspondence to 2625 W. Grandview Rd. Ste 150 Phoenix, AZ 85023. o (This language is in compliance with 11 USC 342(c)(2) of the Bankruptcy Code.) o 0 0 4 0 0 0 0 0 a s S 10/11/13 Ticket: 621326 Prorate auto ydw g91 proration • Ticket total 6.79- 12/01/13 Refuse tax •19- 12/01/13 Utility tax msw Page 3 of 3 w1m, Customer: BONNIE MCARTHUR Online WM ezPay ID: 00012-55551-43004 WASTE MANAGEMENT Invoice Date: 12/01/2013 Invoice Number: 2256677-1055-5 WASTE MANAGEMENT FEDERAL WAY DISPOSAL Account Number: 831-0047397-1055-8 32650 SR 20 E105 Due Date: 12/31/2013 OAK HARBOR WA 98277 Service Location: 831-47397 Mcarthur, Bonnie: 1204 SW 300th PI Date Description Qty Amount 08/19/13 Ticket: 305039 Credit manual prorate ydw rem g94 08222013 1.00 91.64- Ticket total 91.64- 08/19/13 Ticket: 305038 Debit manual prorate ydw add g91 08222013 1.00 22.91 Ticket total 22.91 08/29/13 Ticket: 344243 Extra ydw bag, box or can yw 1.00 5.48 Ticket total 5.48 10/11/13 Ticket: 621327 Prorate auto msw c11 proration 1.00 4.81- Ticket total 4.81- 10/11/13 Ticket: 621326 Prorate auto ydw g91 proration 1.00 6.79 - Ticket total 6.79- 12/01/13 Refuse tax •19- 12/01/13 Utility tax msw •37 - Total Current Charges 75.41 - From everyday collection to environmental protection, Think Green: Think Waste Management. FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1 / • Page 1 of 1 ft �,f/�4 Oi c �1� I��G d y/ iNi .S'S!vx) From: "Goodsell, Gordon" <Gordon.Goodsell@southkingfire.org> Date: Friday, March 11, 2011 5:14 PM To: "Rick Hail' <rahinc@harbornet.com> Subject: RE: Copy of permit 1204 SW 300 PL Rick, This is what we issued. I inspected the job myself and it passed. These permits are only issued when conditions are met. Hope this helps. Gordy From: Rick Hall [mailto:rahinc@harbornet.com] Sent: Friday, March 11, 20114:07 PM To: Goodsell, Gordon Subject: Re: Copy of permit 1204 SW 300 PL Thanks Gordy. Is there anything that says the work passed inspection as required by code? This looks more like a receipt for the permit application fee. From: Goodsell, Gordon Sent: Friday, March 11, 20113:56 PM To: rahinc@harbornet.com Subject: Copy of permit 1204 SW 300 PL Mr. Hall, Hope this is what you need. Gordy Capt. Gordy Goodsell Assistant Fire Marshal South King Fire (253) 946-7241 4/3/2013 _ INTERNATIONAL FIRE CODE PER South King Fire & Rescue 31617 -1st Avenue South Federal Way, WA 98003 253-946-7248 0CC:LPANCNO:1807-561.0119-000 CST Dec, I 120 S',;'V 300 PL 9 81 02 3 PERMIT NO: 11-0117 PERM T TO iv ",INTAIN STORE. USE OR HANDLE NAIATERiALS. OR TO CONDUCT PROCESSES OR ACT]ViTI`S `ViHICH MAY PRODUCE CONDITIONS HAZARDOUS TO LIFE OR PROPERTY, OR TO INSTALL EQUIPMENT USED IN CONNECTION VVITH SUCH ACTIVITIES Perm,.: Fcr Specifk;s - Occupant Loads_ Quantities, Container Sizes Etc. X X 1 u.7.7.3 675 gal tank decom 2/911 } Cer1 & site ,map recd Fuel Tank lnstailation Co TOTAL FEES: r�_Da,e 02115/2011 Unloss specified otherwise, permit EXPIRES on: 02/16/2011 Paid Bye 9826 PERMIT MUST BE RENEWED PRIOR TO EXPIRATION. THIS PERMIT MUST BE POSTED IN A CONSPICIOUS LOCATION ON THE PREMISES. Fee $50.00 $50.00 doffs not take the ;;ince o= any ;!cense required by law and steal; not be construed as authority to a e, cancel or set aside any of the provisions of the Internat onai Fire Cooe. This permit is not transferable; any c^ar.ge .n ;.,se occupance, operation or ovrnersnlp shali require anew permit. SOUTH KING FIRE & RESCUE 31617 - 1sT AVENUE SO. FEDERAL WAY, WASHINGTON 98003-5201 Rick Hall, Property Owner �"l 204 & V 300 P1 Federal Way WA 98023 $00-414 MAR02 2011 MAILED F ROM ZIP GODE 9'6r;32 SENDER W T e'. 'r K44OWN TO M-IWARO Fuel Tank Installation Co. Inc. PO Box 46412 Seattle, WA 98146 206-244-8020 Rick Hall 1863 Hillside Drive NE Tacoma, WA 98422 P.O. Number Terms Description Decommission in place of 675 gallon heating oil tank (Certificate sent when paid in full) South King Fire & Rescue Permit 0 Invoice Number: 6222 Date: February 14, 2011 Job Site: 1204 SW 300th Place Federal Way, WA Customer # 253-952-9450 Quantity/Hours Price Tax Amount 1.00 960.00 V 960.00 1.00 50.00 %/ 50.00 Sub -Total $1,010.00 State Tax 9.80% on 1,010.00 98.98 Total $1,108.98 Thank you for your business! Certification Letters (if applicable) sent when paid in full. 1 ' 'o days �chargelid-ded t0;�'�t due o$1,108.98 $0.00 $ Total $1,108.98 Outloolccom Print Message • https:Hblul75.mail.live.com/ol/mail.mvc/PrintMessages?mkt=en-us Print Close ORDER 593940933 1204 SW 300TH PL FEDERAL WAY 98023 From: Quinlan, Teresa (teresa.quinlan@pse.com) Sent: Fri 4/25/14 10:34 PM To: 'BMC106@HOTMAIL.COM' (BMC106@HOTMAIL.COM) Good afternoon Bonnie: According to this order the temp meter has been set Thanks Teresa Quin/an Customer Construction Service 888-321-7779 option 8 ext 7147 email Teresa,Quinlan@PSE.COM 1 of 1 4/25/2014 3:35 PM • PUGET SOUND ENERGY Date: 04/17/2014 The Energy To Do Great Things Customer Construction Services Order Confirmation To: From: Name: BONNIE Email: BMC106@HOTMAIL.COM Name: CUSTOMER CONSTRUCTION SVCS Company: BONNIE MCARTHUR Phone: 1-888-321-7779 Fax: Phone:* (206) 349-8562 Fax: Development: Comments: Notify us it your listed contact phone number is incorrect this is the number the PSE crew uses to contact you Lot# Address Gas Order# Electric Order# On/Before Date Price Quote 2. Temp meter base pole within 4 feet PSE connection point 1204 SW 300TH PL 3. Approved permit on temp meter base 593940933 04/24/2014 $163.00 BE "CONSTRUCTION READY" FOLLOW THESE TIPS TO AVOID CONSTRUCTION DELAYS: Temporary Services - Customer Responsibilities Permanent Services - Customer Responsibilities Please provide: Please provide: 1. Adequately sized work pit so crew can work safely 1. Work pit and trenching excavated to the correct depth and large enough for crew to work safely: 2. Temp meter base pole within 4 feet PSE connection point ** Electric - 24" minimum depth of cover is required. 3. Approved permit on temp meter base ** Gas -18" minimum depth of cover is required. 2. Minimum 12 inch separation between gas and electric; 6" of separation from communications. Please watch the temporary service video at: 3. Adequate backfill (debris free sand), within shoveling distance of trench/work pits PSE.com/ServiceRequirementVideos 4. Work pits and trenches free of debris and water 5. Approved permits/inspections for fuel line and power For more information about temporary + permanent services, see: 6. Proper size and type of conduit installed: PSE.com/Electric5erviceHandbook ** Electric - less than 100', 2-1/2" min. Schedule 40 Gray PVC. Provide 3,18" pull -rope if over 60ft. ** Gas - 2" (min.) Yellow Schedule 40 PVC (or White - cannot be labeled with any other utility) Please watch gas and electric service videos for more details: PSE.comlServiceReouirementVideos For more detailed information about installation requirements visit: PSE:com/installationrequirements • 0