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HomeMy WebLinkAboutPermit MI98-0148 - TURNING BASIN #3 - TEMPORARY SHELTER DEMOLITIONDUWAMISH TURNING BASIN 3 MI98-0148 City of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 042304 -9187 Address: 10108 WEST MARGINAL PL S Suite No: Location: 10108 MARGINAL PL S Category: DEMO Type: MISCPERM Zoning: Const Type: Gas /Elec.: Units: 001 Setbacks: North: .0 South: Water: UNKNOWN Sewer: Wetlands: Scopes: Contractor License No: RHINERW346C1 Permit No: Status: Issued: Expires: MI98 -0148 ISSUED 08/21/1998 02/17/1999 Occupancy: UBC: 1997 Fire Protection: NA/ .0 East: .0 West: .0 OCCUPANT DUWAMISH TURNING BASIN #3 10108 W MARGINAL PL S, TUKWILA WA OWNER PORT OF SEATTLE - MARINE DIV PO BOX 1209, SEATTLE WA 98111 CONTACT ROBERT MACISAAC PIER 91, SEATTLE WA CONTRACTOR RW RHINE 1142 112TH ST E, TACOMA, WA 98445 k****************************** * * * * * * * * ** * * * * * * * * * * * ** * * * * * * ** * **k * ** * * ** ** ** * * * ** Permit Description: DEMOLITION OF 2400 SF TEMPORARY SHELTER. WORK PERFORMED UNDER DARPA PERMIT ISSUED TO PORT OF SEATTLE, PERMIT # 95- 2- 00970, DATED 12/12/97 AND TUKWILA SHORELINE PERMIT L95 -0032. 4*************************'************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Construction Valuation: $ 2,500.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Flood Control Zone: N Hauling: N Start Time: Land Altering: N Cut: Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: N Public: N Storm Drainage: N Street Use: N Water Main Extension: N Private: N Public: N k*************************************************** * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** TOTAL DEVELOPMENT PERMIT FEES: $ 51.50 k************************************** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Streams: Phone: (206)728 -3324 Phone: 206 - 728 -3178 Phone: (253)537 -5852 Size(in): .00 End Time: Fill: Permit Center Authorized Signature:_ tiLL 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 provision of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this development permit. Signature: Date: 4,./41,1? Print Name:- 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. CITY OF .rIJKWILA Permit Center. 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 FOR STAFF USE ONLY Project Number: Permit Number: Miscellaneous Permit Application Application and plans must be complete In order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. Project Jame/Tenant: pke "nmis f phei Y ' 643/x/ 57904i700 Value of " nstruction: .2, C, — Site Address: / &GT 1/7 - City State /Zip: /11114,:,/1,/k._ f'ii} ee- Sri 9 r/6 i r of t=/S 77-,= �` a .,/m- • Tax Parcel Number: 4¢2.304- 4'/87 Phone: 266-- 726) - .3/2-16' Property Owner: �Q,�' Street Address: /'/F--/e p 6 ! City State/Zip: 5.? _ Fax #: Contact Person: r 061WI M/�- CV- 0 Water Phone: 2 ©6 ^ 728 -3/ 78 Street Address: / i2 ________2/_______,2 ity State /Zip: »77 Fax #: 06 - 7 _g -- 3 7S7:6' Contractor: Phone: Street Address: // 4Zi-1 City State /Zip: /0-- Si . F.4-�r 774iwA 97-y9 c- Fax #: 9 -.3 -.s3/ -.7.,s 49-25 Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: pD. Phone: Street Address: City State /Zip: Fax #: MISCELLANEOUS, PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED, OUT BY APPLICANT) ,< .: Description of work to be done: t� l Me6�Z9r2�f S/- i `BOO s F 3 Will there be storage of flammable /combustible hazardous material in the building? ❑ yes 71 no Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets ❑ Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof ICI Demolition Cl Fence ❑ Mechanical ❑ Manufactured Housing - Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting " AP.PLICANTREQUEST.FOR MISCELLANEOUS PUBLIC.WORKS PERMITS':". ❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s). ❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing ❑ Landscape Irrigation ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only ❑ Water Meter /Permanent # Size(s): Cl Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous ❑ Moving Oversized Load/Hauling MONTHLY SERVICE BILLINGS TO:: Name: Phone: Address: City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: IPhone: Address: City /State /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 appllcatlon accepted: Date application expires: 2./ '-91 Application taken by: (initials) 4 *. ALL MISCELLANEOUS PEA,. T 4PPLICATIONS MUST BE SUBM ' D WITH THE FOLLOWING: i» " 1AA1,I:,pRAWINGt VAL BE AT A LEGIBLE SCALE AND NEATLY DRAWN D. BUILDING 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 ➢ CIVIL /SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) 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 -4, "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 notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW Submit checklist No: M -9 Above 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 0 Antennas /Satellite Dishes Submit checklist No: M -1 0 Awnings /Canopies - No signage Commercial Tenant Improvement Permit O Bulkhead/Dock Submit checklist No: M -10 Commercial Reroof Submit checklist No: M -6 n Demolition Submit checklist No: M-3, M -3a Fences - Over 6 feet in Height Submit checklist No: M -9 Land Altering/Grading/Preloads Submit checklist No: M -2 71 Loading Docks Commercial Tenant Improvement Permit. Submit checklist No: H -17 El Mechanical (Residential & Commercial) Submit checklist No. M -8, Residential only - H -6, H -16 0 Miscellaneous Public Works Permits Submit checklist No: H -9 71 Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 El Moving Oversized Load /Hauling Submit checklist No: M -5 0 Parking Lots Submit checklist No: M -4 71 Residential Reroof - Exempt with following exception: If roof structure to be repaired or replaced Residential Building Permit Submit checklist . No: M -6 0 Retaining Walls - Over 4 feet in height Submit checklist No: M -1 Temporary Facilities Submit checklist No: M -7 Temporary Pedestrian Protection/Exit Systems Submit checklist No: M -4 71 Tree Cutting Submit checklist No: M -2 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 -4, "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 notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: --- .r�,.- �:�;' - - Ci _ . / 1 %��� Date: 00/,�a �,, Print name: � Gam; f2.A- .,4.9c.- Phon 7 I Fa a6, f.3 /_,, * Address: City /State /Zip: • CITY OF TUrWILA Address: 10108 WEST MARi3INAL PI. S Su1te: Tenant: Type: MI'SCPERM Parcel #: O42304 -9187 •k k •k k •k •k k •k *k k * •k •k k * * : k k k •k :k k * k k *Ai •k •k •k *k k •k 'k k k **6 *4*** k'k k k •A 'k k k k h k •k k 'k •.4 .4 •k •k •k k k •k. •k •k k •k .•k, k Permit. Cond 1tionS: 1'. `Temporarrr erosion Control measures s,ha11 be implemented ass, the t irs.t' order of business .t.o..Dr.•ev,.en t sedimentation off -. site o r into ex i s t i ri a ..:, t: n r, rii'1';d r den '9e4 a+i; ir l i„ t i e s 2 7 'Haul ing over `50 c,v.:.h 11 require app 1:ictii ,,," r= a Permit prior ta,,,anv'°a5sorlared actitvity .. No changes t(1 ,h;e 'scope (ot,' demo 1 1 t l'on '.out�`I 1 ned'�c ' :;,t.he ap5rci- 'ved plans s0Xr 1 1 be, made 'wi-tl out'•Dr. ibr' 'appr^a.ua1 bv� T ik,wi 1a . 'B u i l'd i n a D 9.v l s ion,: '',,k*---'-.,. J a Al 1 ..per mitsr` ,1 sp►celon r, ~ec+ r`ds; and ap:px oved plan s:)a�1,1 a v a i la b ai, e.;'°a t,:i:,t h e .job �.:i't e R0,0, ,0, t 9. the start of ,.any .,l: c c rj. '-;`: tructi'1on. S�The. a :dQ'ctlmentS are 61. Y., be.. maint�trisned..yc"1,nd;,`•�ivai obie .untile final inspect,i!on' ?approv'e,1 is grante4d. .t air'. 5. Comply witf the reciuix,emp'ri'4, of TMC 16.04; Demo`1 itioti/Re1t' a.tion .t 'rtruc:tur es and " Art 1 ;l.est'7. of the tinifor�rni F'ire`��C,od r,J� :;qtr � i '�' �. «r •Remurve a'rl l weeds T coiicr eta,;:•tune i'. rundattons • f1 #t cofi ;'i, :c;.r 1 , concrete pat i or,h ma^ '44 iry w�1 °h r, garage f l oor�s , ;i .ir �l ve wataT(land similar' stru.c�ttr.re eland ,11 1'uti'se- •p1Isee1laneo,4#04/ l ,„ ma e+ i a 1 , „j' r,! uerl v,�cau s'an tar,�v sewer and water° conn �' c._ 111+,1 %s,. ,p uperr,1 t -i .,1..1,.._x„ v `�o .1w-vii s �`` �r ` i ect. ,a l 1 . ba.em'e;nt:s.�r .ce �l,ar... ,$epe,c tan}cs,,t we:fl,., s' andjut'he1 e: c vations :* Va >i'd i tv'�'of PerMI.t; .,. -0,e .1 ssyance .'of a, pe ii i t'ori appr ovgi L'1- s 06'. i f!i c a et jr1/, 'atilt comLutat1nfl ;,ra.ha11 not f .e prS1* st :seed to bp Leer niit,, -for orK ' n ,ippir0v°dl •�fxt any violati1'h 'ut \afly o1 ttse Trov1slorl .., of the; hLI .1,,,.1 ji,na codeK,or of Or r,,ri ;otlist�or din`al1ce of the iurisdicti,orvs ., °No pe: mrt” presu�m g g1ve',7 titll;mir i:ty to ,violate. or can�ce'1'rtt e, r,�av,1 ions.sett;thi • ,code . \ a1 l be valid { 5 Permi t Na. o : M198-0148 Status: ISSUED Applied: 83/10/1998 Issued: 08/21/1998 PLAN ?&ntU E�W/ROUTING SLIP ACTIVITY NUMBER: MI98 -0148 DATE: 8 -10 -98 PROJECT NAME: DUWANISH TURNING BASIN 43 XX Original Plan Submittal Response to Incomplete Letter Response to Correction Letter # Revision After Permit Is Issued D ':: u ■ Po Lsu i s i 4610 Fir Prevention NI NI c urdI U DETERMINATION OF COMPLETENESS: (Tues, Thurs) Complete El Incomplete Comments: I'an flfanning Division lit Co�Srdifiato DUE DATE: 8 -11 -98 Not Applicable TUES /THURS ROUTING: Please Route No further Review Required Routed by Staff (if routed by staff, make copy to master file and enter into Sierra) REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 9 -8 -98 Approved Approved with Conditions El Not Approved (attach comments) 0 REVIEWERS INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE: Approved ❑ Approved with Conditions 0 Not Approved (attach comments) fl REVIEWERS INITIALS: DATE: \PR.ROUTE.DOC 6/96 ;•*-Ir..4******AltA4vAlr9i:trlitft-A",4**,1,***.k***A****A"ichls—tr..4.-k*A**A.A.**:is**A-A**:Alielt* :‘.1 TV OF T,U1(WILA. WA IRAN:111'1 hqr * A •Ic * A—A .gc •Ir .1t—A"A * 4t * * 'A- k * * tk * 14 Oe * A"A—A 7A"Is TRANf3M3:1' Nt.tmberc: R9700Blii Aniciunt: • ()E1/21/9E1 12:43 P %..‘ ii( Mehodt CHLCI( Not at on 11 W I 14 - t DLI4 .4 .0. ••••01.410,••■••.**"......11101.4 ■••■ 40. • • • ••• .• • •• ••■• W w. 110 .6 • .6. 4. le, 0., ,60 • ■ .04 •••• Ulm ••• Pc-it-mit No: MI98.-0148 Type: 14ISCPE.RM MISCELLANE.OUS PERMIT Per eel No: 042304-91E17 S i h ddr.ess r, 10108 WEST I14Rt,1L PL S ' Loitcu 0109 MARGINAL E; 'rota"! Fees: Th 1 s Payment 53..,50 Total ALL Pmts.,: • Dal ance:}d• 00 kit *A******Aiklili.A2lA 41k1lAiriek7k**it*******Alcl% ik"Aivi*•A'Aitivillrit,A*A** Account Code Desc.:Lr ipt i on 0()0/322.100 IIU3:LL)ING PIONRES' 000 /-asci. 904 sTA.ft: BUILDING SURCHARGE .• .„ ..„ • May 5, 2000 City of Tukwila •::;zi2:'.jtrhs�w,t' Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Robert Macisaac Pier 91 Seattle Wa 98111 RE: Permit Status MI98 -0148 10108 West Marginal Place S Dear Mr Macisaac: RECEIVED MAY 1 Z 200a COMMUNITY DEVELOPMENT In reviewing our current permit files, it appears that your permit to demolish a temporary shelter, issued on August 21, 1998, has not received a final inspection as of the date of this letter by the City of Tukwila Building Division. Per the Uniforin Building Code and /or Uniform Mechanical Code, every permit issued by the building official under the provision of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, if a final inspection is not called for within ten (10) business days from the date of this letter, the Permit Center will close your file and the work completed to date will be considered non - complying and not in conformance with the Uniform Building Code and /or Mechanical Code. Please contact the Permit Center at (206)433 -7165 if you wish to schedule a final inspection. Thank you for your cooperation in this matter. Sincerely, (3»1Q (;)-62/11S-t-- Bill Rambo Permit Technician Xc: Permit File No, MI98 -0148 Duane Griffin, Building Official ASBESTOS SURVEY REPORT Port of Seattle Jack Hendrickson, Project Manager Project # D4779 August 5, 1998 Habitat Area TB#3 Duwam 10108 West Marginal Place So. Tukwila, WA 98068 FILE COPY 1 thr.t V.13 rInn crrcr3 cr,t1 orni,szion3 r.7.J cf C.:43 not authorize the vlolaticn ci codo Or ordinance. Receipt of contractor's Prepared by: E.M. RICHE & ASSOCIATES. Prepared for: PORT OF SEATTLE rry OF CONTENTS TITLE PAGE PROJECT SUMMARY Scope of Work Asbestos Survey Summary SUMMARY OF ANALYSIS RECOMMENDATIONS LIMITATIONS i 1 1 2 3 3 4 APPENDICES APPENDIX A APPENDIX B APPENDIX C APPENDIX D APPENDIX E Sample Location Sketch Laboratory Analytical Report- Asbestos Original Sample Data Sheets Chain of Custody Forms Asbestos FIazard Emergency Response "Act Inspector Certificate PROJECT SUMMARY E.M. Riche & Associates and its primary subcontractor, Med -Tox NW Laboratory, conducted a survey to identify asbestos - containing material (ACM) in a vacant storage building located at 10108 West Marginal Way, Tukwila, Washington. The purpose of the survey was to identify ACM that may be impacted by demolition. A total of four (4) samples were taken. The storage building consists of two stacked containers on each side of the building connected in the middle with metal beams supporting fiberglass ceiling. Walls consist of wood framing with sheet metal and fiberglass walls sitting on concrete foundation. There were no "as- built" drawings or previous environmental studies available for review for this survey. The recommendations and conclusions contained within this report are based on current regulations for. August 1998. Scope of work An asbestos survey was conducted at 10108 West Marginal Way in Tukwila, Washington on August 3, 1998. E.M. Riche & Associates, an independent consulting company, whose inspectors are accredited by the AHERA and the EPA, conducted the sampling. The survey was conducted at the request of Mr. Jack Hendrickson, Project Manager for the Port of Seattle. The purpose of the survey was to identify and sample suspect asbestos containing materials (ACM). The samples were sent to Med -Tox NW for laboratory analysis to determine their content and to present a report on their findings. Asbestos Survey Summary The asbestos survey consists of a visual inspection and touching of suspect materials. A walk - through inspection in each room at 10108 West Marginal Way was performed to identify suspect asbestos containing material (ACM). Sampling of the suspect materials was conducted and placed in plastic bags with field number labels, then sent to MACS lab. Based on the scope of the project, the asbestos survey meets the sampling protocol for the isolated areas of work as outlined under Asbestos Hazard Emergency Response Act (AHERA), 40 CFR 763. The building inspectors have completed the U.S. Environmental Protection Agency (EPA) accredited course, and the training certificates of the inspectors are located in Appendix F. Please refer to Appendix A for the sample location sketch of the residence. The following miscellaneous materials were identified as asbestos containing: Black tar sealant material- This material is used to rust proof I -beams of structure. There is approximately 48 square feet of this non - friable material at the end of the carport. Black & gray sealant/putty material- This material is used to seal seam of metal wall of structure. It is located on the upper level of the south end of the building. There is approximately 8 linear feet of this non - friable material here. SUMMARY OF ANALYSIS E.M. Riche & Associates collected 4 bulk samples for the presence of asbestos and sent it to be analyzed by polarized light microscopy (PLM) dispersion staining EPA method EPA/600 /R- 93/116. Analyses were conducted by Med -Tox NW accredited through the National Voluntary Accreditation Program (NVLAP) by the U.S. Department of Commerce. The asbestos analytical laboratory, which provides detailed sample information in Appendix B. The original bulk sample sheets are located in Appendix C. RECOMMENDATIONS 1. We recommend that the ACM identified during our survey be removed prior to the relocation or demolition of the building, in accordance with all local, state, and federal regulations. In addition, notification to the Washington State Department of Labor and Industries and the Puget Sound Air Pollution Control Agency (PSAPCA) is required. ■ 2. All building maintenance personnel, contractors, and any other person who may disturb the ACM should be notified of the contents of this report and trained in accordance with 29 CFR 1926.1101 prior to disturbing the ACM. LIMITATIONS We have prepared this report to aid in the evaluation of the suspect asbestos containing materials at 10108 West Marginal Way, Tukwila, Washington. Our services have been executed in accordance with generally accepted practices in this area at the time this survey was prepared. Materials sampled in one location and found positive for asbestos can be assumed positive for asbestos in another location where materials are homogeneous shall not be assumed negative for asbestos without further analysis. APPENDIX A I► Sample Location Sketch • CC z LY. w Z d 00 0 Laboratory Analytical Report - Asbestos .•, APPENDIX. C Original Sample Data Sheets ahc■►rUr..0 MATERIAL LOCATION 1(Address/Site) LOi C'�TI2N n (Poor) LOCATION III (Functional Space) t, ;z .pax ■Y_ ate+ - , LaGt (4ti.B.can1 COLLECTION METHOD U U. HAMMER & CHISEL CR- HAND COLLECTED ❑. OTHER. ❑- CUT ❑ • DRILL do BRASS'': SAMPLE COMMENTS INTERFERENCE FRIABLE BRTI•TLE YES U NO is DETERMINED BY: Hand Pressure. - Crumbly, - Briule, Powdery, ❑ - Tar Impregnated. tEL Gummy,,E - Pliable. ❑ Other SAMPLLNG ON Michelle R the AHERA 7 00- 01 -10 -01 COMPANY E.M. Riche et SHIPPING D ON /7 ! dd%/Gfc°/'C i DATE SHIPPED 34? LAS NAME' mtV —T4 OW ~ -.'LE CONTACT – - - - - -- -- - ttu Vmg" MICROSCOPIST 13%14. µ(Alta,/ LAB SAM # 980 ZOO 6 rrr *LAYERS I ASBESTO3(9e & TYPEI a•51 C4R. •1 sort Lt. *BOUND ASBESTO (% & TYPE LAB COMM RrS • • POSSCO,MMEYTS: PO T F SEATTLE eminirm RETI1LS CONPLLZLD FORS% TO Uirws Vi i. Mrrger SFATI7.E•TACOMA INTER.% 4 TIO•41. AIRPORT Y.O. BOX YI777 S ATR.E. W■ VIIM Ill.pes F4X.I3 .12116107 M.. t''OTt of Seattle ASBESTOS BULK SAMPLE DATA s._EET 4 DATE 1 k SAMPLE ID. SAMPLEID MATERIAL LOCATION I (Address/Site) LOCATION II (Floor) LOCATION III (Functional Space) PROJECT: ■ - -�'�. c ti U'dziteh, .12tad Prof. Number IF: COLLE o ION METHOD • HAMMER & CHISEL 151. HAND COLLECTED ❑ - DRILL & BRASS ❑. CUT Q. OTHER• SAMPLE COMMENTS INTERFE1RENCE BRITTLE YES - NO DETERMINED BY: 0- Hand Pressta'e, u Crumbly, El - Brittle. u • Poiwdery, - Tar Impregnated, Q Gummy, ❑ - Pliable. ❑ Other COMPA tit' E.�1. Richc i Associates ' 1.AE NAME ED rb X /kiw LAB SAM LE LABORATORY CONTACT SILL M(4r a MICROSCOPIST Blc.l.. 114 Lot It # LAYERS ASBEST•' (°c & TYPE) -1SBEST•• (''o & TYPE LAB COMM NTS /D °. CIO So 77 t METI'RS ('OM 1'OL t TO: AsbaNr PmenrA Ms.s it SEATTLE•TA('0114 IS-TUNA T10 %41. AIRPORT P.o. sox wrist SEATTLE. W n1IM �>rr� u►•stvn FAIL IaLMi 21114A.P/ �'a PORT OF SEATTLE POS COMM (TS: 411 .!4. t drum D j 1r r METI'RS ('OM 1'OL t TO: AsbaNr PmenrA Ms.s it SEATTLE•TA('0114 IS-TUNA T10 %41. AIRPORT P.o. sox wrist SEATTLE. W n1IM �>rr� u►•stvn FAIL IaLMi 21114A.P/ ut QUALMS kSBESTOS BULK SAMPLE DATA 5.( ,ET PROJECT: Pro . Nomaber #: SAMPLE ID. SAMPLED MATERIAL LOCATION i (Address/Site) LOCATI N II (Floor) LOCH N III (Functional Space) gad- Lcikd �wc�ea et tiN .'T~. '4g. • COLLE • ON METHOD U U. HAMMER & CHISEL ❑ - HAND COLLECTED 0- DRILL & BRASS a CUT 0- OTHER SAMPLE1 COMMENTS FRIABL1 BRITTLE YES DETERMINED BY: - Hand Pressure, U- Crumbly, U - Brittle. Powde ry. 1`''`'' NO ❑ - Tar Impregnated. Gurnmy,2 - Pliable. ❑ Other .•t�'; COMPANY E.M. Riche d: AAsocimes LAB NAME IktP -TLx Any LAB SAL\ PLE # ASBESTOS (% & TYPE) ASBESTSS(% & TYPE LAB COSth ENTS LABORATORY CONTACT B11 1/4u,rra 1( 'rO$001d MICROSCOPIST 13:2 L #BOUND POS COMM TS: PORT OF SEATTLE tc;t1c VI) 0i2Ifi u & ±oitl x.f) ILLTI'R\ 0011 1 ION TO: ♦ m.= t•ot• Shrum SEA TTLFiTACONtA INTEIL% TIONAL IRPORT P.O. SOX MTV SEATTLE. WA N11M FAX IJOilim- 7 DATE SAMPLE ID. SAM PLIID MATERIAL LOCATIIN I (Address/Site) LOCATII)N II (Floor, LOCATIDN III (Functional Space) 11 ASBESTOS BULK SAMPLE DATA Et 'ET PROJECT: �....• •■••••••1••v COLLEC TS! ®MI Misc.1'1 • Prnj. Number *: TION METHOD 13, ILL Lid c1,41 . - HA%IMMER & CHISEL Q• ELAND COLLECTED ❑ • DRILL & BRASS; CUT C.I. . • OTHER. SAMPLE COMMENTS . L, J1 PA INTERFERENCE FRIABLE BRITTLE YES Q NO SAAIPLIN PERSON Michelle iche AHERA 700- 01 -10 -0 I DETERMINED BY: 0- Hand Pressure, Q Crumbly, ❑ - Brittl 1iJ - Powdery., ❑ - Tar Impregnated. EX Gu mmy. - Pliable, • ❑ Other • COMPANY EN. Riche IL Aswciaus SHIPPING D g ON dJ,?jgrgd DA'L'E SHIPPED 3 -' LABORATORY LAB NAME CONTACT PAIMOSCOPIST • at11 4/611,4 MFD- r y KN LAB SAN PLE # Bilk Kul", isogoo4.B �OhC afrc{TG( ASBESTOS (C7e & TYPE) ASBESTcJS i''e & TYPE 1.AB C:OMNIE.VTS 1'()! CON1Ml -NTS: ItETI*RN CO I # LAYERS 0 BOUND BIP.LV Yt r' ■C rJ ETED FORAI TO: Asamour Igram!IDyer 'TATTLE•TACOSIA INTERN ATIOAAL AIRPORT f.0. SOX ar777 SEATTLE. N'A yawl oat 41343,10 FAX 12061 3.064437 TOTAL P.05 hi• Chain of Custody Forms 0 z 0 0 z ao 0- 0 G 2.1C- z t.• Laboratory ID No. 71; .11 ( .1.: 1,.. f ..) •;. ', t 1 .' ' • ' el ;••• ••• — •.• • Z) •:-...% — -•-• a) C.) (.1. t-; 7-, (7: 7.: > ,, ••11 (11 '''.. ,0 ......• V) 0 .:...: ..,_• -..2.1 2, (-..) .= C.) •11 '' —J .7, '75 o 0 (.9 a 6 c 73 .A. a 0 0 :•,,,, CV O 0 (Z) C• co CD P 0 CD C) C) — •-•••• U N .) 23 c) :_; .-- •i T • -LC) 2 .:::: coancoa.an rz,000c0— a. f— r.: (7, ,..- 1.0 (1, I--- cr.i c) cn — ,..., ("1 Cs1 (N.1 C‘.1 (N.1 (V (-I ••7 .5U ••• •-) (.0 :V IN ( co. • I < .0 CC 0 CD L.LJ = 7":.• 0 u) 2 2 2 2 2 E Lit o. •.:•_-. < —.4 1.11 W g-g. 0 W co :',E eL .. CL Q) I— ,..,0 O. I-- >- cc+ ?. U 0 .o • co .0 (., -Fa as .3 0 0.. cu Jo 0 I-- r) •—■ g , ligg.:J ----, ug. o. G Oft • • ....: = E . • • • . . -6 EL.2 c-ii [ City: State/Zip: X co a) c� o CL r•-•• ..s U 1- C Client Project No:; MTNW Project Mgr.: Project Name: c,,1(• 3 M.T will 0 dispose of 0 return sample Li 0 17. • • i• • — J • . • • ..• •••• • • . : ■•■ LI N•••••• -?..• 6 e., ?....) 8 C .11•. c. 76 <0 Ce 0 .47 1 PZ I analy ' me'1 a ,js.4Yr:6- of mercPrY (Hg) -..---.....-' ' „ k .....,.*;:ii iPel (Ni) tijo -.. (Se) I ,...ri_ium - .( 8 (Ag) iver 7,..-ii•:::::::.:,:t:,-. ... C.) )41 er C I....• ...... \... 1 I J7 Tk N'cise 17 0 .3 ..), 3 Cr Receipt: [ Total no. containers received COC seals present? COC seals intact? Received cold? Received intact? , •,, ••.,... s•, • :• x • ••• -• • • ••••• • i-Aroundl days days I days , ..s IF hours 0 0 0 0 = V f 4 .0 PI •••• NI APPENDIX B Asbestos Hazard Emergency Response Act Inspector Certificate ')..... .... ,5' lt.I,S vat 1 , ..10,1..-11), --: 7: 277-: -.-- -.- 7 ---'77"4 7-17. -7717/-",'"'"""":w. 77 7"7"."/.7.7.— — 7,.•. --, — • • ^-r—r..-p- Michelle Riche has successfully completed the AHERA Building Inspector Training Course in accordance with 40 CFR 763, Subpart E, Appendix C held the 13`h through the 15th day of October, 1997, in Bellevue, Washington. Exam Date: October 15, 1997 PRINCIPAL INSTRUCTOR October 15 1998 EXPIRATION CATE 1.4tet6‘.._ TRAIING DIRECTOR 7100-01-10-01 CERTIFICATION NUMBER EHS-International, Inc. Nine Lake Bellevue Building • Suite 20a• Bellevue, Washington 98005 (425) 45S-2259 Phone • (800) 666-2959 • (425) 646-7247 Fax Ir. 07/1648 THU 15:55 FAX 206 243 9045 WALLICK RCM TO •TTOMTIOW 00 DEPARTMENT OF THE ARMY SEATTLE DISTRICT. CORPS OP ENGINEERS P.O. SOX 3755 SEATTLE, WASHINGTON 98124.22$S Regulatory Branch DEC 1 2 1991 Port of Seattle Environmental Management Section Post Office Box 1209 Seattle,. Washington 98111 Gentlemen: Enclosed is a Department of the Army permit which authorizes performance of the work described in your referenced application. You are cautioned that any change in the location or plans of the work will require submittal of a,revised plan to this office for approval prior to accomplishment. Deviation from approved plans may result in imposition of criminal or civil penalties. Your attention is drawn to General Condition 1 of the permit which specifies the expiration date for completion of the work. You are requested to notify this office of the date the work is completed. r, Li u ` • JUL 11 WATERFRONT OFFICE RESIDENT ENGINEER F!LE COPY I uric. z: :.,.:I t :',:t t Flan Sutt,: :1 to r:::;.a c.ad omIosfor,3 c .J ;'; i cf plw:.:Re;f r netfuthM alf109 g:i: : ::i cl cny cd-ptc.I coda or otit ( eRdEffittof' tontractcr's 4g002 Enclosure .NPS FL 1145 -7 APR 91 (Rev) Sincerely, Thomas F. Mueller Chief, Regulatory Branch PERMIT cem 11 Aency Case No. 9801119 P!' '"ET SOUND AIR POLLtJ 1ON CONTROL F "ENCY ( 10 Union Street. Suite 500. eattle. WA 98 101( ,8 NOTICE OF INTENT TO PERFORM: Date Received r-apCA JUL 06199$ Agency (Ise Only A. Project Tvpe: 11, ❑ Asbestos Removal 1 2.0, Asbestos Removal & Demolition 13. ❑ Demolition. No Asbestos Removal B. Property \\ `` \\ / l Owner: � DC T C - '1A 1 1 -e r (DJ CS�fi Phone: (d4 )74 Property Owner's Mailing Address: PD P)(- �O City:' pG State: 1 Zio9 J)/ C. Asbestos Contractor: P Sc ?RJNTCLEARLY. THIS' WILL 3E YOUR RETURN,ALULJNG LABEL c Contractor Owner /CEO: Mailing Address: City: ia..C) Mai f State: i,e�_ Zio: '-7U L-1(9 D. Site Address: 3 u \A}A uX.t \/ iv NI; i ✓19 .y-t5 Project iManaser or `- Contact Person: � r 1 l C__ Phone: 297 17 Le, (453) Li-7a yea 1 Fax: Contractor Job No.: State: L;Ce.k.._ Zio: Phone: (c3) 7 E. ' Asbestos Survey or l7 Mat'1 Presumed: AHER.A Building Inspector Name: F. Demolition Information: Demolition Contractor: No. of I J Structures: I ..A SURVEY /S RE L'lRED d£r ALL DE.H Dace Survey was Conducted: Was Asbestos Found? ❑ If No, Attach Survey es ,1,V ,AREA Q QU GN PROJECTS Envxi� on rn��. -.\�c\ Certification No.: Expiration Date: No. o cy)1 Start '� Training Fire (List Fire Dept. as demolition contractor below) Strict- Dace: - 1 f5 - �pj I ❑ Ordered Demolition (attach cony of Order) PRINT NAME HERZ..i.V T E.i .ALUL'.G .ADDRESS i.v 30X 1 ON 3.4C.L IF n R.Ai.w vG 3UR.v E.VTLi FIRE DEPT. HERE • w, ��� r`.-z .rn L • Phone: (o53) 537- ScSS ;,. Asbestos Project Information: No. of Structures: l (see back if > 1) 1 Start Date: -/�-96 Completion _ n Dace: 8 -1. - 78 Wk. Days-I. R% T Hours: -7 - .s Sa Su 6.e 1-i r +16,7 ii Mk- Will all asbestos material be rocaI Quantity to be Removed: Linear Fc. Square Fc. I removed by oroiect completion. yes ❑ No Fne„nal System Insulation: 1 'J Boiler Furnace Ins. ❑ Duct Ins. ❑ Pipe Ins. I Other: . Surfacing Mac'!: 114. Fireproofing ❑ Paints 0 Plaster ❑ Te.aured Coatings I Other: 3 Days N,fisc. Mac'l: I :.J Cement Bd. ❑ Cement Pipe ❑ Flooring Mac'I 0 Roofing tMac'I j Other. 4. ' 260 - 999 linear feet or 160 - 4.999 sauare feet H. Asbestos/Demolition Project Categories: 1. ❑ Owner - Occupied Residential Asbestos Removal Project ❑ Owner - Occupied Residential Asbestos Removal & Demolition Project '! Owner - Occupied Residential Demolition Project. No Asbestos Removal Notification Waiting Project Fee Period NON - REFUNDABLE Prior Notice S25 2. 0 All Other Demolitions With No Asbestos Removal Proiect 10 Days S150 3. ! 10 - 259 linear feet or 48 - 159 square feet (see back of form for options) 3 Days 5150 4. ' 260 - 999 linear feet or 160 - 4.999 sauare feet 10 Days 5300 5. ' 1.000 - 9.999 linear feet or 5.000 - 49,999 square feet 10 Days S750 6. ' 10.000 - 49,999 linear feet or 50.000 - 99.999 sauare feet —770-50.000 10 Days 32.000 - 99.999 linear feet or 100.000 - 149.999 square feet 10 Days S5.000 3. tJ 100.000- linear feet or 150.000 square feet 10 Days 510.000 9. '0 Emeraencv Asbestos Project or ❑- Emeraencv Demolition Project Prior Notice Twice Project Fee i0. 'J .Alternate Means of Compliance for friable materials or ❑ Demolitions 10 -Dav Review Period Twice Proiect Fee 1 i. :Alternate Means of Compliance for nonfriable asbestos materials Concurrent with Project Twice Project Fee I do herby cry that the information contained in this notification, and supplemental date described he .ccur_te and complete. t shall not cause or allow any asbestos projec: or demolition activities to begin tiaili lapsed 1(:)116 _Q/ Signature of my Ictowledge appropnate waiting period has AUG 1 0 1998 LO {23h'i r� t i .Try (rover cam€$ -9& Representing Da:e Completeness Review Performed By; 1 Agency lase On /v Agency Use Only Case No.: Amendment No.: PUGET SOUND AIR POLLUTIO CONTROL AGENCY 110 UNION STREET, SUITE 500 SEATTLE, WA 98101 -2038 (206) 689 -4090 FAX (206) 343 -7522 Agency Use Only Date Received NOTIFICATION AMENDMENT ASBESTOS PROJECT CZ2DEMOLITION PROJECT PLE,IJEPMTCLEARLY. THIS 1V111dI i OUR Rt1LH,VS1.ULI,VGL.id .L. Contractor: Owner /CEO: �, 4.1 ;, Mailing Address: j 1 ca Lt 1 1 a,.±5- S--1-- Phone: (c>15 7 5-6Sa, City: /GCCr."YY\c&_ State:W Zip: gg74s- Fax: (a53) S3V-9s7V ALL AMENDMENTS REQUIRE A S50 FEE, EXCEPT WORK SCHEDULE CHANGES FOR CONTRACTORS PARTICIPATING IN THE WORK SCHEDULE FAX PROGRAM. THE FEE MUST BE ATTACHED TO EACH AMENDMENT, UNLESS THE CONTRACTOR IS•PARTICIPATING IN THE PRE - APPROVED BILLING PROGRAM. ANY AMENDMENT THAT CHANGES THE PROJECT TYPE OR PROJECT CATEGORY IS SUBJECT TO THE NEW NOTIFICATION PERIOD AND MUST BE ACCOMPANIED BY THE APPROPRIATE PROJECT CATEGORY FEE. PLEASE ENTER CURRENT NOTIFICATION INFORMATION BELOW: AGENCY CASE #: 9&0 1 q PROJECT CATEGORY CONTRACTOR. ar, JOB # c,Li S JOB SITE ADDRESS: 101 05 lAD f j I not-, 191 c4 C-2 Et icj PLEASE ENTER AMENDMENT CHANGES BELOW: ❑ NEW, PROJECT TYPE. ❑ NEW JOB SITE ADDRESS: ❑ NEW DEMOLITION STARTING DATE: ❑ MULTIPLE STRUCTURE PROJECT: (Attach map, site addresses, type and amount of asbestos material & work schedule) • ❑ NEW PROJECT STARTING DATE: COMPLETION DATE: ❑ NEW WORK SCHEDULE DAYS: NI T W TH F SA SU; WORK SHIFT HOURS: ❑ ADDITIONAL QUANTITY TO BE REMOVED: SQUARE FT LINEAR FT (NEW FOOTAGE TOTALS: SQUARE FT LINEAR FT) NEW TYPE OF MATERIAL TO BE REMOVED (PLEASE INCLUDE THE QUANTITY FOR EACH TYPE): 5 . -4- uL _ LI: 1ZADDITIONA INFORMATION (ATTACH ADDITIONAL SHEET IF NECESSARY): \ost. IN/L I DO HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION AND SUPPLEMENTAL DATA DESCRIBED HEREIN IS, TO THE BEST OF MY KNOWLEDGE, ACCURATE AND COMPLETE. SIG, : I TL'RE DATE . flu-- a 1 c. CONTRACTOR: iZ M.. i1 -. • /•t 11 1 /7 AGENCY USE ONLY REVIEWED BY 08/21/98 12:45 FAX 206 531 9548 R.W. RHINE INC. 2002 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL RHINE, R.W INC .1124 E 112TH TACOMA WA '98445-3798 F623 -052-000 (8177) 2