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HomeMy WebLinkAboutPermit D14-0187 - RIVERSIDE RESIDENCES REPAIR - SMOKE DAMAGE REPAIRRIVERSIDE RESIDENCES REPAIR 11244 TUKWILA INTERNATIONAL BLVD D14-0187 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 ' Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov DEVELOPMENT PERMIT 0923049153 Permit Number: D14-0187 11244 TUKWILA INTERNATIONAL Issue Date: 6/17/2014 BLVD BLDG 3 Permit Expires On: 12/14/2014 RIVERSIDE RESIDENCES REPAIR Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SLEEPING TIGER LLC 2900 NE BLAKELEY ST #B , SEATTLE, WA, 98105 BILL SUMMERS PO BOX 261, MEDINA, WA, 98039 OWNER AFFIDAVIT Phone: (425) 454-3775 Phone: Expiration Date: DESCRIPTION OF WORK: REPLACE APPROXIMATELY 210 LINEAR FEET OF 4 FOOT WIDE SHEETROCK REMOVED FROM CEILING IN CORRIDOR DUE TO SMOKE DAMAGE. Project Valuation: $10,000.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: Fees Collected: $305.12 Occupancy per IBC: Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: TUKWILA Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Mainxten'sion: Strtt Dfaiii :y Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: I hearby certify that I have read and e provisions of law and ordinances gover amin ing Date: this permit and know the same to be true and correct. All is 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..) am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: �u Print Name: Date: li / /77 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. 5: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 7: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other•data. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0101 PRE -CONSTRUCTION 0413 WALL SHEATHING/SHEAR CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov BuildingPa mit Project No. Per Date Application Accepted: Date Application Expires: (F'or' office use only) CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: Tenant Name: ^� U(� i� ' , r -� King Co Ai sse 'sor's Tax No.: �� cic� q t 53 c3� I I Vt¥-W lCi IV�t 1• 13 )VC4 (1 t L✓tk �181 tie Number: Floor: ' 'vex -Sick. 'JZ ec� l cleii(e New Tenant: ❑ Yes w ..No PROPERTY OWNER Name: 5 (e / filli) orf, .....0__ Address: p O zum City: wn e,( it State: Lt44 ZipC.j3c1 CONTACT PERSON — person receiving all, project communication Name: 0 i t t S, ti',ih� c.. h Address: qri - r t (' flAtCity: „(_ o. State: (AA CCJ�- Zip: j' ^ 1 Phone: (t U,3�'i ax: C4 1 1j-374 1vkin'Kort, 1 Email:iit1‘(, _ �fwlikeF2�,C0iYl GENERAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: ARCHITECT OF RECORD Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19 27.095) Name: Address: City: State: Zip: H:\Applications\Foam-Applications On Line 2011 Applications \Permit Application Revised - 8-9-11. docx Revised: August 2011 bh Page 1 of 4 UILDtNG PERMIT INFORMATION 70 Valuation of Project (contractor's bid price): $ l b t ow Describe the scope of work (please provide detailed information): Existing Buildin IL.t cveYoA. d I ° li View Feet- x Li Feet LjOe-- 5 k ee C Df >r t \oy du - -c e Ialvtc e Will there be new rack storage? ❑ Yes g Valuation: $4,175, 000 -tack a m cv-ec1 f ' E .. No If yes, a separate permit and plan submittal will be required. Provide All Bullding Areas i Squa e Footage Below Interior Remodel Addition to Existing Structure Type of Construction per IBC Type o€ Occupancy per IBC Floors t Accessor Attached C Gar Attach Cat Cover D� Uncovered`. PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes f No If "yes', attach list of materials and storage locations on a separate 8-1/2"x 11 "paper including quantities and Material Sa ty Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line \2011 Applications \Permit Application Revised - 8-9-11. docx Revised: August 20l bh Page 2 of 4 PERMIT APPLICATION NOTES 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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O)VNER9RAUTH Signature,/ )fl ( . Print Name: IZED AGENT: W,t) i 1(1am C, Svcmaws Date: (p)1 j1/ Day Telephone: ( Lj )L5L(3 7 -5 Mailing Address: PO Bo D(D) «M i Y1C1 t 981)3q City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-1 Ldocx Revised: August 2011 bh Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS Pee itrTRAK ACCOUNT QUANTITY I PAID $305.12 D14-0187 Address: 11244 TUKWILA INTERNATIONAL BLVD BLDG 3 Apn: $305.12 0923049153 DEVELOPMENT $290.80 PERMIT FEE R000.322.100.00.00 0.00 $286.30 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $1432 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES PAID BY RECEIPT: R2394 $14.32 $305.12. Date Paid: Tuesday, June 17, 2014 Paid By: WILLIAM SUMMERS Pay Method: CREDIT CARD 017638 Printed: Tuesday, June 17, 2014 11:43 AM 1 of 1 CANWSYSTEMS INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 PrqKct: �, i V e vs i ck-P Gi y i Ad'5 Type of Inspection: �, 1440'A cn � L.r41 r-1 1 1.4. A [ e�,t, Ci t Date Called: r Special Instructions: Date W ted: ( -z7—i V a.m. p.m. Requester: Phone No: ®Approved per applicable codes. Corrections required prior to approval. COMMENTS: Ins Date: 2. 6- /i/ ' SPECTION FEE RE !RED. Prior to next inspection, fee must be at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectlon. Ntl INSI CTION RECORD Retain a copy with permit fib, 14 -0107 INSP T N PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila.4WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Prot: ,, IV e vg j c\ -e Type of Inspection: F ► +V A L. Address: I t 2 1-144 —r. r Date Called: Special Instructions: Date Wanted: L/ Ca.m. q31-2_g`i t Requeste Phone Sb3C..) t.Approved per applicable codes. DCorrections required prior to approval. COMMENTS: e,-nn i‘-40/ NSPECTION FEE REai aid at 6300 Southcenter 1 Date* r 1 dtl (53 29 /9/ IRED. Prior to s!(ext inspection, fee must be lvd.. Suite 100. Call to schedule reinspection. INSPECPTbN INSPECTION RECORD Retain a copy with permit Ds7 PERMIT NO. .01') CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 7e/cti:4045/41(.0 �� spe Yper-� Ai Addres : // 2-yy 6 Date Called: pecial Instructions: Date. ted: a.n. m: Requester: proved per applicable codes. Corrections required prior to approval. oM EMTS: c !_ TWiS - wprai .S) ov.e.62,e00 PECTION FEE REQUI ED. Prior to%next inspection. fee must be t 6300 Southcenter : d.. Suite 10 Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit D (1--1-01 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request tine (206) 431-2451 t: 1 U•P.vslc e Type of Inspection: S t,t,.)Ir Address: � J,,, T S��L J— � Date Called: pecial Instructions: bate Wanted: -7— 31- i � , 4 -P-Av Request A kJ N) Lf Phone No: 2%_9&-27 - 3<' QApproved per applicable codes. tJ Corrections required prior to approval. COMMENTS: -P .4) _ zsv JB - Ic — -T u.if3 Ise .7,1 0,1 V or: Date SPECTION FEE REQUIRED. Prior to next inspection. fee must be at 6300-thcenter Blvd.. Suite 100. Callao schedule reinspection. INSPECTION RECORD Retain a copy with permit iLl-CI07 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Projt: ( ik'rsi('P T Ci,J Type of Inspection: tre - tr.)c.-1 Address: Date Called: Special Instructions: Date Wanted: a.m.. Requester: Phone No: LJ Approved per applicable codes. aCorrections required prior to approval. COMMENTS: OK 1-(. 0 i <') 5. 6 6 k! . e Z{4-€(( i n}rt` sN pn\S `n ^ 1 - A ..40u 1K. , i In ct tInnin 114J�kti o SPECTION FEE REQL IRO. Prior to n xt inspection. fee must be at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Da" q INSPECTION RECORD Retain a copy with permit IN T . PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southce*er Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 D +c 8 7 Proj1`,. r.1pd'S�‘C roc-) �tC) y f ins coon: T f e t s- ✓Ica 1 tu` Address: Date Called: Spt\ci4I Instructs ns: Date Wanted: 2 Iif a .m. Requester. / Phoneb 2 2 Sim 4 D Approved per applicable codes. DCorrections required prior to approval. COMMENTS: 9 A t � A b 4d V-) c , 1-A C ,0i (0.,i�j R i i\ (1 \ c din , J Cq) Lc-p✓ 4,Lt f : .115 �-!i , iArt /c3).c-i, v rAc- �" / - Jr l-k L ty . �p�, (/—e, 9rop(9cilac/ ,:;:,;r tV 1'�' 31tNPc --1 6 nUvt ,--,t 6ato-, i (4? lv 5o Fero ?,c:. .,:.. 5:) e N O r�i k)c- k,J' k l\ N' ->k t ra 1 sA1- : ' `I/ F' EINSPECTION FEEEREQUIRED rior to next inspection, fee must be paid at 6300 Southce ter Blvd., uite 100. Call to schedule reinspection. INSPECTION RECORD ?_11 Retain a copy with permit -O IS7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Pt ' e, .I1 �° VS ac 1� Typ Insect jzE , Qum Address: Date Called: (`� .____ ISCIS —ri) Special Instructions:? C� 11� 04 f. S�si 646'vZ©'--Zjc. Date Wanted: --ip, _ ` �p a.m: Requester: 5 6 3 0 roved per applicable codes. Corrections required prior to approval. COMMENTS: R pai 1 CTION FEE REQUII D. Prior to 00 Southcenter Blvd.. Suite 100. Date: ext inspection, fee must be all to schedule reinspection. CITY OF—'JKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431-3670 Application # k-Dai ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception Project name Je+fS tc( 4eAJg42- ,1-, Address 1 iP-144 Description of work 1 ierAcie Related reference number The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: ( Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form. ) Building Mechanical Other 2. Minimum plan and/or specification requirement: Site plan Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. compliance Narrative Structural calculations ( stamped by Washington State licensed engineer ) Specific required information Yl-E" Cod 3. Other special instructions: ic.3 1-Ct S 1-(.400 `'t—c0 -� i e tc Authorization by TBD3/96-form 12 Date ( Authorization void 30 days after the date issued. ) F e c, L)_o t g Julie Dunkin From: Sent: To: Subject: Attachments: Importance: Please print & give to Danny. Bill Summers <bill@summersdevelopment.com> Monday, June 23, 2014 1:56 PM julie@pacnwh.com FW: Final clearance reports for Riverside Extended Residences - 11244 Pac Hwy S - Tukwila, WA Riverside Residences- Clearances from 4-4, 4-8, 4-9, 5-1.pdf; _Certification_.htm High From: Brian Jones [mailto:Brian.Jones@us.belfor.com] Sent: Monday, June 23, 2014 11:41 AM To: Bill Summers Cc: Joel Booth; Ken C. Johnson (kenjohnson@allianceins.net) Subject: FW: Final clearance reports for Riverside Extended Residences Importance: High Good morning Bill, RECEIVED CITY OF TUKWILA JUN24 PERMIT OIENTER - 11244 Pac Hwy S - Tukwila, WA Here are the air clearance reports after the abatement - Hope this is what the City needed. Please let us know if anything else is required. Thanks again, Brian Jones BELFOR USA From: Debi Franklin [mailto:Debik@ttnw-inc.com] Sent: Monday, June 23, 2014 11:21 AM To: Brian Jones; Bob Guiley Subject: RE: Final clearance reports for Riverside Extended Residences - 11244 Pac Hwy S - Tukwila, WA Importance: High 1 Mr. Jones, Please see the attached 4 clearances from 4-4, 4-8, 4-9, and 5-1-14 at Riverside Residences. Thank you, Debi Franklin Thermatech Northwest Inc. Office #: 253-984-1818 Ce11 #: 253-606-0286 Fax #: 253-984-1886 i • Email: debif@ttnw-inc.com Website: thermatechnorthwestinc.com Physical and Mailing Address: 10312 Sales Rd S, Lakewood, WA 98499 From: Brian Jones[mailto:Brian.Jones@us.belfor.com] Sent: Monday, June 23, 2014 10:54 AM To: Bob Gulley; Debi Franklin Subject: Final clearance reports for Riverside Extended Residences - 11244 Pac Hwy S - Tukwila, WA HI Bob and Debi, Can you send the final air clearance and the reports for the original abatement and the pipe wrap abatement — the owner and the City of Tukwila are requesting them. Thanks again, Brian Jones BELFOR Property Restoration 4320 South 131st Place, Suite 100 Seattle, WA. 98168 Ph# 206-632-0800 Cell 206-369-5356 Please consider the environment before printing this e-mail IMPORTANT: This transmission is sent on behalf of BELFOR USA GROUP, Inc. and it may be privileged, proprietary or confidential. It is intended only for the intended recipient. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by telephone at 206.632.0800 or by email at brian.iones@us.belfor.com or by facsimile transmission at 206.547.0800. and please dispose of and delete this transmission. Thank you. 1. 2 4 Asbestos Air Monitoring Data Sheet Project Name: Project Address: Sampled by: L1 244 pa ; f; Project # Sample ID# Riverside Residences Sample Description/Proteedon Worn Description or activity involving exposure to asbestos being monitored Work performed: ►a A (I o_, CEi i a fee Comments: s//.� .k*# f� S•,(0 not %/i4/�rtar�r /bi Rotometer # [�Q Calibration Exp. P. tL-/6�1y Cert. #: Work performed: Comments: Work performed: Comments: Work performed: S Comments:r�.teE Pti/� / 64/W 04464 rs. r N ),t 4¢/f jr O.4s idc ca Rotometer # Calibration Exp. Name: P ti /!.-/t1 Cert. #: .564.e.eis oy, L/ /itE j y4>L 4r, Rotometer # /__ Calibration Ex Name: F• Cert. #: Rotometer # Name: Calibration Exp. y Stti,A36 a Cert. #: Work performed: Comments: Rotometer # Name: ve Work performed: Comments: Rotometer # j� g _ Calibration Exp. Name: P)2-6y-t tf "Cert. #: A Are —a eS Neg-Air Exhaust Outside Area PA Pre Abatement Outside Devon Inside Area Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 rea Personal Stel Clear ersonal Stel Clear Pre rea ersonal Stel Clear Pre Area ersona Ste Clear Pre Area P rsonal Ste ear Pre Area Personal Phone: Seattle (425) 562-4556 Tacoma (253) 984-1818 (253) 984-1886 Date Sampled: * 4/q% Spvsr. Cell: 2 3 03 Lab Name Start: kw End: /2:1° Total: t 2-n Alsace P Personal Stet Breathing Zone Start: $ End: /O Avg: /4 Start: /0 End: /a Avg: fA Start: /, End: /17 Avg: /d Start: 3 _a End: 3�a A vg: 3, d Start: End: /3 AAg: /3 Fax: C Clearance Volume Fibers per Fields Fiber /cc �o.00Z Rec'd by: RevDate Rec'd: Re oxos '""'�`-`�`' .3iy Time Rec'd:__f 1i Q_/pm Analyzed Distribution: Thermatech retains: PINK y by: Date Analyzed: Lab retains: YELLOW Lab returns: WHITE (Original); Thermatech with report i &< iv e r j' ossifte-,.-t �yvL-- ;�,,,, i , y (to src cYeti I 1`1 t505 " ,nai ( cHli NVL Batch ID 1405635 Asbestos Air Monitoring Data Sheet Project Name: Project Address: Sample rn# s8 Ala cc\ Riverside R�iKINSifKKK Residences 11244 Pacific Ywy Tukwila. WA 98168 S Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 Sampled by: ev/; /se' .' _Date Sampled: Project #: t o n a t 9 Sample Description/Protection Worn Descnption or activity involving exposure to asbestos being monitored Work performed: r�w4 /f attE Comments:5#1. s Grnil�2Let Rotometer # t /�? Calibration Exp. Name: ��`�-- Cert. #: Work performed: cst r/1 OW/j-7 Comments: �tf 4ti. "Tri t /A 4,444.047 (teem Rotometer # /(Q9 Calibration Exp. / z-/v�-/ty Name: Cert, #: Work performed: Comments: St^, F 2qj 0Nl9-7 Rotometer #_ ,�, _ Calibration Exp. /t. -/ 4—/ Name: a� ( 7�1�t Au A Cert. #: y Work performed: Comments: Siete 1 /9-7 Rotometer # / 5d _ Calibration Exp. / A(t,-Ai Name: b' /lase q Cert. #: Work performed: Comments: Rotometer # Name: Work performed: Comments: Rotometer Name: /( ' saw #95 Qy/9--7 Calibration Exp. ___tx ►lo/y Cert. #: _ _ Calibration Exp. Cert. #: A Area Samples Neg-Air Exhaust Outside Area Outside Decon Inside Area Rec'd by: Rev. 02/05 PA Pre Abatement Type: (A.PA.P. C. Pre) Area Personal Stel Clear Personal Stel Clear Pre A crson I to Clear Pre Area Zonal Clear Pre Area Personal Pre Area Personal Stel Clear Time Start Time End Start: 73-a. End: $: So Total: Start: g,•yo End: q:5b Total: Start: $: YD End: T:5 Total: Start: ?:oo End: 1 "3a Total: Start: to End: 1 l •• 3v Total: 90 Start: End: Total: Phone: y_$_/ Fax: Flow Rate start: 13 +C End: /a. Avg: 13•D Start: 1 0 End: t Avg: tO Start: 3 • r� End: 3,; Avg: 3 :b Start: 3 End: 3. c7 Avg: 3. Start: 13 . c) End: 13 ,a Avg: t3. D Start: End: A vg: Seattle (425) 562-4556 Tacoma (253) 984-1818 (253) 984-1886 Spvsr. Cell: 2,51 - 3r 0113 Lab Name : , / Volume III P Personal Stet C Clearance Breathing Zone I_0D 0.002, Date Rec'd: 1 j g/ f LI Time Rec'd: Ili Q aA/pm Analyzed Y by:Date Analyzed: Distribution: /Thermatech retains: PINK Lab retains: YELLOW Lab returns: WHITE (Original) to Thermatech with report Fibers per Fields Fiber ice NVL Batch ID 1405827 Asbestos Air Monitoring Data Sheet Project Name: Riverside Residences Project Address: 11 244 Pacif i c' Rwy Tukwila. WA 9816E Sample DeseriptionfProtection Worn Description or activity insolving exposure to asbestos being mo Sample 'DO 17 Work performed: PoratW 4ir7`,/ Comments: �4I j_ riek * Rotometer # / 4 9 Calibration Exp. Name: Cert. #: -� Work performed: SAiwE- as ow" - Comments: ,fi,:4 lurit." %N /#// % ONiYj Rotometer # /& 1 Calibration Exp. Name: Cert. #: Work performed: Comments: Rotometer # Name: Work • performed: Comments: Rotometer Name: Work performed: Comments: Name: /69 Sauf RS GCj/`7 Calibration Exp. Cert. #: .5el. e ey,9 Calibration Exp. ate Cert. #: ?L i $tr*E ,tf o4/?- Calibration Exp. a N Cert. #: Work performed: s4voie .45 // j Comments: Rotometer # / -0 Bt€1 ZbtiAs Rotometer # /6/ Name: A Area Samples Ncg-Air Exhaust Outside Decou Rec'd b Rev 02/05 12 17 Calibration Exp. / Cert. #: Outside Area Inside Area v71° Mk l Thate Rec'd: 'j/ 3(I if Distribution: PA P Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 Sampled by: J/ 6" 64tt4y Date Sampled: Project # : 14-0419 Phone: Fax: Spvsr. Cell: 2 3 377t 3/ ,3 Lab Name : Seattle (425) 562-4556 Tacoma (253) 984-1818 (253) 984-1886 nitored TYPc: (A,PA,P, Time Start Time Find Flow Rate volume Lttl) Fibers per fiber C, NO Fields Ice 6:at Z Ltd lii Area Personal Stet C 75 f/ le efec,. f 2. /G-,9 Pre rea Personal Stet Start: 8; f i7 End: //; Sfe Total: :I-ir" Start: vit/,a.0 End: (d ,r, Avg k' a r„, /jC „4_ '2-/6-/y Pre Start: e; yd End: //v Total: VO, Start: it, et End: t .-C) Avg: ' b Personal rea , Stel Clear tZ 02-70•/Y Pre A ersona Start:6.41) End: //:'y^ Total: zvo Start: 3,t; End: Y Avg: 3.4.... Ste Clear 2 'Z &--0, . Pre Area rsonal Start: /d:O End: /G'Sc' Total: 30 Start: .TO End:.0 Avg: • ,e e ear /,. t-/6 i� Pre Area Personal Stel f.. aai Start: /,,Z;to End: /; y0 Total: j0 Start: / 3 End: f.3 Avg: /3 ' (10 a002_ - -0 0.001 4 re Ahitnn,r „► o fl---_.__r �►cI L C learance Breathing Zone Time Rec'd: NOS am/pen Analyzed by: Thermatech retains: PINK Lab retains: YELLOW Date Analyzed: Lab returns: WHITE (Original) to Thermatech with rer NVL Batch ID 140592.q Asbestos Air Monitoring Data Sheet Project Name: Project Address: Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 Riverside Residences -CHANGE ORDER Sampled by: 11244 Pacific Hwy S Project # : Date Sampled: 419 Phone: Seattle (425) 562-4556 Tacoma (253) 984-1818 Fax: (253) 984-1886 Spvsr. CeI I:__2_6 3 3270,5).3 Lab Natne : A/ Sample IDt! Sample Description/Protection Worn Description or activity involving exposure to asbestos being monitored Type: (A.PA.P. C. Pre) Time Star( Time End Flow Rale Volume LOD Fibers per Fields Piper ;cc (j�l Work performed: 4ta. - 73.E Comments: h�`�'/�Y ' C.{�l"y,, "{ f FIoL,Z Rotometer # 3 %'5 Calibration Exp. $-"�-i y _ re Start: 7;/ 5- End: g; fi / Total: Start: /5 End: / 3 Avg: /� rea Personal Stel Clear Name: Cen. #: „,I Work performed: SA•.Kr..¢3 a WI- 1 Comments: s w Attl.,, c -rpt.KttftA P3 R-{ 41 z.eo.� Rotometer # �' `)'� Calib`ration Exp. S la - / tj P Area onal StelClearTotal: Start: • cu g End: 9:3 Start: tip End: /0 Avg: /0 Name: Cert. #: Lp Work performed: Sa, Oti't -I8 Comments: -47`4`' Rotometer# 3 S Calibration Exp. 5--to--/V Pre � :nal Stet Clear Start: 1.“.% End: q:3'� Total: 3S Start: t Q End: /0 Avg:/O Name: - Cen. #: �` Work performed: Sc\ ,'r4 S eV / /45 Comments: Rotometer #___ /D Calibration Exp. 5'49-/t" Pre Area Start: q: so End: R .335 Total: Start: 3, 2s End: 3' 3.Z ersona Ste Clear Name:Avg: �E •T�Sso Cert. #: ,, - � Work performed: c t `, CI,' 9,_ i ti Comments: Rotometer # 3(1S Calibration Exp. %-?±/ Pre Area Personal Stel Start: 9,' 50 End: // % 30 Total: /40` Start: /.-.. o End: 1 Z / Avg: IL 0 l bo 0. 0 0 2- 22.C. r_----- j o� 0.00 Name: Cert. #: �s�+�i +' Work performed: Comments: Rotometer # .' Calibration Exp. 'fe Area Personal Stel Clear Start: End: Total:IF Start: End: Avg: Name: Cert. #: AArea Samnlee tki..a_et. G..t......, n..._:,s_ .. n. n__ A L_.__ .. Reed b Rev. 02/OS Distribution: Outside Dccon Inside Area • &pate Rec'd: Thermatech retains. PINK Personal Stel C Clearance Breathing Zone Time Rec'd: ►14 0 am/pm Analyzed by: Date Analyzed: Lab retains: YELLOW Lab returns: WHITE (Origitctl) to Thermatech with repor NVL Batch ID 1407301 at Sid" �MIL! 1ZOV Conert c.tit i