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Permit D15-0046 - BARRIER RESIDENCE - DEMOLITION
BARRIER RESIDENCE DEMOLITION 4603SI24THST D15-0046 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 Parcel No: 0179003005 Permit Number: D15-0046 Address: 4603 S 124TH ST Issue Date: 7/17/2015 Permit Expires On:, 1/13/2016 i Project Name: BARRIER RESIDENCE DEMOLITION Owner: Name: SINGH SURINDER PAL Address: 812 S 132ND ST, BURIEN, WA, 98168 Contact Person: Name: DON ATWOOD Phone: (206) 935-2712 Address: 5416 CALIFORNIA AVE SW, SEATTLE, WA, 98136 Contractor: Name: BARRIER CONST GROUP INC Phone: Address: 637 SW 153RD ST, SEATTLE, WA, 98166 License No: BARRICG894QP Expiration Date: Lender: Name: SURINDER SINGH Address: 812 S 132 ST, BURIEN, WA, 98168 DESCRIPTION OF WORK: DEMOLITION OF A 740 SQ FT RESIDENCE Project Valuation: $8,500.00 Fees Collected: $700.20 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Occupancy per IBC: R-3 Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No V� � I� Permit Center Authorized Signature: `/� I � Date: I hearby 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 development permit and agree to the conditions attached to this permit. Date: Print Name: i0 /✓ 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: 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. 5: 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). 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 7: 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. 8: 'PUBLIC WORKS PERMIT CONDITIONS' 9: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement and completion of work at least 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. 10: Permit is valid between the weekday hours of 7:00 a.m. and 10:00 p.m. only. Coordinate with the Public Works Inspector for any work after 5:00 p.m. and weekends. 11: Any material spilled onto any street shall be cleaned up immediately. 12: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 13: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 14: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 15: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 16: Sewer and water utilities shall be shall be capped at the property line and at the water meter respectively. 17: Prior to permit issuance for new structure, the demolition permit must receive final inspection approval. 18: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from the business that performed the pumping shall be provided to the Public Works Inspector. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL" 5200 EROSION MEASURES 5210 EROSION MEASURES FNL 0101 PRE -CONSTRUCTION 1600 PUBLIC WORKS FINAL 5160 PUBLIC WORKS PRE -CON CITY OF TUKJ*...LA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hU://www.TukwilaWA.gov Building Permit No. Project No. Date Application Accepted: Date Application Expires: � - use 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 LOCATIONPd 3 GTJb E / Z,OPT.-4 King Co Assessor's Tax No.: Site Address: fS, lcW' ,57 Suite Number: Floor: Tenant Name: ~� New Tenant: ❑ ..... Yes .. No PROPERTY OWNER Name: 11�s Address: City: State Zip: CONTACT PERSON — person receiving all project communication Name: Address: ✓✓ City: tate: Zi �!_ `� Phone � -7 .F,ax: Email: GENERAL CONTRACTOR INFORMATION Company Name: Address: City: tate: 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:Wpplications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-9-12.docx Revised: February 2012 Page 1 of 4 BUILDING PERMIT INFORMATI. - 206-431-3670 Valuation of Project (contractor's bid price): $ c�Existing Building Valuation: $ Describe the scope of work (pleagFpMvide detailed Will there be new rack storage? ❑ .... Yes ❑ ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1 at Floor 7-40 2 nd Floor 3`d Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck 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 El ....... None [I ....... Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .......Yes ❑ ...... No If "yes, attach list of materials and storage locations on a separate 8-112 " x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ .......On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Forms•Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx Revised: February 2012 Page 2 of 4 PUBLIC WORKS PERMIT INFO: CATION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila ❑ ... Water District 4125 El ... Highline ❑... Renton ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ ...Valley View ❑... Renton El ... Seattle ❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided 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. Submitted with Application (mark boxes which all) ❑ .. Civil Plans (Maximum Paper Size — 22" x 34" ❑ .. Technical Information Report (Storm Drainage) ❑... Geotechnical Report El.. Traffic Impact Analysis ❑ .. Bond ❑... Insurance ❑... Easement(s) El ... Maintenance Agreement(s) ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑... Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑... Right-of-way Use — Potential Disturbance ❑ .. Con struction/Excavation/Fill - Right-of-way ❑ Non Right-of-way ❑ ❑ .. Total Cut cubic yards ❑ .. Total Fill cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water El ... Work in Flood Zone ❑... Storm Drainage El ... Abandon Septic Tank El ... Curb Cut ❑... Pavement Cut ... Looped Looped Fire Line ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ........... " ❑ .. Sewer Main Extension............ Public ❑ ❑ .. Water Main Extension............ Public ❑ FINANCE INFORMATION Fire Line Size at Property Line _ ❑ .. Water ❑ .. Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: ❑ ... Grease Interceptor El ... Channelization ❑ ... Trench Excavation ❑... Utility Undergrounding " WO # (2) WO # (3) WO # " WO # (2) " WO # (3) " WO # WO # ❑ .. Deduct Water Meter Size " Private ❑ Private ❑ Number of Public Fire Hydrant(s) ❑ .. Sewage Treatment Day Telephone: City Day Telephone: State Zip H:\Applications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx Revised: February 2012 City State Zip Page 3 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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR—AWIJQRAZED AGENT: Print Mailing Address: Date: z� 7 Day Telephone: City , State Zip H:Wpplications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx Revised: February 2012 Page 4 of 4 DESCRIPTIONS• PermitTRAK QUANTITY PAID $539.58 D15-0046 Address: 4603 S 124TH ST Apn: 0179003005 $539.58 DEVELOPMENT $251.60 PERMIT FEE R000.322.100.00.00 0.00 $247.10 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $4.50 PUBLIC WORKS $275.00 BASE APPLICATION FEE R000.322.100.00.00 0.00 $250.00 PERMIT ISSUANCE/INSPECTION FEE R000.342.400.00.00 0.00 $12.50 CONSTRUCTION PLAN REVIEW R000.345.830.00.00 0.00 $12.50 TECHNOLOGY FEE $12.98 TECHNOLOGY FEE TOTAL' R000.322.900.04.00 0.00 $12.98 • .58 Date Paid: Friday, July 17, 2015 Paid By: BARRIER CONSTRUCTION Pay Method: CHECK 5655 Printed: Friday, July 17, 2015 4:04 PM 1 of 1 CRSYS7EM5 Date Paid: Thursday, February 19, 2015 Paid By: DON ATWOOD Pay Method: CHECK 1135 Printed: Thursday, February 19, 2015 3:31 PM 1 of 1 SYSTEMS NO INSPECTION RECORD Retain a copy with permit [P(_5--00qr7_ Ivfy INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 PNj'ect: sqm-;Y— �� TTvy-npeotf In- pection't J=-c Addre f 603 5o, 14-ttel, Date Cal Special Instructions: Date Wanted: a.m. p.m. Re4uester, Phone No: Inspector: Date- 57- REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. K/-� INSPECTION 6RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: rZ21�r2 �eS�el�,+ce Tgpeof Inspection: � OO Add ss: S Date Called: Special Instructions: n� Date Wanted. a.m. -/ —/5— p.m. Requester: f u-6— Phone No: Z ,&S Wv LBApproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: �a e_51s /'��//�� tC' r. Inspector: Date: F1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. i; BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME PERMIT # If you do not provi a contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 250 (1) 2. Enter total construction cost for each improvement category: Mobilization Erosion prevention S© o Water/Sewer/Surface Water Road/Parking/Access A. Total Improvements 5ot� 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B+C+D) $ / 2 = (4) 5. Enter total excavation volume cubic yards Enter total fill volume cubic yards Use the following table to estimate the grading plan review fee. Use the treater of the excavation and fill volumes. QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 — 100 $23.50 101 — 1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for 1 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for 1 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. GRADING Plan Review Fees R TOTAL PLAN REVIEW FEE DUE WITH PERMIT APPLICATION (1+4+5) $ 26,2- �-� (5) The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application/plan and 2) a follow-up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. Approved 09.25.02 Last Revised 12/17/14 1 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 6. Permit Issuance/Inspection Fee (B+C+D) (6) 7. Pavement Mitigation Fee $ (7) The pavement mitigation fee compensates the City for the reduced life span due to removal of roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and on the condition of the existing pavement. Use the following table and Bulletin 1B to estimate the pavement mitigation fee. a Approx. Remaining Years Pavement Overlay and Repair Rate (per SF of lane width) 20-15 (100 %) $10.00 15-10 (75%) $7.50 10-7 (50%) $5.00 7-5 (33%) $3.30 5-2 (25%) $2.50 2-1 (10%) $1.00 0-1 $0.00 GRADING Permit Issuance/Inspection Fee Grading Permit Fees are calculated using the following table. Use the greater of the excavation and fill volumes from Item 5. E. QUANTITY IN CUBIC RATE YARDS 50 or less $23.50 51 —100 $37.00 101 — 1,000 $37.00 for 1" 100 CY plus $17.50 for each additional 100 or fraction thereof. 1,001 — 10,000 $194.50 for ls` 1000 CY plus $14.50 for each additional 1,000 or fraction thereof. 10,001 — 100,000 $325.00 for the ls` 10,000 CY plus $66.00 for each additional 10,000 or fraction thereof 100,001 or more $919.00 for 1st 100,000 CY plus $36.50 for each additional 10,000 or fraction thereof. Technology Fee (5 % of 6+8) Approved 09.25.02 2 Last Revised 12/17/14 A, 6-;, (8) (9) BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 10. TOTAL OTHER PERMITS A. Water Meter — Deduct ($25) B. Flood Control Zone ($52.50 — includes Technology Fee) C. Water Meter — Permanent* D. Water Meter — Water only* E. Water Meter — Temporary* * Refer to the Water Meter Fees in Bulletin Al Total A through E $ (9) 11. ADDITIONAL FEES A. Allentown Water (Ordinance 1777) B. Allentown Sewer (Ordinance 1777) C. Ryan Hill Water (Ordinance 1777) D. Allentown/Foster Pt Water (Ord 2177) E. Allentown/Foster Pt Sewer (Ord 2177) F. Special Connection (TMC Title 14) G. Duwamish H . Transportation Mitigation I. Other Fees DUE WHEN PERMIT IS ISSUED Total A through I $_ �3 (6+7+8+9+10+11) $ 1 (10) ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE This fee includes two inspection visits per required inspection. Additional inspections (visits) attributable to the Permittee's action or inaction shall be charged $60.00 per inspection. WATER METER FEE Permanent and Water Only Meters Size (inches) In ctallat`� Cascade Water Alliance_ RCFC 01.01.2015—12.31. 015 Total FeP 0.75 $625 $600 $6630 1 $1125 $1 12.50 $16,137.50 1.5 $2425 0,025 $32,450 2 $2825 $4 , 40 $50,865 3 $4425 $96,08 $100,505 4 $7825 $150,125 $157,950 6 1 $12525 $300,250 $312,775 Temporary Meter 0.75" $300 2.5" $1,500 Approved 09.25.02 3 Last Revised 12/17/14 INDUSTRIAL Y G I E N E E R V I C E Laboratory I Management i Training Good Faith Asbestos Inspection 4603 S 124th Street Tukwila, WA 98178 Prepared For Mr. Vasudev Singh Barrier Construction Group, Inc. 637 SW 153�d Street Burien, WA 98166 Project Number Inspection Date Report Date Inspected By AHERA Certification Expiration Date 2015-637 July 27, 2015 July 29, 2015 David Fiala # 150602 March 31, 2016 pis -6o�c � RECEIVED CITY OF TUKWILA AUG 13 2015 PERMIT CENTER TABLE OF CONTENTS 1.0 SCOPE OF WORK 3 2.0 SURVEY METHOD 4-5 3.0 LABORATORY INFORMATION 6 4.0 BUILDING DESCRIPTION 7 5.0 FINDINGS 8 6.0 CONCLUSIONS AND RECOMMENDATIONS 8 7.0 LIMITATIONS OF SURVEY APPENDICIES A Sample Locations (Floor Plan) B Laboratory Analysis Results C AHERA Certification & Laboratory Qualifications 9 4603 S 124" Street Tukwila, WA 98178 Project Number: 2015-637 1.0 SCOPE OF WORK A Good Faith Asbestos Inspection was conducted at the residence located at 4603 S 124" Street Tukwila, WA 98178 on July 27, 2015. David Fiala, an AHERA Certified Building Inspector, conducted this inspection at the request of Mr. Vasudev Singh of Barrier Construction Group, Inc. The purpose of this inspection was to identify all suspect asbestos -containing materials which would be impacted by the planned demolition of the residence. Destructive sampling methods were utilized to collect samples of suspect building materials. No soft/limited demolition was performed during this inspection. Please note that hidden materials may exist within the structure, and all suspect materials must be treated as asbestos containing until testing proves otherwise. This survey constitutes a survey of accessible suspect ACM in the project area and was conducted in accordance with: The National Emission Standards for Hazardous Air Pollutants (NESHAP) 40 Code of Federal Regulations (CFR) Part 61 requires a survey by an accredited asbestos inspector prior to demolition of a structure. This asbestos survey also satisfies the requirements for "Good Faith" inspection outlined in Washington Administrative Code (WAC) 296-62-07221(2), Identification, which requires the owner of a structure to provide contractors with a written report identifying the asbestos -containing materials expected to be disturbed during renovation or demolition. The asbestos survey section is written to comply with the AHERA asbestos sampling procedure as stated in 40 CFR 763.86. This protocol is required under the Puget Sound Clean Air Agency (PSCAA Regulation III, Article IV, rev. July 13, 2000) for all asbestos surveys prior to a building demolition. A floor plan indicating locations of samples collected by NVL personnel has been included in Appendix A. NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 - Fax (206) 634-1936 3 11 4603 S 1241h Street Tukwila, WA 98178 Project Number: 2015-637 2.0 SURVEY METHOD Asbestos Survey Method The NVL Labs field inspector is an Asbestos Building Inspector, certified under the requirements of the United States Environmental Protection Agency (EPA) Asbestos Hazard Emergency Response Act (AHERA) regulation 40 CFR 763, Subpart E. A copy of his certificate is provided in Appendix C. The AHERA Guidelines dictate the following, The inspector must determine homogenous areas, which are defined as an area of Thermal System Insulation, Surfacing Material, or Miscellaneous Material that is uniform in texture and color. Once homogenous areas have been determined, the inspector must determine whether or not material is friable or non -friable. Friable is defined as a material, that when dry, can be crushed, pulverized, or reduced to dust using hand pressure, and non -friable material is defined as a material, that when dry, cannot be crushed pulverized or reduced to dust using hand pressure. Materials normally defined as non -friable can become friable by definition if sufficiently damaged. Once friability has been determined, the materials suspected of containing asbestos are divided into one of three categories: Thermal System Insulation (TSI), Surfacing Material (SM), or Miscellaneous Material (MM). Generally speaking, TSI and SM are considered to be friable, with the exception of TSI where the structural integrity of the insulation is intact and the protective out wrap is undamaged. Once materials are divided into one of the categories, samples are collected in the following manner: Friable Thermal System Insulation: 1. Inspector shall collect three (3) randomly distributed samples; 2. Inspector shall collect a minimum of one sample of each TSI materials that appears to have been used as a patch, as long as the patch is less than six linear feet or six square feet; 3. Inspector shall collect in a manner sufficient, samples from areas of TSI applied to fittings, tees, and joints. Friable Surfacing Material: 1. Inspector shall collect samples in statistically random manner of surfacing materials as follows: a. Collect three bulk samples from an area believed to be homogeneous (defined as a material that appears to be the same or similar and was installed at the same time) that is 1,000 square feet or less in size; b. Collect five bulk samples from an area believed to be homogeneous that is greater than 1,000 square feet in size, but less than 5,000 square feet in size; c. Collect seven bulk samples from an area believed to be homogeneous that is greater than 5,000 square feet. NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 • Fax (206) 634-1936 4 4603 S 120 Street Tukwila, WA 98178 Project Number; 2015-637 Miscellaneous Materials; Inspector shall collect samples in a manner and number sufficient to determine if the material is asbestos -containing or not. All Materials Determined to Be Non Friable: 1. Inspector shall collect samples in a manner and number sufficient to determine if the material is asbestos containing or not. In addition to these sampling requirements, the AHERA Building Inspector is required to assess the following of each material that is found to be positive for asbestos: 1. The condition of each material; 2. Accessibility; 3. Possibility for air erosion.. Once the samples have been collected, they must be analyzed by an accredited laboratory, and they must be analyzed using polarized light microscopy methods, commonly referred to as EPA Method 600/R-93/116. NVL Labs collected samples and obtained analytical data for suspect asbestos -containing materials identified in the building. Once collected, each bulk sample was sealed in an unadulterated plastic bag to eliminate the possibility of cross -contamination. "Chain -of -Custody" tracking was followed to maintain sample integrity during handling and data reporting at NVL Labs. A walk-through inspection of all accessible areas of this structure was performed to identify potential asbestos -containing materials. The walk-through inspection included a review of the internal and external aspects of this structure. The locations and types of potential asbestos -containing materials were noted. Homogeneous Materials Homogeneous materials are defined as an area of asbestos -containing material or presumed asbestos -containing material which appears similar throughout in terms of color, texture, and date of material application. The report listing for homogenous materials will appear as follows: Matert0esprlptia� by U�er Lpocat[an Astsestos-�hity Fta[ _ Ntir�rbe"IN° ......, ,, Layer 1 is not asbestos -containing 1. # Location description "X" LF/ft2 Yes/No Layer 2 is asbestos -containing 2. % NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 - Fax (206) 634-1936 5 460,3 S 124" Street Tukwila, WA 98178 Project Number: 2015-637 3.0 LABORATORY INFORMATION Laboratory Analysis: Asbestos In accordance with 40 CFR Chapter 1 (1-1-87 edition) Part 763, Subpart F, Appendix A, asbestos samples are analyzed at NVL Labs using polarized light microscopy (PLM) with dispersion staining. If samples are not homogeneous, then sub -samples of the components are analyzed separately. All bulk samples are analyzed using EPA Method 600/R-93/116 with the following measurement uncertainties for reported % asbestos: 1%=0-3%, 5%?-1-9%, 10%=5-15%, 20%=10-30%, 50%=40- 60%. Only materials containing more than 1 % total asbestos were classified as "asbestos - containing" based on EPA, state, and local regulations. Findings for samples containing more than one separable layer of materials are reported for each layer. The asbestos concentration in the sample is determined by visual estimation. NVL Labs is accredited by the National Institute of Standards and Technology (NIST) under the National Volunteer Laboratory Accreditation Program (NVLAP) program for bulk asbestos fiber analysis; NVLAP Lab Code 102063-0 Laboratory Accreditation Professional accreditations for NVL Laboratories, Inc. include the following; NVL Laboratories, Inc. is currently accredited by the National Institute of Standards and Technology (NIST) under the National Volunteer Laboratory Accreditation Program (NVLAP) program for bulk asbestos fiber analysis. NVLAP Lab Code 102063-0 NVL Laboratories, Inc. is approved by the American Industrial Hygiene Association (AIHA) Asbestos Analysts Registry (AAR) program for airborne asbestos fiber analysis. AAR Counter ID 7412 NVL Laboratories, Inc. is currently accredited by the American Industrial Hygiene Association (AIHA) under the Industrial Hygiene Laboratory Accreditation Program (IHLAP). The IHLAP program is designed specifically for laboratories involved in analyzing samples to evaluate workplace exposure. IHLAP Certification Number 563 NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 • Fax (206) 634-1936 1.1 4603 S 1241h Street Tukwila, WA 98178 Project Number: 2015-637 4.0 BUILDING DESCRIPTION General Building Type This is a one story single family residence of wood framed construction. Primary External Components The exterior of the structure is wood siding., Foundation Type The residence has an above grade concrete foundation with a crawl space. Roofing Material(s) The roof of the structure is tri-tab asphaltic shingles and rolled asphaltic sheeting. Window Type(s) The windows of the structure are wood framed with exterior glazing. Flooring The structure has hardwood flooring throughout. Thermal Systems With Insulation The residence had no heating system at the time of inspection. Finishing The residence was not finished at the time of inspection. NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 • Fax (206) 634-1936 7 4603 S 124" Street Tukwila, WA 98178 Project Number: 2015-637 5.0 FINDINGS 1: Brown linoleum 1: ND 2015-637-3-1 Bedroom, floor 2: Black backing with mastic 2: ND s 2015-637-3-2 Hardwood with felt with white material Storage area, floor ND 1: Wall felt with mastic 1: ND 2015-637-3-3 Storage area, walls 2: Layered wall paper with mastic 2: ND 2015-637-3-4 Moisture barrier Exterior, under siding ND 2015-637-3-5 glazing Window lazin Exterior wood windows ND 1: Rolled asphaltic sheeting 1: ND 2: Black mastic 2: ND 2015-637-3-6 3: tri-tab asphaltic shingles Exterior, roof 3: ND 4: Layered asphaltic material 4: ND 5: Black roofing felt 5: ND ND None Detected 6.0 CONCLUSIONS AND RECOMMENDATIONS Asbestos was not identified in any of the samples collected during the Good Faith Asbestos Inspection at the subject residence on July 27, 2015. Contractors should be aware that concealed suspect asbestos -containing building materials may be uncovered during the course of demolition or renovation work. Contractors should have contingency plans that include stopping work, evacuation of the immediate area and sampling by a certified AHERA Building Inspector whenever these materials are found. Concealed suspect materials may include, but are not limited to: non -fiberglass pipe or roof drain insulation; spray -applied coatings; cement board; asphalt or paper vapor barriers; floorings and adhesives. If discovered, all asbestos -containing materials that will be disturbed as a natural part of renovation and/or demolition are required to be removed and disposed of in .accordance with Washington State regulations. Washington State Department of Labor and Industries and PSCAA require that the abatement be performed using Certified Asbestos Workers under the direct on site supervision by a Certified Asbestos Supervisor. NVL recommends that an AHERA inspector/project manager be on site at the time of renovation/demolition to ensure that any potentially asbestos -containing materials uncovered during the process of renovation/demolition be dealt with properly. Based on our conclusions, NVL Labs, Inc. is making the following recommendations regarding asbestos: 1. A copy of this inspection report should be maintained at the project site during the duration of any renovations. 2. A copy of this inspection report should be provided to the General Contractor and any Sub Contractors working on the renovation project. NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 • Fax (206) 634-1936 F 4603 S 124" Street Tukwila, WA 98178 Project Number: 2015-637 7.0 LIMITATIONS OF SURVEY The sole purpose of this Good Faith Asbestos Inspection report is to document asbestos -containing materials discovered at the structure, located at 4603 S 124th Street Tukwila, WA 98178. The purpose of this inspection was to identify all suspect asbestos -containing materials which would be impacted by the planned demolition of the residence. Destructive sampling methods were utilized to collect samples of suspect building materials. No soft/limited demolition was performed during this inspection. Please note that hidden materials may exist within the structure, and all suspect materials must be treated as asbestos containing until testing proves otherwise. This site visit consisted of a thorough visual walk-through of the building for the purpose of viewing and sampling potential asbestos -containing material. As hazardous material surveys are non - comprehensive by nature, NVL Laboratories, Inc. cannot be held liable for materials which require destructive means to access, materials which are hidden from sight (e.g. materials hidden behind walls), materials which cannot be found due to their obscure nature, or which otherwise cannot be discovered with reasonable diligence. This document is the sole property of NVL Laboratories and the property owner, or his agent, authorizing this survey. Inspected By YIN,Reviewed By s, Uavtd,Fiala Syed Hasan AHERA Building Inspector Manager Field Services Certification # 150602 AHERA Certification # 147944 Expiration Date: March 31, 2016 Expiration Date: August 13, 2015 NVL Laboratories, Inc. 4708 Aurora Ave N Seattle, WA 98103 Phone (206) 547-0100 - Fax (206) 634-1936 0 era. L A ,B S ........ •.4��1.4 4m4� Appendix A Sample Locations (Floor Plan) IN 1U. --l-01" L A g B S HAUNDOUS Mat PRIA" SERVICES 4708 AURORA AVE N SEATTLE, WA 98103,6516 TEL 206.547.0100 FAX 206.634.1936 Location Client .+ M COOL,-: Page of, Prof k� Date Made by 1 im, � \V. L A ,B 5 .nmsm nauui uwau Appendix B Laboratory Analysis Results July 28, 2015 David Fiala NVL Field Services Division 4708 Aurora Ave. N. Seattle, WA 98103 RE: Bulk Asbestos Fiber Analysis; NVL Batch # 1513663.00 Client Project: 2015-637 . Location: 4603 S 124th Street Tukwila, WA 98178 Dear Mr. Fiala, INDUSTRIAL H Y G I E N E SERVICES Laboratory I Management I Training Enclosed please find test results for the 6 sample(s) submitted to our laboratory for analysis on 7/27/2015. Examination of these samples was conducted for the presence of identifiable asbestos fibers using polarized light microscopy (PLM) with dispersion staining in accordance with both EPA 600/M4-82-020, Interim Method for the Determination of Asbestos in Bulk Insulation Samples and EPA 600/R-93/116 Method for the Determination of Asbestos in Bulk Building Materials. For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in the sample is determined by calibrated visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. The detection limit for the calibrated visual estimation is <1 %, 400 point counts is 0.25% and 1000 point counts is 0.1 % Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are discarded after two weeks. Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we can assist you with. Sincerely, Nick Ly, Laboratory Technical Director 1.888.NVL.LABS Enc.: Sample Results 1.888.(685.5227) www.nvilabs.com HV41 Lab Code: 102063-0 NVL Laboratories, Inc. 4708 Aurora Ave N, Seattle, WA 98103 p 206.547.0100 1 f 206.634.1936 page 1 of 6 NVL Laboratories, Inc. wvlbv. 4708 Aurora Ave N, Seattle, WA 98103 ,"_-- p 206.547,0100 I f 206.634.1936 I www.nvllabs.com L A B S Bulk Asbestos Fibers Anal pis Ry, Polarized Light Microscopy Client: NVL Field Services Division Batch #: 1513563.00 Address: 4708 Aurora Ave. N. Client Project* 2015-637 Seattle, WA 98103 Date Received: 7/27/2015 Samples Received: 6 Attention: Mr. David Fiala Samples Analyzed: 6 Project Location: 4603 S 124th Street Tukwila, WA 98178 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Lab ID: 15074502 Client Sample #: 2015-637-3-1 Location: 4603 S 124th Street Tukwila, WA 98178 Layer 1 of 2 Description: Tan linoleum Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Linoleum/Binder Cellulose 30% None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with coating and mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder Cellulose 75% None Detected ND Lab ID: 15074503 Client Sample #: 2015-637-3-2 Location: 4603 S 124th Street Tukwila, WA 98178 Layer 1 of 1 Description: Dark brown fibrous material with trace off-white material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles/Binder, Binder/Filler Cellulose 70% None Detected ND Lab ID: 15074504 Client Sample #: 2016-637-3-3 Location: 4603 S 124th Street Tukwila, WA 98178 Layer 1 of 2 Description: Beige paper with mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Mastic/Binder Cellulose 90% None Detected ND Layer 2 of 2 Description: Layered gray fibrous material with mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Mastic/Binder Cellulose 55% None Detected ND Synthetic fibers 16% Hair 10% Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:07/28/2015 Reviewed by: Nick Ly Date: 07/28/2015 Nick Ly, Laboratory Technical Director Vote: If samples are not homogeneous, then subsamples of tthe components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 2 of 6 NVL Laboratories, Inc. INV 4708 Aurora Ave N, Seattle, WA 98103 M p 206.547.0100 i (206.634.1936 1 www.nvllabs,com L A 8 S Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: NVL Field Services Division Batch M 1513663.00 Address: 4708 Aurora Ave. N. Client Project #: 2015-637 Seattle, WA 98103 Date Received: 7/27/2015 Samples Received: 6 Attention: Mr. David Fiala Samples Analyzed: 6 Project Location: 4603 S 124th Street Tukwila, WA 98178 Method: EPA/600/R-93/116 ...... ....... & EPA/600/M4-82-020 Lab ID: 15074505 Client Sample #: 2015-637-3-4 Location: 4603 S 124th Street Tukwila, WA 98178 Layer 1 of 1 Description: Black asphaltic fibrous paper Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder Cellulose 85% None Detected ND Lab ID: 15074606 Client Sample #: 2016-637-3-5 Location: 4603 S 124th Street Tukwila, WA 98178 Layer 1 of 1 Description: Off-white putty material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Lab ID: 15074507 Client Sample #: 2015-637-3-6 Location: 4603 S 124th Street Tukwila, WA 98178 Layer 1 of 6 Description: Layered black asphaltic fibrous material with granules Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Granules Glass fibers 37% None Detected ND Layer 2 of 6 Description: Black asphaltic mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder None Detected ND None Detected ND Layer 3 of 6 Description: Black asphaltic fibrous material with red granules Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Granules Cellulose 55% None Detected ND Layer 4 of 5 Description: Layered black asphaltic fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder Cellulose 60% None Detected ND Hair 5% Sampled by: Client y_y-••dw Analyzed by: Nadezhda Prysyazhnyuk Date:07/28/2015 Reviewed by: Nick Ly Date: 07/28/2015 Nick Ly, Laboratory Technical Director Note: If samples are not homogeneous, then subsamples'of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 3 of 6 NVL Laboratories, Inc. I 4708 Aurora Ave N, Seattle, WA 98103" p 206.547,0100 I f 206;634.1936 I www.nvllabs,com L A .0 S Bulk Asbestos Fibers Analysis Py Palarizd Light Microscopy Client: NVL Field Services Division Batch #: 1513563.00 Address: 4708 Aurora Ave. N. Client Project #: 2015=637 Seattle, WA 98103 Date Received: 7/27/2015 Samples Received: 6 Attention: Mr. David Fiala Samples Analyzed: 6 Project Location: 4603 S 124th Street Tukwila, WA 98178 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 _.__. _..._._.._ Layer 6 of 6 Description: Black asphaltic fibrous paper Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder Cellulose 87% None Detected ND Sampled by: Client 57 Analyzed by: Nadezhda Prysyazhnyuk Date:07/28/2015 Reviewed by: Nick Ly Date: 07/28/2015 Nick Ly, Laboratory Technical Director Jote: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600IM4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the Items tested. If sample was not collected by NVL personnel, then the accuracy of the results Is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 4 of 6 NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES I 4708 Aurora Ave N, Seattle, WA 98103 p 206,541.0100 i f 206;634.1936 I www.nvllabs.com L A B $ Company NVL,Field Services Division NVL Batch Number 1513563.00 .................... Address 4708,Aurora Ave„N. TAT 2-Daus Seattle,.WA.98103 ... ...................... _.,:,...,:,.:;. Rush TAT_. Project Manager Mr ::David -Fiala . Due Date 7/29/2015 Time 11:00 AM Phone (206) 547-0100 Email David.f@nvllabs.com Cell (425) 213.-6.7.79 . ...... Fax (206) 634-19.36 'roject Name/Number. 201.5-63,7 ,_....,.. Project Location: 4603..S 124th S.treet.Tukwila, WA 9.81,78.......... ......... ..... _.._......... Subcategory PLM Bulk _ Item Code ASB-02,._--. _.___... _. ._EPA_600/R-.93-1.16,-Asbestos_byPLM_<bulk>_._ _ ................ _........................... _.. Total Number of Samples _ Rush Samples Lab ID Sample ID Description, _ -.. _ A/R 1 15074502 2015-637-3-1� .._ _4. A 2 .15074503 2015-637-3-2 _ ._- _ — A 3 115074504 2015-637-3-3 A.I 4 .15074505 5 15074506 2015-637-3-4 2015-637-3-5 A _6 . 15074507 .. 2015-637-3-6 _ A , l Special Instructions: Cate: '712712015 Time: 11:51 AM Entered By: Sarah Khan page 5 of 6 NVL laboratories, Inc. CHAIN of CUSTODY 10. 1513563 4708 Aurora Ave N, Seattle, WA 98103 SAMPLE LOG p 206.S47,0100 I f 206.634.1936 1 www.mvilabs.com Client NVL. Laboratories Inc Street 4708 Aurora Ave N NVL Batch Number --- 2»6 7 Client Job Number 001 -�- „ . �- Seattle WA 98103 f� Total Samples ` ---. —•� ' Project Manager ,§!ed Hasan - ❑ 1 Hr C18 Hrs ❑ 3 Days ❑ 10 Days Turn Around Time 2 Hrs ❑ 1 Day El 4 Days Project Location 4603! L2 th $tf 'et -- - —• ---- ❑ 4 Hrs JR2 Days El 5 Days Tukwila, WA 98178 Please call for TAT less than 24 Hrs Email address ebarriergroU �emii.com _ AAA Phone: (206.).883-8520 Fax: ❑ Asbestos Air....❑ PCM (NIOSH 7400) [I TEM (NIOSH 7402i) TEHERA) O TEM (EPA Level 11) D Other Asoest6s Bull te PLM EPAI800/R-93I116) DPLM (EPA Point Count) []PLM (EPA Gravimetrv) CITEM BULK Mold/Fungus 0 Mold Air Mold Bulk ❑ Rotometer Calibration .. METALS Det. Limit Matrix ❑ Total Metals ❑ FAA (ppm) ElAir Filter - Other Metals RCRA Metals DAII 8 D All 3 ElSoil ❑ Arsenic (As) [IChromium (Cr El Copper (Cu) ❑ TCLP ❑ ICP (ppm) ❑ Drinking water ❑ Paint Chips in % D Barium (Ba) ❑ Lead (Pb) ❑ Nickel (Ni) ❑ Cr 6 ❑ GFAA (ppb) D Dust/wipe (Area) ❑ Paint Chips in cry [!] Cadmium (Cd) ❑ Mercury (Hg) Zinc (Zn) 1-]Other Types C'Fiberglass ❑ Nuisance Dust ❑ Other (Specify) Cif:ArI9101s �'.Siifra t-i Fir��nirahia rn�Ft CnnAflnn of Panknnp- F-1 Good I-1 Damaoed (no soillaae) 1-1 Severe damage (spillage) L Res its Called:. by Results Faxed by Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis, Results report to page 6of6 INVV L A. B S h�ryltRVt Wtt1U,N HMIH Appendix C AHERA Certifications & Laboratory Qualifications United States Department of Commerce National Institute of Standards and Technology Certificate of Accreditation to ISOIIEC 17025:2005 NVL" LAB CODE: 102063-0 NVL Laboratories, Inc. Seattle, WA is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for. BULK ASBESTOS FIBER ANALYSIS This laboratory is accredited in accordance with the recognized International Standard IS017EC 97025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-JAF Communique dated January 2009). 2014-10-01 through 2015-09-30 Effective dates �Q t 4tLL V- , For the National Institute of Standards and Technoldgry tNVLAP-01C (REV. 2009-01-28) ® National Voluntary q` w Laboratory Accreditation Program t o 04pr$ 04 SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 NVL Laboratories, Inc. 4708 Aurora Avenue N. Seattle, WA 98103 Mr. Nghiep Vi Ly Phone:206.547-0100 Fax:206-634-1936 E-Mail: nick.l@nvllabs.com URL: http://www.nvllabs.com BULK ASBESTOS FIBER ANALYSIS (PLM) AWL" Code 18/A01 18/A03 NVLAP LAB CODE 102063-0 Designation /Description EPA 600/M4-82.020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples EPA 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials 2014-10-01 through 2015-09-30 Effective dates V. Q...Q For the National Institute of Standa/ds and Technology Page 1 of 1 NVLAP-01S (REV. 2005-0&19) t ate, tfir This is to certify that d D J� Fiala A has satisfactorily completed 4 hours of refresher training as -an Asbestos Buil&ng Inspector to comply with the training requirements of TSCA Title 11 140 CFR 763 (AHERA) 150602 Certificate Number 015 Date(s) of Training EPA Provider Cert. Number: 1085 Exam Score: NA Expiration Date- Mar 31, 2016 Argus Pacific, Inc. • 1900 W. Nickerson, Suite 315 • Seattle, Washington • 98119 • 206-285.3373 - fax 206.285.3927 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director July 9, 2015 DON ATWOOD 5416 CALIFORNIA AVE SW SEATTLE, WA 98136 RE: Application No. D15-0046 BARRIER RESIDENCE DEMOLITION 4603 S 124TH ST Dear DON ATWOOD: Permit application D15-0046 for the work proposed at BARRIER RESIDENCE DEMOLITION (4603 S 124TH ST) has not been issued by the City of Tukwila Permit Center. Per the International Building, Residential, and Mechanical Codes as well as the Uniform Plumbing Code and/or the National Electric Code, every permit application not issued within 180 days from the date of application shall expire and become null and void. Currently your application has a status of APPROVED and is due to expire 08/19/2015. If you still plan to pursue your project, you are hereby advised to do one of the following: 1) If the plan review is completed for the project and your application is approved, you may pick up the application before the date of expiration. At the time of permit issuance the expiration date will automatically be extended 180 days. -or- 2) If the plan review is not completed submit a written request for application extension (7) seven days in advance of the expiration date. Address your extension request to the Building Official and state your reason(s) for the need to extend your application. The Building Code does allow the Building Official to approve one extension of up to 90 days. If it is determined that your extension request is granted, you will be notified by mail. In the event that.your permit is not issued, we do not receive your written request for extension, or your request is denied your permit application will expire and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: D15-0046 13 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D15-0046 DATE: 02/19/15 PROJECT NAME: BARRIER RESIDENCE DEMOLITION SITE ADDRESS: 4603 S 124 ST X Original Plan Submittal Response to Correction Letter #, DEPARTMENTS: Buin g Division PubI c Works PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: ArePrevention Revision # before Permit Issued Revision # after Permit Issued Structural ❑ M, ff /,-e ram Planning Division N Permit Coordinator a DATE: 02/24/15 Structural Review Required ❑ DATE: APPROVALS OR CORRECTIONS: DUE DATE: 03/24/15 Approved ❑ Approved with Conditions I!f Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: Denied ❑ (ie: Zoning Issues) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 BARRIER CONSTRUCTION GROUP INC Page 1 of 2 Home Inicio en Ispaviol Contact A-% Index Help M1Iy secure L&I Safety Claims & Insurance Workplace Rights Trades & Licensing Washington State Departmentof Lab©r & Industries BARRIER CONSTRUCTION GROUP INC Owner or tradesperson Principals SINGH, VASUDEV, PRESIDENT Doing business as BARRIER CONSTRUCTION GROUP INC WA UBI No. 603 125 771 License PO BOX 69047 SEATTLE, WA98168 206-883-3001 KING County Business type Corporation Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active............................................................................ Meets current requirements. License specialties GENERAL License no. BARRICG894QP Effective — expiration 11/17/2011-11/2212015 Bond ................. American Contractors Indem CO $12,000.00 Bond account no. 100179112 Received by L&i Effective date 11/17/2011 11/01/2011 Expiration date Until Canceled Insurance. _... Nevada Capital Ins Co $1,000,000.00 Policy no. 77-NPP-4-029783 Received by L&I Effective date 10/31/2014 11/05/2012 Expiration date 11/01/2015 Insurance history Savings ................... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L -1 tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations ........................................................ No license violations during the previous 6 year period. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603125771&LIC=BARRICG894QP&SAW= 7/17/2015 FIGURE C.2.2.A TYPICAL TRENCH INFILTRATION SYSTEM I I:_ REVIEVYED FOR CODE CONTLIANCE APPROVED FEB 2 7 2015 QJ Cf oa Tiatw!tfila -BUILDING DMSION! FILE COPY Permit mo. ---1) — Plan review .� evfew approval ' fss ' subject 1 c# to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Field opy and conditions is acknowledged: By: k,� J, - Date: �7d City of T> kvWla BUILDING DI'VI IO I r ~— REVISIONS I No changes shall be made to the scope l of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan revieUr fees - PLANNING APPROVED • No changes can be made. to these plans without approval from the Planning Division of DCD Appmved e; :1 , Date:41111,11111.i-! (�/r'I�j • r.. roof / drain PLAN VIEW — 4" rigid or 6' flexible i `-------_ NTS................................Z Z.perforated pipe infiltration trench t - sum*p w/solid lid PLAN VIEW fZroof - NTS overflow 4' rigid or 6" flexible splash block perforated pipe _ 1 a o C; , 1' min 5.0' min washed rock C o :1 a t� 1 i!2"-3/4" min fine mesh CB sump w/solid lid varies A filter fabric 1t t i 12�oo'J �� q SECTION A NTS compacted backfill 4" rigid or 6" flexible perforated pipe washed rock 1 112"-3/4" }_.. _ V.') .. .. ... ...... .. . .. l ... err'•_ - CITY OF TUKV11.A FEB, I PERMIT CENTER