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HomeMy WebLinkAbout7423 204TH ST NE_BLD1605_2026 DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable) COMPLETED BY AN APPROVED AGENCY, Type of Permit:(check one) ❑ Residential ii ❑ Commercial ❑ Industrial Project Address: '74 L-5 2-044-11 � � tN Parcel ID#: J�o5 f l ®a 3o 5400 Lot#: Subdivision: Valuation: �g tab o Building Area (Sq Ft) t51 00D No.of floors: f Number of Buildings: Owner: `p l A r I i ytca-I V,, Lr b (fa,) R�15� i-I Phone Number: 'Li; I ca 2�' 12 t Address: City: �'� State: Zip Code: q o� Contact Person: 'LY---:3I'1 001-1� Phone Number: 'i1.'2 G 1-) Cell Phone: &04 • E-mail C=y�l�► •��fvnGl C� `j Yr��+) • Gc y✓t Address: ;?00 Zn) Lk►4ft City: State: WA Zip Code: Contractor: _B611 Nd l(JTA l '14'l.r_-r' 06--) Phone Number: (801 1 9;`?*2N Address: Main5 rejf'4 City: �!a�i ��� State: UT_ Zip Code: Contractor's License Number: Ll E:1-�N G 14J 4-t t-1 Fes' Expiration: 07 1 U L ?�I Scope of Work: 6 I F?3� Pj`il'61GtU�C foul s+yu C F i�Lvv :t q 13+-"6+L4V6 , v-1 t+�1 �y�L� 1c yl 1cc v Cif, w� ter,d t vtn i0"""i e,M toys I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature Date ! bl __:�e l S11'1 I_�Ig Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7423 204th Street NE Permit#:1605 Parcel#:31051100304100 Valuation:68000.00 OWNER APPLICANT CONTRACTOR Name:MAYO RODNEY Name:BCI National Name:BCI National Address:3522 SILVANA TERRACE RD Address:3158 N.Main Street Address:3158 South Main Street City,State Zip:STANWOOD,WA 98292 City,State Zip:Salt Lake City,UT 84115 City,State Zip:Salt Lake City,UT 84115 Phone: Phone:206-604-1238 Phone:801-879-6227 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALFSXX NOTICE:Sales tax relating to construction and construction materials in the City ofArlogt n mu reported on your sales tax return form and c ity of Arlington#3101. Signature Print Name Date Rel sed By Date CONDITIONS Approve as submitted. Contact the water department at 360-403-3526 for removal of the existing water meter and for fire line shut off. Side sewer must be properly cut and capped at the stub. mARka,) , THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 8/15/2017 Demolition Fee $100.00 8/15/2017 Processing/Technology Fee $25.00 8/15/2017 State Building Code Surcharge Fee $4.50 Total Due: $129.50 Total Payment: $129.50 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7423 204th Street NE Permit#:1605 Parcel#:31051100304100 Valuation:68000.00 OWNER APPLICANT CONTRACTOR Name:MAYO RODNEY Name:BCI National Name:BCI National Address:3522 SILVANA TERRACE RD Address:3158 N.Main Street Address:3158 South Main Street City,State Zip:STANWOOD,WA 98292 City,State Zip:Salt Lake City,UT 84115 City,State Zip:Salt Lake City,UT 84115 Phone: Phone:206-604-1238 Phone:801-879-6227 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES AA'NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must b 7ported on your sales tax return form and c ity of Arlington#3101. :L501rz - —-� _ �S _� 7 .7 Signature Print Name Date Relc sed By Date CONDITIONS 41 Approve as submitted.Contact the water department at 360-403-3526 for removal of the existin water meter and for fire line shut off. Side sewer must be properly cut and capped at the stub. -mARR619, THIS PERMIT AUTHORIZE ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 8/15/2017 Demolition Fee $100.00 8/15/2017 Processing/Technology Fee $25.00 8/15/2017 State Building Code Surcharge Fee $4.50 Total Due: $129.50 Total Payment: $129.50 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon DEMOLITION PERMIT APPLICATION Department of Community&Economic Development City of Arlington•.18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPROVED AGENCY. Type of Permit:(check one) ❑ Residential Commercial Industrial Project Address: - �4) j_`_i. , � t� 61 D`5 I I O 0 3 D 5 400 Parcel ID#: Lot#: Subdivision: Valuation: Building Area(Sq Ft) t5,000 No.of floors: � Number of Buildings: Owner:( A it 1 t ytel+VVI Phone Number: ( Gf') Address: l City: State: �A Zip Code: 1110 I�( Contact Person: L1 V'�il -It'hG( Phone Number: Cell Phone: E-mail: C;vall vVvy',cl e Gl imocl • Gcyyl Address: 'JoA ANY-I t' City: �JE'�]i}�% State: A Zip Cade: Contractor: $lrl 11�j!{ti of L��I �1 '�,r I viv } Phone Number: _�9c'I ; 4fot� -1 1 Address: t' I M ai h 'aYre City: 15za}fi"4 L1±f State: LEE Zip Coder 11 Contractor's License Number: U Ch'N C 1 d'4-1 1" Expiration: "� 10 Z 20 i Scope of Work: De illo I,t h-tp, b tuw Ord 1 vtn JOr�vv L M e41t-3 1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY Received Koos AUG 15 2017 Permit# Wcctegy Amount Received Receipt# Date Received 8/15/2017 BUEHNER CONSTRUCTION INC Search L&I atr i '- i{eaitf C;,,lms,x Irsi 1r:r, tt=,rk'aisar,F, r,i u S :; c,.;r;r:3 ^ Washington State Department of " Labor & Industries BUEHNER CONSTRUCTION INC Owner or tradesperson 3158 S MAIN ST Principals SALT LAKE CITY,UT 84115 801-486-1888 BUEHNER,STUART CHRISTIAN,PRESIDENT CHILD,MARC D,VICE PRESIDENT CHILD,MATTHEW A,VICE PRESIDENT Doing business as BUEHNER CONSTRUCTION INC WA UBI No. Business type 602 819 363 Corporation Governing persons STUART BUEHNER MARC CHILD; MATT CHILD; License 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. BUEHNC1914MB Effective—expiration 07/02/2009—07/02/2019 Bond Great American Ins Co $12,000.00 Bond account no. MS1531696 Received by L&I Effective date 10/19/2016 10/18/2016 Expiration date Until Canceled Bond history Insurance Mt Hawley Ins Co $1,000,000.00 Policy no. MGLO185359 Received by L&I Effective date 06/15/2017 06/27/2017 Expiration date 0 612 7/2 0 1 8 Help us IPyVl3?':2'1�' https://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=602819363&LIC=BUEHNC1914MB&SAW= 1/3 8/15/2017 BUEHNER CONSTRUCTION INC Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 14-2-18331-3KNT Dismissed Complaint filed by Complaint against bond(s)or savings CHET'S ROOFING&CONST INC MS1506764 Complaint date Complaint amount 07/08/2014 $0.00 L&I Tax debts No L&I 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 Infraction no. ERADJO0797 Satisfied Issue date RCW/WAC 01/12/2017 19.28.101 RCW Violation city Violation amount SALT LAKE CITY $100.00 Type of violation ELECTRICAL CITATION Description Class B eligible work-Failing to obtain an electrical/telecommunications work permit,or post a provisional electrical work permit,or valid Class B label prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-4613-901. Failing to purchase an electrical permit Infraction no. ERADJO0796 Satisfied Issue date RCW/WAC 01/12/2017 19.28.041 RCW Violation city Violation amount SALT LAKE CITY $500.00 Type of violation ELECTRICAL CITATION Description Offering to perform,submitting a bid for, advertising,installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. Infraction no. ERADJO0798 Satisfied Issue date RCW/WAC 01/12/2017 19.28.271 RCW Violation city Violation amount SALT LAKE CITY $250.00 Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Workers' comp �`�CI jy i7;a 9r111,3 r"t7�6�:; hfps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602819363&LIC=BUEHNC1914MB&SAW= 2/3 8/15/2017 BUEHNER CONSTRUCTION INC Do you know if the business has employees?If so. ry the business is up-to-date on workers'comp premiur L&I Account ID Account is current. 269,954-00 Doing business as BUEHNER CONSTRUCTION INC Estimated workers reported Quarter 1 of Year 2017"0"Workers L&I account contact T1/JAN BENTLEY(360)902-4652-Email:STR0235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes This contractor received a valid strike(s)for violation or infraction for the following L&I law(s).Learn more about contractor strikes. RCW Violation Effective Date 18.27.200 9/30/2010 Description Failure to comply with contractor registration requirements,per RCW 18.27 Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 07/11/2017 Violations Inspection no. 317945112 Location 2500 15 Avenue W Seattle,WA 98119 Inspection results date 05/06/2014 Violations Inspection no. 317278745 Location 1550 E.Yonezawa Blvd Moses Lake,WA 98837 Washington State DepL.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. HUIP U5 improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602819363&LIC=BUEHNC1914MB&SAW= 3/3 T -Z R M AT NO T w S T �N C. GAO A g FAIT ES TO ti S SUR�E Y PREPgRED FOR: MA RT,N JOVF REA[._ PRC)p SAS 2618 Y �N�EgTo gEA1.r��2"°qve RS L , LC ' WA. 98121 Thermatech Northwest I"<—_ 10312 Sales Road S Tacoma WA 98499 Ph. (253)_9841818 LO CATION OF SURVEY . L1NGToN gARTELL ARTK ST 7423 244 98723 ARLINGT04,W A' 1 i -r-T NW #SM Y 25 2p 17 Report Date P ERF ORME� BY d ac4c W. Odom#�626803 AHERA Certification Exp iration Date MaY 3, 2018 0312 Sales Road S,Tacoma WA g8499 Ph �253)-9841818 Them'�atech Northwest Inc.1 TABLE OF CONTENTS SCOPE OF WORK/B lJ j p Pa e ►NG DESCRIPTION Basic Construction �- Heating & Ventilatic--:�, r i 1 2 Plumbing System System Insulation Electrical System Interior Constructio" , F- '"ishes & Flooring METHODOLOGY/ LAB O RA-VORY INFORMATION .... ............. SAMPLE DATA........._ _ _ _ _ _ _ ...................... SUMMARY OF MATEFZ IALS POUND OUND POSITIVE ..... ... . DEFINITIONS ............ . . ......._ ____ .................... .. CONCLUSIONS.........._ _ __ ................... 7 APPENDICES: Appendix A- Inspector's Certification Appendix B.- Field Data, laboratory Results Thermatech Northwest Inc 10312 sales Roads,Tacoma wq 98499 Ph.(253 )9841818 Prepared for Martin Jouflas Good Faith Asbestos Survey SCOPE OP WORK conducted a Good Faith aSound Clea►eAi(per 10, 2017 Jack W Odom co designated by Puget ton, WA On May uidelines as desig 3 204tn St, Arcing U.S.L.P.A 1 A.FI.E.R•A. g ert located at 7`rt generation were based on the Agency) of the Commerc►da data propertycollection and report 98223. Field inspection, following Scope of\Nark* all accessible inspection to identify and inventory Perform visual materials. analysis of ct asbestos- -asb°stos all identified suspe suspect containing Bulk sampling and containing materials. provide written report. ercial building. The building Is BASIC CONSTRUCTION Story Comm The exterior is a The structure is a 2 The roof is peaked 1 '813 square feet band in approximately with several combination of partial wood siding and flat rollediass With set in aluminum with 3- tab asphalt roofing ' pane g hout with a is wood framed throug layers. The w+edO TherbrDd r ge p area and open framed with and vinyl tram in the office a through the area GWB walls and ceiling areas. Hoofing in the shop some areas of GWg et in the office area. is bare concrete floors w►th carp and in the exterior and INSULATION lass insulation in the ceiling There is fiberg office area walls. G &VENTILATION SYSTEM= metal to metal duct HEA -IN unit connected to the existing Gas fired rooftop work with no TSI PLUMBING SYSTEM: plumbing is Galvanized steel pipe `Kith no Water heater and thN0 TS1. insulation or wrap. ELECTRICAL SYSTEM: is Romer with a breaker box. The electrical system 1 � Good Faith Asbestos Survey Prepared for Martin Jouflas INTERIOR CONSRTUCTION, FINISHES & FLOORING: • The interior wall coverings are a GWB wall system with light texture on wood framing. The walls in the office, bathrooms areas have GWB wall system. The flooring in the office area is carpet with the shop area having bare concrete floors. SAMPLE METHODS AND LABORATORY INFORMATION A walk- through inspection of all areas was performed to identify which building materials may have the potential for containing asbestos. After identifying the suspect asbestos-containing materials, bulk samples were collected, placed in plastic bags, numbered and recorded. Care was taken to clean all tools between sampling in order to avoid cross-contamination. The samples and appropriate chain of custody forms were then sent to a CEI LABS, a NAVLAP certified laboratory to be analyzed for the type and content of asbestos, if any. The samples were analyzed using Polarized Light Microscopy (PLM) Stain Dispersion Technique in accordance with EPA METHOD 600/R- 93/116. The following section contains tables listing all materials sampled by location, description, type, asbestos percentage (if any) category, and results of materials sampled. 21 } N M h Q o ❑ C T 04 IT 0 LL Oy r d) U > mO N N 0 F Q �� 0. Q o F-C as o CL J U) W LL W a V) f) a -0 -o _0 _0 •a -0 10 a 'o -D 10 io W a) a) a) 0 a) a) Q) a) N N N a) a) (D a) m U U U U U U U L) U U U U U U U N m m a) a) a) a) a) a) a) a) m m m Q O N SU N a) a) a) 0 w N N a) N N N ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ a) a) a) (D a) (1) (1) d a) a) a) a) (1) a) a) C C C C C C C C C C C c C C C 0 0 0 0 0 0 0 0 0 0 0 0 o a 0 Z Z Z Z o Z Z Z Z Z Z Z Z Z Z N 0 a J a Q CD Q' W F- n Q C O C O LL Q N 0 0 z 0 Q 0 c a a a rn a a a a o 0 F- 'p C C C C C C C C W a 0 0 0 0 0 0 0 0 U m ro o m m o 0 0 w L C a' 0' LY m W O m C l O -0 C m N N N a) N N N a o X m m x F7 o o 0 o 0 fn H 0 F � I— � F- M a 0 0 W o m N a a `° 0 c� W a Q N U a) 4) a) a) 4) (D 4) a) a) _ _d) W a) a) z Z � z � E z � � 73 z � Q z r� a3 (Q of a3 a) a3 a) a) a) LL LL LL LL LL LL LL LL LL LL LL LL LL LL j G C C C G G C C C C C L q C L O O O O O O O O O O O O irO O Z Z Z Z Z Z Z Z Z Z Z Z LL Z Z Q z U 0 _0 W c z Q w LL ao U — — ? N y L N W O a1 w N LOC Ca) OCI6 wLYOC= wO �mC' �L«Y0.a —1 cn z LL :DC�n >> O ON o w � 00 ap Q N N O O O O O Z OO we LL a) � N O Q N W co O (a m a) a) a 9U) � d U) J m J Co. L IL d LL- 0C- LL LL LL -1 N M V Ln (fl l i a0 O) N M 0 p Cl) Cam.) N F L (�+ Cl) ch [7 L+7 M (h M M M M M (� M W N N d M C � Z V V V cY V' V V V � N N N •0 � ` Q h r n r ti ti r r ti f� It r ti IL Good Faith Asbestos Survey Prepared for Martin Jouflas SUMMARY OF MATERIALS FOUND POSITIVE Upon completion of the Limited Survey and review of the laboratory data, the following materials found, contained asbestos at the structure located at, 7423 204th St, Arlington, WA 98223. • No Asbestos was detected. 51 Good Faith Asbestos Survey Prepared for Martin Jouflas DEFINITIONS Asbestos -Asbestiform varieties of Actinolite, Arnvsite (cummingtonite- grunerite), Tremolite, Chrysotile (serpentinite), Crocidolite (riebeckite), or Anthophyllite. Asbestos-Containing Material - Any material containing more than one percent (1%) asbestos as determined using the method specified in EOA regulations (Polarized Light Microscopy). Friable — Materials that can be crumbled or reduced to powder by hand pressure. Homogeneous Areas —An area which appears similar throughout in terms of color, texture, and date of materials application. Miscellaneous Materials — Interior building material on structural components, structural members of fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation (AHERA definition). Surfacing Material - Material that is sprayed-on, troweled- on, or otherwise applied to surfaces, such as acoustical plaster on ceilings, and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes (AHERA definition). Thermal System Insulation — Material applied to pipes, fittings, boilers, breeching, tanks, ducts or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 61 Good Faith Asbestos Survey Prepared for Martin Jouflas CONCLUSION Abatement and disposal of asbestos-containing materials must be conducted by a Washington State Licensed Asbestos Abatement Contractor using Washington State Certified Asbestos Abatement Workers. Should employees or contract personnel encounter any suspect asbestos-containing materials, it is their responsibility to: • Contact a representative of the owners. • Consult the inspection report to determine whether or not the suspect material contains asbestos. • Ensure that all employees and contractors are informed and advised of the location and type of materials that contain asbestos Any additional hidden or covered suspect materials, discovered during demolition or renovation, that are similar to those identified in this survey must be treated as asbestos-containing materials unless determined otherwise by laboratory analysis. A copy of this report should be kept on site during any asbestos abatement, renovation, or demolition. Please contact the undersigned for any further assistance or if any questions or concerns arise relative to this report. Sind rely, �i� Odom ,A ERA Building Inspector Thermatech Northwest Inc. 10312 Sales Road S Lakewood, WA 98499 71 Appendix #A I �J�C�IOF ���II�IvA1I0"'J h� a, 10, • LLJcts co • - • ,[-'-. 1 i S • wf co co I FIC Iyeti � � , • • • CM cts 1 4) WIRZ 1 CO G' tA ' • . �1 - 1 I - j r 1\Is �r Appendix #B FIELD DATA / LABORATORY RESULTS rc C E I _AC35 May 22, 2017 Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 CLIENT PROJECT: Real Property Investors, LLC, Bartell Arlington; 17-0426 CEI LAB CODE: A17-7284 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on May 22, 2017. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos-containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. If you have any questions, please feel free to call our office at 919-481-1413. Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director NVkA, NVLAP LAB CODE 101763-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 CEILABS ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for Thermatech Northwest, Inc. CLIENT PROJECT: Real Property Investors, LLC, Bartell Arlington; 17-0426 CEI LAB CODE: A17-7284 TEST METHOD: EPA 600 / R93 / 116 and EPA 600/ M4-82 /020 REPORT DATE: 05/22/17 TOTAL SAMPLES ANALYZED: 13 # SAMPLES >1% ASBESTOS- TEL: 866-481-1412 www.ceitabs.com Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY L/�QS PROJECT: Real Property Investors, LLC, Bartell CEI LAB CODE: A17-7284 Arlington; 17-0426 METHOD: EPA 600/R93/ 116 and EPA 600/ M4-82/020 ASBESTOS Client ID Layer Lab ID Color Sample Description % 7423-1 A2406509 Off-white,Blue Texture None Detected 7423-2 A2406510 Off-white,Gray Wallboard None Detected 7423-3 Layer 1 A2406511 Off-white,Blue Texture None Detected - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -- -- - -- -- - - - Layer 2 A2406511 Off-white,Gray Wallboard None Detected 7423-4 Layer 1 A2406512 Off-white,Blue Texture None Detected - - -- - - - - - - - - - - --- ---- -- -- - - - - ------- - - -- - - - - - - - - - - - - - - - -- -- - - - -- Layer 2 A2406512 Off-white,Gray Wallboard None Detected 7423-5 A2406513 Off-white Texture None Detected 7423-6 A2406514 Black Roofing None Detected 7423-7 A2406515 Black Roofing None Detected 7423-8 A2406516 Black Roofing None Detected 7423-9 A2406517 Black Rolled Roofing None Detected 7423-10 A2406518 Black Rolled Roofing None Detected 7423-11 A2406519 Black Rolled Roofing None Detected 7423-12 A2406520 Black Rolled Roofing None Detected 7423-13 A2406521 Black Rolled Roofing None Detected Page 1 of 1 rc ASBESTOS BULK ANALYSIS CEI By: POLARIZING LIGHT MICROSCOPY LA[35 Client: Thermatech Northwest, Inc. CEI Lab Code: A17-7284 10312 Sales Road S. Date Received: 05-22-17 Lakewood, WA 98499 Date Analyzed: 05-22-17 Date Reported: 05-22-17 Project: Real Property Investors, LLC, Bartell Arlington; 17-0426 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % 7423-1 Texture Heterogeneous 5% Paint None Detected A2406509 Off-white,Blue 85% Cale Carb Non-fibrous 10% Binder Bound 7423-2 Wallboard Heterogeneous 10% Cellulose 5% Paint None Detected A2406510 Off-white,Gray 80% Gypsum Non-fibrous 5% Binder Bound Lab Notes:No Joint Compound present. 7423-3 Texture Heterogeneous 5% Paint None Detected Layer 1 Oft-white,Biue 85% Cale Carb A2406511 Non-fibrous 10% Binder Bound _ _ _ _ _ _ Layer 2 Wallboard Heterogeneous 10% Cellulose 85% Gypsum None Detected A2406511 Off-white,Gray 5% Binder Non-fibrous Bound 7423.4 Texture Heterogeneous 5% Paint None Detected Layer 1 Off-white,Biue 85% Cale Carb A2406512 Non-fibrous 10% Binder Bound ---- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - Layer 2 Wallboard Heterogeneous 10% Cellulose 85% Gypsum None Detected A2406512 Off-white,Gray 5% Binder Non-fibrous Bound 7423-5 Texture Heterogeneous 5% Paint None Detected A2406513 Off-white 85% Cale Carb Non-fibrous 10% Binder Bound Page 1 of 4 ASBESTOS BULK ANALYSIS C: E By: POLARIZING LIGHT MICROSCOPY LADS Client: Thermatech Northwest, Inc. CEI Lab Code: A17-7284 10312 Sales Road S. Date Received: 05-22-17 Lakewood, WA 98499 Date Analyzed: 05-22-17 Date Reported: 05-22-17 Project: Real Property Investors, LLC, Bartell Arlington; 17-0426 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % 7423-6 Roofing Heterogeneous 20% Cellulose 5% Gravel None Detected A2406514 Black 75% Tar Fibrous Bound 7423-7 Roofing Heterogeneous 20% Cellulose 5% Gravel None Detected A2406515 Black 75% Tar Fibrous Bound 7423-8 Roofing Heterogeneous 20% Cellulose 5% Gravel None Detected A2406516 Black 75% Tar Fibrous Bound 7423-9 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406517 Black 5% Binder Fibrous Bound 7423-10 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406518 Black 5% Binder Fibrous Bound 7423-11 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406519 Black 5% Binder Fibrous Bound 7423-12 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406520 Black 5% Binder Fibrous Bound Page 2 of 4 ASBESTOS BULK ANALYSIS CEIBy: POLARIZING LIGHT MICROSCOPY L_/-kos Client: Thermatech Northwest, Inc. CEI Lab Cade: A17-7284 10312 Sales Road S. Date Received: 05-22-17 Lakewood,WA 98499 Date Analyzed: 05-22-17 Date Reported: 05-22-17 Project: Real Property Investors, LLC, Bartell Arlington; 17-0426 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % 7423-13 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406521 Black 5% Binder Fibrous Bound Page 3 of 4 rc C E I L/kSS LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600/ R93/ 116 and EPA 6001 M4-82 /020 REPORTING LIMIT: <1% by visual estimation REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by CEI Labs, Inc. CEI Labs makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. ANALYST: APPROVED BY: Ritika Seal Tianbao Bai, Ph.D., CIH Laboratory Director L IRVAT WG NVLAP LAB CODE 101768-0 Page 4 of 4 ASS EST os LEAD - DEMOU- V \ 01N May 25,2017 Martin.louflas Real Property Investors,LLC 2618 2"d Ave Seattle,WA.98121 Re: Arlington Bartell-7423 204th St,Arlington,WA.98223 Dear Martin, Enclosed are the paint chip results for the project located at 7423 204th St,Arlington,WA.98223. A total of 2 samples were taken from the interior and exterior walls. The results are posted below. • The paint samples with lead levels less than 0.5%by weight, the Lead Rase Paint definition established by the Federal Lead Standard/HUD regulations,are as follows: 7426-L-1 — 1"d Floor- Exterior West Wall—Orange Paint Sample 7426-L-1 (0 035%by weight) 7426-L-2—2r11 Floor- Interior Wall at the Electrical Closet—Blue Sample 7426-L-2 Paint 1 (0.0041%by weight) The paint samples that contain lead and are considered Lead Base Paint are as follows: o None of the Samples collected are considered Lead Base Paint. W1SHA has not defined a minimum concentration for regulating lead and has clarified that lead,at any detectable concentration will be regulated.(WAC-296-155-176,Lead). Than 6u, l ack Odom Thermatech Northwest Inc. Lead Inspector Cert.# 157194 Thermatech Northwest Inc. 10312 Sales Road South,Lakewood, W4 98499 Ph 253.984.1818 Fx 253.984.1886 CEI Labs LABORATORY REPORT 730 SE Phone:9 9 -- a)481na"I-11413 x-_(19)481-1442 LEAD IN PAINT Client: Thermatech Northwest, Inc. CEI Lab Code: C17-0371 10312 Sales Road S. Received: 05-22-17 Lakewood, WA 98499 Analyzed: 05-24-17 Reported: 05-24-17 Project: Real Property Investors-Bartell Arlington; 17 -0426 ANALYSIS METHOD: EPA SW046 7000B CEI PPM(pglg) CONCENTRATION CLIENT ID LAB ID %BY WEIGHT 7426-L-1 CA60503 350 0.035 7426-L-2 CA60504 41 0.0041 Reviewed By: � �6_ Tianbao Bai, Ph.D. Laboratory Director This method has been validated for sample weights of 0.020g or greater.When samples with a weight of less than that are analyzed those results fall outside of the scope of accreditations. *The analysis of composite wipe samples as a single samples is not included under AIHA accreditation. Minimum reporting limit is 10 pg total lead. Sample results denoted with a"less than"(<)sign contain less than 10.0 pg total lead, based on a 40ml sample volume. Lead samples are not analyzed by CEI Labs Lead samples are submitted to an AIHA ELLAP accredited laboratory for lead analysis of soil, dust, paint, and TCLP samples. Laboratory results represent the analysis of samples as submitted by the client. Information regarding sample location, description, area, volume, etc., was provided by the client. Unless notified in writing to return samples, CEI Labs discards client samples after 30 days.This report shall not be reproduced, except in full,without the written consent of CEI Labs. REGULATORY OSHA Standard: No safe limit. LIMITS Consumer Products Safety Standard: Greater than 0.06% lead by weight. Federal Lead Standard/HUD: 0.5% lead by weight. LEGEND pg = microgram ppm =parts per million g=grams ml= milliliter Pb= lead wt=weight End of Report Page 1 C���u3� METALS SAMPLING FORM CEIILASS COMPANY CONTACT INFORMATION Company: Thermatech Northwest, Inc. Job Contact: '•ack Odom Project Name: Real Property Investors-Bartell Arlington Project ID#: 17.0426 Tel: 253-377-0313 SAMPLE ID# DESCRIPTION 1 LOCATION VOLUME/AREA COMMENTS 7426-L-1 Orange Exterior Paint 900 SF Orange Exterior Paint 7426-L-2 Electrical Room Paint Blue 32 SF Electric Room paint-Blue VERSION PbCOC.0616.212.LD Metals COC Page 2 of 2 THERMATECH NORTHWEST, INC. GOOD FAITH ASBESTOS SURVEY PREPARED FOR: MARTIN JOUFLAS REAL PROPERTY INVESTORS, LLC 2618 2ND Ave SEATTLE, WA. 98121 Thermatech Northwest Inc. 10312 Sales Road S,Tacoma WA 98499 Ph (253)-9841818 LOCATION OF SURVEY: BARTELL ARLINGTON 7423 204T" ST ARLINGTON, WA. 98223 TTNW#SV170426 Report Date: May 25, 2017 PERFORMED BY: Jack W. Odom AHERA Certification #1626803 Expiration Date May 3, 2018 Thermatech Northwest Inc.10312 Sales Road S,Tacoma WA 98499 Ph.(253)-9841818 THERMATECH NORTHWEST, INC. GOOD FAITH ASBESTOS SURVEY PREPARED FOR: MARTIN JOUFLAS REAL PROPERTY INVESTORS, LLC 2618 2N1 Ave SEATTLE, WA. 98121 Thermatech Northwest Inc. 10312 Sales Road S,Tacoma WA 98499 Ph.(253)-9841818 LOCATION OF SURVEY: BARTELL ARLINGTON 7423 204T" ST ARLINGTON, WA. 98223 11111�t r TTNW#SV170426 Report Date: May 25, 2017 PERFORMED BY: Jack W. Odom AHERA Certification #1626803 Expiration Date May 3, 2018 Thermatech Northwest Inc 10312 Sales Road S,Tacoma WA 98499 Ph (253)-9841818 TABLE OF CONTENTS Paqe SCOPE OF WORK/BUILDING DESCRIPTION ........................................... 1-2 Basic Construction Heating & Ventilation System Plumbing System Insulation Electrical System Interior Construction, Finishes & Flooring METHODOLOGY/ LABORATORY INFORMATION .................................... 2 SAMPLEDATA............................................................................................ 2 SUMMARY OF MATERIALS FOUND POSITIVE ........................................ 3-5 DEFINITIONS .............................................................................................. 6 CONCLUSIONS........................................................................................... 7 APPENDICES.- Appendix A: Inspector's Certification Appendix B: Field Data/ Laboratory Results Thermatech Northwest Inc. 10312 Sales Road S,Tacoma WA 98499 Ph.(253)-9841818 Good Faith Asbestos Survey Prepared for Martin Jouflas SCOPE OF WORK On May 10, 2017 Jack W Odom conducted a Good Faith asbestos survey (per U.S.E.P.A /A.H.E.R.A. guidelines as designated by Puget Sound Clean Air Agency) of the Commercial Property located at 7423 204t" St, Arlington, WA 98223. Field inspection, data collection and report generation were based on the following Scope of Work: • Perform visual inspection to identify and inventory all accessible suspect-asbestos containing materials. • Bulk sampling and analysis of all identified suspect asbestos- containing materials. • Provide written report. BASIC CONSTRUCTION: • The structure is a 2 Story Commercial building. The building is approximately 16813 square feet built in 1971. The exterior is a combination of partial wood siding and concrete. The roof is peaked with 3- tab asphalt roofing and flat rolled membrane with several layers. The windows are Double pane glass with set in aluminum and vinyl frames. The building is wood framed throughout with a GWB walls and ceiling in the office area and open framed with some areas of GWB in the shop areas. Flooring through the area is bare concrete floors with carpet in the office area. INSULATION: • There is fiberglass insulation in the ceiling and in the exterior and office area walls. HEATING & VENTILATION SYSTEM: • Gas fired rooftop unit connected to the existing metal to metal duct work with no TSI PLUMBING SYSTEM: • Water heater and the plumbing is Galvanized steel pipe with no insulation or wrap. No TSI. ELECTRICAL SYSTEM: • The electrical system is Romex with a breaker box. 1 � Good Faith Asbestos Survey Prepared for Martin Jouflas INTERIOR CONSRTUCTION, FINISHES & FLOORING: • The interior wall coverings are a GWB wall system with light texture on wood framing. The walls in the office, bathrooms areas have GWB wall system. The flooring in the office area is carpet with the shop area having bare concrete floors. SAMPLE METHODS AND LABORATORY INFORMATION A walk- through inspection of all areas was performed to identify which building materials may have the potential for containing asbestos. After identifying the suspect asbestos-containing materials, bulk samples were collected, placed in plastic bags, numbered and recorded. Care was taken to clean all tools between sampling in order to avoid cross-contamination. The samples and appropriate chain of custody forms were then sent to a CEI LABS, a NAVLAP certified laboratory to be analyzed for the type and content of asbestos, if any. The samples were analyzed using Polarized Light Microscopy (PLM) Stain Dispersion Technique in accordance with EPA METHOD 600/R- 93/116. The following section contains tables listing all materials sampled by location, description, type, asbestos percentage (if any) category, and results of materials sampled. 21 » m0 m � a GR 2 &� L ■ ® o rCY - - N m Cl) ) \ k § ( ( /k < M LU o \ w ® LLI a » w q 0 u 2 2 2 2 R 0 0 0 \ 2 2 2 \ 2 0 m t t a f J t t o t t t t t t t5 / / / / / j 3 / 0 0 / M j / / » a » « « » » m m » » _ » » m § § § § § § § § § G § § § § § z z z z z z z z z z z z z z z § ELCL LU ■ - § 2 E R LL< o ( R z o R \ p a c 0) o c = c L _0 2 2 \ \ \ \ \ \ \ 0 � e G e 3 P S \ ± ± ® ± ± ± m -0 -0 _0t 2 -0 _0 \ -a -0 % a) / a) a)a) \ / \ \ \ ƒ } } } / \ m , o § � ca kCL 0 0 LU v » » ; _ » m m m e » » m m m - @@ R e 9 9 9@ 9 9 « 9 9 9 - 2 2 3 2 2 2 2 y y y 3 2 ] 2 2 § § § § § § § § § § § § _ § § z z z z z z z z z E z z z z z / k k - 7 w f co co ± w 0 g - \ \ c = U. k \ ¥ $ a ¢ ® \ % j / k j =Q. � £ » m 4 \ \ 0 § 7 E U. E m - j j \ \ ? 2 \ \ / \ j j I { 3 = . » o = m - f a u \ R % { _ \ \ \ \ # - E k 2 w & < § ® = m e u = u = _ E E _ E _ a # \/ k k ¢� m r t r = w = c / 2 / ) 0 2 � - Cl) A A A A Cl) A A A w e § ( E5 Z @@@ @ @ g@@@ Cl) Cl) A A ) Co / » » » » » » / / / \ Good Faith Asbestos Survey Prepared for Martin Jouflas SUMMARY OF MATERIALS FOUND POSITIVE Upon completion of the Limited Survey and review of the laboratory data, the following materials found, contained asbestos at the structure located at, 7423 204th St, Arlington, WA 98223. • No Asbestos was detected. 51 Good Faith Asbestos Survey Prepared for Martin Jouflas DEFINITIONS Asbestos -Asbestiform varieties of Actinolite, Amosite (cummingtonite- grunerite), Tremolite, Chrysotile (serpentinite), Crocidolite (riebeckite), or Anthophyllite. Asbestos-Containing Material -Any material containing more than one percent (1%) asbestos as determined using the method specified in EOA regulations (Polarized Light Microscopy). Friable — Materials that can be crumbled or reduced to powder by hand pressure. Homogeneous Areas —An area which appears similar throughout in terms of color, texture, and date of materials application. Miscellaneous Materials — Interior building material on structural components, structural members of fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation (AHERA definition). Surfacing Material - Material that is sprayed-on, troweled- on, or otherwise applied to surfaces, such as acoustical plaster on ceilings, and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes (AHERA definition). Thermal System Insulation — Material applied to pipes, fittings, boilers, breeching, tanks, ducts or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 61 Good Faith Asbestos Survey Prepared for Martin Jouflas CONCLUSION Abatement and disposal of asbestos-containing materials must be conducted by a Washington State Licensed Asbestos Abatement Contractor using Washington State Certified Asbestos Abatement Workers. Should employees or contract personnel encounter any suspect asbestos-containing materials, it is their responsibility to: • Contact a representative of the owners. • Consult the inspection report to determine whether or not the suspect material contains asbestos. • Ensure that all employees and contractors are informed and advised of the location and type of materials that contain asbestos Any additional hidden or covered suspect materials, discovered during demolition or renovation, that are similar to those identified in this survey must be treated as asbestos-containing materials unless determined otherwise by laboratory analysis. A copy of this report should be kept on site during any asbestos abatement, renovation, or demolition. Please contact the undersigned for any further assistance or if any questions or concerns arise relative to this report. Sin re y, Odom A ERA Building Inspector Thermatech Northwest Inc. 10312 Sales Road S Lakewood, WA 98499 71 Appendix #A INSPECTOR'S CERTIFICATION „y •I,l. ,yii`�1',{Tt� ?!�;',Y; f i�.����i�;�,. .,^�t� � err`•��'�M 'r ,�- _ I` �a / r r - - cz u - • �t • GO f; ' • CO.— • E; . m CL CL co LLI= z • • • • r;: • . r-) PACIFIC �.? • ! ~ :Z ;� • ' • Lu r.. :1 - ` • u lZ /. • y,^ti i ; • ` cjr 4-1 • LL IvLi � \ I ' �\ Appendix #B FIELD DATA / LABORATORY RESULTS evc CEIL^BS May 22, 2017 Thermatech Northwest, Inc. 10312 Sales Road S. Lakewood, WA 98499 CLIENT PROJECT: Real Property Investors, LLC, Bartell Arlington; 17-0426 CEI LAB CODE: A17-7284 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on May 22, 2017. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos-containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. If you have any questions, please feel free to call our office at 919-481-1413. Kind Regards, //'e� 4�__—, Tianbao Bai, Ph.D., CIH Laboratory Director NVtApTES 68-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 r-C CEILASS ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for Thermatech Northwest, Inc. CLIENT PROJECT: Real Property Investors, LLC, Bartell Arlington; 17-0426 CEI LAB CODE: Al7-7284 TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORT DATE: 05/22/17 TOTAL SAMPLES ANALYZED: 13 # SAMPLES >1% ASBESTOS: TEL: 866-481 -1412 www.ceilabs.com Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY L/�C35 PROJECT: Real Property Investors, LLC, Bartell CEI LAB CODE: A17-7284 Arlington; 17-0426 METHOD: EPA 600/ R93/ 116 and EPA 600/ M4-82/ 020 ASBESTOS Client ID Layer Lab ID Color Sample Description % 7423-1 A2406509 Off-white,Blue Texture None Detected 7423-2 A2406510 Off-white,Gray Wallboard None Detected 7423-3 Layer 1 A2406511 Off-white,Blue Texture None Detected - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - Layer 2 A2406511 Off-white,Gray Wallboard None Detected 7423-4 Layer 1 A2406512 Off-white,Blue Texture None Detected - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Layer 2 A2406512 Off-white,Gray Wallboard None Detected 7423-5 A2406513 Off-white Texture None Detected 7423-6 A2406514 Black Roofing None Detected 7423-7 A2406515 Black Roofing None Detected 7423-8 A2406516 Black Roofing None Detected 7423-9 A2406517 Black Rolled Roofing None Detected 7423-10 A2406518 Black Rolled Roofing None Detected 7423-11 A2406519 Black Rolled Roofing None Detected 7423-12 A2406520 Black Rolled Roofing None Detected 7423-13 A2406521 Black Rolled Roofing None Detected Page 1 of 1 rc ASBESTOS BULK ANALYSIS C: EILA[Bc-- By: POLARIZING LIGHT MICROSCOPY Client: Thermatech Northwest, Inc. CEI Lab Code: A17-7284 10312 Sales Road S. Date Received: 05-22-17 Lakewood, WA 98499 Date Analyzed: 05-22-17 Date Reported: 05-22-17 Project: Real Property Investors, LLC, Bartell Arlington; 17-0426 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % 7423-1 Texture Heterogeneous 5% Paint None Detected A2406509 Off-white,Blue 85% Calc Carb Non-fibrous 10% Binder Bound 7423-2 Wallboard Heterogeneous 10% Cellulose 5% Paint None Detected A2406510 Off-white,Gray 80% Gypsum Non-fibrous 5% Binder Bound Lab Notes: No Joint Compound present. 7423-3 Texture Heterogeneous 5% Paint None Detected Layer 1 Off-white,Blue 85% Calc Carb A2406511 Non-fibrous 10% Binder Bound - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -o - - - - - - - - - - o- - - - - - - - - - - - - - - - - - - - - - - Layer 2 Wallboard Heterogeneous 10% Cellulose 85% Gypsum None Detected A2406511 Off-white,Gray 5% Binder Non-fibrous Bound 7423-4 Texture Heterogeneous 5% Paint None Detected Layer 1 Off-white,Blue 85% Calc Carb A2406512 Non-fibrous 10% Binder Bound - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -o - - - - - - - - - - o- - - - - - - - - - - - - - - - - - - - - - - Layer 2 Wallboard Heterogeneous 10% Cellulose 85% Gypsum None Detected A2406512 Off-white,Gray 5% Binder Non-fibrous Bound 7423-5 Texture Heterogeneous 5% Paint None Detected A2406513 Off-white 85% Calc Carb Non-fibrous 10% Binder Bound Page 1 of 4 rc ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY LAQS Client: Thermatech Northwest, Inc. CEI Lab Code: A17-7284 10312 Sales Road S. Date Received: 05-22-17 Lakewood, WA 98499 Date Analyzed: 05-22-17 Date Reported: 05-22-17 Project: Real Property Investors, LLC, Bartell Arlington; 17-0426 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % 7423-6 Roofing Heterogeneous 20% Cellulose 5% Gravel None Detected A2406514 Black 75% Tar Fibrous Bound 7423-7 Roofing Heterogeneous 20% Cellulose 5% Gravel None Detected A2406515 Black 75% Tar Fibrous Bound 7423-8 Roofing Heterogeneous 20% Cellulose 5% Gravel None Detected A2406516 Black 75% Tar Fibrous Bound 7423-9 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406517 Black 5% Binder Fibrous Bound 7423-10 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406518 Black 5% Binder Fibrous Bound 7423-11 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406519 Black 5% Binder Fibrous Bound 7423-12 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406520 Black 5% Binder Fibrous Bound Page 2 of 4 ASBESTOS BULK ANALYSIS C: E I By: POLARIZING LIGHT MICROSCOPY Client: Thermatech Northwest, Inc. CEI Lab Code: A17-7284 10312 Sales Road S. Date Received: 05-22-17 Lakewood, WA 98499 Date Analyzed: 05-22-17 Date Reported: 05-22-17 Project: Real Property Investors, LLC, Bartell Arlington; 17-0426 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % 7423-13 Rolled Roofing Heterogeneous 15% Cellulose 80% Tar None Detected A2406521 Black 5% Binder Fibrous Bound Page 3 of 4 C E I LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600/ R93 / 116 and EPA 600/ M4-82 /020 REPORTING LIMIT: <1% by visual estimation REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by CEI Labs, Inc. CEI Labs makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. ANALYST: aar& APPROVED BY: Z 4� Ritika Seal Tianbao Bai, Ph.D., CIH Laboratory Director ql NVkA TES NVLAP LAB CODE 101768-0 Page 4 of 4 N 40,RTf,� l�YEST /N/C_� /� SgESTos - LEAD - DEM � �- � T � © N May 25,2017 Martin Jouflas Real Property Investors,LLC 2618 2❑d Ave Seattle,WA.98121 Re: Arlington Bartell-7423 204th St,Arlington,WA.98223 Dear Martin, Enclosed are the paint chip results for the project located at 7423 204th St,Arlington, WA. 98223.A total of 2 samples were taken from the interior and exterior walls. The results are posted below. • The paint samples with lead levels less than 0.5%by weight,the Lead Base Paint definition established by the Federal Lead Standard/HUD regulations,are as follows: 7426-L-1 — 1nd Floor- Exterior West Wall—Orange Paint Sample 7426-L-t (0.035%by weight) 7426-L-2—2nd Floor- Interior Wall at the Electrical Closet—Blue Sample 7426-L-2 Paint (0,0041%by weight) • The paint samples that contain lead and are considered Lead Base Paint are as follows: o None of the Samples collected are considered Lead Base Paint. WISHA has not defined a minimum concentration for regulating lead and has clarified that lead,at any detectable concentration will be regulated. (WAC-296-155-176,Lead). Tha u, ack Odom Thermatech Northwest Inc. Lead Inspector Cert.# 157194 Thermutech Northwest Inc. 10312 Sales Road South,Lakewood, WA 98499 Ph 253.984.1818 Fx 253.984.1886 CEI Labs LABORATORY REPORT 730 SE C L/kL-Es__ Phone:919)481-nard-11413Fa Cary,19)481-1442 LEAD IN PAINT client: Thermatech Northwest, Inc. C17-0371 10312 Sales Road S. CEI Lab Code: Received: 05-22-17 Lakewood, WA 98499 Analyzed: 05-24-17 Reported: 05-24-17 Project: Real Property Investors-Bartell Arlington; 17 -0426 ANALYSIS METHOD: EPA SW846 7000B CEI PPM(pglg) CONCENTRATION CLIENT ID LAB ID %BY WEIGHT 7426-L-1 CA60503 350 0.035 7426-L-2 CA60504 41 0.0041 Reviewed By: Tianbao Bai, Ph.D. Laboratory Director This method has been validated for sample weights of 0.020g or greater.When samples with a weight of less than that are analyzed those results fall outside of the scope of accreditations. *The analysis of composite wipe samples as a single samples is not included under AIHA accreditation. Minimum reporting limit is 10 pg total lead. Sample results denoted with a "less than" (<) sign contain less than 10.0 pg total lead, based on a 40ml sample volume. Lead samples are not analyzed by CEI Labs Lead samples are submitted to an AIHA ELLAP accredited laboratory for lead analysis of soil, dust, paint, and TCLP samples. Laboratory results represent the analysis of samples as submitted by the client. Information regarding sample location, description, area, volume, etc., was provided by the client. Unless notified in writing to return samples, CEI Labs discards client samples after 30 days. This report shall not be reproduced, except in full,without the written consent of CEI Labs. REGULATORY OSHA Standard: No safe limit. LIMITS Consumer Products Safety Standard: Greater than 0.06% lead by weight. Federal Lead Standard/HUD: 0.5% lead by weight. LEGEND pg = microgram ppm = parts per million g = grams ml = milliliter Pb = lead wt=weight End of Report Page 1 C��► �3� � METALS �- SAMPLING FORM CEILABS COMPANY CONTACT INFORMATION Company] Thermatech Northwest, Inc. Job Contact: Jack Odori Project Name: Real Property Investors-Bartell Arlington Project ID# 17.0426 Tel: 253-377-0313 SAMPLE ID# DESCRIPTION/LOCATION VOLUME/AREA COMMENTS 7426-L-1 Orange Exterior Paint 900 SF Orange Exterior Paint 7426-L-2 Electrical Room Paint Blue 32 SF Electric Room paint-Blue VERSION PbCOC.0616.2/2.LD Metals COC Page 2 of 2 Permit#: 1605 Permit Date: 08/15/17 Permit Type: DEMOLITION Project Nam e Bartell Drugs Applicant Nam a BCI National Applicant Address: 3158 N. Main Street Applicant, City, State, Zip: Salt Lake City, UT 84115 Contact: Evan Wcng Phone: 206-604-1238 Em ail: evan.wongl@gm al.com Scope of Work: Dem oCom m ecial Building Valuation: 68000.00 Square Feet: 15000 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 08/15/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Cvner Phone Zoning 249 Other Lum ber& 3105I IA0304100 7 423 204TH ST NE M YO RODNEY Wood Products(Ex. Furnitu)NEC Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# BCI National Jason Fritz 8 01-879-6227 3158 South Main CONSTRUCTION Labor and BUEHN1914MB Street CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om Iieted Date I nspector S tatus 11/09/2017 CR00. BUILDING C omlieted DEMOLITION Fees Fee D escription N otes A m cant Dem dition $100.00 Processing/Technology $25.00 State Surcharge- 1 st DU R esidential- 1 st Unit $4.50 Total $129.50 Attached Letters Date Letter D escription 08/15/2017 Building Perm i Paym arts Date Paid By D escription P aym eit Type A ccepted By A m aunt 08/15/2017 Jason Fritz 6 5941570 c c $129.50 O ttstanding Balance $0.00 Notes Date Note C reated By: 08/15/2017 Contacted Jay Lem 1c and Gary Schlagel for corn m ats in order to issue the perm i today. See Kristin Foster perm i for utility com m nts.KF Uploaded Files Date File Nam e 08/17/2017 2534728-7423 204th St-Arlington Bartell-HazMat Report.pdf 08/16/2017 2531218-1605 Application.pdf 08/16/2017 2531219-1605 Issued Perm i.pdf