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Permit MI02-039 - RESIDENCE INN - DEMOLITION
RESIDENCE INN M 102 -039 City ofTukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.; 0005800006 Address: Suite No: MISCELLANEOUS PERMIT 16201 WEST VALLEY HY TUKW Permit Number: Issue Date: Permit Expires On: M102-039 04/11/2002 10/08/2002 Tenant: Name: RESIDENCE INN Address: 16201 WEST VALLEY HY, TUKWILA, WA Owner: Name: TUKWILA HOTEL ASSOCIATES Address; PO BOX 3646, BELLEVUE WA Contact Person: Name: JANE PREUSS Address: GEOENGINEERS, INC, 8410 154TH AVENUE NE Contractor: Name: DEMOCON LLC Address: 13906 HWY 99, LYNNWOOD, WA Contractor License No; DEMOCL *044LO Phone: Phone: 425 861.6000 Phone: 425 787 -5839 Expiration Date: 06/20/2002 DESCRIPTION OF WORK: DEMOLITION OF BUILDING THAT WAS DAMAGED BY FIRE Value of Construction: Type of Fire Protection: Type of Construction: $50,000,00 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: $51.50 1997 0011 Public Works Activities: Curb Cut/Access/Sldewalk/CSS; N Fire Loop Hydrant: N Flood Control Zone: N Hauling; N Land Altering: N Landscape irrigation: N Moving Oversize Load; N Sanitary Side Sewer: N Sewer Main Extension: N Storm Drainage: N Street Use; N Water Main Extension: N Water Meter; Channelization / Striping: Number: 0 Size (Inches): 0 Start Time; End Time: Volumes; Cut 0 c,y. FIII 0 c.y. Start Time: End Time; Private: Public; Private: Public: ** Continued Next Page ** doe: Miscperm MI02.039 Printed: 04.11 -2002 City of "Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Date: I hereby certify that I have read and examined this permit and know the same to be true and correct, All provisions of law and ordinances governing 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 provisions of any other state or local laws regulating construction or the performance of work, I am authorized to sign and obtain this mechanical permit. Signature: Date: 4 /fir /o L Print Name: ag%Y ____g 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. doc: Miscperm M102 -039 Printed: 04- 11.2002 City ofTukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0005800006 Address: 16201 WEST VALLEY HY YUKW Suite No: Tenant: RESIDENCE INN PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: M102 -039 ISSUED 03/22/2002 04/11/2002 1: ** *BUILDING DEPARTMENT * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the Jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing 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 or local laws regulating construction or the performance of work. Signature: Print Name: doc: Conditions M102.039 Printed: 04 -11 -2002 CITY OF T ''KWI LA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 ' — STAFF USE ONLY Project Number: Permit Number: MbO Z -039 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name /Tenant: RESIDENCE INN Description of work to be done (please be specific): DEMOLITION OF BUILDING THAT WAS DAMAGED BY 'FIRE AND REPAIR OF STRUCTURE BY REBUILDING. Value of Construction: 46'5.5 NO VALVE DAMAGED FIRE •—; %/! Site Address : 16201 WEST VALLEY HWY, TUKWILA, WA 98188 City State/Zip: Tax Parcel Number: SEE ATTACHED SITE PLAN Phone: Property Owner: INN KEEPERS Address: Phone: ( 5611 -835 -1800 t Street Address: 306 ROYAL POINCIANA WAY, PALM BEACH, FL City State /Zip: 33480 Fax II: ( ) 561- 835 -0457 0 Sewer Contractor: --LERIELBEELVATIQNS 0 Standby Phone: ( 800) 829 -5306 Stre§dittegilaNG AVE S, ST PAUL, MN 55116 City State/Zip: Fax #I: ( 651 ) 698 -5797 Architect: Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Engineer: Phone: ( ) Street Address: , City State/Zip: Fax #: ( ) Contact Person: JANE PREUSS, GEOENGINEERS, INC Phone' ( 42 861 -6000 Street Address: 8410 - 154TH AVE NE, REDMOND, WA 98052 City State/Zip; Fax #: ( 425 ) 861 -6050 MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (ro REFILLED OUT BY APPLICANT) Description of work to be done (please be specific): DEMOLITION OF BUILDING THAT WAS DAMAGED BY 'FIRE AND REPAIR OF STRUCTURE BY REBUILDING. Will there bo storage of flammable/combustible hazardous material In the building? ❑ yes 0 no Attttacchlilist of materials and stoma location on separate 8 1/2 X 11 )a or lrtdlcntln unntitics R Material Sato Data Sheets — L.� Above Ground Tanks �Antennas/Satellite Dishes Bulkhead /Docks Commercial Reroof a Demolition ❑ Fence ❑ Manufactured t•tous(n •Replacement only ❑ Parkin; Lots ❑ Retalnin Walls ❑ Tem )ora Facilities I.7.J Tree Cutting U Chnnnellzation/Strlping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Motor /Exempt ❑ Water Meter /Permanent 11 ❑ Water Motor Temp 1 ❑ Miscellaneous APPLICANT RE VEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS Curb cut/Access/Sidewalk !Fr; Loop /Hydrant (main to vault)ll: Siaols): ❑ Land Altering: 0 cut cubic yards 0 Fill_ cubic yards 0 stt, ft,grading/clearing ❑ Sanitary Side Sower 1: ❑ Sewer Maln Extension 0 Private 0 Public ❑ Street Use ❑ Water Main Extension C) Private 0 Public Size(s): 0 Deduct 0 Water Only Size(s): —„ Size(s): Est. quantity; Moving Oversized Load /Mauling Schedule: ooe ��o MONTHLY SERVICE BILLINGS TO: Nine: Phone: Address: City / State/Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Name: Address: Phone: City /Sta e/Zip: 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. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined In Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date app tl fed: 9/9N9 uriscriLdoc Date applica • n expires: ,A Appllcatjtake • (initials) .ALL MISCELLANEOUS IT APPLICATIONS MUST BE SUBMi i WITH THE FOLLOWING: ➢ RA cSeltiqtABE AT A LEGIBLE SCALE AND NEATLY DRAWN B ILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED > ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT > STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER • CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) • ❑Above NT: .. 1r Ground Tanks /Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 . Submit checklist No: M -9 fil Antennas /Satellite Dishes Submit checklist No: M -1 ❑ Bulkhead /Dock Submit checklist No: M -10 . ❑ Commercial Reroof Submit checklist No: M -6 0 Demolition Submit checklist No: M -3 ❑ Fences - Over .6:feet in Height Submit checklist No: M -9 ❑ • Land Altering/Grading/Preloads Submit checklist No: M -2 ❑ Miscellaneous Public Works Permits Submit checklist No: H -9 V ❑ Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 . ❑ Moving Oversiked Load /Hauling ; :t,.. Submit checklist No: M -5 ❑ Parking Lots . '` `' • Submit checklist No: M-4 • ❑ Retaining Walls - Over 4 feet in height Submit checklist No: M -1 © Temporary Facilities Submit checklist No: M -7 ❑ Tree,Cutting Submit checklist No: M -2 Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H-A, "Affidavit In Lieu of Contractor Registration ". Building Owner /Authorized Agent if the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a'notarizod letter from the property owner authorizing the agent to submit this ormlt'npplicatlon and obt��ln the permit will be required as part of this submittal. I HEREBY CERTIFY THAT I HAVE REAL) AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO NE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDIN 1i7!T. R ORAUTHORIZ =_ NT: .. 1r Date: _ ° z Signatur : 4~ .i''1:���Al '' ev t Tint na Phone: (y; ) eat Fax Fax It:. -4 e4 a._ Address tr 9/9/99 miscpnu.duc ,1' 41011101/2;* .111 CITY OF T'KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Submittal Checklist Miscellaneous Permits DEMOLITION ✓ Site Plan Requirements ✓ Working Drawings Foundation must be com Wei removed Distance between structures and property lines Pum • tank em SEE _ ATTACKED S I T E P Dismantle /destro ca • Existing landscaping biilin Identity current sewer /water p account number ► r • , , It Fire Protection S stem Demo (issued throu , h Fire De • artment) Building location and total square footage X 00 , , „ /i III MI MI el High water mark of river if within 200 feet of shoreline MI , , , , „ if , , ,, I, „ Identify water meter size Foot print and location of structures to be removed SEE SEPA DOCUMENT .� Temporary/permanent erosion control plan Two (2) foot contours on site X ENTRY /EXIT FROM SERVICE ROAD Points of access for demolition activities X EXISTING STRUCTURE Limits of area to be disturbed by demolition activities • 11 .Locate existing sanitary side sewers and points to be •lu•.ed /ca• •ed at •ro•e fine Locate existing water meters, Identify existing meters to be removed by City Public Works staff, identify existing water services to be ca . •ed b demolition contractor, X X „ +, ” �� ,� ,, Identify existing side drain: modify and /or capped ril X , , , 1, it .Location of slopes 20% or greater, wetlands, watercourses and their buffers 1 ` f' " 0 Additional Requirements Asbestos Abatement: Obtain approval from Puget Sound Air Pollution Control Agency prior to proceeding with demolition SEE ATTACHED If structure to bo demolished is over 4000 s.. ft., SEPA checklist Is re • ulred . w . , : , , , , Construction debris to .6 taken to de • ris facility (Kin Cog unty Informational handout available at Permit Center Foundation must be com Wei removed Abandonment of Se to Tank for residential re. uires the followin, conditions be met: Pum • tank em Fill with Sand Dismantle /destro ca • Le Letter or recei t to veri above conditions have been met b • um ► in • service biilin Identity current sewer /water p account number t be met if over 50 cubic ards of material is to be taken to or from site Haulin! re, uirements must Fire Protection S stem Demo (issued throu , h Fire De • artment) An inspection prior to demolition will be made and again at mid - demolition and after work is completed. 2/27/01 appsbn -3.doc z 1- 00 Nw O w zp IFL Pet r Puget Sound Air Pollution Control Agency 110 Union Street, Suite 500 ♦ Seattle +WA•98101.203$ (206) 343 -8800 Guidelines for Application to Perform a Demolition Who must file for a demolition permit? Any property owner who is going to burn or demolish a rtv structure, including, but not limited to, commercial buildings, or abandoned structures on private property. The purpose of the permit is to certify that the building is asbestos -free prior to demolition. Why must 1 file for a demolition permit with PSAPCA? I already filed one with the building department. Building departments do not regulate asbestos. Federal law requires the filing of a demolition permit with the Puget Sound Air Pollution Control Agency, and removal of all asbestos. What should I do first? You must hire an Environmental Protection Agency (EPA) accredited inspector to survey, your structure for asbestos. A copy of this survey Must be available for inspection during demolition You cannot demolish a building with any asbestos still present Look for 'qualified inspecto ;p in the yeiic w pages under Asbestos Removal, Laboratories Analytical,. Building Inspection, Asbestos or Environmental Consuiting and Testing. What if the inspector finds asbestos in the building? If there is asbestos in the building, it must be removed prior to demolition. You must hire a 'certified asbestos abatement contractor for removal. What do I need u far u paperwork is concerned? m A completed Application to Perform a Demolition ® $25 check payable to PSAPCA. (, Copy of survey stating the structure has been inspected and no asbestos was found, or an Application to Perform an Asbestos Project filed by an asbestos contractor to remove any asbestos in the building. Please include all of the required paperwork with your application or a permit cannot be issued. • How long will intake? You may begin demolition on the 11th - working day after you have provided us with the required information. Your approved Demolition Permit will be mailed to you within 10- working days after receipt by the Agency. PSAPCA Form No. 66-181 (5/94) jrs City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0005800006 Address: 16201 WEST VALLEY WY TUKW Suite No: Applicant: RESIDENCE INN RECEIPT Permit Number: MI02 -039 Status: PENDING Applied Date: 03/22/2002 Issue Date: Receipt No.: R020000403 Initials: SKS User ID: 1165 Payment Amount: Payment Date: Balance: 51.50 03/22/2002 09:01 AM $0.00 Payee: LERNER TRANSACTION LIST: Amount Type Method Description Payment Check 17271 ACCOUNT ITEM LIST: Description Currant Pmts 51.50 Account Code BUILDING , NONRES 000/322.100 STATE BUILDING SURCHARGE 000/386.904 47.00 4.50 Total: 51.50 5165 03/25:716 TOTAL 51.50 doe Receipt Printed: 03.22.2002 // 1 INSPECTION RECORD Retain a copy with permit '�1NSPEC?ION NO, ': C tV'OF TUKWILA BUILDING DWISION '060 Southcenter Blvd, #100,-z 10:01a, WA 98188 PERINI (206 431-3670 Project: F: * ,� : = ' T=, �' -: ' .. _ ... ✓, __ Type of •spectlon: .� . -- ,, A. ,rLs ; }° ✓ ._of' r .. Date cal e•: Ii II'►M��1 1111MM a Specie Instruc Ions: Date wante ►: .11111111111�Ltsi'�'ia" iEU 1 t J EMIIIIIIIIIIII a.m. ►,m, Requester: t. MVIIIIIIIIILIIIIIIIIIIIIIIIIIIIIIIIIIPPFAIIIIIIIIIIIII P ono: . ,,r�✓ Approved per applicable codes. ❑ Corrections required prior to approval, COMMENTS: Ii II'►M��1 1111MM a .11111111111�Ltsi'�'ia" iEU 1 t J EMIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIMEIWMIIIIIIIIIIIIIII 1111111111111111111 1111111111111112111. MVIIIIIIIIILIIIIIIIIIIIIIIIIIIIIIIIIIPPFAIIIIIIIIIIIII Date: 740 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reins ►ection. Date: a 1 g • — • ' • ' ' ' INSPECTIO NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter 13Ivd, #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO (206)431-3670 roved per applicable codes. Corrections required prior to approval. 1111111111111111111111111111111111111111111111111 1111111111M111111111111111M111111111111111111111 trAllra- up- $47.00 PECTION FEE RE Iv IRED. Mar to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 00. Call to schedule reins ection. Receipt No: Date: Date: T . ,f !nip ction: E. Date /. c Ile : Special instructions, , j, I ( I/ 5 ( rel if / h 0 ir 17 ii/1/4 I (1 711 Mt. • Dal ante., . fig:2 .lo t V Requester: ri lii".4.09p, P o a: 669 • 5/D- 41390 roved per applicable codes. Corrections required prior to approval. 1111111111111111111111111111111111111111111111111 1111111111M111111111111111M111111111111111111111 trAllra- up- $47.00 PECTION FEE RE Iv IRED. Mar to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 00. Call to schedule reins ection. 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Name of proposed project, if applicable: Marriott Residence Inn - Tukwila: Building 1111 2. Name of applicant: Lerner Renovations 3. Address and phone number of applicant and contact er FILE CORY 4, E,Itittelda reared: March 19, 2002 5. Agency requesting checklist: City of Tukwila- Planning Division Jane V. Preuss, AICP 8410 154th Avenue NE Redmond, WA 98052 (425) 861 -6058 RED^- .»'"10 �1ts. U PUBLIC WORKS at CklVED r. MAR 2 2 7nf2 PERMIT CENtER 6. Proposed timing or schedule (including phasing, if applicable): Demolish damaged portion of structure -May 2002, Reconstruction -June 2002. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? Ilya, explain. No, 8. List any environmental Information you know about that has been prepared, or will be prepared, directly related to this proposal. Environmental documents submitted and approved for Marriott Residence Inn Project: Master Land Development Application 84.132. 4/23/84; Environmental Checklist 4/26/84; City of Tukwila Planning Commission Staff Report 5/24/84 DR- 07.84; Permit for Shoreline Management Substantial Development Application 84.14-SMP 6/13/84. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. None. 10. List any government approvals or permits that will be needed for your proposal, if known. Demolition permit Building permit 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific Information on project description.) To demolish portions of Building 11 of The Residence Inn that were damaged by fire and subsequent exposure to weather, in order to repair and rebuild the structure to current building codes. The structure will use the same footprint as the damaged building. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, Including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. See location on attached site plan. 13. Does the proposal lie within an area designated on the City's Comprehensive Land Use Policy Plan Map as environmentally sensitive? Yes. Shoreline Overlay. 1 lg TO BE COMPUTED RI' APPLICANT EVALUATION FOR AGENCY USE ONLY B. Environmental Elements 1. Earth a. General description of the site (circle one): Plat, rolling, hilly, steep slopes, mountainous, other b. What is the steepest slope on the site (approximate percent slope)? X1% c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. See SEPA documents approved October 1984 for the Project. d. Are there surface indications or history of unstable soils in the Immediate vicinity? If so, describe. See SEPA documents approved October 1984 for the Project. e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. See SEPA documents approved October 1984 for the Project. f. Could erosion occur as a result of clearing, construction, or use? Ilse, generally describe. No. g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? See SEPA documents approved October 1984 for the Project. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: N/A 2. Air a. What types of emissions to the air would result from the proposal (I.e., dust, automobile, odors, industrial wood smoke) during construction and when the project Is completed? If any, generally describe and give approximate quantities if known. The volume ofsuspended particles will temporarily increase during demolition and reconstruction. b. Are there any off.site sources of emissions or odor that may affect your proposal? If so, generally describe. No. c. Proposed measures to reduce or control emissions or other impacts to air, if any: All loads entering and exiting will be covered. Personnel will be assigned for dust control, 2 TO HE COMPLETED HY APPLICANT EVALUATION FOR AGENCY USE ONLY 3. Water a. Surface: 1) h there any surface water body on or hi the immediate vicinity of the site (including year -round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. Yes. Green River bounds the site to the west. 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Work will be conducted within 200 feet of the Green River. The current structure that was damaged by fire is within 200 feet of the Green River. The damaged portions of the structure will be demolished and then rebuilt. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. None. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. No. 5) Does the proposal Ile within a 100-year lloodplaln? If so, note location on the site plan, Yes. Soo SEPA documents approved October 1984 for the Protect, 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No. b. Ground: I) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. No ground water will bo withdrawn. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals... ; agricultural; etc.). Describe the general sire of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. Waste material from the project will not discharge into the ground. See SEPA documents approved October 1984 for the Project. c. Water runoff (including stormwater); 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. No runoff is anticipated. Runoff will be collected in stormwater facilities that exist on site, 2) Could waste materials enter ground or surface waters? If so, generally describe. No. 3 TO HE COMPLETED NY APPLICANT EVALUATION FOR AGENCY USE ONLY d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: None proposed. 4. Plants a. Check or circle types of vegetation found on the site: --- deciduous tree: alder, maple, aspen, other — evergreen tree: fir, cedar, pine, other -- shrubs -- grass — pasture --- crop or grain --- wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other — water plants: water illy, eelgrass, milfoll, other -- other types of vegetation Plantings associated with landscaped site. See Landscape Plan dated 4/24/84. b. What kind and amount of vegetation will be removed or altered? None c. List threatened or endangered species known to be on or near the site. Salmon in Green River. d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: See Landscape Plan dated 4/24/84. S. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, =Juh, others mammals: deer, bear, elk, beaver, other: fish: bass, Ethusw, trout, herring, shellfish, other: b. List any threatened or endangered species known to be on or near the site. Chinook salmon. c. is the site part of a migration route? If so, explain. Yes. Salmon spawn m Green River. d. Proposed measures to preserve or enhance wildlife, if any: Reduction of dust, debris and stormwater during demolition and repair. 4 1 § 1 4 2 TO DE COMPLETED $W APPLICANT EVALUATION FOR AGENCY USE ONLY 6. Energy and natural resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. See SEPA documents approved October 1984 for the Project. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. No. c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: None proposed. 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. Refer to Asbestos Survey conducted by Pacific Rim Environmental 2/18/02 for Lerner Renovations. 1) Describe special emergency services that might be required. None. 2) Proposed measures to reduce or control environmental health hazards, If any: N/A b. Noise 1) What types of noise exist In the area which may affect your project (for example: traffic, equipment, operation, other)? Existing noise not anticipated to affect the Project. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long -term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. Short-tam— construction•rclatcd building equipment (saws, nail guns, hammers) Long•term — no increase 3) Proposed measures to reduce or control noise impacts, if any: Compliance with noise regulations; construction will not begin before 8 a.m. 8. Land and shoreline use a. What is the current use of the site and adjacent properties? On site — Damaged building #11 Adjacent — Residence Inn Motel b. Has the site been used for agriculture? If so, describe. No. c. Describe any structures on the site. Damaged building 5 TO DE COMPLETED NY APPLICANT d. Will any structures be demolished? If so, what? Yes. Building damaged by fire. e. What k the current zoning classification of the site? Tukwila Urban Center f. What is the current comprehensive plan designation of the site? Tukwila Urban Center g. If applicable, what is the current shoreline master program designation of the site? Tukwila Shoreline Master Program— Urban h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. Yes. Shoreline of Green River. I. Approximately how many people would reside or work in the completed project? No permanent residents 1. Approximately how many people would the completed project displace? None. k. Proposed measures to avoid or reduce displacement impacts, If any: N/A I. Proposed measures to ensure the proposal Is compatible with existing and projected land uses and plans, if any The proposal will demolish and repair an existing structure damaged by fire. 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low- Income housing. No permanent residences. b. Approximately how many units, If any, would be eliminated? Indicate whether high, noddle, or low- Income housing. WA c. Proposed measures to reduce or control housing impacts, if any: N/A 10. Aesthetics EVALUATION FOR AGENCY USE ONLY a. What is the tallest height of any proposed structure(s), not including antennas; what Is the principal exterior building material(s) proposed? Demolition of fire- damaged portion of the structure and replacement of building to former height. b. What views in the immediate vicinity would be altered or obstructed? None. c. Proposed measures to reduce or control aesthetic impacts, if any: N/A 6 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY I1. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? Demolition will occur during daylight hours, thus no light or glare anticipated. b. Could light or glare from the finished project be a safety hazard or interfere with views? No, c. What existing off-site sources of light or glare may affect your proposal? None. d. PropNosed measures to reduce or control light and glare impacts, if any: 12. Recreation a. What designated and Informal recreational opportunities are in the immediate vicinity? Recreational opportunities associated with Residence Inn. b. Would the proposed project displace any existing recreational uses? If so, describe. No. c. Proposed measures to reduce or control Impacts on recreation, Including recreation oppor- tunities to be provided by the project or applicant, If any: N/A 13. 1Hstoric and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. No, b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural Importance known to be on or next to the site. No, c. Proposed measures to reduce or control Impacts, if any: N/A 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. Entry from Strander Boulevard and West Valley Highway (see site plans). b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Yes. c. How many parking spaces would the completed project have? How many would the project eliminate? 144; None eliminated. 7 1 g TO HE COMPLETED IWY APPLICANT EVALUATION FOR AGENCY USE ONLY d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). No. e. Will the project use (or occur in the immediate vicinity 01) water, rail, or air transporta- tion? If so, generally describe. No. f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. Approximately 3 to 4 trips per day of truckloads between 8:00 a.m. and 5:30 p.m will be generated during demolition. No increase in trips of completed project. g. Proposed measures to reduce or control transportation impacts, if any: N/A 15. Public services a. Would the project result in an increased need for public services (for example: lire protection, police protection, health care, schools, other)? If so, generally describe. No. b. Proposed measures to reduce or control direct impacts on public services, If any. N/A 16. Utilities a. Circle utilities currently available at the site: electr city, natural gas, water, refuse oaks, telenhonQ, ggglary sewer, septic system, other. b. Describe the utilities that aro proposed for the protect, the utility providing the service, and the general construction activities on the site or In the Immediate vicinity which might be needed. See SEPA documents approved October 1984 for the Project. C. Signature The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make 10 decision. Signatur Date Su .d4f,c04. 74.4oe 8 s-L 4c .1391K X ' ft G_1 110TH <' • ST (v st • • i . 44I 3. ISII ._142 _.ST Lr . • H s CR 1410 144 i St 000 Iv' I. Fs /coo 16TH IV .s.r f \.4 •IQ_ anti ST 5900 A M ' PARK L18 FS St •' ST O «:. y 10n+ -- 5 1!t!4 S g `;IL % % t4gtw J% I . St s t 5 154 St s i is t •, t_ HI T 22 r QV ST s 23 < tit st s 152 St i ` s1'� * N f II k f s tst�o rt ; I H �� ST .�1-• JA'' i ��. :�;� 00 MbI1lA ' ;`s.. 156 � ` �... 'CFN � 1. e cN i ;''t IT R S arm! ' r'f ' � � � ,1111, Pm - ,�!il�►•� 1. t. t I t t 1 ' �_� . —.IL �..� _..��_ I k jTa 1 t . suA 1 t■7 s 16, N T 't H }t . .7 Iw, u s Tip ix I�!� �grw� y .T_. -.,.4 if .r.- Ili a ....11;.. 17,5it 1 N . }l6Ty..,,,_. i �t1'wt$ li N,.xT 4t,11'.. ;1111;;;) 1 _' S $1 t e. Vi4 &. s 1l9TNttl, RLNTON 17.1ANDS TRII.AND 014;4 RILLA SCALE IN FEET Reproduced with permission grouted by THOMAS BROS. MAPS. This map is copyrighted by THOMAS BROS. MAPS. It is unlawful to copy or reproduce all or any port thereof, whether for personal use or resole, without permission. VICINITY MAP Geo ; • Engineers FIGURE 1 18 0§ gt m CITY OF TUK1'WILA rENV l RONMENTAL CHECKLIST FOkM; �' ' 1 :1.P R 2 : 199'i C' i Y Or 'f l.'.:'.. iA This questionnaire crust be completed and submitted with the app taigncfp, permit.' This questionnaire must be completed by all persons--applyiw9 f " permit from the City of Tukwila, unless it is determined by the Responsible Official'that the permit is exempt or unless' the applicant and Responsible Official previously agree an Environmental Impact Statement needs to be completed. L . A' fee of' $60.00 must accompany the filling of the Environmental Questionnaire to' cover costs of the threshold determination. ••• BACKGROUND 1. Name of Proponent: _ in __yenture , Inc• ( Cul Lair verai, 2. Address and Phone Number of Proponent: _ 2115 North h Ave.. 30t Suite 202 Tacoma, WA 98403 (206) 383 -2000 '3. Date Checklist Submitted: April 23, 1984 4. Agency Requiring Checklist: 5. Name of Proposal, if applicable: _..a naJ3p 1daneg inn ;6. Nature and Brief Description of the Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature): The ro•osed •ro ect wil•1 consist of a 44 u�i 16 - 8 -piex buildings on approximately 4.5 acres with support facilities which includes a gatehouse, cabana, swimming pool gpas„aAnd,sport court And a proposed future commercial development on 2.12 acres. 7. Location of Proposal (describe the physical setting of the proposal, as well as the.extent of the land area affected by any environmental im- pacts, including any other information needed to Clive an accurate under- standing of the environmental setting of the proposal): The •ro•osed •ro ect is located on he northwest corner of the inter ec i ofethe West Valley Hi hway and Strander.Blvd.. The site is relativel flat and is bound on the west b the Greenriver. ,8. Estimated Date for Completion of the Proposal: February 1985. 9. List of all Permits, Licenses or Government Approvals Required for the Proposal (federal, state and local): (a) Rezone, conditional use, shoreline permit, etc. (b) King County Hydraulics Permit (c) Building permit YES X NO YES>< N0 x YES X NO 11 I (d) Puget Sound ...r Pollution Control Permit (e) Sewer hook up permit (f) Sign permit (g) Water hook up permit (h) Storm water systew,permit (i) Curb cut permit ` (j) Electrical permit-(State of Washington) (k) 'Plumbing permit (King County) (1) Other: A short •lat. YES _ UO,L YES X YES x NO YES X NO • YESX NO__ YESf>.HO X YES, X NO YESx NO 10. Do you have any plans for future additions, expansion, or futher activity related to or connected with this proposal? If yes, explain: Yes; a short plat will follow up. to segregate the southeast corner of the property to allow a'future commercial develo ment. 11. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain: Yes, a conxnercial develo ment is planned for the southeast corner of thg`_ property by a different owner. 12. Attach any other application form that has been completed regarding the pro- posal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: None. 11': ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) 1. Earth. Will the proposal result in: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, compaction or overcover- ing of the soil? Y (c) Change in topography or ground surface relief fea- tures? fication of an YES MAYBE NO • X x • • • • • • • t • (h) Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) . Reducti on ' i n the amount of water otherwise avail- ,able for public water supplies? YES MAYBE NO X !t Explanation: (a, o) Construction of this project will eliminate a portion of the existing vegetation. Upon completion, however, new species of flora will be introduced on the site. Explanation: (b) The impervious parking areas and roadway surfaces will reduce absorption.rates and in turn will incrase surface water runoff. 4. Flora. Will the proposal result in: • (a) Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, microflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered species of flora? (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of existing species? (d) Reduction in acreage of any agricultural crop? ..X__. •■■•• lb 5. Fay. Will the proposal result in: ...(a), Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic • organisms, insects or microfauna)? IP Iv (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species, of fauna into an area, or result in a barrier to the migration or movement of fauna? (d) Deterioration to existing fish or wildlife habitat? X X • X esnownwinall Explanation: (a, c, d) This proposal will reduce a small amount of the existin• wildlife habitat And may slightly alter migration patterais.of • • 6. Nom. Will the proposal increase existing noise levels? YES t•IA YBE NO X Explanation: introduction of people and vehicular activity will increase Overall noise levels. li Light and Glare.' Will the proposal produce new �' X light or glare? 1 Explanation: Artificial lighting i s proposed for building entries, landscape y and parking areas. • 8. 'Land Use. Will the proposal result in the altera- tion of the present or planned land use of an area? Explanation: The parcel of property is currently vacant and the proponent proposes to construct a 144 unit Hotel complex on a portion of the site. And a small future comnercial.project is being considered for the remaining parcel°of property by a separate owner. 9. Natural Resources. Will the proposal result in: (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? • Explanation: To the extent that the site itself is a natural resource. '10. s_.... k of Ups„ t. Does the proposal involve a risk of an explosion or the release �f hazardous substances (including, but not limited to, oil, pesticides,' chemicals or radi- ation) in the event of an accident or upset conditions? Explanation: • • • • 11. Population. . gxplanation: Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? 12. Housi n . Will the proposal affect existing housing, ' or create a demand for additional housing? • Explanation: 13. Transportation /Circulation. Will the proposal result in: (a) (b) 1' • Generation of additional vehicular movement? Effects on existing parking facilities, or demand for new parking? • Impact upon existing transportation systems? Alterations to present patterns of circulation or movement of, people and /or goods? Alterations to waterborne, rail or air traffic? Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? • YES MAYBE NO . _X„ IlMomOOM • X Ix X IMMIMMINM Explanation: (a, c, d, f) Approximately 1000 ADT's will be generated by the,Hotel proposal using a Avenue vehicular trip per "Trip Generation" An Informational Report Institute of Transportation Engineering. The impact on present transportation systems will be minimal, Additionally, the increased potential for traffic hazards will be ;Tight. '14. Public Services. Will the proposal have an effect upon, or result in a need for'new or altered governmental services in any of the following areas: Fire protection? Police protection? Schools? Parks or other recreational facilities? X X • • (f) Other governmental services? • • YES MAYBE .NO Explanation: (a, b, c, d, f) Police, fire protection, and governmental services will be required for the health, safety, and welfare of the occupants. • • • ' 15. Ener' 4 . Will the proposal result in: • (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the development of new sources of energy? . X . Explanation: This project will add slightly to the demand upon existing sources of electrical energy. • X • 16. Utilities. .Wi 11 the proposal result in a need for new systems, or alterations to the following utilities: • • (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? (e) Storm water drainage? • (f) ' Solid waste and disposal? Explanation: • 17. Human Health. Will the proposal result in the crea- tion of any health hazard or potential health hazard (excluding mental health)? Explanation: • X • • • X ___• X • X• X sommrommIt .,-. .: • • • 18. Aesthetics. Will the proposal result in the obstruc- tion of any scenic vista or view open to the public, or will the proposal result in the creation of an aesthetically of- fensive site open to public view? Explanation:. 19. R creation. Will the proposal result in an impact • upon the quality or quantity of exist- . ing recreational opportunities? Explanation: 20. Archeological /Histroical. Will the proposal result.in an alteration of a signifi- cant'archeological or his- torical site, structure, object or building? Explanation: • YES MAYBE NO • 111.111101111111111111111 rirawall1111, • .■_• somENNINIII CERTIFICATION BY APPLICANT: I, the undersigned, state that to the best of my knowledge the above . information is true and complete. It is understood that the lead agency may withdraw any declaration of non - significance that it might issue in reliance upon,this checklist should there be any willful misrepresentation or willful lack of full disclosure on my part. 4-4-t4 Signature an itle Date JohnsonBraund design group p.s., inc. architecture, engineering & planning consultants October 26, 1984 Mr. Rick Beeler City of Tukwila 6200 Southcenter Blvd. Tukwila, WA 98188 Res Brock Residence Inn Update to Environmental Checklist Per our discussion, I request that the environmental checklist be revised to reflect two proposed construction items that were unforeseen at the time of submission of the original environmental checklist. Our Project /18331 Section 11. Environmental impacts. 1. Earth (c) Change in Topography There will still be some slight variations in the topography as indicated in the original checklist for building and parking lot construction. Not previously Indicated is a retaining wall proposed along the north property line. The existing elevation of this line is approximately 18. A retaining wall will be constructed on the Brock site to enable a road to be placed at approximately elevation 27.0. Approximately 420 cubic yards of fill will be required behind this wall to bring the road to the required grade. A cross section 1s attached for reference. Also required will be some filling to widen the existing dike maintenance road from approximately 13 feet to 20 feet. This dike maintenance road will also serve as a fire lane providing access to the west side of the development. Fill required for this widening will be approximately 300 cubic yards. Section ti. Environmental Impacts 16. Utilities (e) Storm Water Drainage The present proposal for releasing storm water requires a new outfall to the Green River. The past proposal called for a connection to an existing storm sewer line on the south side of Strander Blvd. west of the bridge. It was discovered that this line Is not capable of handling the required flows due to inadequate size of the existing storm pipe. A drawing has been prepared depicting both plan and profile for this new proposed outfall to the river. It will involve clearing brush and trees from the existing bank for approximately a 60 -foot wide path. A trench must then be excavated for the new line. A concrete headwall will then be placed at the point of discharge. The storm sewer line will then be placed In the trench at the specified elevation. Backfilling of the trench will then take place. The trench will be backfllled in small lifts and compacted to 95% of its maximum density. A soils technician must be on -site to ensure this backfilling is accomplished properly. Upon completion of the backflll operation, the bank must be rip - rapped with heavy stone to prevent erosion or scour of the recompacted soli and bank. A State Flood Control Zone Permit will be required in addition to approval by the City of Tukwila for this construction. Architecture, Engineering & Planning Consultants Lawrence S. &'aund, P.E. Thomas A Johnson, AIA Greg L. Allwine, ARCH. 304 Main Avenue South, Suite 200 Renton, Washington 98055 (206) 271 -7200 (206) 623 -5732 Rick Beeler -2- • , October 26, 1984 Brock Residence Inn ' Hopefully, this update to the checklist will enable you to continue processing our application for Building Permit. As I understand it, you will now submit this updated information to the Department of Ecology for their review. Also an amended Substantial Development Permit (Shorelines) must be processed by both the City and the Department of Ecology prior to issuance of any building permits. If you have any questions or need further information, please do not hesitate to call. Sincerely, AUND DESIGN GROUP, P.S., INC. A. % lener, P.B. GAD:sm cc: L. Culver Enclosures 1 2.01 HIZ PIIOPMTY L..IH WI CITY or �tAr -rC g��AK �WHITEGWTiAj�AL 1'LAN5 . _ 5Hi A-15 '�' Xl5TINIA cifAb ArLIGHT SECTION B -B WAHt. SCALE:: HORIZ. 1 "al 10 .VERT. 1 "ra 4' (TYP.) FIRE LANE SECTION WITH RETAINING WALL RECEIVED CITY OF TUKWIL OCT 24 198q BUILDING DEPT. Engineers • Architects • Planners PROJECT -rug.441cA DE if E(.0 rhsti r SUBJECT "y. 's' P J SU frtitl /4.4M TA -4 - OF BY. 1U• DATE 3 -'10.6 CHECKED; JOB NO. • DATE 772-r P C-J r- Pao af c7f.�{O '71f4 PJ EMICi) 4 A 'Pt SA•"fi ' Ptl f L(stwr) MAK . SPeCc.,1 ( fL Cf4vrEl . G 6) ( oo 5.A► .". F101) pGs')fmir 1,1:50 (3 a oo 5,r, vi L P-4lE - ») UV 1 -.l)tJ cam• D L.t S,F. 1 B /c44- f31.0l= S,00 s. 6j 3 Dtpri. -711 Gkrf s) 3e4c JJ 4s ID5.•ac 044. trs tor, .', tecy. 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Actor- own-sO .Dt1ir'Tt• ,prop orf -SITE . -um 'lyp'- ic.- -1 (Ft4PN > 111 s wo F)(l1 OA sir fit- (s) 1)12ivFwPt't Geo `' Engineers MEMORANDUM 8410 154th Avenue NE Redmond, WA 98052 Telephone: (425) 861 -6000 Fax: (425) 861-6050 TO: FROM: DATE: FILE: SUBJECT: City of Tukwila Jane Preuss MCP March 21, 2002 9782- 001 -00 Residence Inn- Shoreline Permit for Demolition At the suggestion of Nora Gierloff AICP, Associate Planner Department of Community Development, we consulted with Marcia Guidel , DOE Shoreline Division. It is her interpretation of Shoreline Management Act: Chapter 173 -27 WAC section pertaining to Shoreline Management Permit and Enforcement Procedures the that because of the extensive fire damage the project would not require a Shoreline Development Permit. The relevant portions of the Act are discussed below: Part II: Shoreline Act Enforcement HPrIRIVEM #•!t- ;,' rtiv:',m_4 ') A •`'q't'! t ^rcitt'f9 WAC 173.27.040 Developments exempt from substantial development permit requirement a) Exemptions shall be constructed narrowly, Only those development that meet the precise terms of one or more of the listed exemptions may be granted exemption from the substantial development permit process: The following developments shall not require substantial development permits: WAC 173.27.040 2 (b) Normal maintenance or repair of existing structures or developments, including damage by accident fire or elements. "Normal maintenance" includes those usual acts to prevent a decline, lapse or cessation from a lawfully established condition, "Normal repair" means to restore a development to a state comparable to its original condition, including but not limited to its size, shape, configuration, location and external appearance, ...Replacement of a structure or development may be authorized as repair where such replacement is the common method of repair for the type of structure or development and the replacement structure... is comparable to the original structure...including but not limited to its size, shape, configuration, location and external appearance and the replacement does not cause substantial adverse effects to shoreline resources or environment. Building 11 was severely damaged by fire. The proposed action is to demolish the fire damaged portion of Building 11 in order to repair the structure by constructing a replacement comparable to the original structure with respect to size, shape, configuration, location and external appearance. flToz o31 1 1 1 1 1 Memorandum to City of Tukwila March 21, 2002 Page 2 The replacement will be in the same footprint as the damaged structure. No adverse impacts on the shoreline resources or environment are anticipated. See attached SEPA checklist for description of impacts. b) An exemption from the substantial permit is not an exemption from compliance with the act or the local master program nor from any other regulatory requirements...A development or use that is listed as a conditional use pursuant to the local master program or is an unlisted use, must obtain a conditional uses permit... The structure complies with the local master program and other regulatory requirements. The proposed action is not a conditional use, it is permitted outright. See Shoreline Substantial permit approved June 13, 1984. 1 1 t MAR -21 -2002 13:29 I.1 I INNKEEPERS USA INNKEEPERS USA Please delive NAME: FACSIMILE TRANSMITTAL SHEET Date. r2/ & FAX NUMBER: REEIVED City OF TUKWILA MAR 2 2 2002 PERMIT CENTER Total number of pages (Including this cover sheet) FROM: 111nclatiutph r (Q INNKEEPERS USA TRUST Telephone Number: (561) 227 -1336 (directly) OR (561) 835 -1800 Ext: 336 Fox Number: (561) 833 -2352 MI (561) 835 -0457 SUBJECT: COMMENTS: Should any parr of this message be missing or poorly received, please contact this office. Thank you. ,30G Royal Poinciana Way, Palm Reach, Florida 33480 (5611835.4800 • Fax ( 61) 83i.0457 filial* 11 I I I i; ,ci 9801201313 MAR -- 21.2002 13:29 INNKEEPERS USA AFTER RECORDING RETURN TO: JOHN M. RATING, ESQ, HUNTON & WILLIAMS 190010 STREET, N.W. WASHINGTON, D.C. 20006 671,3 7 Document Title: Reference numbers of related documents: Grantor: Grantee: DOCK SUMMARY Special Warranty Deed N/A Tukwila Hotel Associates Limited Partnership Innkeepers RI Northwest, L.P. f . rJC.i rjr.;, Legal Description (abbreviated): Lot 2 of Short Plat No. 84.31.55, according to short plat recorded under King County Recording No. FILED FOR RECOTIT Ai INSURANCE T 0I. 8501030748, together with appurtenant easements, TRANSNATION rights and privileges Assessor's Property Tax Parcel or Account Number: 000580.0006.02 Complete Legal Description contained in body of Deed, Kt 3 SPECIAL WARRANTY DEED The Grantor, Tukwila Hotel Associates Limited Partnership, a Washington limited partnership ( "Grantor "), for good and valuable consideration, in hand paid, hereby, bargains, sells and conveys to Innkeepers RI Northwest, L.P., a 'Virginia limited partnership, the following described real estate, situated in the City of Tukwila, County of King, State of Washington: ea., SpcclalWarranty Daa! • t W04011,01/ 211506•0173 See Attached Exhibit A £t59$ 49 131120/99 24391•2. J 1.4132713.1. 19 ...._,,,_. , ••• a 1 ig k 1 • 9&.01313 MAR --21 --2002 13 : 29 • • INNKEEPERS USR r • or, Without expanding the warranties of Grantor set forth in this deed, the title conveyed by this deed is subject to the following: See Attached Exhibit B The Grantor for itself and for its successors in interest does by these presents expressly limit the covenants of the deed to those herein expressed, and excludes all covenants arising or to arise by statutory or other implication, and does hereby covenant that against all persons whomsoever lawfully claiming or to claim by, through or under Grantor and not otherwise, it will forever warrant and defend the above described real estate. DATED: fif "GRANTOR ": f eilaArTgal ss. 61(40044- ) , 1998. TUKWILA HOTEL ASSOCIATES LIMITED PARTNERSHIP, a Washington limited partnership By: Pan Corporation, an Illinois corporation, General P By: esident I certify that I know or have satisfactory evidence KENNETH S. KERYLUK is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute this instrument and acknowledged it as President of PAN CORPORATION, to be the free and voluntary act of such party, as general partner of TUKWILA HOTEL ASSOCIATES LIMITED PARTNERSHIP, for the t ,cs and purposes mentioned in the instrument, I • ... DATED: If 5picia,:1114441i DoaJ • 2 Ql�>;4AIi.H1 / 285°6002 NOT C. • : LIC in and for the ate• eiWA• ,, .r..4:r. Printed Name: digs Residing at cF My appointment expires nthls 11 My Commission Expires of O 1 • 9810i201313 • FARM Ae Lot 2 of SHORT PLAT 110. 04 3i-S'0, according to the shore plat record d under King County Recording No. 010103074St Situate Ln the City at Tukwila, County of Icing, State of Washington.. i FARM S t i . A perpetual appurtenant easement for the benefit of Lot 1 of Short Plat No. 01.31.1%, according to the Short 9Lsc recorded under Recording No. 0010307111 for purposes of ingress, press, utilities, parking, landscaping, granted in that certain Sauement end NmLnesna MO Ag=eWene between Tukwila Perk AesoOtatss rancor to Tukwila NoteL A••oClate• Limited Pertnerahlp recorded January 17, 1911 n Official Records of King County under Recording No. 11101170111 and al amended by that certain Amendment , to Resew' and Nalntenslce Agreement records February 9, L$7 under Recording No. 1702090119, and further amended by that ce. ai n Amendment No. 2 to teseaent and Natnt.AUC* Agreement recorded August 7, 1007 sr Recording K. 470107121i. Situate in the City of Tukwila, County of King, Sts:e of Washington. • MAR-21-2002 13: 30 INNKEEPERS USA EXHIBIT B (Tukwila) 1. Taxes and assessments not yet due and payable. 2. Utility hook up and service charges not yet due and payable. 3. River protection easement with, among other things, right to construct and maintain a rip -rap bank protection and remove debris along the right bank of Green Rivet, together with reasonable access necessary for river improvement work, as granted by instrument recorded under Recording No. 5364108. 4 44 44 4ii 4. Al Easement and the terms and conditions thereof in favor of Puget Sound Power & Light Company, a Washington corporation for, among other things, constructing, operating, maintaining, repairing and replacing an underground electric transmission vault and an underground power line duct bank, under Recording No. 7601120529. 5. Agreement and the terms and conditions thereof, recorded January 17, 1985, under Recording No. 8501170568 regarding, among other things, easement and maintenance agreement, as modified by Amendment dated February 5, 1987, recorded February 9, 1987 under Recording No. 8702090589 and by Amendment No. 2 recorded '4 August 7, 1987 under Recording No. 8708071386. N 6. Easement and the terms and conditions thereof in favor of the City of © Tukwila, a municipal corporation, for, among other things, fire access, water meter maintenance, maintenance of water and sewer line, under Recording No. 8501170569. 7. Easement and the terms and provisions thereof in favor of Puget Sound � p 8 Power & Light Company, a Washington corporation, for, among other things, underground electric transmission and /or distribution system, under Recording No, 8504010816, 8. Easement and the terms and conditions thereof, in favor of Washington Natural Gas Company, a Washington corporation, for, among other things, gas pipeline or pipelines, together with the non- exclusive right of access to and from said property, under Recording No 8512100766. 9, All covenants, conditions, restrictions, reservations, easements, or other servitudes, if any, disclosed by short plat recorded under King County Recording No. 8501030748. Exhibit B (TukwUL►) • Pila 1 m1b031.noc / 24.106-002 , MPR- 21--2002 13 :30 9SO12O1313 1 NNKtht .t< U *H 10. Right of the State of Washington In and to that portion, if any, of the land herein described which lies below the line of ordinary high water of Green River. 11. Any change in the boundary or legal description of the land described herein, due to a shift or change in the course of Green River. 12. Any restrictions on the use of the land resulting from the rights of the public or riparian owners to use any portion which is now, or has formerly been, covered by water. 13. Matters set forth by survey prepared by Tri County Land Surveying Co, dated May 30, 1990. MO a. MIS 14.. —Wafters* disclosed by survey prepared by Tri County Land Surveying Co. dated May, 1997. 15, Financing statement and terms and conditions thereof, in favor of Vendor Capital Group, as secured party, recorded July 19, 1996, under Recording No. 9607161400. 16. Deed of Trust and the terms and conditions thereof naming Tukwila Hotel Associates Limited Partnership, a Washington limited partnership, as grantor, Lawyers Title Insurance Corporation, a Virginia corporation, as trustee, and Lehman Brothers Holdings Inc,, a Delaware corporation, u beneficiary, in the original amount of $60,000,000,00, dated June 30, 1997, and recorded July 2, 1997, under Recording No. 9707020860. 17. Assignment of Leases and Rents and the terms and conditions thereof naming Tukwila Hotel Associates Limited Partnership, a Washington limited partnership, as assignor, and Lehman Brothers Holdings Inc., a Delaware corporation, as assignee, dated June 30, 1997, and recorded July 2, 1997, under Recording No, 9707020861. 18. Financing Statement and the terms and conditions thereof in favor of Lehman Brothers Holdings Inc., as secured party, recorded July 2, 1997, under Recording No, 9707020862, Exhibit B (Tukwila) • Page 2 m1b031.AOC / 20006402 TOTAL P.06 SHORELINE MANAGEMENT ACT OF 1971 POiMIT FOR SHORELINE MANAGEMENT SUBSTANTIAL DEVELOPMENT NOTE r THIS PAGE FOR LOCAL GGVERNMtNT USE ONLY Type of Action El Substantial Development Permit (l Conditional Use 0 Variance Application No. __ g4..d4_SMp Administering Agency City of Tukwila Approved X Denied Date . Pursuant to RCW 90.58, a permit is hereby granted to: Inn Ventures, Inc. (name of applicant to undertake the following development: construct 144 unit hotel with swimmin (be specific) ool, cabanna seas, sort courts, stora•e buildin• and administrative lobb building on 6.87 acres upon the following property: NWI Section 25 Townshi• 23N Ranee 4E WM tow ship, range ega descr pt on, .e., sect on, within Green River name o water area and /or its associated wetlands. The project will be within shorelines of statewide significance (be /not be) (RCW 90.58.030). The project will be located within an urban ( env l ronmena- -- designation. The following master program provisions are applicable to this development..'. 4.1 4.2 4.3 4.4 4.5 4.7 6.1 6.2 6.3 state the master program sect ons or page num•ers Development pursuant to this permit shall be undertaken pursuant to the follow- ing terms and conditions Sybmisslon and City approval of exert_ or lighting street li•htin• la ds ti. •1.i •c s d s walks and site plan revision re•uirements. m• -lilt er Kin • Count H draulics Divisi This permit is granted pursuant to the Shoreline Management Act of 1971 and nothing in this permit shall excuse the application from compliance with any other federal, state or local statutes, ordinances or regulations applicable to this project, but not inconsistent with the Shoreline Management Act (Chapter 90.58 RCW). This permit may be rescinded pursuant to RCW 90.58.140(8) in the event the per - mittee fails to comply with the terms or conditions hereof. It • • CONSTUCTION PUAUANT TO 1HIS PERMIT WILL NOT BEGIN OR IS NOT AUTHORIZED UNTIL THIRTY (30) DAYS FROM THE DATE OF FILING AS DEFINED IN RCW 90.58.140(6) AND WAC 173 -14 -090;, OR UNTIL ALL REVIEW PROCEEDINGS INITIATED WITHIN THIRTY DAYS FROM THE DATE OF SUCH FILING HAVE TERMINATED; EXCEPT AS PROVIDED IN RCW 90.58.140(t)(a)(b)(c). (date) Director, Planning Department THIS SECTION FOR DEPARTMENT OF ECOLOGY USE ONLY IN REGARD TO A SUBSTANTIAL DEVELOPMENT PERMIT WITH A CONDITIONAL USE OR VARIANCE PERMIT. Date received by the department _ Approved Denied This conditional use /variance permit is approved /denied by the department pur- suant to chapter 90.58 RCW. Development shall be undertaken pursuant to the following additional terms and 'conditions: (date gnature of Authorized epartment c a ig } '") PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -039 PROJECT NAME: RESIDENCE INN SITE ADDRESS: 16201 WEST VALLEY HWY X Original Plan Submittal Response to Correction Letter #_,�„ Response to Incomplete Letter # Revision # After Permit Is Issued TEPARTMENTS: sAA n�g D v sion p M' O pet- C53 3.)Goz�,J Fire Prevention Structural ❑ DI IIMINATIO_N OLCQM LETENESS: (Tues., Thurs.) Complete le Incomplete ❑ Comments: DR 3- a�•6�, Planning Division by Permit Coordinator DUE DATE : 3 -26 -O2 Not Applicable ❑ Penult Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire 0 Ping ❑ PW 0 Staff Initials: LETTER OF COMPLETENESS MAILED:. TUES /THURS ROUTING: Please Route eStructural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: Approved ❑ Approved with Conditions Notation: DUE DATE: 4 -23 -02 ❑ Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW 0 Staff Initials: Documents/routing slip.doc 2.28.02 MICOORD COPY } oni‘ PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -039 DATE: 3 -22 -02 PROJECT NAME: RESIDENCE INN SITE ADDRESS: 16201 WEST VALLEY HWY Original Plan Submittal Response to Incomplete Letter # ._.__�.. Response to Correction Letter # # After Permit Is Issued DEPARTMENTS: Building Division Public Works Fire Prevention ❑ Planning Division ❑ Structural ❑ Permit Coordinator ❑ ) IERM1N Of COMPLETEN.ES5: (Tues., Thurs.) Complete j Incomplete ❑ Comments: 1 DUE DATE: 3-26-02 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED :, Departments determined Incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/TIHURS ROUTING: Please Route ❑ Structural Review R REVIEWER'S INITIALS: ❑ No further Review Required Er" DATE: _5„,•zek,r2CanZ APPRQY . ORRECIIIQN5: DUE DATE:,_, 4 -2 -02 Approved ❑ Approved with Conditions Not Approved (attach comments) 0 Notation: REVIEWER'S INITIALS: , DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ( Fire ❑ Ping 0 PW ❑ Staff initials: Documents/touting slip.doc 2.26 -02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -039 DATE: 3 -22 -02 PROJECT NAME: RESIDENCE INN SITE ADDRESS: 16201 WEST _VALLEY_HWY Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division ❑ Public Works ❑ Fire Prevention Structural Planning Division Permit Coordinator ❑ 0 DETERMINAM_0E OQMPLE ENESS: (Tues., Thurs.) Complete ji Incomplete ❑ Comments: DUE DATE: 3 -26 -02 Not Applicable ❑ Permit Canter Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW 0 Staff initials: LETTER OF COMPLETENESS MAILED:_ TUES/THURS ROUTING: Please Route ❑ Sir r R =view Required ❑ No further Review Required REVIEWER'S INITIALS: cw DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions DUE DATE: 4 -23 -02 ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections: Bldg ❑ Fire ❑ In ❑ PW 0 Staff Initials: Documents/fouling slip.doc 2.28.02 I+�$ } PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -039 DATE: 3 -22 -02 PROJECT NAME: .. RESIDENCE INN SITE ADDRESS: .16201 WEST VALLEY HWY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # „ After Permit Is Issued pEPARTMENTS: Building Division ❑ Fire Prevention ❑ Planning Division Public Works ❑ Structural ❑ Permit Coordinator pETkRMENA JO LOECOMP1 .ESS: (Tues., Thurs,) Complete 111% Comments: Incomplete ❑ DUE DATE: 3.2 -Q2 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED :, LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping 0 PW 0 Staff Initials: TUES/THURS ROUTING! Please Route ❑ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE:,_R,_ 4 -2 Q2 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED! Departments issued corrections; Bldg ❑ Fire ❑ Ring ❑ PW ❑ Staff Initials: Pocumentthouting slip.doc Z•28-02 } ti PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PROJECT NAME: MI02 -039 DATE: 3 -22 -02 RESIDENCE INN SITE ADDRESS: 16201 WEST VALLEY HWY X Plan Submittal ,Response to Incomplete Letter # Response to Correction Letter #_ Revision # After Permit Is Issued DEPARTMENTS: Building Division ❑ Fire Prevention ❑ Public Works Structural Planning Division ❑ ❑ Permit Coordinator ❑ QETERMINATION QE COMELET1N.ESS: (Tues., Thurs.) Complete ❑ Comments: Incomplete ❑ DUE DATE: 346-02 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED; Departments determined Incomplete: Bldg ❑ Fire ❑ Ping 0 PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/THURS ROUTINGS Please Route 'r Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE; :.„,__? _ C Piss b) Approved ❑ Approved with Conditions ❑ DUE DATE: 4 -23 -02 Not Approved (attach comments) ❑ Notation :. GATE: //oL REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections: bldg 0 Fire ❑ Ping 0 PW ❑ Staff Initials: PocumentshoutIns sllp.doc b1a -02 Apr 11 02 12:41p DEMOCON 4257878034 p.1 DEPARTMENT OP R ANb.INDUSTt2tE.� ...R GISTEI Eb AS :p1tOVXDtt:,BY" E WAS CONST. COIs'T., 'GSNERAt • If. M ---- -� Detach And DtuplWy Ccrtifici16 -- • ItUCI ;IVI O PITY OK 1(IKWJI A APR 1 1 2002 PERMIT CENTER VI i� } GeolgEngineers MEMORANDUM 8410 154th Avenue NE Redmond, WA 98052 Telephone: (425) 861 -6000 Fax: (425) 861 -6050 TO: FROM: DATE: FILE: SUBJECT: City of Tukwila- Permit Center Jane Preuss GeoEngineers on behalf of Lerner Renovati March 21, 2002 9782 - 001 -00 Demolition Permit for Building 11 of Residence Inn We are hereby transmitting to you the Permit Application to demolish Building 11 of the Residence Inn that was damaged by fire. As part of the permit application we are also transmitting a copy of the following: • As Built Survey of the Residence Inn Project • Landscape Plan • Shoreline Sections • SEPA Checklist for the demolition plus approved SEPA checklist including supplemental documentation for the project (1984) (6 copies) • Request for waiver of Shoreline Substantial Development Permit because the project fall within definition of exemption under WAC 173.27440 —2 (b) and copy of the Shorlein permit that was granted for the structure in 1984 • Asbestos Survey prepared by Pacific Rim Environmental, Inc. • Copy of Deed Receiver t111;? 2 6 200/ PUBLIC WORK;:, RECEIVER ,ITY OF 7uywn a MAR 2 2 2002 PERMIT CENTER PERMIT NO.: BUILDING PERMITS iNSPECTiONS ❑ 1 Progress inspection Status 0 2 Pre-construction 0 3 investigation ❑ 4 OK to Occupy ❑ 5 Remove Stop Work Order ❑ 6 Follow-up O 7 Pre-Move inspection ❑ 50 WSEC Residential O 60 WA Ventilation/Indoor AQC O 70 NLEA Inspection/Modular Struct 71 Mobile Nome Tic Down Insp 72 Marriage Lines 90 Resteet 95 Footing Drains 100 Foundation Footings ❑ 200 Foundation Walls ❑ 250 Foundation insulation ❑ 300 Concrete Slab/Slab insulation 350 Crawl Space 400 Shear Wall Nailing 450 Plywood Wall Sheathing 500 Roof Sheathing Nailing 525 Plywood Deck Nailing 550 Exterior Wall Sheathing 600 Masonry Chimney 610 Chimney Installation/All Types 700 Framing 750 Roof /Ceiling Insulation 800 Floor Insulation 801 Wail Insulation 802 Exterior Roof Insulation 803 Glazing inspection 815 Lighting and Controls 900 Suspended Ceiling 000 Interior Wallboard Fastening 001 Exterior Wallboard Fastening 110 Pro•Movc Inspection 115 Motor Inspection 120 Prc•Dento 140 Prc•reroof 400 Final•Fire 700 Final•Building 900 Final•Rcroof 3100 Site Visit 4000 Special•Concreto 4001 Special•Bolts in Concrete 4001 Special•Mom/Rcsist Cone Frame ❑ 4003 Special-Reid Steel Prestress ❑ 4004 Special•Welding ❑ 4005 Special-High-Strength Bolting 4006 Special-Structural Masonry 4007 Special•Rcinf Gypsum Concrete 4008 Special-Insulating Cone Fill 4009 ....... —Special-Spray Fireproofing 4010 Special•Piling, Piers, Caissons O 4011 Special Shotcrete ❑ 401' Special-Grading, Excav /Fill O 4013 Special•Retaining Wall ❑ 4014 Special•Panels 0 4015 Special-Smoke Control System • ■ f• ti si • ■ • TENANT NAME: +g- xPusk- ?thud( r+.�•d %r 1e4a4hu (4444 CONDITIONS 10001 No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division 0 10002 Plumbing permits shall be obtained through King Co O 10003 Electrical permits obtained through L & 1 10004 All mechanical work shall be under separate permit 10005 All permits, Insp records & approved plans available 10006 All structural concrete shall be special inspected ❑ 10007 Ail structural welding shall be done by WABO certified inspector ❑ 10008 All high-strength bolting shall be special inspected ❑ 10009 Bolts installed in concrete shall be special inspected ❑ 10010 When special inspection is requircd...notlfy Tukwila Building Division ❑ 10011 .,The special inspector shall submit a final signed report ❑ 10012 Any new ceiling grid and light fixture installation ❑ 10013 Partition wails attached to ceiling grid ❑ 10014 Readily accessible access to roof mounted equipment ❑ 10015 Engineered truss drawings & rates shall be on site ❑ 10016 Any exposed insulation backing material shall have O 10017 Subgradc preparation including drainage, excavation ❑ 10018 A statement from the roofing contractor verifying fire retardant class drool* tit 10019 All construction to be done in conformance w /approved plans ❑ 0 0 ❑ 0020 Structural observation shall be provided for this project 0021 All food preparation establishments must have King Co 0022 Fire retardant treated wood shall have flame spread of 0023 Notify Building Division prior to placing any concrete 0024 ,.,,,.,, All spray applied fireproofing shall be special Inspected 0025 All wood to remain in placed concrete shall be treated 0026 ...... All structural masonry shall be special inspected 0027 Validity of Permit 0028 Rack storage requires separate permit 0030 No occupancy of building until final Insp by Bldg Div 0031 Comply with requirements ofTMC 16.04 0032 Remove all weeds, concrete, stone foundations, flat concrete 0034 .,.,,.,, Removal of septic tanks require approval and compliance with King Co Health Dept. 0035 Contact PW Div to obtain Insp for water /sewer connect 0036 Manufacturers installation instructions required on site 0038 ,.,A C of G will be required for this permit 0039 ...,.,Final approval for all TI w /in the limits of the SC Mall 0040 All construction noise to be in compliance with 8.2 TMC 0041 Ventilation is required for all new rooms & spaces 0042 ... ,.,,,Fuel burning appliances 0043„,„—Appliances. which generate 0044 Water heater shall be anchored 0045,.,,,,,,,Reroof "Anchoring — All new construct and substantial improvement shall be anchored to prevent flotation" Plan Reviewer: Permit Tech: 404 Date: Date: 3.2.eg.az. 5,19.19-O)- tslittobac. PACIFIC RIM ENVIRONMENTAL INC. SEATTLE ANCHORAGE ASBESTOS SURVEY COPY Residence Inn Hotel Building 11 16201 West Valley Highway Tukwila, WA 98188 PERFORMED FOR: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 PERFORMED BY: rig ---- Lance Kiblinger, AHE ' Building Inspector AHERA Certification #998501 (Expires 04 /25/2002) Pacific Rim Environmental, Inc. 6510 Southcenter Boulevard Tukwila, WA 98188 PRE #: 12415 DATE PREPARED: 2/18/2002 RECEIVED CITY OF TUKWILA MAR 2 2 2002 PERMIT CENTER MZ3 7 • Corporate Office 6510 Southcenter Blvd., Ste. lit Seattle, WA 98188 Phone: (206) 2- 14.8965 Fax: (206) 244.9096 Anchorage Office 8501 East 12th Court Anchorage, AK 99504 Phone/Fax: (907) 569.8081 Pager: 1.888.34 1.8081 i.11flr -,f r r,ntr fit'. Section 1.0 Scope of Work 2 Section 2,0 Asbestos•Containing Materials (ACM) Survey Narrative 3 Section 3,0 Asbestos Abatement Cost Estimate 4 Section 4.0 Statement of Compliance 5 Appendix A Asbestos Sample Summary Appendix B Drawings Appendix C Laboratory Analysis Data Sheets Appendix D Inspector Certifications 2/19/02 PRE *12415 This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc, 1 rw. Ill On February 4, 2002, Lance Kiblinger of Pacific Rim Environmental, Inc. (PRE) performed an asbestos survey of the commercial building 11 at the Residence Inn Hotel located at 16201 West Valley Highway, Tukwila, WA 98188, The structure is a two -story multi unit wood building with a concrete foundation and a cement tiled pitched roof. Field inspection, data collection, and report generation were performed according to the following Scope of Work: Provide AHERA Certified Building Inspector to perform a building inspection in accordance with Washington Administrative Code (WAC) 296-62-07721 and current PSCAA regulations. Asbestos - Containing Materials (ACM) 1. Bulk sampling of suspect ACM. 2, PLM Analysis of suspect ACM by a NVLAP accredited laboratory, 3, Quantity estimates of ACM. Report Generation 4, Written report including recommendations based on the technician's observations, abatement (removal) cost estimates, sample descriptions, and sample locations. 5. Statement of Compliance with W,A.C. 296.62.07721 Sign -Off Form. The survey was intended to Identify possible asbestos - containing materials (ACM) on the Interior and exterior of the building. This Inspection covered only those areas which were exposed and /or physically accessible to the inspector. Materials uncovered during the course of demolition, renovation, or maintenance activities that are not Identified in this Inspection report must be presumed to contain asbestos until PLM analysis proves that this material is not asbestos- containing, This survey Is not Intended for, nor should be used as a design specification. The Asbestos In Schools Hazard Amendment and Reauthorization Act ( ASHARA), effective November 20, 1990, expanded accreditation requirements to apply to persons who work with asbestos in public and commercial buildings as well as schools. Specifically, ASHARA expanded the Toxic Substances Control Act (TSCA) Section 206 (a) (1) and (3) to require accreditation for any person who designs or conducts a response action with respect to friable ACM In a building. TSCA Section 207 provides for civil penalties of $5,000 for each day of a violation for not employing accredited individuals to design and conduct response actions. Sampling of suspect asbestos - containing materials was conducted as prescribed In 40 CFR 763,86. Suspect asbestos-containing materials within the structure were Identified and classified as either a surfacing material, thermal system Insulation, or miscellaneous materials, Surfacing materials are those, which are either spray applied or troweled-on for acoustical, decorative, or fireproofing purposes, Thermal system Insulation (TSI) is insulation used to inhibit heat transfer or to prevent condensation on pipes, boilers, tanks, ducts and various other components, Miscellaneous materials include all other materials not included in the above categories such as floor tile, ceiling tile, roofing felt, cementitlous materials, wallboard systems and products such as caulkings, mastics and putties. A total of fifty (50) samples were collected and submitted for laboratory analysis, One (1) miscellaneous material sample was found to contain asbestos in concentrations of 1% or greater. 2/19/2002 PRE #12415 This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. 2 I� Bulk samples collected were submitted for sample analysis in accordance with method EPA- 600 /R- 53/116: "Method for the Determination of Asbestos in Bulk building Materials ". Analyses were performed in Pacific Rim Environmental Inc.'s NVLAP Accredited Laboratory (Lab Code 101631 -0). Materials are positive for asbestos if they are found to contain greater than 1% or 1% asbestos. Thermal Systems Insulation (TSI) The heat source was found to be electric forced air, No asbestos containing TSI materials were identified in the subject property, If during the course of wall or floor demolition, any piping, ductwork, insulation material, or other suspect materials are identified inside the interstitial spaces, further sampling must be performed, Surfacing Materials No asbestos containing surfacing materials were identified in the subject property. If during the course of wall, ceiling or floor demolition, any additional layers of surfacing materials or other suspect materials are identified inside the interstitial spaces, further sampling mg be performed prior to disturbing these materials. Mlacollan.oua Materials Approximately 1 square feet of suspect black roofing tar patch was Identified on a cement roofing tile, The material was sampled one (1) time and was found to contain 10.16% Chryaotlle asbestos. If during the course of wall, ceiling or floor demolition, any additional layers of miscellaneous materials or other suspect materials are identified under sub - flooring or inside the interstitial spaces, further sampling mg be performed prior to disturbing these materials. 2/18/2002 PRE #12415 3 This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. The following abatement costs are "best - effort" estimates and are based on current industry averages. The following estimates are subject to many variables beyond the control of PRE, Such variables include, but are not limited to: project duration, contractor work schedule, hours of work allowed by the owner, contractor performance, regulatory agency interpretation of changing regulations, logistics of removal of material and miscellaneous delays. The estimate is meant only as a guideline to assist in the selection of an abatement contractor and may not reflect the actual final costs of asbestos removal, They do not Include owner costs such as abatement project oversight and monitoring for compliance to law, and compliance to project plans and/or specifications, These estimates assume that adequate, professional plans and specifications are prepared, the abatement costs are minimized by professional protect management and that all asbestos containing materials we abated during one protect by the same asbestos contractor. It is In no way intended to serve as, or replace, a comprehensive abatement specification, Estimates include permitting, removal and disposal, * Asbestos abatement would not be required for an amount of material this small, however should more of this material be uncovered during the course of demolition, work must stop and further Investigation of the area must be performed. 2/19/02 PRE *12415 4 This report shall not be reproduced except in full without written pennisslon of Pacific Rim Environmental, Inc. 4 In accordance with W.A.C. 296.62 -07721 and PSCAA Regulation HI, Article 4, Pacific Rim Environmental, Inc. performed an asbestos survey of the commercial structure, building 11 at the Residence Inn Hotel located at 16201 West Valley Highway, Tukwila, WA 98188. Should employees or contract personnel encounter any suspect asbestos - containing materials it is their responsibility to: 1. Contact a representative of the owner. 2. Consult the inspection report to determine whether or not the suspect material contains asbestos. 3. If the suspect material does not appear in the inspection report, then that material was not sampled and must be presumed to contain asbestos until proven otherwise by sampling and PLM analysis, 4. Ensure that all employees and contractors are informed and advised of the location and type of materials that contain asbestos. The following asbestos - containing materials were Identified at the subject property: • Black roofing patch tar 1 Hereby Attest: The Inspection report has been made available to me. I will Inform all subcontractors of the location and types of materials containing asbestos. I am authorized to sign on behalf of my company. Contractor. Owner's Rep: Signature: Signature: Print Name: Print Name: Title: TIUe: Date: Date: 2/18/2002 PRE #12415 This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. 5 L;Aniplo `-;irrnrihiry This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. Asbestos Sample Summary Project Name: Residence inn Bldg 11, 16201 W. Valley Hwy, Seattle, WA 98188 PRR Project ID: 12415.0000 A01 Building 11, Unit 1114, kitchen A02 Building II, Unit 1114, above bed A03 Building 11, Unit 1114, livin` room A04 Building I I, Unit 1114, living room A05 Building 11, Unit 1114, kitchen A06 Building 1 I, Unit 1114, bathroom A07 Building 11, Unit 1114, bathroom A011 Building II, Unit 1113, living arca A09 Building 11, Unit 1113, kitchen MO Building 1 1, Unit 1113, living room MI Building 11, Unit 1113, exterior wall Al2 Building 11, Unit 1113, kitchen Surfacing Surfacing Miscellaneous Miscellaneous Miscellaneous TS! Miscellaneous Surfacing Miscellaneous Surfacing Miscellaneous Miscellaneous Tuesday, February 19, 2002 Wall thectrock with texture, no seam Shectrock with popcorn ceiling texture Mud and mortar behind 6 inch commie tile on fire place Yellow mutts on white 3 Inch ceramic tile around tub White sheet vinyl over 2nd layer of white sheet vinyl with mastic Well insulation 4 inch ceramic from tile with mortar over 1 inch ceramic tile with moray Shcctrock with popcorn texture on coiling White sheet vinyl with mastic over sheet vinyl with mastic Wall sheetrock with texture, no seam Exterior siding on wall White cove base with white mastic in kitchen None Detected (Both layer), None Detected (Both layer), None Detected (All layers): None Detected (Both layers). None Detected (MI layer), None Detected (Both layers), None Detected (All layers). None Detected (Both layers)_ None Detected (All layers). None Detected (Roth layers), None Detected (Roth layers). None Detected (Both layers). (Approximate) NIA N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Page 1 of 5 Protect Name: Residence Inn Bldg 11, 16201 W. Valley Hwy, Seattle, WA 98188 PRE Project ID: 1241 5.0000 M3 Building 11, Unit 1113, entry Miscellaneous A14 Building 11, Unit 1112, living room Surfacing AIS Building 11, Unit 1112, living area Surfacing AI6 Building I I, Unit 1112, bathroom M7 Building I I, Unit 1112, kitchen M8 Building I t, Unit 1112, kitchen Mlicclloncoui Miscellaneous Miscellaneous M9 Building II, Unit 1112, living area MlsccHancoui A20 Building 1 1, Unit' 111 1, living arca Surfacing A21 Building 11, Unit 1111, sleeping NCI A22 Building 11, Unit 1111, kitchen A23 Building 11, Unit 1111, bathroom A24 Building 11, Unit 1111, kitchen A25 Building 11, Unit 1123, sleeping area Surfacing Miscellaneous Miscellaneous Miscellaneous Surfacing White ceramic tile with gray menar Shectrock with popcorn texture on ceiling Shectrock on wall with texture on scam 4 Inch ceramic tile with brown mastic over brown shcetrock on will around tub White sheet vinyl with white made over sheet vinyl with yellow mode White mastic under white formica back ipluh White ceramic tile with gray, brown mortar and mud around fire place Shectrock on wall with texture on scam Shectrock on ceiling with popcorn texture White sheet vinyl with mastic over sheet vinyl with yellow mastic White ceramic 4 inch tile with mortar on floor White sink under coating Shectrock with popcorn texture on ceiling Tuesday, February 19, 2002 None Detected (Both layers), None Detected (Ml toyers). None detected (Both layers). Nona detected (Ml layers): None detected (All laycn). None Detected (Both layers). Nona detected (All layers), Nona Detected (Both layers). None detected (Both layers). None Detected (All layers). Nano Detected. None Detected. None Detected (both layers). (Approximate) N/A N/A N/A N/A N/A N/A N/A N/A ' N/A N/A N/A N/A N/A Pogo 2of5 1 ifs Project Name: Residence inn Bldg 11, 16201 W. Valley Hwy, Seattle, WA 98188 PRE Project ID: 12415.0000 • • LA 1 1l Quantity A26 A27 A23 A29 A30 A31 A32 A33 A34 A33 A36 A37 A38 Building I I, Unit 1123, hallway Building 11, Unit 1123, attic Building 11, Unit 1123, roof Building 1 I, Unit 1124, bathroom Surfacing TSI Miscellaneous Miscellaneous Building 11, Unit 1124, kitchen Miscellaneous Building 11, Unit 1124, living room Surfacing Building 11, Unit 1124, 2nd floor Miscellaneous bathroom Building 11, Unit 1124, roof Miscellaneous Building 1 1, Unit 1124, roof Miscellaneous Building 11, Unit 1124, bedroom, Surfacing 1st floor Building 11, Unit 1124, bedroom, Surfacing ht floor Building 11, Unit 1124, attic TSI Building 11, Unit 1122, living room Surfacing Sheetrock with texture on wall, no seam None Detected (Both layers), Insulation None Detected. Concrete rooflng shingles None Detected, White 4" x 4" ceramic tile with yellow mastic None Detected (Mayen), and sheetrock White sheet vinyl with yellow mastic Sheclrock with popcorn ceiling texture on ceiling Mastic behind bathroom counter back splash Block roofing felt Black roofing felt Shcctrock with texture on scam on wall Shcetrock with popcorn texture on scam on ceiling Insulation Shcetrock with texture at wall, no scan None Detected (All layers). Nona Detected (Both layers). Nona Detected, None Detected, None Detected, None Detected (Mayers), None Detected (All layers). None Detected. None Detected (Both layers). (Approximate) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Tuesday, February 19, 2002 Page 3 of 5 Project Name: Residence Inn Bldg 11, 16201 W. Valley Hwy, Seattle, WA 98188 , ' r A39 Building 11, Unit 1122, bedroom, Surfacing 1st floor MO Building 11, Unit 1122, roof Miscellaneous MI Building 1 1, Unit 1122, roof Miscellaneous M2 Building 11, Unit 1122, bathroom, Miscellaneous 2nd floor A43 Building 11, Unit 1122, wall TS! M4 Building 11, Unit 1121, exterior Miscellaneous Will M5 Building 11, Unit 1121, exterior Miscellaneous wall M6 Building 11, Unit 1121, kitchen Miscellaneous M7 Building 11, Unit 1121, living room Miscellaneous A49 Building 11, exterior wall Miscellaneous A49 Number not used ASO Building 11, Unit 1122, kitchen Miscellaneous AS1 Building 11, roof Miscellaneous Shectrock with popcorn texture on ceiling, no NAM Black flooring kit Concrete tooflng tile Tile with yellow mutts and sheetrock Black mastic on paper of fiberglass insulation Wallboard behind exterior wood siding Wallboard behind exterior wood siding White mutie behind back splash on kitchen counter White tile with gray mortar and yellow mastic around (ire place Exterior wood siding over wallboard White sheet vinyl on decaying concrete material Tar patch material on shingle PRE Project ID: 12415.0000 . ,. I1 I. /' . 1 None Detected (Both layers), None Detected, None Detected, None Detected (Wows), None Detected, Nono Dctccted, None Detected, None Detected, None Detected (All layers), None Detected (Both layers). None Detected (All layers). Chrysotilc (10.15 %). Tuesday, February 19, 2002 1/ (Approximate) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 1 Square Foot Page 4 of 5 "1%:-: Project Name: Residence inn Bldg 11, 16201 W, Valley Hwy, Seattle, WA 98188 PRE Project ID: 12415.0000 1 IA 1 Tuesday; February 19, 2002 r, I' ►/ (Approximate) Page 5 of 5 This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. ats File: MI02-0039 35mm Drawing #1 4 ,it)()Litnry f)1t2 This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. f PACIFIC RIM ENVIRONMENTAL, INC. SEATTLE ANCHORAGE BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St, Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 1 of 12 Fred Golloway Attached are the results of analysis of 51 bulk samples submitted for asbestos identification, lab ID #2002 -02 -012 through 2002 -02 -062. Samples were analyzed in accordance with method EPA - 600 /R- 93/116: "Method for the Determination of Asbestos in Bulk Building Materials ", Each sample was initially examined under a Nikon SMZ - 2T stereoscopic microscope at a magnification of 10X to 50X. Fibrous material was examined for morphology and content. Representative fibers from each sample were immersed in a fluid with a known refractive index. The specimens were examined under polarized light using a Nikon Labophot microscope with a McCrone Dispersion Staining objective under 100X magnification. Optical characteristics of the fibrous material were examined to determine the mineralogy of the fiber. The observed optical characteristics include angles of extinction, sign of elongation and refractive Indices. Unless otherwise noted, samples were inhomogeneous; subsamples of components were analyzed to achieve representative analysis, Separate layers of layered samples are analyzed and reported separately. Unless otherwise stated, asbestos content was quantified by calibrated visual estimation (CVES). Samples in which asbestos was not observed are reported as "none detected", Test results pertain only to the samples submitted for analysis. This report cannot be represented by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full without written permission of the laboratory. NVLAP Accredited LAB # 101631 -0 Samples submitted by: P.R.E. Reports reviewed by: Approved Signatory Corporate Office 6510 Southcenter filed., Ste. #-f Seattle, \NA 98188 Phone: (206) 244-8965 Fax: (206) 244 -9096 Anchorage Office 8501 East 12th Court Anchorage, AK 99504 Phone/Fax: (907) 569 -8081 Pager: 1-888-341-8081 r, PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 1 542 Snelling Avenue South St, Paul, MN 55116 Project: Residence Inn r- Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 2of12 Fred Golloway Client/Lab Number Sample Location and Descri • on Asbestos Type 1 % Other Material Date Anal zed 12415 -A01 2002.02.012 White- painted, white texture mud (layer 1) on gray - whlte, chalky drywall with brown paper (layer 2). None Detected (Both layers), Layer 1: Cellulose ( <1 %), Binder, Paint, Layer 2: Cellulose (3.5 %), Fiber Glass (3.5 %), Gypsum, Binder, 02/06/02 12415 -A02 2002-02-013 White- painted, white ceiling texture (layer 1) on light gray, chalky drywall with brown paper (layer 2). None Detected (Both layers), None Detected (All layers). Layer 1: Cellulose (41 %), Foam, Binder, Paint, Layer 2: Cellulose (3.5 %), Fiber Glass (5.7 %), Gypsum, Binder. Layer 1: Cellulose ( <1 %), Mineral Aggregate, Adhesive, Paint. Layer 2: Cellulose ( <1 %), Mineral Aggregate, Binder. Layer 3: Cellulose (41 %), Mineral Aggregate, Binder. Layer 4: Cellulose (40 -45 %), Binder, Paint. 02/08/02 02/07/02 12415 -A03 2002.02.014 Brown mastic fragment (layer 1) and white mortar -like material (layer 2) on gray mortar -like material (layer 3) on white- painted white mud with brown paper (layer 4). 12415-A04 2002-02-015 Brown ceramic tile mastic with gray and brown paper (layer 1) and white grout (layer 2). Note: Layer 1 is on bottom of inner, surface of tile; layer 2 is on edge of tile. None Detected (Both layers), Layer 1: Cellulose (25.30 %), Adhesive, Layer 2: Cellulose (<1%), Binder. 02/07/02 ides PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE 0: Report 0: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 3 of 12 Fred Golloway Client/Lab Number Sample Location and Deecri • ion Asbestos Type / % Other Material Date Anal zed 12415 -A05 Layer 1: Vinyl, 02/07/02 2002. 02.018 White sheet vinyl with gray, blue, green, orange, and pink specks (layer 1) with light gray, fibrous backing (layer 2), white mastic None Detected (Ail layers). Layer 2: Cellulose (80.85 %), Fiber Glass (3.5 %). (layer 3) on white and brown sheet vinyl with gray, green, and pink specks (layer 4) with gray, fibrous backing (layer 8) and yellow -brown mastic (layer 8). Layer 3: Cellulose ( <1 %), Adhesive. Layer 4: Vinyl, Layer 6: Cellulose (40.45 %), Fiber Glass (3.6 %), Synthetics (1.3 %), Diatomaceous Earth. Layer 6: Cellulose ( <1 %), Adhesive, Mineral Aggregate. 12416 -A08 Layer 1: Cellulose (50.56 %), 02/07/02 2002. 02.017 Brown paper with tar and blue paint (layer 1) and yellow, fibrous insulation material (layer None Detected (Both layers). Fibrous Glass (1.3 %), Tar, Binder, Paint, 2), Layer 2: Cellulose (<1%), Fibrous 3lass (80.85 %), Binder. 12415 -A07 Layer 1: Ceramic, Mineral 02/07/02 2002.02.018 White ceramic tile (layer 1) with gray mortar (layer 2) on white ceramic tile (layer 3) with gray mortar (layer 4). None Detected (All layers), Aggregate. Layer 2: Mineral Aggregate, Binder. Layer 3: Ceramic, Mineral Aggregate. Layer 4: Cellulose ( <1 %), Mineral Aggregate, Binder. itt g } r, PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 4of12 Fred Golloway Client/Lab Number Sample Location and Descri . tion Asbestos Type / % Other Material Date Analyzed 12415 -A08 Layer 1: Cellulose ( <1 %), 02/07/02 2002.02.019 White- painted white ceiling texture (layer 1) on gray, chalky drywall with brown paper (layer 2). None Detected (Both layers). Foam, Binder, Paint. Layer 2: Cellulose (3.5 %), Fiber Glass (5-7%), Gypsum, Binder. 12415 -A09 Layer 1: Vinyl, 2002.02.020 White sheet vinyl with gray, green, purple, and pink specks (layer 1), gray, fibrous backing None Detected (Ali layers). Layer 2: Cellulose (40.45 %), Fiber Glass (1 -3 %), Binder. (layer 2) and white mastic (layer 3) on light brown sheet vinyl (layer 4) with light brown sheet vinyl fibrous backing (layer 6) and light brown - yellow mastic Layer 3: Cellulose ( <1 %), Adhesive, Layer 4: Vinyl. (layer 6). Layer 5: Cellulose (40-45%), Fiber Glass (1 -3 %), Binder. Layer 6: Cellulose (3.5 %), Fiber Glass (5 -7 %), Gypsum, Binder, Layer 1: Cellulose ( <1 %), 12415 -A10 02/07/02 2002 -02 -021 White- painted white mud (layer None Detected Binder, Paint. 1) on light gray, chalky drywall with brown paper (layer 2), (Both layers). Layer 2: Cellulose (3,5 %), Fiber Glass (5 -7 %), Gypsum, Binder. 12415 -A11 Layer 1: Cellulose (80 -85 %), 02/08/02 2002.02 -022 White - painted, brown, fibrous board material (layer 1) with drywall fragments (layer 2). None Detected (Both layers). Binder, Paint. Layer 2: Cellulose (1.3%), Gypsum, Binder. PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE 0: Report 0: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 50112 Fred Golioway Client/Lab Number Sample Location and (hood Asbestos Type 1 % Other Material Date Anated 12415 -Al2 2002 - 02.023 White, pliable cove base mastic (layer 1) with white - painted, white mud (layer 2). None Detected (Both layers). Layer 1: Cellulose (41 %), Adhesive, Mineral Aggregate. Layer 2: Cellulose ( <1 %), Binder, Paint. 02/08/02 12415 -A13 2002.02.024 White ceramic the (layer 1) with gray mortar (layer 2). None Detected (Both layers), Layer 1: Ceramic, Mineral Aggregate. Layer 2: Cellulose ( <1%), Mineral Aggregate, Binder, Layer 1: Cellulose ( <1%), Binder, Paint. Layer 2: Cellulose (36.40 %), Binder. Layer 3: Cellulose (16.20 %), Fiber Glass (3.5 %), Gypsum, Binder. 02/08/02 12415 -Ala 2002.02.025 White - painted white ceiling texture (layer 1) on white mud with white paper (layer 2) on Tight gray, chalky drywall with brown paper (layer 3). None Detected (Ail layers), 02/08/02 02/08/02 12415 -A15 2002.02.028 White - painted, white mud (layer 1) on light gray, chalky drywall with brown paper (layer 2). None Detected (Both layers), Layer 1: Cellulose ( <1 %), Binder, Paint, Layer 2: Cellulose (10.15 %), Fiber Glass (3.5 %), Gypsum, Binder. 12415 -A18 2002- Q2.027 White ceramic tile (layer 1) with white grout (layer 2), brown mastic (layer 3) and brown drywall (layer 4). None Detected (All layers). Layer 1: Ceramlc, Mineral Aggregate. Layer 2: Binder, Mineral Aggregate, Layer 3: Cellulose ( <1 %), Adhesive. Layer 4: Cellulose (<1%), Fiber Glass (3-5%), Gypsum, Binder, Mineral Aggregate. 02/08/02 t PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 6 of 12 Fred Galloway Client/Lab Number Sample Location and Desch • ion Asbestos Type / % Other Material Date Anal zed 12415 -A17 Layer 1: Vinyl. 02/08/02 2002. 02.028 Gray and white sheet vinyl with None Detected green, purple, pink, and yellow specks (layer 1), gray, fibrous backing (layer 2) and light brown to white mastic (layer 3) on Tight brown and white sheet vinyl (layer 4) with gray, fibrous backing (layer 5) and yellow- brown mastic (layer 6). (All layers). Layer 2: Cellulose (50 -55 %), Fiber Glass (3-5%), Binder, Layer 3: Cellulose ( <1 %), Adhesive, Layer 4: Vinyl. Layer 6: Cellulose (40.45 %), Fiber Glass (1-3%), Synthetics (1 -3 %), Binder. Layer 6: Cellulose ( <1 %), Adhesive, 12415 -A18 Layer 1: Cellulose (1 -3 %), 02/08/02 2002.02 -029 Light gray -brown mastic (layer 1), white - painted white mud (layer 2), None Detected (Both layers), Adhesive, Mineral Aggregate, Layer 2: Cellulose ( <1 %), Binder, Paint, Layer 1: Ceramic, Mineral 02/08/02 12415 -A19 2002.02.030 White ceramic tile (layer 1) with light brown and gray mortar None Detected (All layers). Aggregate. (layer 2) and white mortar -like material (layer 3). Layer 2: Cellulose ( <1 %), Mineral Aggregate, Binder. Layer 3: Mineral Aggregate, Binder. 12415 -A20 Layer 1: Cellulose ( <1 %), 02/08/02 2002 - 02.031 White - painted, white mud (layer None Detected Binder, Paint. 1) on light gray, chalky drywall with brown paper (layer 2). (Both layers), Layer 2: Cellulose (3-5%), Fiber Glass (3 -5 %), Gypsum, Binder. • It PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn -- Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 7 of 12 Fred Golloway Client/Lab Number_ Sample Location and Dowd White- painted, white texture (layer 1) on light gray, chalky drywall with brown paper (layer 2). Asbestos Type / % Other Material . Date Analyzed 12415 -A21 2002-02-032 None Detected (Both layers). Layer 1: Cellulose ( <1 %), Binder, Paint, Layer 2: Cellulose (3.6 %), Fiber Glass (3.5 %), Gypsum, Binder, 02/08/02 12415 -A22 Layer 1: Vinyl. 02/08/02 2002-02-033 Gray and white sheet vinyl with None Detected green, purple, pink, and yellow specks (layer 1), gray, fibrous backing (layer 2) and Tight brown to white mastic (layer 3) on light brown and white sheet vinyl (All layers). Layer 2: Cellulose (50.56 %), Fiber Glass (3.6 %), Binder. Layer 3: Cellulose ( <1 %), Adhesive. (layer 4) with gray, fibrous backing (layer 6) and yellow- brown mastic (layer 6). Layer 4: Vinyl. Layer 5: Cellulose (40.45 %), Fiber Glass (1-3%), Synthetics (1 -3 %), Binder. Layer 6: Cellulose (<1%), Adhesive. 12415 -A23 02/08/02 2002.02.034 White ceramic material. None Detected. Cellulose (<1%), Ceramic, Mineral Aggregate. 12415 -A24 02/08/02 2002.02.035 White sink undercoating material with fibers. None Detected. Cellulose (20 -25 %); Binder, Mineral Aggregate. 12415 -A25 Layer 1: Cellulose (<1%), 02/08/02 2002 - 02.036 White - painted, white texture material (layer 1) on light gray- white, chalky drywall with brown paper (layer 2). None Detected (Both layers). Foam, Binder, Paint, Layer 2: Cellulose (3 -5 %), Fiber Glass (3 -5 %), Gypsum, Mineral Aggregate, Binder. PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn -- Building 11 14 16201 W. Valley Hwy Seattle, WA 98188 PRE 0: Report 0: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002-02 -012 02/12/02 02/04/02 02/ 06 -12 /02 8 of 12 Fred Golloway Client/Lab Number Sample Location and Desch • on Asbestos Type 1 % Other Material Date Ana ed 12415 -A26 Layer 1: Cellulose ( <1 %), 02/08/02 2002.02 -037 White- painted, white mud (layer None Detected Binder, Paint. 1) on light gray, chalky drywall with brown paper (layer 2), (Both layers), Layer 2: Cellulose (1-3%), Fiber Glass (3.5 %), Gypsum, Binder, Mineral Aggregate. 12415 -A27 02/08/02 2002.02.038 Light brown, fibrous insulation material, None Detected. Cellulose (1 -3 %), Fibrous Glass (85.90 %), Binder, Fine Particulate Material. 12415•A28 02/08/02 2002. 02.039 Gray cement material, None Detected. Mineral Aggregate, Cement Binder. 12415-A29 Layer 1: Ceramic, Mineral 02/08/02 2002.02.040 Light brown ceramic tile with white glaze (layer 1) with white grout (layer 2), yellow -brown mastic (layer 3) and brown, chalky and black, charred drywall (layer 4), None Detected (All layers), Aggregate. Layer 2: Cellulose (<1%), Binder, Mineral Aggregate. Layer 3: Cellulose ( <1 %), Adhesive. Note: Grout Is on edge of tile. Layer 4: Cellulose (1.3 %), Fibrous Glass (5.7 %), Gypsum, Binder, Ash. 12415•A30 Layer 1: Vinyl. 02/08/02 2002.02.041 White and gray sheet vinyl with None Detected green, purple, pink, and yellow specks (layer 1), white, fibrous backing (layer 2), white mastic (All layers). Layer 2: Cellulose (50.55 %), Fiber Glass (3-5%), Binder, (layer 3), gray, leveling compound (layer 4) and yellow- brown mastic (layer 5). Layer 3: Cellulose (<1%), Adhesive, Layer 4: Mineral Aggregate, Binder. • Layer 5: Cellulose ( <1 %), Adhesive, Mineral Aggregate. L PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 9of12 Fred Golloway Client/Lab Number Sample Location and Descri ion Asbestos Type / % Other Material Date Analyzed 02/08/02 12415 -A31 2002.02.042 White- painted white texture (layer 1) on light gray, chalky drywall with brown paper (layer 2). None Detected (Both layers). Layer 1: Cellulose (<1%), Foam, Binder, Paint. Layer 2: Cellulose (10.15 %), Fiber Glass (3.5 %), Gypsum, Binder. 12415 -A32 02/08/02 2002.02.043 Light brown mastic material. None Detected, Cellulose ( <1 %), Adhesive, Mineral Aggregate, 12415 -A33 02/08/02 2002.02.044 Black tarpaper material. None Detected, Cellulose (50.55 %), Tar. 12416 -A34 s 02/08/02 2002 - 02.045 Black tarpaper material, None Detected. Cellulose (50 -55 %), Tar. 12416 -A36 Layer 1: Cellulose ( <1 %), 02/11/02 2002 - 02.046 White - painted white mud (layer 1), white mud on white paper (layer 2) and white, chalky drywall with brown paper (layer None Detected (All layers), Binder, Paint, Layer 2: Cellulose (25.30 %), Binder. 3). Layer 3: Cellulose (20.25 %), Fiber Glass (3.5 %), Gypsum, Binder. 12415 -A36 Layer 1: Cellulose ( <1 %), 02/11/02 2002.02.047 White - painted, white texture (layer 1) on white mud with white paper (layer 2) on Tight gray, chalky drywall with brown paper (Layer 3). None Detected (Ail layers), Foam, Binder, Paint, Layer 2: Cellulose (50.55 %), Binder, Layer 3: Cellulose (10.15 %), Fiber Glass (3.5 %), Gypsum, Binder. ti Ii PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn -- Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 - 02-012 02/12/02 02/04/02 02/ 06 -12 /02 10 of 12 Fred Golioway Client/Lab Number Sample Location and Descri . ion Asbestos Type / % Other Material Date Anal ed 12415 -A37 02/11/02 2002.02.048 Light brown, fibrous insulation material. None Detected. Cellulose (1 -3 %), Fiber Glass (85.90 %), Binder, Fine Particulate Material, Ash, Foam, Charred Wood, 12415•A38 Layer 1: Cellulose ( <1 %), 02/12/02 2002 - 02.049 White- painted white mud (layer 1) on Tight gray, chalky drywall with brown paper (layer 2). None Detected (Both layers). Binder, Paint, Layer 2: Cellulose (10.15 %), Fiber Glass (3.5 %), Gypsum, Binder. 12415 -A39 Layer 1: Cellulose ( <1 %), 02/12/02 2002.02.050 White- painted, white ceiling texture (layer 1) on light gray, chalky drywall with brown paper (layer 2). None Detected (Both layers), Foam, Binder, Paint, Layer 2: Cellulose (3.5 %), Fiber Glass (3.5 %), Gypsum, Binder. 12415-A40 02/12/02 2002-02-051 Black tarpaper material, None Detected. Cellulose (80.85 %), Tar. 12415 -A41 02/12/02 2002.02.052 Light gray cement material. None Detected, Fiber Glass ( <1 %), Mineral Aggregate, Cement Binder, Soot. 12415 -A42 Layer 1: Ceramic, Mineral 02/12/02 2002.02 -053 Light brown ceramic tile with white glaze (layer 1), white grout (layer 2), brown mastic (layer 3) and light brown drywall with brown paper (layer 4). None Detected (All layers), Aggregate. Layer 2: Cellulose (<1%), Binder, Mineral Aggregate, Note: Grout layers on edge of tile, not beneath it. Layer 3: Cellulose (1 -3 %), Adhesive. Layer 4: Cellulose (1 -3 %), Fiber Glass (5-7%), Gypsum, Binder. PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn — Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Date Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 11 of 12 Fred Golloway Client/Lab Number Sample Location and Description Asbestos Type / % Other Material Date Analysed 12415 -A43 02 /x. 2002.02 -054 Black and brown tar- impregnated paper with pink, adhering fibers. None Detected, Cellulose (50.55%), Fibrous Glass (10.15 %), Tar. 12415 -A44 02/12/02 2002.02.055 Light brown, chalky drywall with fibers, None Detected. Cellulose (<1%), Fibrous Glass (1.3 %), Gypsum, Binder. 12415 -M5 02/12/02 2002.02.058 Light brown, chalky drywall with brown paper. None Detected. Cellulose (1-3%), Gypsum, Binder. 12415 -A46 02/12/02 2002.02.057 Light brown -white mastic material, None Detected. Cellulose (41%), Ash, Paint. 12415 -A47 Layer 1: Ceramic, Mineral 02/12/02 2002.02.058 White ceramic tile (layer 1) with gray mortar (layer 2) and light brown mastic (layer 3). None Detected (All layers), Aggregate. Layer 2: Cellulose (41%), Mineral Aggregate, Binder. Layer 3: Cellulose ( 41 %), Adhesive. 12415 -A48 Layer 1: Cellulose (75.80 %), 02/12/02 2002.02 -059 Light brown - painted, brown, fibrous ceiling the (layer 1) and None Detected (Both layers). Binder, Paint, Tight brown, chalky drywall with green - painted brown paper (layer 2), Layer 2: Cellulose (50.55 %), Gypsum, Binder, Paint, 12415 -A49 2002 - 02.060 Number not used. 1 1 § } PACIFIC RIM ENVIRONMENTAL, INC. BULK SAMPLE ANALYSIS REPORT CLIENT: Lerner Renovations, Inc. 542 Snelling Avenue South St. Paul, MN 55116 Project: Residence Inn -- Building 11 16201 W. Valley Hwy Seattle, WA 98188 PRE #: Report #: Report Date: Date Received: Data Analyzed: Page: Analyst: 12415 2002 -02 -012 02/12/02 02/04/02 02/ 06 -12 /02 12 of 12 Fred Golloway Client/Lab Number Sample Location and De scdpt ion Asbestos Typo / % Other Material Date lyz Anaed - 12416 -A50 - Layer 1: Vinyl. 02/12/02 2002.02 -061 White sheet vinyl with purple and None Detected pink specks (layer 1), gray, fibrous backing (layer 2), white mastic (layer 3) and brown compound (layer 4) and light brown plaster -like material (layer (All layers). Layer 2: Cellulose (60.65 %), Fiber Glass (3.5 %), Binder. Layer 3: Cellulose ( <1 %), Adhesive. 6). Layer 4: Mineral Aggregate, Binder, Layer 5: Mineral Aggregate, Binder. 2415 -A51 02/12/02 2002.02.062 Tar material, Chrysotile (10.15 %). Cellulose (<1%), Tar. 1 Iii ;l�r tnr Lortifu Mint, This report shall not be reproduced except in full without written permission of Pacific Rim Environmental, Inc. • t ......,....�. • , atisoreow wx,. 1104000 a4«....ne.....y11.11/41.,:mm1 nn. QCertitttate ot (lComptetton Mbitt t to certiip that Lance Kiblinger ba atigiactoriCp cotttpieteb 4 bourtc of refretiber training as% an Asbestos Building Inspector to complp tnitlj tbe training requirements of coca title 311 / 40 QCji3lt 763 (MipelLa) Certificate Number 998501 ng a , AHERA Certifi tration MO9907012 A 25,_2Q L__s Date(s) of Training Expiration Date: Apr 25, 2002 Argus Pacific, Inc. • 1900 W. Nickerson, Suite 315 • Seattle, Washington • 98119 • (206) 285,3373 • fax (206) 285.3927 go I _ ONO (l. ONO) 41016,11) J rj �MI•Mnn,MM,A. !Mn fl gfyNM,t try nay..w.1s. • 1111011101 certificate of QComptetton ?Ebig 10 to certiip tbat David Hern bag% OatigsctoriCp compCeteD 24 bouril of training arc an Asbestos Building Inspector to wmplp luitb tbe training requirementsc of M•CtU / 40 CIA 703 (3) Certificate Number 1000384 I...:; ,L Tra " ' g Ad tration AHER.A Certified, MO9907012 Date(s) of Training SAFETY •TRAINING • INDUSTPJM. HYGIENE n Expiration Date: Oct 31, 2002 Argus Pacific, Inc. • 1900 W. Nickerson, Suite 315 • Seattle, Washington • 98119 • (206) 285.3373 • fax (206) 285.3927 m. '' .t 16ari -y - yetir {44)' ,1 c(111,04).) United States Department of Commerce National Institute of Standards and Technology 1801IEC GUIDE 85:1890 180 9002 :1887 Certificate of Accreditation PACIFIC RIM ENVIRONMENTAL, INC. TUKWILA, WA 15, r1N of is recognized under the National Voluntary Laboratory Accreditation Program for satisfactory compliance with criteria established in Title 15, Part 285 Code of Federal Regulations, These criteria encompass the requirements of ISO /IEC Guide 25 and the relevant requirements of ISO 9002 (ANSI /ASQC Q92 -1987) as suppliers of calibration or test results, Accreditation is awarded for specific services, listed on the Scope of Accreditation for: BULK ASBESTOS FIBER ANALYSIS March 31, ?002 Effective through For the National Institute of Standards and Technology NVLAP Lab Code: 101631 -0 NVLAP•01 c 111 •g6) File: MI02 -0039 35mm Drawing #1»2. 1 I I ' 0 Inch SI N � � Vi l l o Zt 1111111111 11, 11111I1Il11i11111111111.1ir111' 1111.11111, 1111111. III11111JIII1ILI1llulll111lllll1lill. IIIIIIIIIIIiiii111I111111 I 1111h 11I11i�� CEG 12415.00 -17 SV MASTIC 2 EEG" 12415.00-15 SHEETROCK NEG. 12415.00 -19 CT MORTAR /MUD (NEG. 12415.00 -14 SHEETROCK (NEG . 12415.00 -18 (FORMICA MASTIC) NEG. 12415.00 -16 C TILE MASTIC UNIT 1112 EEG.. 12415.00 -24 SINK UNDERCOA €EG. 12415.00-20 SHEETROCK 12415.00 -09 SV MASTIC 2 12415.00 -1 1 1 SIDING UNIT 1 1 1 3 UNIT 1111 12415.00 -23 C TILE MORTAR FIRST FLOOR PLA\ LEGEND INDICATES WHETHER THE MATERIAL TESTED POSITIVE OR NEGATIVE. ' IAL MATERIAL ID. ABBREVIATIONS: * C TILE MASTIC = Ceramic tile with mastic. * C TILE MORTAR = Ceramic tile with mortar. * CB MASTIC = Covebase with mastic. * CT MORTAR /MUD = Ceramic tile with mortar and mud. * CT MORTAR 2 = Two layers of ceramic tile with mortar. * SV MASTIC 2 = Two layers of sheet vinyl with mastic. * SV 2, MASTIC = Sheet vinyl over sheet vinyl with mastic. 11757 -162 NEG. 12415.00 -13 ) I CT MORTAR J MA SAMPLE IDENTIFICATION NUMBER MATERIAL IDENTIFICATION (SEE BELOW) UNIT 1114 NEG. 12415.00 -04 NEG. C TILE MASTIC 12415.00 -07 CT MORTAR 2 NEG. NEG. 12415.00 -01 SHEETROCK 12415.00 -03 MUD & MORTAR NEG. 12415.00 -02 I SHEETROCK NEG. 12415.00 -06 WALL INSUL MW2 d 39 PACIFIC RIM ENVIRONMENTAL, INC. ASBESTOS SAMPLE LOCATIONS I' •O Inch 1/16 1 2 3 -Wir ^ri,�,f1T r rV.+ _.,. g Vl [ %t i w, L V L 0 �iiitll!! i�l IIIIIIIIII�III l�I�IIIlII!lii�iiii�1111 1IIlIII11 iiiIIIIII1IIIIIIIIIIIIIIIIIIIIIIII .IIIII1IIIIIIIII1IIIIIIi d iffild!l IIHIilii IIIIll I,• • I � ;' I � 1 1 1 1 1 1 1 I..1 1 1 1 1 1 , I 4 DRAWN BY: T. ENGESET 6 RESIDENCE INN BLDG 11 16201 WEST VALLEY HIGHWAY SEATTLE, WA 98188 DATE:02 -08 -02 JOB #12415 DWG #12415.00A NEG. 12415.00 -43 PAPER MASTIC ROOF EEG. 12415.00 -40 FELT EEG. 3 12415.00 -39 SHEETROCK ROOF NEG. 12415.00 -41 TILE 12415.00— 38 SHEETROCK NEG. 12415.00 -50 SHEET VINYL ROOF NEC. 12415.00 -48 SIDING R PENTHOUSE UNIT 1 122 EEG. 12415.00 -44 WALLBOARD NEG. 12415.00 -42 TILE MASTIC NEG. 12415.00 -25 SHEETROCK EEG 12415.00 -26 SHEETROCK ROOF NEG. 12415.00 -28 SHINGLES UNIT 1123 UNIT 1121 CEG 12415.00 -46` SPLASH MASTIC EEG. (VEG. 12415.00 -47 MORTAR /MASTIC SECO \D FLOOR PLA\ 12415.00 -45 WALLBOARD NEG. 12415.00 -27 INSULATION LEGEND INDICATES WHETHER THE MATERIAL p03-11757-162 SAMPLE IDENTIFICATION NUMBER TESTED POSITIVE OR NEGATIVE. MA ' IAL MATERIAL IDENTIFICATION (SEE BELOW) MATERIAL ID. ABBREVIATIONS: * C TILE, M. = Ceramic tile with mostic. * MORTAR /MASTIC = Tile with mortar and mastic. * PAPER MASTIC = Mastic on paper of fiberglass insulation. * SV MASTIC = Sheet vinyl with mastic. * SPLASH MASTIC = Counter backsplash with mostic. PENTHOUSE UNIT 1124 NEG.I12415.00 -30 SV MASTIC J ROOF NEG.I 12415.00 -39 FELT NEG. 12415.00 -29 C TILE MASTIC NEG. 12415.00 -36 —SHEETROCK NEG. 12415.00 -31 SHEETROCK NEG. 12415.00 -35 SHEETROCK ATTIC J NEG. 12415.00 -37 INSULATION ROOF NEG. FELT 12415.00 -33 0 Inch 1/16 • . . I I I I I I. ,:.1 1 1 1 1 �I 1. " 3 20111r. rirrr (WI rr r •` ��►y 1 .,a • I I I/ d NEG. 12415.00 -32 SPLASH MASTIC fl22'zo3? #49 NOT USED E PE, . R E S 1 D E N C E 1 N N BLDG 1 1 ASBESTOS ACIFIC RIM SAMPLE ENVIRONM LOCATIONS NTALINC 16201 WEST VALLEY HIGHAY SEATTLE, WA 981W88 DRAWN BY: T. ENGESET DATE:02 -11 -02 JOB # 12415 DWG #12415.008 5t Vl Ll i,t t �Jf; Z �- L L t 0 IIIIIII1 1 11IIIIIIII1 11 1111 11111IIIIIIIII�IIIII1 11 1111 111 1111 1111111111111111111111111.11111111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIII)