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Permit D09-203 - BNSF (BURLINGTON NORTHERN SANTA FE) - BUILDING DEMOLITION
BNSF -DEMO 12094 44 PL S D09 -203 Parcel No.: 3347400935 Address: 12094 44 PL S TUKW Suite No: Tenant: Name: BNSF DEMO Address: 12094 44 PL S , TUKWILA WA Owner: Name: GLESSNER JIM I Address: 15087 SR 24 , MOXEE WA 98936 Phone: Contact Person: Name: DEAN JOHNSON Address: 6903 GRANGE RD NW , BEMIDJI MN 56601 Phone: 218- 766 -9078 Contractor: Name: DERRICK CONSTR INDUSTRIES INC Address: 7217 W 128 ST , SAVAGE MN 55378 Phone: 952- 894 -0012 Contractor License No: DERRICI924O3 DESCRIPTION OF WORK: REMOVE EXISTING BUILDING AND CLEAN UP AREA. THERE IS NO WATER AND NO SEWER SERVING THIS PROPERTY. PUBLIC WORKS ACTIVITIES INCLUDE EROSION CONTROL AND SEPTIC ABANDONMENT. PUGET SOUND CLEAN AIR AGENCY CASE # 200902092 -1. Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC -10/06 $15,000.00 V -B Cityatf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us DEVELOPMENT PERMIT * * continued on next page ** • Permit Number: D09 -203 Issue Date: 11/16/2009 Permit Expires On: 05/15/2010 Expiration Date: 09/22/2010 Fees Collected: $892.89 International Building Code Edition: 2006 Occupancy per IBC: 0022 D09 -203 Printed: 11 -16 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Water Meter: Permit Center Authorized Signature: doc: IBC -10/06 City oI/'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: N I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performan of work. I am authorized to sign and obtain this development permit. Date: / — t‘ — a I Signature: C Print Name: a 1 ^ a Sv st_ • Permit Number: D09 -203 Issue Date: 11/16/2009 Permit Expires On: 05/15/2010 Date: l This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. D09 -203 Printed: 11 -16 -2009 Parcel No.: 3347400935 Address: 12094 44 PL S TUKW Suite No: Tenant: BNSF DEMO 1: ** *BUILDING DEPARTMENT CONDmONS * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: D09 -203 Status: ISSUED Applied Date: 09/28/2009 Issue Date: 11/16/2009 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 7: ** *PUBLIC WORKS DEPARTMENT CONDPITONS * ** Contractor shall call Public Works at 206 433 -0179 to schedule a pre - construction meeting for all the three (3) homes to be demolished; two of them are on adjacent parcels and covered by separate building permits. 8: Any material spilled onto any street shall be cleaned up immediately. 9: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 10: From October 1 through April 30, cover any slopes and stockpiles that are 3H: 1V or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 11: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 12: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 13: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. doc: Cond -10/06 D09 -203 Printed: 11 -16 -2009 City of Tukwila 14: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from the business that performed the pumping shall be provided to the City Utilities Inspector. doc: Cond -10/06 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us * *continued on next page ** D09 -203 Printed: 11 -16 -2009 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work construction or the performance of work. Signature: le Print Name: e —TV v‘ S oh.. doc: Cond -10/06 D09 -203 Date: / f — l6 62 ordinances governing or local laws regulating Printed: 11 -16 -2009 CITY OF TUKWILIP Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us King Co Assessor's Tax No.: Site Address: 12094 44th Place S . , Tukwila Suite Number: Tenant Name: ?a t 33 t-1 9 0 S Property Owners Name: BNSF Railway Co. Mailing Address: 2600 Lou Menk Dr. CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Dean Johnson Mailing Address: 6903 Grange Rd Nw E - Mail Address: dejdci @hotmail.com Company Name: Derrick Construction Industries, Inc. Mailing Address: 7217 W. 128th St. Contact Person: Shane Johnson E - Mail Address: shane @dustcoating.com Contractor Registration Number: 602628533 Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** H: WpplicationsForms- Applications On line 2009 Applications i -2009 - Permit Application.doc Revised: 1 -2009 bb • Building Permit No. - )03 Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) Ft. Worth City Day Telephone: (218) 766 -9078 Bemich mn City Savage TX State State City State Day Telephone: (800) 881 -5848 Fax Number: (952) 894 -0126 Expiration Date: 09/22/2010 State Floor: New Tenant: ❑ Yes ❑..No 76131 Zip 56601 Zip Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) MN 55378 Zip ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD -= All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Page l of 6 BUILDING PERMIT INFOION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ 15,000 Existing Building Valuation: $ Scope of Work (please provide detailed information): Remove existing building and clean up site Will there be new rack storage? ❑ Yes Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If `yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Applications Fonns- Applications On Line\2009 Applications \1 -2009 - Permit Applicetion.doc Revised: 1 -2009 bh 0.. No If yes, a separate permit and plan submittal will be required. Floor area of accessory dwelling: Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC l' Floor 568 2 Floor 3` Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFOION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ 15,000 Existing Building Valuation: $ Scope of Work (please provide detailed information): Remove existing building and clean up site Will there be new rack storage? ❑ Yes Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If `yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Applications Fonns- Applications On Line\2009 Applications \1 -2009 - Permit Applicetion.doc Revised: 1 -2009 bh 0.. No If yes, a separate permit and plan submittal will be required. Floor area of accessory dwelling: Page 2 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Mailing Address: Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O OR A O ZED AGENT: Signature: c� Print Name: J r? 4 v., n svn (dDz c‘,1 Date Application Expires: Date Application Accepted: H:1Applications\Forms- Applications On Lne12009 Apphcanons\ -2009 - Permit Apphcation.doc Revised: 1 -2009 bh Day Telephone: City Date: ?- State $b 6 al Zip Staff Initials: Page 6 of 6 QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 — 100 $23.50 101 — 1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for l sr 1 0,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for Isr 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for I sl. 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME fbms DeAdt-0 PERMIT # If you do not provide contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 2. Enter total construction cost for each improvement category: Mobilization Erosion prevention Water /Sewer /Surface Water 1000% Road/Parking /Access A. Total Improvements 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B +C +D) 5. Enter total excavation volume cubic yards Enter total fill volume cubic yards Use the following table to estimate the grading plan review and permit fee. Use the greater of the excavation and fill volumes. GRADING Plan Review and Permit Fees The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application /plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. Approved 09.25.02 Last Revised Jan. 2009 RECEIVED CITY OF TUKWILA 1 OCT 2 7 Z009 5250 (1) / �oH z o O k p .a $ (5) TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ (4) CORRECTION LTR# PERMIT CENTER DO 1 RECEIPT NO: R09 -01817 Initials: WER SET TRANSACTIONS: Set Member Amount D09 -203 300.00 D09 -204 300.00 D09 -205 300.00 TOTAL: 300.00 ACCOUNT ITEM LIST: Description PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW Cif! of Tukwila. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http //www. ci. tukw ila. wa. us SET RECEIPT Copy Reprinted on 11 -16 -2009 at 13:40:31 11/16/2009 Payee: DERRICK CONSTRUCTION INDUSTRIES INC 000.322.100 000.342.400 000.345.830 TOTAL: • Payment Date: 11/16/2009 User ID: 1655 Total Payment: 900.00 SET ID: 1116 SET NAME: Temporary Set TRANSACTION LIST: Type Method Description Amount Payment Check 1014 900.00 TOTAL: 900.00 Account Code Current Pmts 750.00 75.00 75.00 900.00 PAY MENT RECEIVED Parcel No.: 3347400935 Address: Suite No: Applicant: BNSF DEMO Receipt No.: R09 -01513 Initials: WER User ID: 1655 r City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Payee: DERRICK CONSTRUCTION INDUSTRIES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1008 592.89 Authorization No. ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000/322.100 000/345.830 640.237.114 RECEIPT Account Code Current Pmts Total: $592.89 Permit Number: D09 -203 Status: PENDING Applied Date: 09/28/2009 Issue Date: Payment Amount: $592.89 Payment Date: 09/28/2009 03:34 PM Balance: $0.00 356.60 231.79 4.50 PAYME :T RECEIVED doc: Receipt -06 Printed: 09 -28 -2009 Proj Af S ho , f „ T J�'(J Type of I iion: v , �� D T Address: � 12 Ocl.ei 44 PL 5 . Date Called: led: Special Instructions: 0 3 9 2 ? (} - U �4 9()"'! A 2 Date Wanted: �I -2'' - a I v a.m. p.m. Requester: Phone )if - 16 4 - 9 °r ig INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 D os - 2 PERMIT NO. L (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: De G-f, A-73 n ,A v.3 Cc_s 14 As I Date: ?,' Z , / ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: Type of Inspection: Po F;e7AA - Sep.+ic. -fc,iK. viAS fwrpc'e( n!ld - Carpet . .`, er I Iles were.. +aken o (x +. F- of Special Instructions: - Flet a(eof (rm. p.m. Requester: - �o,( We re_ Covered Lit 11 SfrAll 1 (1(4c- - I F Ir1AIeO1 - Fi ootre d Project: $NSF - Demo Type of Inspection: Po F;e7AA Address: 1 2014 44- PL- S Date Called: 1 1 12-3/C4 Special Instructions: Date Wanted: Il J'2.-A (rm. p.m. Requester: Phone No: ,SS J IES INSPECTION RECORD Retain a copy with permit - Dm -7_03 PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. El Corrections required prior to approval. Inspector: Date: it I24- (p4 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: (Date: Prt: e i s. r^ Type os ctions.._i Ar 9 Li q .. et .3O , Date Cain. iii ^ y Special Instructions: Date Wanted: � i 1 p. m. Req `` er� Ph2 .... 7(r2 (e 43 078 INSPECTION RECORD Retain a copy with permit )c9 20 3 PERMIT NO. -ss INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Ei Corrections required prior to approval. COMMENTS: .11 (j rk -NC COMretCAIr oh - s4Ar� Ok. Inspector: Date: ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Parrott M© FELECOOPY ** ° 2-1 3 Plan review approval is subject to =NS and omissions. kpproval of cons ion documents does not authorize the violation of any adopted coda or ordinance. Receipt o approved Field Copy d conditions is acicnowl ed: By Date: /l - fC - off City ' .' 11.8 lal BUILDING DIVISION REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees P - L!7Lj(j 3 3 S N o L --t" ; l; f e These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequac of the design rests totally with the designer. Additions, deletions or revisions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field inspection by the Public Works utilities inspector. Date: By: -y) 0 9q S , 7L Tk J c -e s o REVIEWED FOR CODE COMPLIANCE APPROVE OCT 3 0 2009 City of Tukwila ui& BUILDING DIVISION ECEOVED 28 2000 PERMIT CENTER Puget Sound Clean Air Agency - Compliance Department Case Number Site Address 200902092 - 1 12094 4416 Place South Tukwila, WA 98178 Sam Phanekham (817) 867-6132 NotificationSummary.rpt Property Owner NSF Railway Compnay 12094 44th Place South 1lrksvila, WA 98178 (817) 867 -6132 [BNSFRACO3 -I] Asbestos Contractor 3- y• 7972 93S Demolition Contractor Derrick Construction Industries, Inc. 7217 W. 128th St. Savage, MN 55378 Shane Johnson (952) 894 -0012 [DERRCOIN 1 -13 Notification Summary by Case Number Amendment Number Case Number: 200902092 Project Type: Demolition Only Asbestos Job No.: Asbestos Start Date: Asbestos Completion Date: Demo Start Date: 09130/2009 Demo Completion Date: 10)3012009 Demo Job No.: Total Qty Removed: Application Fee: 875.00 ❑ Amendment 13 Annual ❑ Emergency Printed 9/15/2009 Page 1 of 1 2 O U w c CC cc O REVIEWED FOR CODE COMPLIANCE APPROVED OCT 3 0 2009 City of Tukwila BUILDING DIVISION FILE COPY PRE - DEMOLITION ASBESTOS NESHAP REPORT EMR PROJECT NO. 9049.001 Glessner (12094 44 Place South), Wang/Proctor (12092 44 Place South), and Wilkinson Properties (12084 44 Place South) Tukwila, WA 98178 For BNSF Railway Company Environmental Operations Department 2600 Lou Menk Drive Fort Worth, Texas 76131 INCORPORATED RECEIVED CITY OF TUKWILA OCT 2 7 2009 PERMIT CENTER CORRECTION LTR #. 1 po1 wp7 Inspected by: PRE- DEMOLITION ASBESTOS SURVEY REPORT David L. Welch & Shannon Adamson AHERA Asbestos Building Inspectors EMR PROJECT NO. 9049.001 Glessner (12094 44 Place South), Wang/Proctor (12092 44 Place South), and Wilkinson Properties (12084 44 Place South) -- Tukwila, WA 98178 For BNSF Railway Company Environmental Operations Department 2600 Lou Menk Drive Fort Worth, Texas 76131 Prepared by: EMR, Inc. 3200 Haskell Avenue, Suite 140 Lawrence, Kansas 66047 (785) 842 -9013 September 2009 Prepared for EMR by: Amanda Thornton -DeWitt Environmental Scientist TABLE OF CONTENTS 1.0 INTRODUCTION 1 1.1 General Information 1 1.2 Pertinent Regulations 1 2.0 PURPOSE AND PROCEDURES 3 2.1 Building Inspection 3 2.2 Sample Collection and Analysis 4 2.3 Buildings or Areas Containing Asbestos Materials 4 2.4 Summary of Analytical Findings 5 3.0 LEAD -BASED PAINT 8 4.0 PROJECT SPECIFIC RECOMMENDATIONS 8 5.0 INSPECTION LIMITATIONS 9 LIST OF APPENDICES APPENDIX A - CONDITIONS AND CLASSIFICATIONS APPENDIX B - GLOSSARY APPENDIX C - ASBESTOS BUILDING INSPECTION DATA APPENDIX D - NOTIFICATION (S) APPENDIX E - CERTIFICATION (S) INDEX OF ASBESTOS BUILDING INSPECTION DATA (APPENDIX C) Summary of Building Inspection Data Photographs and/or drawings (if applicable) Building Information Project Completion Summary Sheet (if applicable) Laboratory Reports Chain(s) of Custody (COC) Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 1.0 INTRODUCTION BNSF Railway Company (BNSF) retained EMR, Inc. (EMR) to conduct a pre- demolition asbestos building survey for the Glessner, Wang/Proctor, & Wilkinson Properties in Tukwila, Washington. This report describes the inspection procedures and presents the findings of the inspection. 1.1 General Information Site Address: Inspected by: Program Manager: Laboratory: Date of Inspection(s): Glessner Property August 24, 2009 Glessner, Wang/Proctor, & Wilkinson Properties 44 Place South Tukwila, WA Mr. David Welch, AHERA Certified Asbestos Building Inspector Accreditation # 25466 IR, expires December 3, 2009 Ms. Shannon Adamson, AHERA Certified Asbestos Building Inspector Accreditation # 10303315, expires December 10, 2009 Mr. Ric Cook EMR, Inc. 3200 Haskell, Suite 140 Lawrence, KS 66046 (785) 842 -9013, ext. 137 Seattle Asbestos Test 19711 Scribner Lake Rd, Suite D Lynnwood, WA 98036 (425) 673 -9850 Fax (425) 673 -9810 Wang/Proctor Property August 25, 2009 Wilkinson Property August 24 and 25 2009 NESHAP Inspection NESHAP Inspection NESHAP Inspection 1.2 Pertinent Regulations In the event of a planned asbestos removal project the State of Washington Asbestos Regulations should be consulted. Theses standards should also be consulted regarding planned demolition projects. Typically, certified and licensed asbestos abatement contractors will prepare the required notifications prior to a planned asbestos abatement project. No specific local regulations apply regarding asbestos building inspection 1 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 2.0 PURPOSE AND PROCEDURES EMR was directed by BNSF to inspect the Glessner, Wang/Proctor, & Wilkinson Properties for the purpose of identifying asbestos containing materials (ACM) that would be disturbed during planned demolition activities. This report identifies ACM present in the building as well as quantifying and determining the condition of all ACM at the site. 2.1 Building Inspection The survey began with a field description of the building (building information report), including facility, building name, city, building number, construction date, original owner, building construction type, floor construction material, building status, number of floors, approximate floor area, floor covering materials, roof materials, roof construction, ceiling materials, exterior wall construction/materials, interior wall construction /materials, HVAC type, HVAC insulation, building uses, building renovations, building owners, inspection history and homogenous areas. The Glessner Property shed/storage was constructed in the 1980's, and is an approximately 568 square feet one (1) story unoccupied structure. The vacant building is constructed of a wood frame on concrete foundation. The roofing is constructed of wood as is covered by asphaltic shingles and tar sealant on the chimney. The exterior walls are constructed of wood. The interior walls and ceiling are all constructed of sheetrock. The floor is constructed of wood with tar paper covering. The building is neither heated nor insulated. The Wang/Proctor Property was constructed in the 1960's, and is an approximately 1,192 square feet one (1) story unoccupied residential structure. The vacant building is constructed of a wood frame on concrete foundation. The roofing is constructed of wood and is covered by asphaltic shingles. The exterior walls are constructed of wood. The interior walls are constructed of wood, plaster board with smooth coat, and transite board on the back of a fake brick hearth. The ceiling is constructed of sheetrock and plaster board. The floor is constructed of wood and is covered by 9 -inch floor tile, wood, carpet, and vinyl floor covering. The building is heated by forced air and electric; and is insulated with fiberglass. The Wilkinson Property was constructed in the 1960's, and is an approximately 1,192 square feet one (1) story unoccupied structure. The vacant building is constructed of a wood frame on concrete foundation. The roofing is constructed of wood and is covered by asphaltic shingles and rubber rolled roof on the porch overhang. The exterior walls are constructed of wood. The interior walls are constructed of wood, sheetrock, and transite board on a fake brick hearth. The ceiling is constructed of 1' X 1' wood fiber ceiling tiles, 2' X 2' wood fiber ceiling tiles, and sheetrock. The floor is constructed of wood and is covered by wood, carpet, and vinyl floor covering. The building is heated by forced air and electric; and is insulated with fiberglass. The Wilkinson Property shed/storage was constructed in the 1980's, and is an approximately 374 square feet one (1) story unoccupied structure. The vacant building, used for storage, is constructed of a wood frame on concrete foundation. The roofmg is constructed of wood and is covered by asphalt sheeting. The exterior walls are constructed of wood. The interior walls and 2 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 ceiling are all constructed of sheetrock. The floor is constructed of wood with plywood covering in some areas and bare wood in others. The building is neither heated nor insulated. Suspect materials were sampled and analyzed following the United States Environmental Protection Agency (USEPA) "Asbestos Hazard Emergency Response Act" (AHERA) sampling protocol. Samples were submitted to a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory and analyzed using Polarized Light Microscopy (PLM) to determine asbestos content. Conditions and Classifications can be found in Appendix A. The Glossary is located in Appendix B. Appendix C presents the building inspection data for each structure and contains the following information for the buildings: 1. Asbestos Containing Materials Summary 2. Photographs and/or drawings (if applicable) 3. Building Information Sheet 4. Laboratory Reports 5. Chain -of- Custody 2.2 Sample Collection and Analysis Suspect materials were sampled and analyzed following the EPA "Asbestos Hazard Emergency Response Act" (AHERA) and State of Washington sampling protocol. Samples were submitted to a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory and analyzed using Polarized Light Microscopy (PLM) to determine asbestos content. The analytical procedure followed is that described in the "Interim Method for the Determination of Asbestos in Bulk Insulation Samples," recommended by the EPA in Appendix A to Sub -part F of 40 CFR Part 763, (REF 1). Based on these guidelines, suspect material was considered not to contain asbestos only if the results of all samples required to be collected from the homogeneous area were determined to have no detectable concentrations of asbestos by PLM. Those materials analyzed and determined to contain greater than 1% asbestos were considered ACM. The laboratory provided written verification of each sample submitted and analyzed with appropriate chain -of- custody documentation. The laboratory certificates are located in Appendix C of this report. Upon collection all samples were assigned a unique sample number consisting of four letters followed by three letters and then a number. The first four letters identify the state and city where the site is located. The second set of letters identifies the building where the sample was collected. The number identifies the specific sample collected from that building. 3 Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 2.3 Buildings or Areas Containing Asbestos Materials Materials found to contain asbestos combined with materials assumed to contain asbestos are segregated into three material classes (friable, non - friable category II and non - friable category I) that are recognized for any given survey. All friable ACM shall be maintained in good condition with no damage present. Friable ACM are materials containing more than 1% asbestos, that can be crumbled, pulverized or reduced to powder by hand pressure when dry. Category I non - friable ACM includes any resilient material containing more than 1% asbestos, that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure, and as such should not release fibers when in good condition. Conversely, category II non - friable ACM includes any non - resilient material containing more than 1% asbestos, that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure, and as such should not release fibers when in good condition. 2.4 Summary of Analytical Findings The Asbestos - Containing Materials Summary includes sample number, material description, general area, material category, material class, quantity, material condition, asbestos type and asbestos percentage for all suspect materials identified and sampled in the course of the building survey (see APPENDIX C- Building Inspection Data). Glessner Property ➢ A total of seven (7) samples were collected for PLM analysis for asbestos content from the Glessner Property during the NESHAP inspection conducted on August 24, 2009. ➢ Six (6) of the samples were found to be non - detect for asbestos or less than 1% asbestos by the PLM -400 Point Count Method and are listed as follows: o Sample TUWA -GLEP -001 o Sample TUWA -GLEP -003 o Sample TUWA -GLEP -004 o Sample TUWA -GLEP -005 o Sample TUWA -GLEP -006 o Sample TUWA -GLEP -007 ➢ One (1) of the samples was found to contain asbestos and is listed as follows: o Sample TUWA -GLEP -001 Asphalt Shingle Sheetrock composite Wall/ Ceiling texture Wall/ Ceiling texture Wall/ Ceiling texture Floor Felt Chimney Sealant [2% Chrysotile] 4 [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 Note: All materials containing asbestos will be removed during the Asbestos Abatement Project that is scheduled to be conducted on September 21, 2009. Wang/Proctor Property ➢ A total of nineteen (19) samples were collected for PLM analysis for asbestos content from the Wang/Proctor Property during the NESHAP inspection conducted on August 25, 2009. ➢ Sixteen (16) of the samples were found to be non - detect for asbestos or less than 1% asbestos by the PLM -400 Point Count Method and are listed as follows: Wilkinson Property o Sample TUWA- PROP -001 o Sample TUWA- PROP -002 o Sample TUWA- PROP -003 o Sample TUWA- PROP -004 o Sample TUWA- PROP -007 o Sample TUWA- PROP -008 o Sample TUWA- PROP -009 o Sample TUWA- PROP -010 o Sample TUWA- PROP -011 o Sample TUWA- PROP -012 o Sample TUWA- PROP -013 o Sample TUWA- PROP -014 o Sample TUWA- PROP -015 o Sample TUWA- PROP-016 o Sample TUWA- PROP -017 o Sample TUWA- PROP -019 *Analyzed using the PLM -400 Point Count Method ➢ Three (3) of the samples were found to contain asbestos and are listed as follows: o Sample TUWA- PROP -005 o Sample TUWA- PROP -006 o Sample TUWA -PROP -018 Asphalt Shingle Roofmg Felt Window Putty Vinyl Sheeting Smooth Coat/ Plaster Board Wallpaper Backing Vinyl Sheeting Vinyl Sheeting Vinyl Sheeting Wallpaper/Wallboard Painted Fabric Behind Wood Wallpaper/Wallboard Ceiling Plaster Plaster Composite Panel Mastic Ceramic/Brick Red 9 -inch floor tile Grey/brown 9 -inch floor tile Transite -like backer board Note: All materials containing asbestos will be removed during the Asbestos Abatement Project that is scheduled to be conducted on September 21, 2009. ➢ A total of fourteen (14) samples were collected for PLM analysis for asbestos content from the Wilkinson Property during the NESHAP inspection conducted on August 24th and 25th, 2009. [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [TRACE <1 %]* [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [2% Chrysotile] [2% Chrysotile] [18% Chrysotile] Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 ➢ Eleven (11) of the samples were found to be non - detect for asbestos or less than 1% asbestos by the PLM -400 Point Count Method and are listed as follows: o Sample TUWA -WILP -002 o Sample TUWA -WILP -003 o Sample TUWA -WILP -004 o Sample TUWA -WILP -005 o Sample TUWA -WILP -006 o Sample TUWA -WILP -009 o Sample TUWA -WILP -010 o Sample TUWA -WILP -011 o Sample TUWA -WILP -012 o Sample TUWA -WILP -013 o Sample TUWA -WILP -014 *Analyzed using the PLM -400 Point Count Method o Sample TUWA -WILP -001 o Sample TUWA -WILP -007 o Sample TUWA -WILP -008 Roofmg Felt Asphalt Shingle Rolled Asphalt Roofmg Felt Sheetrock Composite Sheetrock Composite 12" Floor Tile/Mastic Vinyl Sheeting Wall Texture Wall Texture Wall Texture Window Putty Vinyl Sheeting Transite -like backer board 6 [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [NON -ACM] [TRACE <1 %]* [NON -ACM] [NON -ACM] ➢ Three (3) of the samples were found to contain asbestos and are listed as follows: [3% Chrysotile] [51% Chrysotile] [ 17% Chrysotile] Note: All materials containing asbestos will be removed during the Asbestos Abatement Project that is scheduled to be conducted on September 21, 2009. Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 3.0 LEAD -BASED PAINT The Department of Housing and Urban Development (HUD) defines lead -based paint as anything greater than 5,000 mg/kg or 0.5% by weight. EMR did not perform a lead -based paint (LBP) inspection for this report. Lead -based paint does not have to be removed prior to demolition; however, construction and demolition activities that disturb LBP material create lead dust, fumes, or vapors require worker protection and training in accordance with State regulations. 4.0 PROJECT SPECIFIC RECOMMENDATIONS Asbestos - containing materials were confirmed in the Glessner, Wang/Proctor, & Wilkinson Properties. EMR recommends that all asbestos - containing materials greater than 1% by weight be removed by a certified asbestos removal contractor prior to demolition activities conducted by others. The certified asbestos removal contractor is responsible for any NESHAP notifications to the state agency responsible for NESHAP regulation prior to any planned removal activities. The demolition contractor is responsible for any NESHAP notifications to local, state, and federal agencies prior to demolition. Demolition of materials containing trace/less than 1% asbestos can be demolished in -place without licensed abatement contractor removal. However, we recommend that demolition workers wear HEPA- cartridge respirators during demolition activities until a negative exposure assessment documents there are no airborne fiber hazards. The negative exposure assessment (NEA) would consist of OSHA - compliance air monitoring during the course of demolition. Glessner, Wang/Proctor, & Wilkinson Properties EMR Project 9049 -001 Tukwila, WA September 2009 5.0 INSPECTION LIMITATIONS This assessment was completed following generally accepted engineering, investigative and analytical practices of other consultants undertaking similar studies at the same time and in the same geographical area. The findings and conclusions stated herein are based on scientific evaluation of material samples and represent professional opinions concerning the significance of the limited data gathered during the assessment. No other warranty, express or implied, is made. Reuse of this report for any other purpose without EMR's written authorization shall be at the Client's risk. The Client agrees to indemnify and hold harmless EMR from all actions, claims, damages, and expense, including attorney fees, arising out of any unauthorized reuse. EMR, Inc. Prepared for the Company By: Reviewed for the Company By: Amanda Thornton -DeWitt David L. Welch L.G. Environmental Scientist Project Design Manager 8 \„_D 1 David L. Welch 1 APPENDIX A - CONDITIONS AND CLASSIFICATIONS CONDITIONS AND CLASSIFICATIONS Surfacing and Miscellaneous Materials Significantly Damaged Condition - Material with one or more of the following characteristics: 1. Surface crumbling or blistered over at least one tenth of the surface if the damage is evenly distributed (one quarter, if the damage is localized). 2. One tenth (one quarter, if localized) of material hanging from surface, deteriorated, or showing adhesive failure. 3. Water stains, gouges, or mars over at least one tenth of the surface if the damage is evenly distributed (one quarter if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. Damaged Condition (poor condition) - material with the following characteristics: 1. The surface crumbling, blistered, water - stained, gouged, marred or otherwise abraded over less than one tenth of the surface if the damage is evenly distributed, (one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on the surfaces beneath the material can be used as confirmatory evidence. Good Condition - material with no visible damage or deterioration, or showing only very little damage or deterioration. Thermal System Insulation Significantly damaged condition - material with one or more of the following: 1. Missing jackets on at least on tenth of the piping or equipment. 2. Crushed or heavily gouged or punctured insulation an at least on tenth of pipe runs /risers, boilers, tank, duct, etc. if the damage is evenly distributed (one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the pipe/boiler, etc., can be used as confirmatory evidence. Damaged Condition (poor condition) - material with one or more of the following characteristics: 1. A few water stains or less than one tenth of the insulations with missing jackets. 2. Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the insulation if the damage is evenly distributed (or up to one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the pipe/boiler /tank, etc. can be used as confirmatory evidence. Good Condition - material with no visible damage, deterioration, or showing only very limited damage or deterioration. CONDITIONS AND CLASSIFICATIONS (CONT.) Potential for Damage to Asbestos Containing Materials Potential for Significant Damage - The material is subject to major or continuing disturbance, due to factors including, but not limited to, accessibility. 1. The ACM is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become significantly damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. Potential for Damage - The material is subject to disturbance or damage, due to factors including but not limited to accessibility. 1. The Asbestos Containing Material is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. 2. Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the insulation if the damage is evenly distributed (or up to one quarter, if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the pipe/boiler /tank, etc. can be used as confirmatory evidence. Good Condition - material with no visible damage, deterioration, or showing only very limited damage or deterioration. Potential for Damage to Asbestos Containing Materials Potential for Significant Damage - The material is subject to major or continuing disturbance, due to factors including but not limited to accessibility. 1. The ACM is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become significantly damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. Potential for Damage - The material is subject to disturbance or damage, due to factors including but not limited to accessibility. 1. The Asbestos Containing Material is in an area regularly used by building occupants and there is a reasonable likelihood that the material or it's cover will become damaged, deteriorated, or delaminated due to factors such as changes in building use, changes in operations and maintenance practices, changes in occupancy, or recurrent damage. APPENDIX B - GLOSSARY GLOSSARY Amount The estimate of asbestos - containing material based on field measurements. Asbestos Type Includes the type of asbestos (chrysotile, amosite, etc.). Category Asbestos containing materials and presumed asbestos containing materials are categorized into three categories: • Miscellaneous Material: Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. • Thermal System Insulation (TSI): Material in a facility 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. • Surfacing Material: Surfacing material that is ACM. Surfacing material means material in a building that is sprayed -on, troweled -on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or the materials on surfaces for acoustical, fireproofing, or other purposes. Class Asbestos containing materials and presumed asbestos containing materials are categorized into three categories: • Friable: Materials containing more than 1% asbestos that when dry can be crumbled, pulverized, or reduced to powder by hand pressure. • Non - friable category I: Any resilient material containing more than 1% asbestos that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure. • Non - friable category II: Any non - resilient material containing more than I% asbestos that when dry cannot be crumbled, pulverized, or reduced to powder by hand pressure. Condition Ranking of materials: good, damaged or significantly damaged. Description Material inspected and sampled (i.e. 9" floor tile, sheetrock, transite shingle, etc.). General Area The homogeneous material as it exists throughout the facility. GLOSSARY (CONT.) Percent Percent by volume of the type of asbestos contained in the material. Sample Number Identifies the facility, state /city and the number assigned. Units The units of the quantity are given as square feet (S.F.) or linear feet (L.F.) APPENDIX C - ASBESTOS BUILDING INSPECTION DATA BNSF Railway Co. Wilkinson Property Pre -Demo Tukwila, WA EMR Project #9049.001- BNSF Railway Co, Wilkinson Property, Tukwila, Washington -- Remove approximately 354 S.F. of vinyl sheeting and attached wood underlayment from kitchen, nook, laundry room and laundry room bath. -- Remove approximately 40 S.F. of transite backerboard and attached fake brick tiles from hearth wall in living room. -- Remove two 3' x 4' windows (24 S.F.) with ACM window putty from kitchen nook exterior windows. C.B. 1 C S E EuEX Legend Vinyl Sheeting on wood underlayment (354 S.F.) Non -ACM 12 -inch floor tile (32 S.F.) Transite backer board under fake brick hearth wall in living room (40 S.F.) O Exterior Window with ACM Window Putty (24 S.F.) Critical Barrier Wall (poly) 3 -stage decon /entry (c =clean room; s= shower; e= equipment room) Negative Air Machine INCORPORATED CV Bedroom 1 Den Covered Porch Living Room C DRAWN BY: DLW DATE: CHECKED BY: TP REVISION NO. PROJECT NO, 9049 - 001 REFERENCE: Chimne C.B. zv2L/ SCALE: 1/8' Approximately 1' FIGURE BNSF Railway Co. Wang /Proctor Property Pre -Demo Tukwila, WA EMR Project -- Remove -- Remove -- Remove #9049.001- BNSF Railway Co, Wang /Proctor Property, Tukwila, Washington approximately 111 S.F. of red ACM 9 -inch floor tile, non -ACM black mastic, overlying hard wood flooring and non -ACM vinyl sheeting from kitchen. approximately 111 S.F. of gray ACM 9 -inch floor tile, non -ACM black mastic, overlying hard wood flooring and non -ACM vinyl sheeting from kitchen. approximately 40 S.F. of transite backer board on fake brick hearth wall in living room. E f l i m INCORPORATED SCALE: 1/8 '= Approximately 1' 1 EEEC C.B Legend 9-inch floor tile (ACM) and underlying mastic (non -ACM) with overlying hard wood floors and non -ACM vinyl sheeting (approximately 222 S.F.) Transite wallboard on fake brick hearth wall (40 S.F.) 2 -stage decon /entry (c =clean room; e= equipment room) Negative Air Machine Critical Barrier Wall (poly) 1- DRAWN BY: DLW CHECKED BY: TP PROJECT NO. 9049 - 001 DATE: 8/26/09 REVISION NO. REFERENCE: 1 2 o 2- 42' 1 ,(GURE 2 e l INCORPORATE O EMR Project No. 9049.001 3 Pre - demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photo 1: Glessner, Wang/Proctor, and Wilkinson Properties 3/C7 0p S7SGo, gg EMR Project No. 9049.001 Pre - demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photos 2 -5: Glessner, Wang/Proctor, and Wilkinson Properties INCORPORATED EMR Project No. 9049.001 Pre-demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photos 6-9: Glessner, Wang/Proctor, and Wilkinson Properties EfIR INCORPQRAT D EMR Project No. 9049.001 Pre - demolition NESHAP Report Glessner, Wang/Proctor, and Wilkinson Properties 44th Place South Tukwila, WA 98178 Photos 10 -11: Glessner, Wang/Proctor, and Wilkinson Properties Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices Storage 3reak/Locker Room Vacant HVAC SYSTEM Boiler Steam ❑ Boiler Ht. Water ❑ Forced Air ❑ Space Heater ❑ Shannon Adamson /Dave Welch Glessner Shed /Storage 44th Place South Tukwila, WA 98178 BUILDING INFORMATION SHEET 8/24/2009 1980's Number of Floors: 1 Bldg. Sq. Ft: 568 © In -Place BUILDING CONST. ( check all that apply) ❑ Sold Wood Frame 0 ® Demo (planned) Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Other ❑ 100 % FLOOR CONST. (check all that apply) Wood Metal ❑ Concrete ❑ Earth ❑ Other ❑ Radiant Heat ❑ FLOOR COVERING (check all that apply) Electric ❑ 12" Floor Tile ❑ None © 9" Floor Tile ❑ Vinyl Floor Covering ❑ HVAC INSULATION Ceramic Tile ❑ Aircell ❑ Wood ❑ Fiberglass ❑ Carpet ❑ Calc. Silicate ❑ None ❑ Mudded Joints ❑ Other ® Tar Paper Mineral Wool ❑ None © ROOFING CONST. (check all that apply) Metal ❑ Updated Field Sketch Wood Yes ® Other ❑ No ❑ ROOFING MATERIAL (check all that apply) 0 0 0 0 Tar Sealant- Chimney Asphalt Shingle Metal Transite Shingle Asphalt Sheeting Asphalt Flashing Tar & Gravel Roofing Felt Other CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile ❑ 2'x2' Ceiling Tile ❑ 2'x4' Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ Sheetrock El Other ❑ EXTERIOR WALL (check all that apply) Wood El Metal ❑ Transite Board ❑ Brick ❑ Block ❑ Stucco ❑ Other ❑ INTERIOR WALL (check all that apply) Wood ❑ Metal ❑ Transite Board ❑ Sheetrock Plaster ❑ Wall Texturing ❑ Masonry ❑ Brick ❑ Block ❑ Other ❑ Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices Storage Ireak/Locker Room Vacant HVAC SYSTEM Boiler Steam ❑ Boiler Ht. Water ❑ Forced Air lE Space Heater ❑ Radiant Heat ❑ Electric None ❑ HVAC INSULATION Aircell ❑ Fiberglass 0 Calc. Silicate ❑ Mudded Joints ❑ Mineral Wool ❑ None ❑ Updated Field Sketch Yes El No ❑ David L. Welch Wang /Proctor Residence 44th Place South Tukwila, WA 98178 8/25/2009 1960's Number of Floors: 1 Bldg. Sq. Ft: 1,192 ® In -Place BUILDING CONST. ( check all that apply) ❑ Sold Wood Frame El © Demo (planned) Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Other ❑ 100 % FLOOR CONST. (check all that apply) Wood Metal ❑ Concrete ❑ Earth ❑ Other ❑ 12" Floor Tile 9" Floor Tile Vinyl Floor Covering Ceramic Tile Wood Carpet None Other BUILDING INFORMATION SHEET FLOOR COVERING (check all that apply) 0 El El 0 IKI 0 ROOFING CONST. (check all that apply) Metal ❑ Wood Other ❑ ROOFING MATERIAL (check all that apply) Asphalt Shingle El Metal ❑ Transite Shingle ❑ Asphalt Sheeting ❑ Asphalt Flashing ❑ Tar & Gravel ❑ Roofing Felt ❑ Other ❑ CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile ❑ 2'x2' Ceiling Tile ❑ 2'x4' Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ Sheetrock El Other © Plaster Board EXTERIOR WALL (check all that apply) Wood Metal ❑ Transite Board ❑ Brick ❑ Block ❑ Stucco ❑ Other ❑ INTERIOR WALL (check fRJ IXI 0 0 0 0 0 Wood Metal Transite Board Sheetrock Plaster Wall Texturing Masonry Brick Block Other all that apply) Fake brick heater backer Board w/ smooth coat Inspector Name: Building Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices Storage 3reak/Locker Room Vacant Shannon Adamson /Dave Welch Wilkinson Property 44th Place South Tukwila, WA 98178 8/24/2009 1960's Number of Floors: 1 Bldg. Sq. Ft: 1,192 ❑ In -Place ❑ Sold © Demo (planned) 100 % BUILDING INFORMATION SHEET BUILDING CONST. ( check all that apply) Wood Frame Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Other ❑ ROOFING MATERIAL (check all that apply) Asphalt Shingle El Metal ❑ Transite Shingle ❑ Asphalt Sheeting ❑ Asphalt Flashing ❑ Tar & Gravel ❑ Roofing Felt ❑ Other I!1 CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile El Wood Fiber 2'x2' Ceiling Tile ® Wood Fiber 2'x4' Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ FLOOR CONST. (check all that apply) Sheetrock Wood ® Other ❑ HVAC SYSTEM Metal ❑ Boiler Steam ❑ Concrete ❑ EXTERIOR WALL (check all that apply) Boiler Ht. Water ❑ Earth ❑ Wood Forced Air ® Other ❑ Metal ❑ Space Heater ❑ Transite Board ❑ Radiant Heat ❑ FLOOR COVERING (check all that apply) Brick ❑ Electric ® 12" Floor Tile ❑ Block ❑ None ❑ 9" Floor Tile ❑ Stucco ❑ Vinyl Floor Covering ® Other ❑ HVAC INSULATION Ceramic Tile ❑ Aircell ❑ Wood © INTERIOR WALL (check all that apply) Fiberglass ® Carpet El MI Calc. Silicate ❑ None ❑ ❑ Mudded Joints ❑ Other ❑ © Fake Brick Hearth in Living Room Mineral Wool ❑ El None ❑ ROOFING CONST. (check all that apply) ❑ Metal ❑ ❑ Updated Field Sketch Wood © ❑ Yes © Other ❑ ❑ No ❑ ❑ 0 Wood Metal Transite Board Sheetrock Plaster Wall Texturing Masonry Brick Block Other Rubber Rolled Roof on Porch Overhang Inspector Name: Budding Name (s): Street Address: City, State: Date: Const. Date: Latitude: Longitude: Building Status: BUILDING USES: Offices (Vacant) Storage 3reak/Locker Room Shop HVAC SYSTEM Boiler Steam ❑ Boiler Ht. Water ❑ Forced Air ❑ Space Heater ❑ Shannon Adamson /Dave Welch Wilkinson Shed /Storage 44th Place South Tukwila. WA 98178 8/24/2009 1980 Number of Floors: BUILDING INFORMATION SHEET 1 Bldg. Sq. Ft: 374 El In -Place BUILDING CONST. ( check all that apply) ❑ Sold Wood Frame El © Demo (planned) Steel Frame ❑ Masonry ❑ Brick ❑ Concrete Block ❑ 100 % Other ❑ FLOOR CONST. (check all that apply) Wood Metal ❑ Concrete ❑ Earth ❑ Other ❑ Radiant Heat ❑ FLOOR COVERING (check all that apply) Electric ❑ 12" Floor Tile ❑ None © 9" Floor Tile ❑ Vinyl Floor Covering ❑ HVAC INSULATION Ceramic Tile ❑ Aircell ❑ Wood Egl Fiberglass ❑ Carpet ❑ Calc. Silicate ❑ None al Mudded Joints ❑ Other ❑ Mineral Wool ❑ None © ROOFING CONST. (check all that apply) Metal ❑ Updated Field Sketch Wood m Yes ® Other ❑ No ❑ ROOFING MATERIAL (check all that apply) Asphalt Shingle ❑ Metal ❑ Transite Shingle ❑ Asphalt Sheeting al Asphalt Flashing ❑ Tar & Gravel ❑ Roofing Felt ❑ Other ❑ CEILING MATERIAL (check all that apply) 1'X1' Ceiling Tile ❑ 2'x2' Ceiling Tile ❑ 2`x4` Ceiling Tile ❑ Transite Board ❑ Metal ❑ Wood ❑ Sheetrock 0 Other ❑ EXTERIOR WALL (check all that apply) Wood al Metal ❑ 0 0 0 0 0 Transite Board Brick Block Stucco Other INTERIOR WALL (check all that apply) 0 0 0 IXI 0 0 0 0 Wood Metal Transite Board Sheetrock Plaster Wall Texturing Masonry Brick Block Other Lab ID Client Sample ID Layer Description % Asbestos Fibers Non - Fibrous Components % Non - asbestos Fibers 1 TUWA- GLEP -001 1 Black asphaltic material with sand None detected As halt/binder Sand p ' 25 Glass fibers 2 TUWA- GLEP-002 1 Black asphaltic material 2 Chrysotile Asphalt/binder 2 Cellulose 3 TUWA- GLEP -003 1 White powdery material with yellow woven fibrous material and paint None detected Binder /filler, Paint 17 Glass fibers, Cellulose 2 White chalky material with paper None detected Binder/filler Gypsum/binder 25 Cellulose 4 TUWA- GLEP -004 1 White powdery material with paint and paper None detected Binder, Filler, Paint 26 Cellulose 5 TUWA -GLEP -005 1 White powdery material with paint None detected Binder /filler, Paint 5 Cellulose 6 TUWA -GLEP -006 1 White powdery material with paint and paper None detected Binder, Filler, Paint 18 Cellulose 7 TUWA- GLEP -007 1 Black asphaltic fibrous material None detected Filler, Asphalt, Binder 67 Cellulose SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation Lynnwood Laboratory: 19711 Scr Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Lab Code: 200768-0 Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 425.861.1118 Website: http ./ /www.seatdeasbestostect.com, E -mail: admin@seattleasbestostest.cwm Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE Redmond, WA 98052 Project BNSF TUKWILA NESHAP, GLESSNER PR, TUKWILA, WA Analyzed by: Liz Dutton/Weilong Tai ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Client Job #:9049.001 Laboratory Batch #: 200960072 Date Received: 8/25/2009 Samples Received: 7 Date Analyzed: 8/28/2009 Samples Analyzed: 7 Page 1 of 1 Report reviewed by: St&e F ayao) Zhang, President Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Lab Report No: P.O. No: Lab. Project Name: Lab. Project No. Project No. 9 .04 9 `001 V Project/Client Name: Df.{Sg• 'Tti�, ILW ft -A N ES 'AP { Tum Around ❑ 2 Hr. rime (Check one) 24 Hr. Building:G(,ir 5S 'JE( iC • 1 Hr. • 4 Hr. • other:(describe) City, State: '1(j .1,J( L t k, r {- • 48 Hr. • 3 -5 Days I Send Lab Results to: Tom Patnode 2635 151st Place NE, Redmond, WA 98052 Tel: 425.861.4561; fax: 425.869.7820; tpatnode@emr- inc.com ASBESTOS (Bulk) ASBESTOS (Air) Analysis Requested la PLM • PLM (EPA Point Ct.) • PLM (EPA Gravimetry) (EPA/600/R- 93/116) • SOILS • TEM (Bulk) • PCM • TEM (NIOSH 7402) • TEM (EPA Level 11) S.A.T. Lab ID # EMR Sample # Date Time Sample Description Sample Location Tuw A - Cie-0-00f --v o ii7 orl l i 30 f 5 t 441 y • i�C� i„ lk■ i=i-i ( . - . '4 rut: - Co 0 c • € - 00 3 CH-gent-0r It er ' c r s / r -- L It-1(j Ilt? 8 3,?;:, ") / / F d1. i . 11 L I. - - S Lod FEL T zn/ F LOO rc ! -4c - ow Si, • : -..,: , C o • a Date Time Sam .led b : /.r">�d/Irli /�M �`� YP �R o - Zc Re u)shed b n 1141x!4 1 ' � J y T1 to Received b : ���_� � +_��J ��lt� NSW NSW Anal ed b : fl��i + +� � , �� o � � rl; Results Faxed by: / �,, _ - v 6 /1"1 SPECIAL INSTRUCTIONS: � /) ...,,,c) , -/2 Sr "'sari ( - dd'' �ZI -774,e OD Ship To` 11 Scri e r ake Road Suite D Lynnwood, WA 98036 Ph# 425.673.9850 Fax 425.673.9810 ATTN: Steve Zhang SEND INVOICE TO: Name: Company: Address: City, State, Zip: Tom Patnode EMR, Inc. 2635 151st Place NE Redmond, WA 98052 Condition of Package upon Receipt: • good • damaged ❑ severe damage Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ m- aooq (DOo - 7 a Page: 1 OF 1 Lab ID Client Sample ID Layer Description % Asbestos Fibers Non- Fibrous Components % Non - asbestos Fibers 1 TUWA- PROP -001 1 Black asphaltic material with sand None detected Asphalt/binder, Sand 25 Glass fibers 2 TUWA - PROP -002 1 BIaCk asphaltic fibrous material None detected Filler, Asphalt, Binder 67 Cellulose 3 TUWA- PROP -003 1 Tan brittle material with paint None detected Paint, Filler, Binder 2 Cellulose 4 TUWA- PROP -004 1 Bny sheet detected Vinyl/binder 3 Cellulose 2 Gray fibrous material with mastic None detected Binder/filler, Mastic/binder 70 Cellulose 5 TUWA -PROP -005 1 Red vinyl 2 Chrysotile Vinyl/binder 2 Cellulose 2 Black asphaltic material with mastic None detected Asphalt/binder, Filler 72 Cellulose 6 TUWA - PROP -006 1 Gray/brown vinyl 2 Chrysotile Vinyl/binder 2 Cellulose 2 Black asphaltic material with mastic None detected Asphalt/binder, Filler p 69 Cellulose 7 TUWA- PROP -007 1 White brittle material with paint None detected Filler, Binder, Paint 2 Cellulose 8 TUWA - PROP -008 1 Yellow /green soft material None detected Filler, Binder 15 Cellulose SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Bellevue Laboratory: 12727 Northup Way. Suite 24, Bellevue. WA 98005: Tel: 425.861.1111, Fax: 425.861.1118 Website: hupJ /www.seattleasbestostcstcom, E -mail: admin@seattleasbestostest.com Attn.: Mr. Tom Patnode Client EMR, Inc. Address:2635 151st P1. NE Redmond, WA 98052 Analyzed by: Liz Dutton/Weilong Tai ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 NVLAP Accreditation Lab Code: 200768-0 Client Job #: 9049.001 Laboratory Batch #: 200960060 Date Received: 8/25/2009 Samples Received: 19 Date Analyzed: 8/25/2009 Samples Analyzed: 19 Project BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, TUKWILA, WA L - Report reviewed by: Steve (Fanyao) Zhang, President Lab ID Client Sample ID Layer Description % Asbestos Fibers Non - Fibrous Components o� Non - asbestos Fibers 2 Tan paper with mastic None detected Filler, Binder, Mastic/binder 70 Cellulose 3 Yellow vinyl detected Vinyl/binder 2 Cellulose 4 Black asphaltic fibrous material with mastic None detected Asphalt/binder, Mastic/binder 68 Cellulose 9 TUWA PROP - 009 Beige/brown square patterned sheet vinyl None detected Vinyl/binder y 2 Cellulose 2 Gray fibrous material with mastic None detected Binder /filler, Mastic/binder 68 Cellulose 10 TUWA - PROP -010 1 Brown/tan vinyl None detected Vinyl/binder 2 Cellulose 2 Black/brown asphaltic material with mastic None detected Asphalt/binder, Filler 69 Cellulose 11 TUWA - PROP -011 1 Light pink/white sheet vinyl None detected VinyVbinder None detected 2 Gray fibrous material with mastic None detected Binder/filler, Mastic/binder 73 Cellulose 12 TUWA- PROP -012 1 White powdery material with paint and paper 2 Chrysotile Binder /filler, Paint 27 Cellulose 2 White chalky material with paper and paint None detected Binder /filler Gypsum/binder 25 Cellulose SEATTLE ASBESTOS TEST, LLC Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 425.861.1118 Website: http : / /www.seattleasbestostest.com, E- mail: admin@seattleasbestostest.com Analyzed by: Liz Dutton/Weilong Tai Client Job #:9049.001 Laboratory Batch #: 200960060 Date Received: 8/25/2009 Samples Received: 19 Date Analyzed: 8/25/2009 Samples Analyzed: 19 Project BNSF TUKWILA NESHAP, WANG /PROCTOR PROPERTY, TUKWILA, WA Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE Redmond, WA 98052 ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Page 2 of 3 NVLAP Acaedtation Lab Code: 200768-0 Report reviewed by: n ve (Fanyao) Zhang, President Lab ID Client Sample ID Layer Description % Fibers Non-Fibrous Components o � Nonbestos Fibers 13 TUWA - PROP -013 1 Tan woven fibrous material with paint and mastic None detected Binder /filler, Paint, Mastic/binder 78 Cellulose 14 TUWA-PROP-014 1 White chalky material with paper and paint None detected Binder/filler, Paint, Gypsum/binder 35 Cellulose 15 TUWA- PROP -015 1 White brittle material with paint None detected Filler, Paint 14 Cellulose 16 TUWA- PROP -016 1 White sandy/brittle material None detected Sands, Filler 7 Cellulose 17 TUWA- PROP -017 1 Gray mastic with paper and plastic material None detected Mastic/binder, Filler Plastic 2 Cellulose 18 TUWA PROP -018 1 Gray cementitious material with mastic and red brittle material 18 Chrysotile Cement/binder, Mastic/binder, Binder, Filler 5 Cellulose 19 TUWA - PROP -019 1 Red brittle material with mastic None detected Mastic/binder, Filler 7 Cellulose SEATTLE ASBESTOS TEST, LLC NV AP Accreditation Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite 1), Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Lab Code.. 200768-0 Bellevue Laboratory: 12727 Notthup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 425.861.1118 Website: http:Uwww.seaWeasbestostestcom, E -mail: admin@seattleasbestostestcom ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Client Job #: 9049.001 Laboratory Batch #: 200960060 Date Received: 8/25/2009 Samples Received: 19 Date Analyzed: 8/25/2009 Samples Analyzed: 19 Project BNSF TUKWILA NESHAP, WANG/PROCTOR PROPERTY, TUKWILA, WA Attn.: Mr. Tom Patnode Client: EMR, Inc. Address:2635 151st PI. NE Redmond, WA 98052 Analyzed by: Liz Dutton!Weilong Tai Page 3 of 3 Report reviewed by: Steve (Fanyao) Zhang, President SEATTLE ASBESTOS TEST, LLC 19711 Scriber Lake Road, Suite D, Lynnwood, WA 98036, Tel: (425) 673 - 9850, Fax (425) 6739810 website: www.seattleasbestostest.com, Email :admin@seattleasbestostestcom Analyzed by: Weilong Tai Attention: Mr. Tom Patnode Client EMR, Inc. Address: 2635 151 st PI. NE, Redmond, WA 98052 Previous Analytical Information Point Count Analytical Procedure Point Count Summary Results PLM by Point Count (400) Client Job #: 9049.001 Laboratory Batch #. 200960078 Date Received: 8/26/2009 Samples Received: 1 Date Analyzed: 8/26/2009 Samples Analyzed: 1 Client Project #: N/A Project BNSF TUKWILA NESHAP, WANG/PROCTOR PROPERTY, TUKWILA, WA Sample Requested for Point Count TUWA- PROP -012 Previously Analyzed by. Seattle Asbestos Test, LLC Previous Batch #:200960060 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted:1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% New Lab ID: Type of Asbestos: Chrysotile Percentage of Asbestos:0.75% Sample Description: White powdery material with paint and paper NVLAP ACCREDITATION LAB CODE: 200768-0 1 Page 1 w Reviewed by:- Steve (Fanyao)Zhang, President Asbestos Points Non - Asbestos Points Total Points Counted Slide 1 50 50 Slide 2 0 50 50 Slide 3 1 49 50 Slide 4 1 49 50 Slide 5 1 49 50 Slide 6 0 50 50 Slide 7 0 50 50 Slide 8 0 50 50 Total 3 397 400 SEATTLE ASBESTOS TEST, LLC 19711 Scriber Lake Road, Suite D, Lynnwood, WA 98036, Tel: (425) 673 - 9850, Fax (425) 6739810 website: www.seattleasbestostest.com, Email :admin@seattleasbestostestcom Analyzed by: Weilong Tai Attention: Mr. Tom Patnode Client EMR, Inc. Address: 2635 151 st PI. NE, Redmond, WA 98052 Previous Analytical Information Point Count Analytical Procedure Point Count Summary Results PLM by Point Count (400) Client Job #: 9049.001 Laboratory Batch #. 200960078 Date Received: 8/26/2009 Samples Received: 1 Date Analyzed: 8/26/2009 Samples Analyzed: 1 Client Project #: N/A Project BNSF TUKWILA NESHAP, WANG/PROCTOR PROPERTY, TUKWILA, WA Sample Requested for Point Count TUWA- PROP -012 Previously Analyzed by. Seattle Asbestos Test, LLC Previous Batch #:200960060 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted:1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% New Lab ID: Type of Asbestos: Chrysotile Percentage of Asbestos:0.75% Sample Description: White powdery material with paint and paper NVLAP ACCREDITATION LAB CODE: 200768-0 1 Page 1 w Reviewed by:- Steve (Fanyao)Zhang, President Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Lab tteport No: P.O. No: Lab. Project Name: Lab. Project No. Project No. C r. / 1 C t 0 1 . ) i "� V rI Project'Client Name: Di JS F 7 Kt4 )L4 Ars I4 A' Tum Around Time (Check one) • 4 Hr. j' 24 Hr. • other:(describe) Building: W 4.1"1 /? o C - r - + . . ?Qo t E 7 • 1 Hr. ❑ 48 Hr. • 2 Hr. City. State: - "J icy IL 4 In1 A • 3 -5 Days Send Lab Results to: Tom Patnode 2635 151st Place NE, Redmond, WA 98052 Tel: 425.861.4561; fax: 425.869.7820; tpatnodea@emr- inc.com ASBESTOS (Bulk) ASBESTOS (Air) Analysis Requested ❑ PLM (EPA Point CL) ❑ SOILS ❑ TEM (NIOSH 7402) E4 PLM • PLM (EPA Gravimetry) (EPAI600/R- 931116) ❑ PCM ❑ TEM (Bulk) • TEM (EPA level I1) S.A.T. Lab ID # EMR Sample # Date Time Sample Description Sample Location Tu tt/14 - IPRo f- U 4 , B]Aa in IId'v si>H4 Cr •S > _ t O F' . _ WT-= }j` r` �' CCZO �- • r _ -"- -- --- -- -. ilif / - F :Oa,4- -2q -c. gc6>_ e FEE LT A' ae�F 00 Z n g -� �{ • � �.� � nl i�d �,I p � t'T77 ��'7. .s / E G J /A/A `+ on 1 td- 4 ee LS •, V, m-' 4 ( - - '77frie. 9 "iF[.e O 'L 7744.' ril.osi 401. et T i / ")4 Re--0 c!,- rift li4fryer Vi e.: t )5 er. g..15 77ie ne.- .rr ter. 6;e -V bver,,rJ r .,, 00'1 p. Z5-t-j _9-_,-„,,,,-.._ 5:44cc971 Cu• A.-4 it sfc•�04.J k t 77 ,44 , ) , Z LJv - s g,S ge c'Jet. ,a,; -- _.. exc2 g " a7 4.1Z4-1_4. L'4,,ch / r4.4c. keg.,i4 KIrcbh-:r0. 4'J t t-S ray:-i.m.e.., riy,,y P ' 1 ,_ • -t Jac. . -;, — _.4v Vt. ;. C! 11 %. 2 --9 {his) L siai27) .- .i s"[ -- 1.,4.4j,i -D' d)c: ` 3 irr n∎ ,, , , ..,_ .. Company Date ri me Sam • ted b : e, - L- me40- . _ �� . - zS ' Relinquished by: _......► Received b : Ali �!!!-, ►_ 4 .;i/1 a Anal ed b : � "". / - iii rr,g�+�rrItt�� �tV1"!`•�� � Results Faxed by: � .�_. �-� .n > _ a SPECIAL INSTRUCTIONS: Ship To: 19711 Scriber Lak ' Road. Suite D Lynnwood, WA 98036 Ph# 425.673.9850 Fax# 425.673.9810 ATTN: Steve Zhang SEND INVOICE TO: Name: Company: Address: City, State, Zip: Tom Patnode EMR, Inc. 2635 151st Place NE Redmond, WA 98052 Condition of Package upon Receipt: • good ❑ damaged • severe damage Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ Occi CoMaCi Page: 1 OF Project No. �~ L/ co v / J f Project/Client Name: 13:"4.5K - 1 i l }!i,,ji M /`4 S/ r.4 r • ■ 1 Hr. ❑ 48 Hr. Building= irkI ael f'it of 1 '2W t.i! /ey Cit State: 7 )1 L.1. 1.11..4 f Send Lab Results to: Tom Patnode 2635 151st Place NE, Redmond, WA 98052 Tel: 425.861.4561; fax: 425. 869. 7820; tpatnode @emr- inc.com ASBESTOS ( ASBESTOS S.A.T. Lab ID # EMR Sample # Date Time Sample Desert, - 1.2t0.0 — ( - 1 :- LS'9 Lv4L(,. ti /re %r, r ✓ / ; a r ? - ' & . i -cf 1 -vdt_c mI44 6v. b 1 1.5-0 CSC«.,•-'6 s'd 4 ni l x--is 09 P/frilF"L ,L',1 1 ',? - 25'0`) 4C, L_iYe' _c ( )t 9 fy 23"-ti 6.0'1.1 , L. /A 4 Print Below Sign Below Sam •led b : 4 -� / 1 laX2e' 0 Relinquished by: ._- Received b : ....- - ---- ..:+:_ '� I Ana ed b : _ 1 11W ®� tea..,. r// Results Faxed by: - ��r /� -�� SPECIAL INSTRUCTIONS: SEND INVOICE TO: Name: Tom Patnode Company: EMR, Inc. Address: 2635 151st Place NE City, State, Zip: Redmond, WA 98052 Condition of Package upon Receipt: • good ❑ damaged • severe c Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT 1:0q(ce J0 Page: OF Lab Report No: P.O. No: Lab. Project Name: Lab. Project No. Tum Around Trme (Check one) ❑ 211r. • 4 Hr. 24 Hr. ❑ 3-5 Days • other(describe) Analysis Requested Ik) i3 PLM ❑ PLM (EPA Point Ct.) • PLM (EPA Gravimetry) (EPA/6001R- 93/116) • SOILS • TEM (Bulk) ,ir) • PCM • TEM (NIOSH 7402) • TEM (EPA Level 11) on Sample Location 8 4 ta' -u. '✓ 1,4v J j aC`r' L. CA444) L;•4:P.e.n 4,1 1/ .,,.. _ • vet '74/ IriT['1". -L da✓lc.G S 4C 6:,.Q.2?9 1= jJ i3 c j4 2/I 1, 1 ,41. L— ( 1 1 i3 ?' Z- f�i'XL2. C.–. Company Date Time 7 1421 2 93 , . ii a -69 in 'ter _... _. — — Ship To: 19711 c riber Lake Road Suite D Lynnwood, WA 98038 Ph# 425.873.9850 Fax# 425.673.9810 ATTN: Steve Zhang cage 1:0q(ce J0 Page: OF Lab ID Client Sample ID Layer Description % As Fibe bes rs tos Components Non - Fibrous % Non Fib- asers bestos 1 TUWA -WILP -001 1 Gray brittle material with paint 3 Chrysotile Paint, Filler, Binder 2 Cellulose 2 TUWA- WILP -002 1 Blatk asphaltic fibrous material None detected Filler, Asphalt, Binder 67 Cellulose 3 TUWA WILP -003 1 Black asphaltic material with sand None detected Asphalt/binder, Sand 24 Glass fibers 4 TUWA WILP -004 1 BIaCk asphaltic material with sand None detected As halt/binder, Sand p 21 Cellulose 5 TUWA -WILP -005 1 Black asphaltic fibrous material None detected Filler, Asphalt, Binder 70 Cellulose 6 TUWA -WILP -006 1 brittle material None detected Filler, Binder 2 Cellulose 7 TUWA WILP -007 1 Beige /brown sheet vinyl None detected Vinylbinder None detected 2 Gray fibrous material with mastic 51 Chrysotile Binder/filler, Mastic/binder 34 Cellulose 8 TUWA -WILP -008 1 Gray cementitious material with paint 17 Chrysotile Cement/binder, Paint 5 Cellulose 9 TUWA- WILP-009 1 Light -pink chalky material with paper and paint None detected Binder/filler, Paint, Gypsum/binder 35 Cellulose, Glass fibers 10 TUWA- WILP -010 1 Gray/white tile None detected Vinyl/binder, Mineral grains 2 Cellulose SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Lab Code: 200768 Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 425.861.1118 Website: http a /www.seafeasbestostest.com, E -mail: admin @seattleasbestostestcom Attn.: Mr. Tom Patnode Client EMR, Inc. Address:2635 151st PI. NE Redmond, WA 98052 Project: BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, WA Analyzed by: Liz DuttonNVeilong Tai ANALYTICAL LABORATORY REPORT PLM by Method EPA/600 /R- 93/116 Client Job #:9049.001 Laboratory Batch #: 200960074 Date Received: 8/25/2009 Samples Received: 14 Date Analyzed: 8/26/2009 Samples Analyzed: 12 Page 1 of 2 Report reviewed by: Steve (Fanyao) Zhang, President Lab ID Client Sample ID Layer Description oz. Asbestos Fibers Non - Fibrous Components 9�o Non - asbestos Fibers 2 Yellow mastic deotneeCted Mastic/binder 4 Cellulose 11 TUWA- WILP -011 1 Gray/white sheet vinyl None detected Vinyl/binder None detected 2 Gray fibrous material with trace mastic None detected Binder /filler, Mastic/binder 69 Cellulose 12 TUWA- WILP -012 1 White powdery material with paint and paper 2 Chrysotile Binder /filler, Paint 19 Cellulose 13 TUWA -WILP -013 Sample not analyzed 14 TUWA- WILP -014 Sample not analyzed SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation Lynnwood Laboratory 19711 Scriber Lake Rd, Suite O, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Lab Code: 200768 - Bellevue Laboratory 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 425.861.1118 Website: http //www.seatdeasbestostestcom, E -mail: admin@seattleasbestostest.com Attn.: Mr. Tom Patnode Client: EMR, Inc. Address: 2635151st Pl. NE Redmond, WA 98052 Analyzed by: Liz Dutton/Weilong Tai ANALYTICAL LABORATORY REPORT PLM by Method EPA/600/R- 93/116 Project BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, WA Client Job #:9049.001 Laboratory Batch #: 200960074 Date Received: 8125/2009 Samples Received: 14 Date Analyzed: 8/26/2009 Samples Analyzed: 12 Page 2 of 2 Report reviewed by Steve (Fanyao) Zhang, President SEATTLE ASBESTOS TEST, LLC 19711 Scriber Lake Road, Suite 0, Lynnwood, WA 98036, Tel: (425) 673 -9850, Fax: (425) 673 -9810 website: www.seattleasbestostest.com, Email :admin@seattleasbestostest.com Attention: Mr. Tom Patnode Client EMR, Inc. Address: 2635151st Pl. NE, Redmond, WA 98052 Project BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, Sample Requested for Point Count TUWA- WILP -012 Previous Analytical Information Point Count Analytical Procedures Point Count Summary Results PLM by Point Count (400) Type of Asbestos: Chrysotile Percentage of Asbestos: 0.75% New Lab ID: Sample Description: White powdery material with paint and paper Client Job #: Laboratory Batch #: Date Received: Samples Received: Date Analyzed: Samples Analyzed: Client Project #: WA NVLAP ACCREDITATION LAB CODE: 200768-0 1 9049.001 200960077 8/28/2009 1 8/26/2009 1 N/A Previously Analyzed by Seattle Asbestos Test, LLC Previous Batch #: 200960074 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted: 1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% Page 1 Analyzed by: Weilong Tai Reviewed by: Steve (Fanyao) Zhang, President Asbestos Points Non - Asbestos Points Total Points Counted Slide 1 1 49 50 Slide 2 0 50 50 Slide 3 0 50 50 Slide 4 0 50 50 Slide 5 1 49 50 Slide 6 0 50 50 Slide 7 1 49 50 Slide 8 0 50 50 Total 3 397 400 SEATTLE ASBESTOS TEST, LLC 19711 Scriber Lake Road, Suite 0, Lynnwood, WA 98036, Tel: (425) 673 -9850, Fax: (425) 673 -9810 website: www.seattleasbestostest.com, Email :admin@seattleasbestostest.com Attention: Mr. Tom Patnode Client EMR, Inc. Address: 2635151st Pl. NE, Redmond, WA 98052 Project BNSF TUKWILA NESHAP, WILKINSON PROPERTY, TUKWILA, Sample Requested for Point Count TUWA- WILP -012 Previous Analytical Information Point Count Analytical Procedures Point Count Summary Results PLM by Point Count (400) Type of Asbestos: Chrysotile Percentage of Asbestos: 0.75% New Lab ID: Sample Description: White powdery material with paint and paper Client Job #: Laboratory Batch #: Date Received: Samples Received: Date Analyzed: Samples Analyzed: Client Project #: WA NVLAP ACCREDITATION LAB CODE: 200768-0 1 9049.001 200960077 8/28/2009 1 8/26/2009 1 N/A Previously Analyzed by Seattle Asbestos Test, LLC Previous Batch #: 200960074 Previous Lab ID:12 Previous Description: White powdery material with paint and paper Layer to be Point Counted: 1 Asbestos Type Found: Chrysotile Asbestos Percentage Found:2% Page 1 Analyzed by: Weilong Tai Reviewed by: Steve (Fanyao) Zhang, President Test, LLC CHAIN -OF- CUSTODY: ASBESTOS MANAGEMENT Lab Report No: P.O. No: Lab. Project Name: Lab. Project No. Project No. i Ct r , 11-C1 t1(- 1 V I VV ) ) JIvS 7�t (..r.1 �p Pro ectiClient Name: k N �$ �1 iT1� Turn Time Check one) ( M 24 Hr. (/ Building: ) I L14, as OKJ I K (� (Zry ( • 1 Hr. • 2 Hr. ❑ 3-5 Days • 4 Hr. City, State: \ u KO 1 ( &I kJ �} ■ 48 Hr. • other:(describe) Send Lab Results to: Tom Patnode 2635 151st Place NE, Redmond, WA 98052 Tel: 425.861.4561; fax: 425.869.7820; tpatnode @emr- inc.com ASBESTOS (Bulk) ASBESTOS (Air) Analysis Requested N PLM • PLM (EPA Point Ct.) • PLM (EPA Gravimetry) (EPAl600/R- 931116) ❑ PCM • SOILS • TEM (Bulk) • TEM (NIOSH 7402) • TEM (EPA Level 11) S.A.T. Lab ID # EMR Sample # Date Time Sample Description Sample Location 'i It in/4 - Vi/LP •- ©1 8Ja Z 1. IA i/.iD 60 i>t. x'rgc i c/i` j:Ab kiD /)t-) - � O + c c � y r ELT N u.n r , 7 � — 0 , 4 - 4.4_ £1 4_PH .4 L7' 2o1)&AJ � 7 ���D ( 0 0 g ,z,;-.., 9 Vi t./ V C_ , , / 7A4 i:'!r %I cl^ Aloo I'C q_ LAv zz/Llt' t .. 77lAniSin - Li( - B4c r :Yl .guate.6 �9/e6 - e3x,C'• /1-c d 44 c(-- r)0 3f/ : C. _ ri%`c%1 elv La At. i.._ D1 0 / 2.-` /e /- �r7 -1- i7(.4' 1 -A—ii P)C._ J ""3.1-0.1 o / fG 1._ /I J• Ca‘/ lfe k Y C.-.' , ':l-i) A-, - 5- 477J4,6 '"- -.— �j 0 i 7 r , a , 3 ` - f c( /y47.4 J w J r , " - v a e - 41 / . 1 ( , i . v 4 - : D . c . / / i s ✓ £_.. a >. e l -i- a i R :.* Below - - .. Date Time C e: sGs -4 Sam . led b : r Inn NA WEE= RI J� /���� G' •' .M. d by: Reeei�ved b me 4 `triMa Ana ed b : _ i_it f il _ a e fi�/�r� Results Faxed by: 2 � T, 2 SPECIAL INSTRUCTIONS: 57a/7 0 e...) e...) - ,� `S P , >$$ / ,G �� "" � 0 < 2- 77��ywv 0)€. Ship To: 19711 Scriber Lak Road, Suite D Lynnwood, WA 98036 Pt1# 425.673.9850 Fax# 425.673.9810 ATTN: Steve Zhang SEND INVOICE TO: Name: Company: Address: City, State, Zip: Tom Patnode EMR, Inc. 2635 151st Place NE Redmond, WA 98052 Condition of Package upon Receipt: • good • damaged • severe damage 4 • Seattle Asbestos REQUEST FOR LABORATORY ANALYTICAL SERVICES/ Page: 1 OF 1 APPENDIX D - NOTIFICATIONS (S) L Time of notification (OCrigmal R Reysed C Cancelled): 11 Facifdy information (Identify owns, removal contractor, and other operator) Owner name: Address: City. I Slate: ZIa: Contact i Phone #: Removal contractor. Address: Coy 1 State' Zip: Contact Phone #: Other operator. Address: City. 1 State: zp: Contact Phone III. Type of operation (O Dernoloon 12—Ordered Damddiam R= Rencvafan EzErneraencw Renovationt N. Is asbestos present? (Yesflto V. Facility description (Include budding name. mintier and floor or room number) Bldg. Name: Address City I State: I County Ste Location: Buddrt� Size: a# of Roars 1 Age b Years Present Use: I Pricy Use: VI Procedure toed to dated no pregame or aapeatos contenting material ( ACM). Mang analyttcel meQAoa C appouprlaim VII. Approximate amotmt of asbestos present inctud'mg: 1. Regulated ACM to be Removed 2 Category I ACM Not Removed 3. Category 0 ACM Not Rum RACM To Be Rid Nonfriabte Asbestos Material Not To Be Removed truncate Unit of Measurement Below Category I Category II UNIT Pipes LnFt Ln M Surface Area SqFt Sq M: Vol RACM Off Facility Component CriFt Cu M: VIII. Scheduled dates of asbestos rernoval (The dal a nu31 be ea wag ten (10) Wang Mai tan alb tads manna Me. man= 11) Es 13 a wh ml to a pants eattl aLR;(Y) alb 19 an g my ternabI n. a R) an tternaDia as ameea by a state a Wel gareamlct aneay became me tne017 b abuttsry unsound and (n dinner clemre lad cd 3e.) Start date: Completion date 14. Scheduled dates of demtolitionf renovalion(Theatartcate cant beel Masten, 110) ware nom= atis tomes Faanah ate. w113w(1)alb(3 a rersmmeprettoua =realm Q►at!ts anenusuelctio at, re ( 3) demi:n onres wed byastay.aualwrattextede gelry becusetherar4ybseuclumy unsound and a aroma tucaterd adlenne 1 Start date: Completion date: For,A�pert Use Ordl► vW, t,`. „ a . <<.> t Postmark flateg x „ ? e , ss z �. Receive D a t e,' r I ,,: , s °s 4 y E C U L p II ) Asbestos Notification of Demolition and Renovation ECY 070-87 (Rev. 32007) It you reed tits p bocatmn In anofttertmrnat, pease call Taint Datogen at (3511) 4177.680a Pours e a Iteartng mss Can Ca0 711 for WaarCngton Relay sauce. Persons NAIL a speech dtsannly Cart cal 877. 833.6341. X. Describe the planned demolition or renovation work and the methods you will use: XL Describe the work practices and engineering controls you will use to prevent mission of asbestos at the demolition or renovation site: XIL Waste transporter Name_ Address: I Stagy I Contact Person: Phone #: XIIL Waste disposal site Name: Locatim: City: I Stag I Zopc Yet XIV. If demoftion was ordered by a government agency, please identify the agency below Name_ 1 Tiller Authority: Date of order (MM'DDIYYk 1 Dale ardered to beat IMMIDDIYY c XV. For emergency renovations Date and hour of emergency (M;MIDDVYYt Describe the sudden unexpected event Explanation of how the event caused unsafe conditions or Koukl cause equipment damage or an unreasonable financial burden: XVI. Describe the procedures you will follow if unexpected asbestos is fowmcL or if previously nonfiiable asbestos material becomes crumbled pulverized, or reduced to power: XVII. 1 certify that an individual trained in the provisions of this regulation (40 CFR Part the demolition or renovation. Evidence that this person has had the required training normal business hours. I certify that the above information is correct 61. Subpart M) will be on -site during will be available for inspection during pgriwure of owne tOperecn (Date) In Chelan, Douglas, IGttitas, Klickitat and Okanogan counties, send the notification to: Air Quality Program Department of Ecology. Central Regional Office 15 West Yakima Avenue, Suits 209 Yakima. WA 98902-3401 Phone: (509) 575 -2490 Fax (509) 575 -2809 In Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Stevens, Walla Walla and Whitman counties, send the notification to: Air Quality Program Department of Ecology. Eastern Regional Office 4601 North Monroe Street Spokane, WA 99205 -1295 Phone: (509) 329 -3400 Fax (509) 329 -3529 fn San Juan County, send the notification tic Air Quality Program Department of Ecology. Northwest Regional Office 3190180 Avenue SE Bellevue, WA 138008 -5452 Phone: (425) 049 -7000 Fax (425)649 -7098 In any county not listed, contact your local air quality agency for assistance_ APPENDIX E - CERTIFICATION (S) Asbestos Inspector Refresher Training Course Location: Reno, Nevada Dates: December 3, 2008 Director of Training: John McGinnis /I Expiration: December 3, 2009 has successfully completed the Asbestos Inspector Refresher course approved by the California Division of Occupational Safety and Health for purposes of certification required by Title 8, Article 2.7 Chapter 3.2, Section 341.16 and the accreditation required under the Toxic Substances Control Act, Title II. Conducted by M &C Environmental Training, Inc., 1619 Beverly Place, Berkeley, California 94707. Tel. #(510) 525 - 1388 Course Approval Number: CA- 003 -06 Certificate Number 25466 IR F s= ZNIrtd i5 to tertifp that Shannon K. Ad €. a ija atiofactoritp rompteteb 4 jour; of refre5ier training az an Asbestos Buil =. ° g Ins s ector to tomb) Willi tIje training requirencent5 of T Cq Title 11 / 40 ((SIR 763 () EPA Provider C'ert Nunther: 1085 Dec 10, 2008___.._ _. Date(s) of Training Pacific. Inc. • 1900 W. Nickerson. Suite 315 • Seattle. Washington • 98119 • (206) 285.3373 • fas (206) 28.5.3927 F.4riinIS4.1 • liTM,7,1shf1V; ••• - (e . *wow' .v M „n� A R n swmidsn?9»n sr.:sri r un. +P+Y��S' `Y'C•Y�UT•.)11'frei : s' N.•. Sn: xTwftnY{ viiM9+* u+ Y��1�+: i !1' eriii+ ?m: S; sr' omms z> tiriw55 'krsPrsM.Y+,:fl4c.7'�i7.C:'�+'a? rn�Y1,'mWiCmISVCV ::wPm:Atiri'sFr`69 OL1 CO CUVO IUL IH UldCK alver LH ••■■■••■••••■■■■•■.....s.■.r s.o.•••••••■•■■••* 1.41......■•••■••■••■ ■•••••■••••••10..■••••••■•••=1.. /IMMO •••■••• +ad.+ • . A • Piexi/J6- 'CODE 1 E84 PLTN E I APPROVED OCT 302009 Li City of Tukwila ILDING DIVISION nn iii. uucou-toic.) i FILE COPY SEATTLE • KING COUNTY DEPT. OF PUBLIC HEALTH t No• g,e,, PM/ cid p,Eic• c. 4-0 5- -p4W- /7Y 2 mj.4 V 4 / i9ir 1 I - 1 1 I C CCii I I al ociA, vi 1 1 00101.1 .41 11 I I.- •••- • %Az 4,4= 44j vi v. Le 2-- -4.v DQ. 0-.203 _ 4/6 1. UC ••••••••••••••■•••• Van... • 0.060 4' • AM /1 10 SI 91 9r %tat hit) 7;4 ot..1<. .1 I • ao. •••■••• .141 i•A■LIC.;# e> • • • ...........••••••••••..."•....". • ocrccuu iu °lack al ver cn 61-- / 26v(41 43/ a5--- REVIEWED FOR CODE COM IANCE APPRo D OCT 3 0 City of Tukwila BUILDING_DIVISIONI Cfir I ell I I 641 C,E rmA NV. ICUOLUU4010 F. Ul ../1.4.6ep e..)0e) A-7 anAPJA36. cowL <0.)P4P9croive .:;.5-6-A17/90)e AE7-4 P.EAP...se e) c/c"A 0. a ice •Z . •• 6 — / 4 rro"veApAr //..;PPApe/Q 1 : 8.0 GENERAL INFRASTRUCTURE DESIGN AND CONSTRUCTION STANDARDS CHAPTER 8 SANITARY SEWER 8.0.1 COMPREHENSIVE SEWER PLAN The City of Tukwila's Comprehensive Sewer Plan ensures orderly and cost effective development of existing and future sewerage facilities. All proposed sewer improvements and extensions shall be consistent with the Comprehensive Sewer Plan. All modifications to the Comprehensive Sewer Plan require written approval from the Director. The Permittee shall extend the sanitary sewer improvements to the extreme boundary of the property in accordance with the comprehensive plans. If the plan does not require future extension at the Permittee's project, the Permittee shall extend the sewer to service the property. Refer to Figure 9 for sewer district boundaries within Tukwila. 8.0.2 SANITARY SEWER EXTENSION If the sewer extension provides benefit to other properties, the Permittee may arrange for partial reimbursement through a Developer Reimbursement agreement 8.0.3 SEPTIC TANKS The Director may allow a residential septic system, which meets the requirements of South King County Health Department, when there is no sanitary sewer main or lateral within 250 feet of the building. All septic tank removal or abandonment shall be accomplished in accordance with King County Board of Health Code 13.04.054, within thirty (30) days as follows: 1. Pump the tank dry, bleach, and pump again. The tank may be removed or abandoned in place by punching holes in the bottom and filling it with sand or gravel; and 2. Provide a receipt from a King County approved pumper documenting septage removal; and 3. Remove or destroy lid; and 4. Fill the septic tank with compacted sand or gravel; and 5. Report the removal or abandonment to the King County Health officer. 8.0.4 CONNECTION TO METRO SEWER Side sewer connections to Kirig County Department of Natural Resources interceptor sewer lines shall be allowed only by written permission from King County. The City will be the agency through which permits will be obtained for such 70 Revision Cate: 04/172009 October 5, 2009 Dean Johnson 6903 Grange Rd NW Bemidji MN 56601 Department of Community Development Jack Pace, Director RE: CORRECTION LETTER #1 Development Permit Application Number D09 -203 BNSF Demo —12094 44 PI S Jim Haggerton, Mayor Dear Mr. Johnson, This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time the Building, Fire, and Planning Departments have no comments. Public Works Department: Joanna Spencer at 206 431 -2440 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenzer service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician encl File No. D09 -203 W:\Permit Center\Correction Letters\2009\D09 -203 Correction Letter #1.DOC wer 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 DATE: PROJECT: PERMIT NO: Joanna: Comments 1 D09 -203 • • PUBLIC WORKS DEPARTMENT COMMENTS September 30, 2009 BNSF Demo 12094 44 Place S D09 -203 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Per City of Tukwila Ordinance #2177, see attached, the applicant shall pay Sewer Connection fee in the amount of $15,600.00 since this fee was not paid when the subject property changed hands. This fee goes up to $ 16,200.00 after Dec 31, 2009. 2) Per King Conty Health Department at (206) 296 -4932 there is an existing septic system on this property, which shall be abandoned and/or removed as result of this demolition permit. Show the location of the septic tank on your site plan, see attached sketch. Please note that the septic tank shall be pumped dry and the pumping receipt shall be submitted to the Public Works Project Inspector. Refer to attached City of Tukwila Infrastructure Design and Construction Standards, Chapter 8.0.3 Septic Tanks. 3) Provide a construction cost estimate for site work associated with this demolition to include erosion control and septic tank removal /abandonment. 4) Applicant shall submit a copy of Puget Sound Air Pollution Control Agency (PSAPCA), contact Mr. Tom Hudson, phone 206 689 -4025. ACTIVITY NUMBER: D09 -203 DATE: 10 - 27 - 09 PROJECT NAME: BNSF DEMOLITION SITE ADDRESS: 12094 44 PL S Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued DEPARTMENTS: Building Di ✓ision C 0-0j u lic Works Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 •PERM T GOORD COY • PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: n Permit Coordinator U DUE DATE: 10-29-09 No further Review Required ❑ DATE: DUE DATE: 11 -26-09 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Planning Division Not Applicable n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ,ER I :~ ` y!j Y • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D09 -203 PROJECT NAME: BNSF DEMO SITE ADDRESS: 12094 44 PL S X Original Plan Submittal Response to Correction Letter # DATE: 09 -28 -09 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Buil ng D ivision P 1M 4 Public Works Documents /routing slip.doc 2 -28 -02 APPROVALS OR CORRECTIONS: sM � Are Prevention Planning Di Vision Structural n Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09-29 -09 Complete Incomplete ❑ Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route [14 Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: DUE DATE: 10-27-09 i n Approved n Approved with Conditions ❑ Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: 10-S-0/ Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: wk. • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: //www.ci.tukwila.wa.us 1 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: / — / 2— 6 7 Plan Check/Permit Number: B [ 3 De a / J2 y ❑ Response to Incomplete Letter # 14)Z 9 Li Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: ii)Sc �e r►-r Project Address: ' = /y�� iQ)•we— Contact Person: mow it 5 \ applications \forms - applications on Tine \revision submittal Created: 8 -13 -2004 Revised: 1 -2009 DO?-w; Phone Number: 2. I • - 7G 6 gL 20 Summary of Revision: (7 /1 i - &rt) S� O Y L„, - ;1, 7 -¢' t r- tq.1 s /3 j et+ II,, 00 [� � Clef ht- r cy /V0,/ I o. 200yozoya 9r Dew / -' b fps tes E IV �t,l 6( .L o? _ mac. c�TY OF ru OCT 2 7 /009 PERMI] (:ENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on 1(? I I4/1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 NORTH AMERICAN SPEC INS CO 2090071 09/16/2008 Until Cancelled 09/23/2008 $12,000.00 09/22/2008 Insurance Company Name policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 TRAVELERS INDEMNITY CO OF AME DTC06821 B756TIA 05/01/2008 05/01/2010 09/23/2008 $1,000,000.00 05/04/2009 Name Role Effective Date Expiration Date JOHNSON, LARRY D PRESIDENT 09/23/2008 JOHNSON, KATHLEEN SECRETARY 09/23/2008 JOHNSON, WADE VICE PRESIDENT 09/23/2008 Untitled Page General /Specialty Contractor A business registered as a construction contractor with L$I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company DERRICK CONSTR INDUSTRIES INC 9528940012 7217 W 128TH STREET SAVAGE MN 55378 OUT OF STATE Corporation UBI No. 602628533 Status ACTIVE License No. DERRICI92403 License Type CONSTRUCTION CONTRACTOR Effective Date 9/ 22/ 2008 Expiration Date Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED 9/22/2010 Business Owner Information Bond Information Insurance Information 4, • Page 1 of 1 https:/ / fortress .wa.gov /lni/bbip/Detail.aspx 11/16/2009