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09-101676Deolition Permit #: 09 -101676 -00 -DE Inspection Request Line: (253) 835-3050 Project Name: BESSLER Project Address: 2854 SW 300TH PL Parcel Number: 416660 0170 Project Description: Demolition of (1) single family residence and (1) detached garage City of Federal Way Awlicant Contractor ROBERT BESSLER Community Development Services BRIDGE BUILT HOMES 2854 SW 300TH PL PO BOX P.O. Box 9718 980 Federal Way, WA 98063-9718 FEDERAL WAY WA 98023 1 L It":0 Ph: (253) 835-2607 Fax: (253) 835-2609 Deolition Permit #: 09 -101676 -00 -DE Inspection Request Line: (253) 835-3050 Project Name: BESSLER Project Address: 2854 SW 300TH PL Parcel Number: 416660 0170 Project Description: Demolition of (1) single family residence and (1) detached garage CONDITI aS: After final inspection is complete a d dQoved, pleascontact K.L. Cimmer by e-mail at Karic@cityoffederalway.com b fax at 253-83 609 to receive a refund of cash bond. PERM' XPIRES Friday, May 6, 2011 Perm' ssued on Wednesday, May , 2009 1 hereby certi th t above infor tion is correct and that the construction on the above described property and the occupanc d the use will in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: 2 - ( — Dater C�`r Owne Awlicant Contractor ROBERT BESSLER BRIDGE BUILT HOMES BRIDGE BUILT HOMES 2854 SW 300TH PL PO BOX BRIDGBH259QC (9/13/10) FEDERAL WAY WA 98023 TACOMA 8499 PO BOX 99218 TACOMA WA 98499 CONDITI aS: After final inspection is complete a d dQoved, pleascontact K.L. Cimmer by e-mail at Karic@cityoffederalway.com b fax at 253-83 609 to receive a refund of cash bond. PERM' XPIRES Friday, May 6, 2011 Perm' ssued on Wednesday, May , 2009 1 hereby certi th t above infor tion is correct and that the construction on the above described property and the occupanc d the use will in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: 2 - ( — Dater C�`r THIS CARD IS TO EMAIN ON-SITE r MY of Construction I ection Record Federal Way INSPECTION REQU TS: (253) 835-3050 PERMIT #: 09 -101676 -00 -DE Address: 2854 SW 300TH PL Project: ROBERT & MICHELE BESSLER FEDERAL WAY, WA 98023-2325 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. Final - Building (4050) Approved li_By ' /� Date 42� Rough Electrical Approved 1:1Approved Final Electrical 1:1Approved Right of Ways By Date By Date By Date THIS CARD IS TO MAIN ON-SITE CTY OF fommunifyDevelo m t Ins ection Record p P Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 09 -101676 -00 -DE Owner: ROBERT BESSLER Address: 2854 SW 300TH PL FEDERAL WAY, WA 98023-2325 This card is part of your required inspection documents. 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. Final - Building (4050) Approved By Date For inspector reference only 0 Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date Omar ECEIVES Federal Way PERMIT -Of- LOLL-Z-(�o �,�JSF MF CO ME EL PL DE EN FP 253$ ;wAY MAY 0 6 2�P CATION 352607- PAX 253-835.2609 �My CF FEDERAL W "O following to rerdred inf on - an incomplete application wiii not be a ccepts& Please Print kwjibbj (bt ink) or %Fe. SITE ADDRESS _ZR!5"4 W �sP1'� �i. Ft4j ASSESSOR'S TA8/PARCEL 1i e_. LEGAL DESCRIPTION (e g. Acme Estates, Lot 1) TYPE OF PERMIT 0 BUILDING ❑ PLUAKMNG a MECHANICAL ¢1-DZKOLZTt0N a ELECTRICAL PRDJECT DESCRIPTION (Provide dstaue4 dmxrv*on of work mduded on .. � Mrs �. i-: L r TMJ•, �� .,1..�. l'.�. 1� PROJECT NAM (Name ofd or Owner Last PROPERTY OWNER CONTRACTOR PROJECT CONTACT LENDER Vt 11 [C-2 i Sur=/um it LOT SIZE (st) NAME ` 2 PRIMARY PHONE ERT- Ar . v @It ` Ei ( z5a) 9 2 -" MAEUNG ADDRESS CITY. STATE, ZIP E -MALL ADDRESS /'T�iE( e �"`.6A'Ld*` . 1 Gs"'. • F't+ :� R�r F:`�`li T 9 CELL PHONE COMPANY NAME APPLICANT NAME OFFICE PHONE ':2,LtIa HCiAeS %rO ' Q R.LS C 3 -O� 2 MAILING ADDRESS CITY. STATE, ZIP CELL PHONE O • 9921t.FkKSw�l�6 25 4 CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EX IPRATION DATE FAX NUMBER C3 Architect o Tenant a Agent 0-0ther (Z -es-) 98.4 - vi COlInRACMiCBRT TRATIONNUMMM XZIWATWKDATE _�bCAI lut'P�MES� �- COMPANY NAME APPLICANT NAME OFFICE PHONE ':2,LtIa HCiAeS %rO ' Q R.LS C 3 -O� 2 MAELMO ADOR833 CRY. STATE, ZIP CELL PHONE 2s'!, 91 - 09 Z3 RELATIONSHIP TO PROJECT FAX NUMB= C3 Architect o Tenant a Agent 0-0ther (Z -es-) 98.4 - vi NAME PRIMARY PHONE E-MAIL ADDRESS NAME Per RCW 19.27.095. - Lender b#Jbrnucdon is regmfred if project malas exceeds "000 MAILING ADDRESS CITY. STATE, ZIP PHONE EXISTING ASSESSED/APPRAISED VALUE $. VALUE OF PROPOSED WORE _ (C., I SPRIIYI{LERED BUILDING? a YES "0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ki NO WATER SERVICE PROVIDER o LAREHAVEN a HIGHLINE KTACOMA a PRIVATE (WELL) SEWER SERVICE PROVIDER -, LAMWAVEN 0 HIGHLUM 0 PRIVATE (SEPTIC) r ------....�... •••••• JSAIwrutG PROPOSED TOTAL EMENT !�- . FT. . FT. SQ. FT. FIRST 1 7 SECOND Zo`� TIMID PLATTED LOT? ADDITIONAL FLOG &SCRIBE) DEMO PERMIT REQUIRED? DECK (COVERED OR ❑ COVERED?) a NO GARAGE g_CARPORT ❑ (� NUMBER OF FLOORS mrw20MAr �c„a o.®a. ,�„ "NEWHOMES ONLY'" NUMBER OF BEDROO ESTIMATED G PRICE $ Indicate number of each type of fixture to be butalied or rielocat art of this project. Db not otdrtde existing fixtures to re3mave. Value of Msduueical work $ 22. Lr— �' — (A SOF OR ESTIMATE BE INCLUDED r' =F Z AIR HANDLING UNITS EVAPO THE COOLERS —� OUTLETS WooDSTovEs --'�_ BBQs F Ges W HEATERS MISC (Describe) BOILERS INSERTS HOODS COMPRESSORS FURNACES ( RANGES DUCTS OAS LOO SETS REMO. SYSTEMS BATHTUBSr Iaet4e/smwr _ LAVS (abs." URINALS DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAJA _a SHOWB&Sfis- 9M . WATER CLOSETS (r ,* B`LECTRM WA HEATERS _� Sjllm _�_ WASHING MACHINES HOSE BIBBV SUMPS I — tM under Purtut+J °JPerJWV that t am the property owner or authorised ageeet of the City a(%4t lg% the O&Wul R nsfGOrd in g to t t Rf fitww** P t appthelication is tnu and oorree �c� }� p�°�--p wWe all that the � of die does not remove the owner' ewpons fora npliaece �s0ate, or i nft I d that the isgumme of this permit -rfardw agree to hold harmless the e' 9 or enedronneental laws. i+enesttgation and Glome of such ° � of sa y be Way as td any claim (inetudtng costa, exPensss, and atlornege fees incurred in the when such claim arises out o the o thewhich me made by � Pte, treeiudbW the 9n@4 and filed against the cit% but aaetg the CRY as apart of this applicat e, f °� �Q g � °ffl� � °mP�J�, upon the of the bVb—ation supplied to SIGNATURE: wow and/or Authorized r I c a NEW a ADDITION a ALTERATION a REPAIR a TENS QUIROVENENT BIITLDING SHELL ONLY? ZONING DESIGNATION NEW ADDRESS REQUIRED? a YES a NO a YES o NO BASIC PLAN? CHANGE OF IIS&? IIP/SEPA/SU? a YES a YES o YES a NO a NO a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin #100 — January 1, 2009 Page 2 of 4 WandoutsTemdt Aunlication CITY OF f 4OW4 sr4w�� Federtd Way n= , WAY CITY Ur rF-- Al_ CL#S *4 ' RECEIVED MAY 0 6 2009 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8h Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 www.cityoffederalway.co 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 ;sueds. Prior to submitting a demolition permit, the following items (as applicable) must be signed by the respective agency (see attached Demolition Permit Contact List). NorE roAPPL[cAN7'. Utilities shall be disconnected and services performed, if applicable, prior to issuance of the demolition permit. All applicable items below are to be simed and dated by the respective agency representatives. 1. ASBESTOS AVATEMENT (Copy of approval fcrm and asbestos survey from Puget Sound Clean Air Agency provided) /t1nhJP"e-&& ehed (C ty of Federal Way Building Offidal) 2. GAS SUPPLY (Gas to be shut off, meter removed and final bili paid) A/YA (Puget Sound Energy) 3. SEPTIC SYST:?M (Tank to be removed or tank to be drained and filled) Lk &r Atte. .11710/ (King County Environmental Services) 4. SANITARY SEWER (Check applicable box) o Sewer line capped at property line o Existing sewer line to remain and be used by proposed new structure (Lakehaven Utility District) S.GARBAGE (All household garbage disposed off and final bill paid) VI (Waste Management/Other Company) ❑ Completed Construction Permit Application form ❑ Provide the following fees: 1. Demolition Permit Fee 2. Automation Fee 3. WA State Surcharge 4. Cash Bond Deposit & ELECTRICITY (Electricity to be strut off and meter removed) (Puget Sound Energy) 7. FUEL STORAGE TANKS (Above or below grade fuel tanks, have been pumped or removed under Fire Department permit prior to any dismantle/excavation) .gIG✓l6ttls�i2' �f%scGhc�% (South King Fire and Rescue) S. WATER - Public Source (Check applicable box) o Meter to be removed and final utility bill paid Meter to remain and be protected Si�it�lafGc®7 i;'ffitC�� (Water Supplier) *****s OR ****** 9. WATER - Private Well (Check applicable box) o Private well filled and capped o Private well to be used for other purposes (King County Environmental Services) Based on valuation. See table on pg 4 of the construction permit application. $6.00 $4.50 120% of calculated building permit fee Refundable upon Completed Final Inspection Bulletin #122 - Januar � 1, 2009 Page I of l k.\Handouts\Demolition Permit Requirements APR -23-2009 1:3:43 From: %. - APR -23-2e O9 13:03 From:ELECIO FIRST REP 2533956806 APR -23-2M 11:04 Fran: NY 23 09 I&Ws ' Blid0e81dWw" To: 3 984 6675 To2534766421 To:M339 2664 s W vwT I es�5 til_ . � l�r�, •� P.212 P.2,2 F.3,3 Q.2 t�I11RAl�lr a. oorriMrrr neva filno� 33355 a Av mw Sale C" OF IPAI� tvoHaa"s Fadeetd Way WA �MM4YJ1 FederC�l 233$15 1601.0a 53.133.w A!3 + DEMOUTION PERMIT REQUIREAAENTS A dnmcrlc a pc uh b m Win d b INW a am aaarslss or wi, mmanas4pqpw Check witbbe Civ PI mMW Div do n rn we i'to pkapmt e:eaedt tlaeall "ed b W a ea>'ieoaao Id wdew. An cavkaumW tovie:w and wb dW *11a c WANW=ril ehaokiisk MOW t www d, Which v4 a2md tip tinea p=W ba bn a denoi bm pwok cap be rued. O Polar is aablsW4 a dwxWNoa paesp% Ire 1lik bW§g Us (of tippipp MO ==t be skew i by the raapaedve aim! (In disdod Deaeatrtn?tieaeEt (bated U4 %MOlR7aA111lrARM,t;W/tierAWJWAllWMCant0d=r*uP6raa(fOPRmd P*V&kNwWv0/"Aw*&[hepow&A24V& & laasb�dlrr.,e io1 � %J'varrlrarAre 4u1 e s. �safznos a (COPY alb alTil ant �Mef tiaml R� �1a1d t]epa �f r 4 - Q - o' 2. am OWLY (Ola to oe !.t d� mmr im aa0 sw tlmll b3 pp* 3.9sT>OC by'bM Vft bet Mwalarty tote Saud ani n" 4. sA1+Q wv 11 im (04* aNBC" bad oSeww**G"K at propfgvn eb1da+QeeWN tble wnauu=Wiwilpowr*udkn S GAMINE -'_--mift nim s. vNi 13 CwM*@hde.wkwtipR by Applealisa lana O Tta+iia the taffewi ft Leu: L Dftw tion raraalt Vw Z Aatoao ds& tee 3. WA $fats Band wp S Ccleh Bald DW" 7. FMSTORM TAM {Above w talar arodS IW W t; herb been pun W w m mw W under "M osperbrprtlplrrrh p ft tlo aw ditle--01 kae on and IL =TIM • Pli flo tialnft (*reek appliable box) PAW a u r7![10rabard b w UWAN iwd S;p�i MNA ORfw«0 9 VM=-MINNUM(CkedcaWkab:eMx) e3 Mwe PIN tJtat and aspen Iz J4fueee r!1 b Iw red 1vd111rpwPsps oi�edM�wiw� tiCplbJow q 4eFCK COpS�diOi pCrnaZap/lialtfon 3M 64.50 I�03i•[oiloltald �i perait the tdua8ebilrOan Ciwpluldlfed LgrRiop Ddodn Alit -Jwntr r r, 29D?hr 1 N 1 kUbsftwMwwwM phWannL aewh�riiili May. 5. 20091 1:19We*.j-Langseth Environmental Servicesy-IHLu No. 3422 r- P. 1 oiioi Apr 30 09 01:09p Bri*6vl1lHo* 253 75 A -Z RetnaTRENroiCOMMVMs11 DSVCWPgi:Nr$I It"Ces 33325 80'Avf;rlt;.- South PD -9 :e 97)8 CITY OF 4V lWoml Way WA P0.3-9718 • �'ed�ir� I W� 257-835-160'1; Fix253-8. 4-1409Y flad www.owrldlt •sy.eom DEMOLITION PERMIT REQUIREMENTS A demotic on ptmit is required to remove any mctuit or struMms•on it subject proporV, Check wish 016 City's F lamming Divisico to I see i rthe proposal exceeds thresholds trot trigger OR envilwmcftl review. An environttle:llW review a Id submitt4l of an tenviirottmental ehe&3161 MAY t�P required, which v+fli extend 4hb time period before s demolition per nitcan be issued. (3 Prlor b sub;nittiag a demo]ldom Permits the [olltrwing items (as appfAcable) must be olpfad by tho rolpeWve sigene]- (see attached Detaolition Perimt Coatitct Iasi). NO>',R7r'Atl i►GfNI'= (AdItlea shall bt di mileleted and ae►vleot pe#brmed, %ppli0ft priori* i rsuamcd Of demgrt+o>t penrr►l, AO asplivable Items MOW= to Ile s PANdppQda/ by the nesparm apacyrepreienladws. 1. ASOEMOS AblI 1'EMENT (copy of app Koval fzrm and a1b88t0e! anvey from holier Sound Clean Air Age W WVA fed) --MTV ifM Way u ng t 2. GAS SUPPLY (teat b be shut off', rttecer removed and final bel paid) (Ager Sound Energy) .3. SEPTYC 9ft-WIM (Yank to be i emoverl ar tank to be drained and 11118*) �fdny tw Iame r8t 4, SANITANY SEWER (Check appiicable box) 0 Sewer Brie tappet( at property line o Ddsong se mer. Iing to remain and be used by propoae0 nein tnntctwe (isioehauen nutty 095tr M S. GAR"615 (Ail nousehol i gttba)e dispostd oft and final bill tmld) (:vPtste fNana6eMRn'J�erAet1y) Q Comph#ed Coh9trre0l012 Permit Application.forat 61 ELECTRLCrTV (HeMidty ltf be shut orf and mmger removed) SetW Eneltm . y. FU9L STORAf3E TANKS (Above or below de ' ccam�,, have beers Dui of 1r'move0 undujkeftd 'prlorb1) smanWexm%*Jon) td11 tong ire and flesate) O. WATER - Public Source (Cheat applicable bot) o Mater•tb be .mrrlOred and Anal 010 bill paid Peter rezvoln 6of �"'�Q ter ) 9. WAT611 - P►ijee Weil (Check applicable bon) o ft►lvol vid (,tied 5nd upped * plivate wail to belused for other purpasal Fit* caw* tulWannleatal sv*rs) O Providt the following feein 11- Demolition Permit Fee BwW on valuation; gee tableoit pg 4 of theconclructfon permit -pplicatlon- 2. AN tomstion .pee $6.00 3. WA 'State Surcharge 34,51) 4. Cash goad Deponit I Z09t ofcelculawO btilldfas permit the AoNndoble apan delnpieted Fina) tA"Mion 9ullctin0122 •IMMIg1.2009 palclprl k�Haad0�bti0amdn�OaPartAl•Iilif9ftrit r agc i vi i Chris Brid e From: "Criscuolo, Liana" <Liana.Criscuolo@kingcounty.gov> To: <bridgebuilthomes@gwestoffice.net> Sent: Wednesday, April 22, 2009 3:21 PM Subject: Asbuilt records for 2854 SW 300th Place To whom it may concern; There are r o records of a septic system asbuilt for the above-mentioned parcel. When the septic tank i 3 found it can be properly abandoned one of two ways; 1) pump, fill with compacted soils and crush lid or pump and remove tank. A licensed pumper then will complete a tank abandonment form and send to the Health Departmen :. Thank you, Liana Criscuolo, RS 206-296-9742 L /22/2009 Approved' Transaction• Page 1 of 1 pscIear air.org Puget Sound r! <<an i.,r Agency Single -Family Notification Case #: 200900781 This page mu! t be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at i II times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Faid $75.00 Credit Card T-ansaction # VX3F3DCAOC3B Transaction Cate 04/28/09 Owner's Nam a Rob & Michele Bessler Phone (253) 576-6006 Site Address 2854 SW 300th PL Site City Federal Way Zip 98023 Contact Persc n Chris Bridge Phone (253) 691-0323 Mailing Address 6203 Hawthorne Terrace Tacoma, WA 98422 This project includes asbestos removal. Project Size linear feet / 380 square feet Project Start Date 04/28/09 Completion Date 04/28/09 Asbestos will be removed by a licensed asbestos abatement contractor This project includes a demolition. Demolition Start Date 05/15/09 Completion Date 05/18/09 Demolition w II be completed by a demolition 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 infom ation I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Anot ier Notification If you have qt estions, contact us at asbestos@pscleanair.org or 206.689.4058. https:Hseci tre.pscleanair.oriz/Asbestos/Approved.aspx 4/28/2009 04/30/2009 15:54 253-502694 Apr 30 09 01;05p BridgeBuiltl o ,� CITY OF Federal Way WATER CITY -TACO PAGE 01/01 253675 p•z DIEPAR7KENTOF CommvNrry UEvELor.Mr.NT Smvwn 33325 8` Avenue South PO Box 9718 Fedaral Way WA 98063-9718 2S3-835-2601; Fax 253-M-2609 www. SW ITedernlv►ry Com DEMOLITION PERMIT REQUIREMENTS A demolition pe rmit is required to remove any sm aure or structuress on a subject property. Check with tate City's Planning Division to we if the proposal exceeds %gesholds that trigger an environmental review. An environmental review and submittal of an environmental checklist may be required, which will extend tht time period before a demolition permit can be issued. LJ Prior to sub;:nittiatg a demolition permit, the roamdug items (as applicable) must be signed by the respective agency (see attached Demolition Permit Contact List). No7e ro.tl'PLt:ANI'_ (hfliaes shall be disconnecred and services performed, if applicable, prior.ro issuanm of the dem of lioa JnnaiL All applicable irems below are ro ue s:rdattd by the respeatnre oga'rtcy rep—datives. 1. ASBESTUS AEIATEMENT (Copy of approval foal and asbestos survey Rom Rrget Sound Clean Air AgeM amvided) (C'ty or Federal Way Building offlcal) 2. GAS SUPPLY (Gas to be shut OR, meter removed and final bid paid) (Puget Sound Ere W 31. SEPTIC: SYSTCEM (rank to be remom i or tank to be drained and tilled) (King County Environmenlial SenAoes) 4, SANIMY SEATER (Check applicable box) 0 Sewer Erie upped at property line a Bdsdnq sewer line to rem lln and be used by proposed neve structure (Lakenaven Utility District) 5. GA-lit"GE (All homhdd garbage disposed off and flnel bill paid) (W,,ste Nwagemerg0therCoTq") ❑ Completed Construction Permit Application form 6. ELEGTRIt3TY (eectricity lC be shut off 2nd meter removed) (Puget Sound energyJ - 7. FUEL STORAGE TANKS (Above or below grade ftA tank,, have been pumped or Mrrloved under Fie Department permit prior to any dismantle/excavation) (South Kmg Are and Rome) & WATER - Public Source (Check applicable box) a Meter to be removed and Finai utility bill paid/ /1 A�eter r remain �A 4 Zn _W1`7 —ilo: OR ****** 9. WATER - Private Weil (Check applicable box) a Private wel filed land upped o Priwa. well to be fused for other purposes pang county r:nv(rarvrte bl SMALTS) Q Provide the followiag fees: 1. Demolition Permit Fee Based on vniustiom See table on pg 4 of the construction permit appl icstion. 2. Astotnstion Fee $6.00 3. WA State Surcharge 54-50 4. Cash Bond Deposit 120%efcalculaw building permit lac Refundable upon dampleted Final Inspection Bullctin 0122 –January 1. 2009 Ploc 1 or 1 k%andautsZemulition PcirritAaquirements DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8`i' Avenue South PO Box 9718 CITY OF Federal Way WA 98063-9718 Federal Way 253-835-2607; Fax 253-835-2609 www.citvoffederalway.com ffederalway.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. ❑ 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 TOAPPLlCANT. 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 ABATEMENT (Copy of approval form and asbestos survey from Puget Sound Clean Air Agency provided) (City of Federal 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) Lc/f�r %�ftuelic�/ (King County Environmental Services) 4. SANITARY SEWER (Check applicable box) ❑ Sewer line capped at property line ❑ Existing sewer line to remain and be used by proposed new structure / o// (Lakehaven Utility District) S.GARBAGE (All household garbage disposed off and final bill paid) VIA (Waste Management/Other Company) 0 Completed Construction Permit Application form 6. ELECTRICITY (Electricity to be shut off and meter removed) 414tK0'! MAdheol W (Puget Sound Energy) 7. FUEL STORAGE TANKS (Above or below grade fuel tanks, have been pumped or removed under Fre Department permit prior to any dismantle/excavation) .11,6#1 ver A#^411eW (South King Fire and Rescue) B. WATER - Public Source (Check applicable box) ❑ Meter to be removed and final utility bill paid Meter to remain and be protected Si�tt�af7,rrr A>�%CtiCt�/ (Water Supplier) ****** OR ****** 9. WATER - Private Well (Check applicable box) ❑ Private well filled and capped ❑ Private well to be used for other purposes King County Environmental Services) 0 Provide the following fees: 1. Demolition Permit Fee Based on valuation. See table on pg 4 of the construction permit application. 2. Automation Fee $6.00 3. WA State Surcharge $4.50 4. Cash Bond Deposit 120% of calculated building permit fee Refundable upon Completed Final Inspection Bulletin #122 —January 1, 2009 Page 1 of 1 k:\I-landouts\Demolition Permit Requirements r 4ik DEPARTMENT OF COM**TY DEVELOPMENT SERVICES 33325 81h Avenue South CITY OF PO Box 9718 Fe�e253 00% Wai Federal Way WA 98063-9718 ✓( -835-2607; Fax 253-835-2609 www.ciiyoffederalway.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 8. Septic: King County Environmental Services 14350 SE Eastgate Way Bellevue, WA 98007 206-2964932 9. Fire Department: South King Fire & Rescue 33325 8h Avenue South / PO Box 9718 Federal Way, WA 98063 253-946-7248 Bulletin #109 — March 1, 2007 Page 1 of I k:\Handouts\Demolidon Permit Contact List d s 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 68'' 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 1566 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 206-2964932 9. Fire Department: South King Fire & Rescue 33325 8h Avenue South / PO Box 9718 Federal Way, WA 98063 253-946-7248 Bulletin #109 — March 1, 2007 Page 1 of I k:\Handouts\Demolidon Permit Contact List d s APR -23-2009 13:43 From: To984 6675 PPR' -23-2009 13:03 From:ELECW FIRST REP 2533956806 To:TJ12534766421 APR -23-2099 11:9+1 From: Apr 23 09 look ' Beedpe9 *bnnp CITY OR ktho Feft ral Way To:c S13B56996 ze�4 sW QCOMM vt-., I^Clk 3 P.212 P.21'2 P.313 P.2 OVwwn atTtwCdKVMrrrDavarantoffgwwts 333M a• Awma scan t0 Dan 9M t PdenJ Way WA OADSWI1 333439-Zorsa Za-LiSa" 2g5¢ SW 30o P� DEMOLITION PERMIT REQUIREMENTS A dentuitiate pc astir a et�giiitted b remove arty oraornrtonr ona =*ctp Mp"w. Ckuk With be Cipfs Phuitw Dkbim to see' 220 Pcapaol C;eaedf thrr)eohla tient MON as e+riaaaa hd xWew. M etrr'awm"tpi tevim aed R*Wuof as c ovttUNW0l cheotiist uW ba mWin d, wWCb w{a eeand ft *w puled beta a demd&oo Dwu* cm be is O Ptbr to wbi Li 14 st dMWWN ptrn% tre Ik ine ag XW (tn t►pp&*b) t=t be; dV" by tba raapn:tiy�t 89=9 We �d DmdWa ?a ed as%d IJet). eons 7DAVJCW.&w, LviH.ar ttittirbrslicov, .d a rPe jl+.,�L 9' P W&k yiwim tttatravft afifWAna rbe P~ Id yjRas6rs "babw wr xal s AUNdSMIAO&N tli. gx'wq raP�peaa,tlYv ;L AsaP=M MnMT (ODPW�of WIN tarn and attttglos aMH tv++PtW 9aMtd t]tta Ar .. _ :Nar l 2• GM SL"LY [O; m oe !.t oR nneew �t+aa etw tt►,et bi pr'4 3.Sww&y'STN ir+* 10 be tt!ltOYtl ar test to � apr+ee.r � e. SANSIMV !FINK (Che* an@mbk oat) o satyr iter tappK at ptwty ice a ehssmrg MW Ut tt►ttwm am ba No I V"Sw sot *Uwe@ LGAMM (AP ttta dawOftpdwmoaradbaealpaid) o CkMN*d dc.u1kvcti.R fApp lc d a tbm D Pro ms the t orowhq hw: L Dea MWA tamp Fw L Aalomatha toe X WA Stats bwd arp 4- aak Hand pspasit 7. PUL t;TOMA TANO WM or New Graft" Wft hem batt ptur*W w n, u i under Rte 0w b=tpw* Oft to arty dbirtaiWa mow) (tet rano mm and ftMA) ' R WAVU • PUM w m - (Chwk sppiiabie box) Kd rta toMnmieo-aed Mi tf►ba wd o NW b MUMa:0 be$ muff— «nw ORO***** 4. VM= -P MeelMb/ (Calk iolub'a box) o MAW Wd tfty w d cqM o MAO w l b hs tatd to dAvptrp� 94wd.avaLaeiaaFee1&bkwpa4ertheamSMK teaatatrtitsWkakkn 36" 9450 jamere"a w bwwmis pb+je ru iarimdserkw=calwvdnw impewan thidn Ak id -]sur ► �, x709 nF 1.I1 1CC�udotlittlnralfaR t�tl �haawra May. 5. 20091 1:19PM;c5s-L seth Environmental Servicesy—iji u No. 3422 r- P, 1 ui,r,i `r 0 09 01:09 BrldgeaulllWo 263 9675 A Z Apr 3 A , ' netnaTM NIMpcommutirrYDgvcwr.NiNrbt itvlcea 31325 80'Aveen:.t South Pb -8 :.it 9718 CITY OF O Feds"I Way WA 910-.3-9711 . Fed�r�� i Way257-835-1607; Fax253.8. •5-2609 DEMOLITION PERMIT REQUIREMENTS A demolition pcmit is required to fe:Qteve any structutt or structures on A subject proporly, Cheek with die City's Planning Division to see i rthe proposal exceeds thresholds that trigger an enviroomc tel mview. An attvironmenlal review V A subm(tt,41 of an 6vimirnental obeokllsl may by requtt,ad, which will extend -thb time period befare it demolition per rtitcan be issued. ❑ prior to subsnittleg a demoll loin permit, the follm►ing items (as oppticable) trust bo oigned by the r*$Peel:;va agency (see sUat:hed Demolition Pertrmt Contact Liist)- fY0y8T*.tM CAjVI: V(difflej 1rholl be dimit,1e910d Ped twvleot per/brmed, r1wlicoble, prior!* issuance of thedemolwan permit All oapftabte items befowam la lie the ntspIm6w apricyreprerentarrvas. 1. ASt1E'! MS AbWMMEN'T (copy of appmui ttrm and albeatoe sunny him Puget Sound Clean Air Wtv VFFOR My U1141nif 00511 2. GAS SUPPLY (Gar: b be shut off, rtieW famoved and final bill (►ilii) (Arget Sound nergy) 3. SGMC t)Y5TLIM (Tank to be minaml or conk to be drained and Mail) 1g au tonne tali 4, SANITARY SEWER (Check applicable box) 0 Sewer ane rapped at pmpaq line o Exlsdnp sewer ling to rernaln and be used by propowit new sft tUre (Lawaven witty 01"M S. CAR6AGE (All h wxhofd gflrbb)e dbposad off and final bill poll) (wmmste htanapempn�vtner ccmpar�y) O Completed Co)rstruptlopl Permit Applicat(on.form 6, ELEGTRICM (EleC;rielty te be ShUt OF and rMW removed) L get 5attnd Energy) 7, FUEL STORAit3E TANKS (Above or below de la�s. have beers pumped & f moved anI 11% V, W smb111110M atlon dP-Pauth long Fire and Reaotre) L WATER - Public Source (Chant applicable bort) o Matar'Go be :eneomd and Mal uddly bili paid l �Msit rwarng09 m ter Wier) I "OPEN pa.r..R. !. WATIN • P1ltfute Well (Check applicable boo) c a Mvo ell Tided ind nipped a Feivatt wall to behtsed flu odor purposes Ong cau►ty Eq*dnmental SOME") ❑ Provide the following fees: a- Demolition Permif Fee Bated on valvollon; gee table on pg 4 of thecomruction permit -pplication, 2. Ar tomatrton .!Fee $6.00 3. WA State Surcharge $4.59 4, Cash Road Deposit I Z01% of calculstgri btilld(ttg permit flea Aelbndoble apan dotnpleted Fine) Tagpirction Bullalim R122rlanriry I. aoD9 Pap: I or I k- Mendpuul0emat(So@ Penrit Rquifemwnls ragvivii El Chris Bridge From: "Criscuolo, Liana" <Liana.Criscuolo@kingcounty.gov> To: <badgebuilthomes@gwestoffice.net> Sent: Wednesday, April 22, 2009 3:21 PM Subject: Asbuilt records for 2854 SW 300th Place To whom it may concern; There are no records of a septic system asbuilt for the above-mentioned parcel. When the septic tank i s found it can be properly abandoned one of two ways; 1) pump, fill with compacted soils and crush lid or pump :Ind remove tank. A licensed pumper then will complete a tank abandonment form and send to the Health Department. Thank you, Liana Criscuolo, RS 206-296-9742 z /22/2009 Approved Transaction Page 1 of 1 pscIeanair.org Puget Sound Clean Air Agency Single -Family Notification Case #: 200900781 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 $75.00 Credit Card Transaction # VX]F3DCA0C3B Transaction Date 04/28/09 Owner's Name Rob & Michele Bessler Phone (253) 576-6006 Site Address 2854 SW 300th PL Site City Federal Way Zip 98023 Contact Person Chris Bridge Phone (253) 691-0323 Mailing Address 6203 Hawthorne Terrace Tacoma, WA 98422 phis project includes asbestos removal. )roject Size linear feet / 380 square feet )roject Start Date 04/28/09 Completion Date 04/28/09 tsbestos will be removed by a licensed asbestos abatement contractor phis project includes a demolition. )emolition Start Date 05/15/09 Completion Date 05/18/09 )emolition will be completed by a demolition 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 If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https:Hsecure.pscleanair.orit/Asbestos/Approved.aspx 4/28/2009 W, Assured Quality Environmental, Inc. 2702 A Street Tacoma WA 98402 253-572-7175 Fax number 253-779-4020 Send to: Bridge Built Homes From: Liz Attention: Chris Date: 2/2/2009 Fax Number: 251-984-6675 Phone Number: (253) 512-7175 ❑ Urgent ❑ Reply ASAP ❑ Please comment ❑ Please Review ❑ For your Information Total pages, including cover: ORIONEnvironmental Services 34004 - 9'h Avenue South ♦ Suite 5 ♦ Federal Way, Washington 98003-6740 • Tacoma (253) 952-6717 ♦ Seattle (253) 874-8118 • Facsimile (253) 927-4714 • Email lnfo@0r1onES.net WBE W2F9219763 Polarized Light MicroscopyTest Report EPA Method 600/R-98/116 Client Assured Quality Environmental, Inc. Date January 27, 2009 2702 "A" Street Page Page 1 of 4 Tacoma, WA 98402 Invoice 090352 Date Received January 23, 2009 Project Number Chris Project Name 2854 South West 30e Place Federal Way, Washington Client Orion Sample Asbestos Other Number Number Stereo Scone Exam Treatment Percent Type Fibers AM -001a 90123-99a Texture - ND - Assoc. w/ AM -001c AM-00lb 90123-99b Skim Coat - ND Assoc. w/ AM -001 c AM -001c 90123-99c Plaster - ND - Cellulose Homogeneous AM -002a 90123-100a Texture - ND - - Assoc. w/ AM -002b AM -002b 90123-100b Wallboard - ND - Cellulose Homogeneous AM -003a 90123-101a Skim Coat - ND - Assoc. w/ AM -003b AM -003b 90123-10lb plaster - ND - Cellulose Homogeneous AM -004a 90123-102a Greenish -Blue Vinyl Tile - ND " Homogeneous AM -004b 90123-102b Black Felt Backing - ND - Cellulose Assoc, w/ AM -004a AM -004c 90123-102c Dark Mastic Chloroform ND - Cellulose Assoc. w/ AM -004a AM -005a 90123-103a Dark Gray Vinyl Sheeting - ND - Cellulose w/ Black Felt Backing Homogeneous 34004 - 9'h Avenue South ♦ Suite 5 ♦ Federal Way, Washington 98003-6740 • Tacoma (253) 952-6717 ♦ Seattle (253) 874-8118 • Facsimile (253) 927-4714 • Email lnfo@0r1onES.net WBE W2F9219763 ORION Environmental Services A r. Yi r�rriti nr�»�nr��al �`nrNryinnnn i~nNanttinn l ;wr Polarized sight Microscopy Test Report EPA Method 600/R-98/116 Client Assured Quality Environmental, Inc. 2702 "A" Street Tacoma, WA 98402 Project Number Chris Project Name 2854 South West 30081 Place Federal Way, Washington Client Orion Number Number Sterga Scone Exam Date January 27, 2009 Page Page 2 of 4 Invoice 090352 Date Received January 23, 2009 SamPle Asbestos Other Treatment Percent Tvne Fibers AM -005b 90123-103b Tan Mastic Chloroform ND - Cellulose Assoc. w/ AM -005a AM -006a 90123-104a Gold Vicryl Sheeting - ND - Cellulose w/ Black Felt Backing Homogeneous AM -006b 90123-104b Tan Mastic Chloroform ND - Cellulose Assoc. w/ AM -006a AM -007a 90123-105a Beige Marble Pattern Vinyl - ND - Cellulose Sheeting w/ Black Felt Backing Homogeneous AM -007b 90123-105b Brown Mastic Chloroform ND - Cellulose Assoc. w/ AM -007a AM -0088 90123-106a Black Flooring - ND - Cellulose Underlayment Homogeneous AM -008b 90123-106b Tan Mastic Chloroform ND - Cellulose Assoc. w/ AM -008a AM -009a 90123-107a Tan w/ Green / Red / Beige - ND - Cellulose Pattern 'Vinyl Sheeting w/ Dark (xray-Grecn Felt Backing Homogeneous AM -009b 90123-107b Brown Mastic Chloroform ND - Cellulose Assoc. w/ AM -009a 34004 - 9'" AventIe South ♦ Suire 5 ♦ Federal Way, Washington 98003-6740 ♦ Tacoma (253) 952-6717 ♦ Seattle (253) 874-8118 ♦ Facsimile (253) 927-4714 ♦ Email Info@OrionES.net WBE W2F92I9763 ORIONEnvironmental Services An Environmental Compliance Consulting Firm Polarized sight Microscopy Test Report EPA Method 600/R-98/116 Client Assured Quality Environmental, Inc. Date January 27, 2009 2702 "A" Street Page Page 3 of 4 Tacoma, WA 98402 Invoice 090352 Date Received January 23, 2009 Project Number Chris Project Name 2854 South West 30e Place Federal 'Way, Washington Client Orion Sample Asbestos Other Number Number Stereo Scone Exam Treatment Percent Tie Fibers_ AM -009c 90123-107c Tan Mastic Chloroform ND - Cellulose Assoc. w/ AM -009a AM -010a 90123-108a Brown w/ Beige Strcaks ND - - Vinyl Tile Homogeneous AM -010b 90123-108b Dark Mastic Chloroform 4 Chrysotile Cellulose Assoc. w/ AM -010a AM -011 90123-109 Window Glazing - ND - Cellulose Homogeneous AM -012a 90123-110a Black Roofing Mastic Chloroform ND - Cellulose Assoc. w/ AM -012b AM-0I2b 90123-110b Black / White / Gray 3 -Tab Ash ND - Cellulose Roofing Fiberglass Homogeneous AM -012c 90123-110c Black Roofing Felt Paper Chloroform ND - Cellulose Assoc. w/ AM -012b AM -013 90123-111 Flat Black Roofing Ash 8 . Chrysotile Cellulose Homogeneous AM -014 90123-112 hoofing Tar Paper Chloroform ND Cellulose Homogeneous 34004 - 9"' Avenue South • Suite 5 • Federal Way, Washington 98003-6740 • Tacoma (253) 952-6717 • Seattle (253) 874-8118 • Facsimile (253) 927-4714 • Email lnfo@OrionES.net WBE W2F9219763 ORION Environmental Services An Environmental Compliance Consulting Firm Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client Assured Quality Environmental, Inc. 2702 "A" Street Tacoma, WA 98402 Project Number Chris Project Name 2854 South West 300"' Place Federal Way, Washington Client Orion. Number Number Stereo Scope Exam Date January 27, 2009 Page Page 4 of 4 Invoice 090352 Date Received January 23, 2009 Sample Asbestos Other Tre� Percent Type Fibers 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 PPA 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 21&1dC14'i2Reviewed By Dennis Rauscbenberg Donna McNeal Laboratory Analyst Laboratory Director / CEO Leadrng SnaironmentafCompfiana Comw9ing Into tf a 2111 Century 34004 - 9"' Avenue South ♦ Suite 5 ♦ Federal Way, Washington 98003-6740 Tacoma (253) 952-6717 ♦ Seattle (253) 874-8118 ♦ Facsimile (253) 927-4714 ♦ Email Info@OrionES.net WBE W2F9219763 a 0 ASSURED QUALITY ENVIRONMENTAL INC. SITE INSPECTION REPORT ASBESTOS "GOOD FAITH" SURVEY PROPERTY 2854 SW 300' PL. Federal Way, WA PREPARED._ FOR: Bridge Built Homes 0 Good Faith Asbestos Survey SCOPE OF WORK 0 On January 23, 2009 Assured Quality personnel conducted a "Good Faith" asbestos survey (per U.S.E.P.A. /A.H.E.R_A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State Labor & Industries) of a residential structure located at 2854 SW 300th PL. Federal Way, Washington. 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 Residential structure built around the 1950's or 1960's. The exterior siding of the structure is wood siding. The roof of the structure is composite roofing. HEATING AND VENTILATION SYSTEM Base board air system provides the heat in this structure. PLUMBING SYSTEM The plumbing is metal piping. INTERIOR CONSTRUCTION, FINISHES AND FLOORING The interior finishing of the structure is plaster and vinyl tile. SAMPLE METHODS ANA 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 Orion 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 Methods 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. Assured Quality Environmental Inc. February 2, 2009 • Good Faith Asbestos Survey SUMMARY OF MATERI(AlI.S FOUND POSITM • Upon completion of the survey and review of the laboratory data, the following materials were found to contain asbestos at the structure designated as 2854 SSV 300th PL. Federal Way, Washington. • Client sample# AM-OlOb Mastic Assoc. W/ AM -010a (Basement Approximately 240 SF) • Client sample# AM -013 Flat Black Roofing (Approximately 140 SF) No other Asbestos was detected in any sample collected at this structure. DEFINITIONS Asbestos means the asbestiform varieties of Actinolite, Amosite (Cummintonite- grunerite), Tremolite, Chrysotile (Serpentine), Crocidolite (Riebeckite), or Anthophyllite. Asbestos -Containing Material means any material containing . more than one percent (1%) asbestos as determined using the method specified in EOA regulations (Polarized Light Microscopy). Friable means materials that can be crumbled or reduced to powder by hand pressure. Homogeneous Areas means an area which appears similar throughout in terms of color, texture, and date of materials application. Miscellaneous Materials means interior building material on structural components, structural members of fixtures, such as floor and ceiling tiles, and docs not include surfacing material or thermal system insulation (AHERA definition). Surfacing Material means 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 definitiou). Assured Quality Environmental Inc. February 2, 2009 Good Faith Asbestos Survey 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. CONCLUSION 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, itis 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. Note: Assured Quality Environmental does not guarantee approximations of quantities of ACM, which may be listed with the analysis. 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 foot, etc.), or by site assessment. Any and all materials identified as ACM in this report must be abated prior tb ACM disturbance, renovation, or demolition. All materials identified as ACM must be professionally abated by a licensed asbestos abatement contractor prior to any disturbance. 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, a._..z M..A.- r Andrew Mantonya AHiERA Building Inspector 3509-09-01-4405 Expiration Date January 16, 2010 Assured Quality Environmental Inc. February 2, 2009 0 Good Faith Asbestos Surrey 0 Appendix #A INSPECTOR'S CERTIFICATION Assured Quality Enrizonmental Inc. February 2, 2009 is eftl Ica 9 0 om ction f It pf, PRESENTED BY: COLE AND ASSOCIATES, TRAINING AND CONSULTING, INC. THIS IS TO CERMI Y THAT ANDREW L. MANTONYA 8220110TH ST. PUYALLUP, `NA 98373 HAS SUCCESSFULLY COMPLETED THE STATE OF FLORIDA APPROVED , AHERA BUILDING INSPECTOR REFRESHER TRAINING COURSE AS REQUIRED BY 40 CFR 753, SUBPART E, APPENDIX C PROVIDER NUMBER 0003574 STARTING ON FRIDAY, JANUARY 16, 2004 ENDING ON FRE)AY, JANUARY 16, 2009 Cole and Associates, Traming and Coral iN Isu;.18000 72nd Ave S Suite 160 Kent, WA 48032 (425) 7?SSWS Paz (425) 7935.552 1 -877 -455 -BEAR and 1-888.414.8008 www.etcbew.eom Training Administrator Traini6i Director 3509-09-01-4405 1/16/2010 Certification Number -Expiration Date Cole and Associates, Traming and Coral iN Isu;.18000 72nd Ave S Suite 160 Kent, WA 48032 (425) 7?SSWS Paz (425) 7935.552 1 -877 -455 -BEAR and 1-888.414.8008 www.etcbew.eom Good Faith Asbestos Survey Appendix #B FIELD DATA / LABORATORY RESULTS Assured Quality Environmental Inc. February 2, 2009 0 NO -W ENMOMEMwdL SERXAMPT F CrlC9v)DY ivORM _ __. _ _� -._-• ' - P.Rfl.TECT PA LIlG1�IT IYAlVII: SITE AIlDR1�SS: RELINT(pUlb'ALD BY: RIM ,i. TELEPHONE: nq&TEC11 1 ?�OR.q RECE s FAX: � DATE SAMPLE�. D: � . - •- r� .._ . yr CELLULAR: - DATE / TIME. a 0 4 HOUR 024 -FOUR 030DAY N } u e y PAGE OF ■ .y i ■{ Mo. . !ie MINE y i f #A"�Lllik. Mir, m 'LI MIN Ill. _ lmpow�- N. mo a-m-avarLi P4,"", MIN min, y PAGE OF NOW O.rV AL SjWyTC�s -%4MME CUSTODYF`ORIV . Dl�n rn�* r �►vrrnra.� a R4 GE EDF �]E SSURED UAL1TYENV'1R0NMrriTA1, MC. 2702 "A" St. 9 Tacoma. WA 98402 Tacoma 1;7?_7175 Febr=7 2ad 2009 cbxi3 PO Boi 99219 - Federal Way WA 99496 Seattle 763-7177 Re: Asbestos Abatement Quotation 2854 SW 3001hPl Federal Way 98023 Chris: ... ..... .. Assured Quality Environmeat-2. Or proposal for Asbestos Abate rnogAtiM.F. that our proposal meets your ts. We propose to remove asbesios"c6auinirg above for the stun of SCOPE OF W�0- 1) Price includes the remove of mastic. 2) Price includes the remove of 0 General Contractors Specializing in Asbestos/Lead Removal, Interior Demolition and Mold Remediation (360) 769-7175 Fax (22) 779-4020 oppornmity to provide you with this : forward to wodmg with you, and hope located at the address listed 240.0 i1c and associated of Flat Roofing. CONDITION: 1) Price includes Asbestos liability Insurance for Two Million ($2,000,000) Dollars. 2) Price Includes Disposal of ACM. 3) All work will be strictly performed pex EPA, WISIU & -OSHA Standards. 4) Price is based on Power and Water being provided by the Owner. 5) Price is based on all items removed from the area of abatement prior to out Mobilization.-) 6) Price includes one permit. 7) Price air monitoring by AQE' Inc. only. 'PIN xia 8) TERMS; PAYMENT IN FULL UPON COMPLETION OF WOM- 1.5% Page 2 Interest charge due on unpaid balance. EXCLUSIONS: 1. Price does not include Sales Tax. 2. Price is based on one mobilization. 3. AQE can not be held responsible for staple holes and tape residue during the construction of our containment. 4. Price does not include the replacement of any items removed. Thank you for giving us the opportunity to bid this project for you. If you have any questions reearding this bid, please contact us at (253) 572-7175, or on rnv_ cell phone @a 253-377-7890. Acceptance, gtf Proposal By= Date: 2 ( 'f City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 41 1 Demolition Permit #: 09 -101676 -00 -DE Inspection Request Line: (253) 835-3050 Project Name: BESSLER Project Address: 2854 SW 300TH PL Parcel Number: 416660 0170 Project Description: Demolition of (1) single family residence and (1) detached garage. Owner Applicant Contractor ROBERT & MICHELE BESSLER BRIDGE BUILT HOMES BRIDGE BUILT HOMES 2854 SW 300TH PL PO BOX 99218 =@NQGBH259QC (9/13/10) Ic FEDERAL WAY WA 98023 TACOMA WA 98499 BOX 99218 k - '900 TAC WA 98499 After final inspection is complete and app Karic@cityoffederalway.com OR by fax a V71mmer by e-mail at a refund of cash bond. PERMI EXP i Fri ay, May 6, mit Iss d o ednesday, May 6, 21 1 hereby certify that thebove in mation t a d that the construction the occupancy and the a will b ' accordance with the laws, rules reg �and the City of F deral Owner or aoenX � 4 \thebove described property and tions of the State of Washington