HomeMy WebLinkAbout19503 63rd Ave NE_035316_2026 C I T Y O F A R L I M G T M M
GOhISTRUGT I UM PERM I T
PE RM I T tV0_
Owner: CITY OF ARLINGTON 238 N. OLYMPIC ARLINGTON 98223
Value of Work: Tax ID: Phone: 435-5785
Describe Work: DEMO EXISTING BUILDING
Proposed Use: FENCE
Legal Description:
Job Address: 19503 63RD AVE HE
Contractor's Mane Type Address License#
CORNERSTONE GEN
TOTALS Fee
Permit Fee $100. 00
State fee $4. 50 w / i113
SIGNATURE
TOTAL FEE. . . . . . . . . . . . . . . . . $184. 56 I HEREBY E TIF THAT I HAVE READ
AND EXAMIN T S APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW THE S ME 0 BE TRUE AND COR-
RECT ALL P OVISIQNS O LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $104. 56 ORDINANCES GaOVEROING THIS TYPE OF
W RCS WILL BE, PLIE WITH WHETHER
S ECIF ED H9 �i OR ; T.
DATE RECEIPT # ; I�
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.IAI')I"O UNIGITUS
Transfer In:
001.322.10.00 $300.00
001.345.83.0 13.50
C�
Signature:
9, 11
David Anderso
Transfer Out:
$313.50
Signature: J T3
n Latimer
Reference Building Permit Number 03-5269, 03-5316, 03-5317
r
10/o3/2001 Q9;3J FAX 253 512 6573 CORRECTIONAL INDUSTRIES �as5:ross
•
x rion Environmental Services
• J
34tt04 a Aw=e South 6 EvA mg A Suite S •Federal War,WwWogtou MO-6740
NME W 2F5912.535 Tekphooc Seattk(253)S74-J118 •Tacoma (253)95L-6i 17• Faatmue P53)927r4T14 ♦entail ORION6717gao1
Polarized Light Microscopy Test Report
EPA Method 600/R-98/1 I6
Cbent Correctional Industries Environmental Services Date September 27,2001
9704 47'h Avenue S W Bldg. Suite C Page Page 1 of 3
Tacoma, WA 98499 Invoice 011545
Attu: Gary Brock Date Received September 25,2001
Projectirumber NA
Project Name Arlington Airport—Lot 111
Chent ,Orion Sample Asbestos Other
Number Number Stereo Scope Elam Treatment Percent i e fibers
11I-01-01e 10925-25a Joint Compound - ND - CelluIose
Assoc. w/111-01-01 b
111-01-01b 10925-25b Wallboard - YD - Cellulose
Homogeneous
111-01-02a 10925-26a Joint Compound - ND - Cellulose
Assoc. w/111-01-02b
111.01-02b 10925-26b Wamoud - ND - Cellulose
Homogeneous
111-01-03a 10925-27a Jokf Compound - ND - Cellulose
Assoc.w/111-01-03b
111-01-03b 10925-27b Wallboard - ND Cellulose
Homogeneous
111-02-01 10925 218 Ituuls4on - ND - Cellulose
Homogeneous
1I1-03-01 10925-29 Shectroek - ND - Cellulase
Homogeneous _
111-04-01 10925-39 Budding Paper Ash N-D - Cellulose
Homogeneous
111-05412 10925-10a Vinyl Tile Ash ND -
Homogeneous
111-05-0Ib 10925-40b Tan Mastic Chloroform ND - Cellulose
Assoc.w/111-05-01 a
111-05-02a 10925-41a Vinyl Tile Ash ND - -
Homogeneous
111.05-02b 10925.4Ib Tan Mastic Chloroform ND - Cellulose
Assoc.w/III-05-02a PEFCC,
v e D
DFC 1 s pnn2
CI t y pF S2 l s�
L%J _ ` %Jpy
:0iO3i2001 09.,33 FAX 253 512 8573� CORRECTIONAL INDUSTRIESo36:a58
onoon Environmental Services
34044 9'Aveaae Soso#BuBdfteA Saite 5 e Federal Way,Waukingtoa 9DW-6740
WBE W2F5912535 Telephone Seattle(253)874-9118 eTacom (253)9-n 671"#Fsesimde(2S3)9274714 a email ORIGr%717@sol
Polarized Light Microscopy Test Report
EPA, Method 600/R 98/116
Cheat Correctional Industries Environmental Services Date September 27, 2001
9704 4r Avenue SW Bldg. Suite C Page Page 2 of 3
Tacoma,WA 98499 Invoice 011545
Attn: Crary Brock Date Received September 25,2001
Project Number NA
Project Name Arlington Airport—Lot 111
Client Orion Sample Asbestos Other
Number Number Stereo Scope Exam Treatment Percent Tvoe Fibers
11I-06-01a 10925-33a Slam Cost ND - Cellulose
Assoc.wil11-06-01c
111.06-01b 10925-33b Joint Compound ND - Cellulose
Assoc.w/111-06-01c
11146-01 c 10925-33c Wallboard ND - Cellulose
Homogeneous
111-06.02a 10925-34a Skim Coat - ND - Cellulose
Assoc-w/111-06-02b
I11-06-02b 10925.34b Wallboard - ND Cellulose
Homogeneous
111-06-03a 10925-35a Joint Compound - ND - Cellulose
Assoc.w/111-06-03b
111-06-03b 10925-35b Wallboard - ND - Cellulose
Homogeneous
111.07-0Ia 10925-36a Coiling Tcaure - ND - Cellulose
Assoc. wit 11-07-01b
111.07-01b 10925-36b Wallboard - ND - Cellulose
Homogeneous
111.07-02a 10925-37a Ceiling Texture ND - Cellulose
Assoc.w/1I 1-07-02b
III-071-02b 10925-37b Wallboard - ND - CelIulose
Homogeneous
111-0i-03a 1092S-38a Ceiling Tomm - ND - Cellulose
Assoc,w/111-07-03b
-.
I
10/03,i2001 0e:33 FAX 253 312 5573 CORRECTIONAL I;(DUSTRIES 10037%058
t
Orion Environmental Services
340"9+Avenue Seatb♦Bdd g A Saite 5•Federal Way,Washla;ten"OU4740
WBE W2FS912535 Tdephone Seattle r-13)$74-8119•Tacama (IM)93Z-671'T♦Fie la Re(Z53)927-4M4 •email ORJOK6717Ca,aol
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctional Industries Envimllmental Services Date September 27,2001
9704 47ie Avenue SW.Bldg. SuIIe C Page Page 3 of 3
Tacoma,WA 99499 Invoice 011545
Attn: Crary Brock Date Received September 25,2001
Project Number NA
Project Name Arlington Airport—Lot 111
Client Orion Sample Asbestos Other
Number Yumber Stereo Scope Exam Treatment Percent Type Fibers
111-07-03b 10925-38b Wallboard - ND - Cellulose
Homogeneous
Dup:Laboratory QAlQC Duplicate;-M;Masde[(a),(b),(c),etC]:Semple layers numberod from front to back.
Coa=ents: For layered samplesi each camponeut has been analyzed segammly.ND means con-detect for
Asbestos tlbrs by EPA Mahod 600/R-93/116.
Diselmracm: PLM has ba a known to miss asbestos in a wall perec age of samples that eonhiim asbestos.
Thus negative PL M results cannot be guaranteed.
This repast may only be reproduced in lull with writtm approval of ORLON Environs mtak Services.
Orion samples art analyzed according to EPA Nh mod 6OOiR-98/116 by AMA Bulk Asbestos Analytical Testing
ftogr11)proficient mulysts.
Reviewed BY. / `
Member AOAC;AC5, AMA
Donna McNeal tmdm����rmracrrolC p&any-L'vzrrlr I,rro r�fezP Cm=q
Laboratory Director
10/03/2001 09:34 FAIL 253 512 6573 CORRECTIONAL INDUSTRIES 1038/058
CORRECTIONAL INDUST-R-I-ES - --� �
Environmental SerAces/Buidinq Assessment
Asbestos 1 UST Fe
7TaCarna,WA 98499 71 X02-Phone:(253W9.7070 Fay CM)599-t=
Chain of Customs
TO:(Lab) 1 0 -
ADDRESS:
SAMPLE TYPE NUMBER TURN AROUND TIME
�BLU ®,B Hour
]sm Q Ott er
❑LEM
NOTIFICATION OF ANALYSIS: CTdepeane Fax ❑wemn
ATTENTION:
PROJECT NAME: 4f,6,AX,5F-
,) #,2.
LOCATION: L-o-r r 1
JOB NUMBER: SAMPLE DATE: c r•
IDLE SAMPLES DESCRIPTION SAMPLE BY
Ma I ,--a( -of - - -z r
mj I f I- p LI IL tl '
1613 111 -0/-U i k ►% Z'?
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le6 6-0, �,,w s�PA4 a Wises.,
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IL 377
RELINQUISHED BY: RECI=INFO 8Y' rc^
PRINTED NAME: y �/Cc.�.-G-- PRINTED NAME:��.�rl
SIGNATURE: SIGNATURE:
11ME: /017A�� DATE: Z L ��1— TIME: 1 c0W/ 0Q7c
LA8t7RATORY•PLEASE RETURN ONE COPY OF THE CHAIN OF CUSTCOY w"'rVi ITM ANLnCAL RESULTS.
NOTE:stop tasdno w seen as you pat 1 poaltive samb In any one sample category Please.
10/,O 2004 09:35 FAX 253 512 6573 CORRECTIONAL INDUSTRIES 0 018/058
CORRECTIONAL- INDUSTRIES
Environmental Services/Building Assessment Q SZ''� Q,
Asbestos!UST ` o
Tacoma,WA 98499
Phone:(253)588-7370 Fax(2S3)58g-7388 '76 O 2—
Chain of Custod
To:( Lab) 0 ,47
ADDRESS:
I
SAMPLE: TypE NUMBER TURN AROUND TIME
❑AIR p 24 Haar
❑eulx p 48 SCLO
❑'SO:L ��
{LEAD
NCTIFICATTON OF ANALYSIS: ❑Tdepmne Fax ❑wrttten
ATTENTION: G��
PROJECT NAME: L-1 '�;7�✓ /�7Q0��-�
LOCATION; o
JOB NUMBER: SAMPLE DATE: 4 O /
SAMPLE A SAMPLE DESCRIPTION SAMPLE BY Cert.#
I
RELINCUISNFD BY; RECENED SY:
PRINTED NAME: PRINTED NAME: ..A r F-
SIGNATURE: SIGNATUR .
�ME. �a `'/ DATE: 9/ �� ' I TIMC:
_ T
LABORATORY-PLEASE RETURN ONE COPY OF THE CHAIN OF CUSTODY Wn H WRITTEN ANLYTICAL RESULTS.
NOTE: stop tasting as soon as you yet I poeilhe eampb In arty one sample ntagory please.
10/03/2001 09:35 W 253 512 8573 CORRECTIONAL INDUSTRIES [�a4i.:a58
r•
J
OrionEnvironmental Services
34094 9*A.Teaaft Sratk•adding A Solte 5 a Federal Way,Washington 91000-6740
WBE W20912535 Telepiose Sank(253)S14.8113•Tacoma (253)9SZ4717 a Heat uffe C-53)927-4714-0effnu1 GR10N6717@ao1
Total Lead Test Report
EPA Method 7420
Client Correctional Industries Envitonmeutal Services -Date September 27,2001
9704 47"Aveaue SV,Bldg.23 Suite C Page Pagc 1 of 1
Tacoma, OVA 98499 Invoice 011548
Attu:Gary Brock Date Received September 25, 2001
Project Number NA
Project Name Arlington Airport-Lot 111
Total Lead
Client OR101V Material LOD(m&IW PPM % by Weight
Number Number Descriptioo (IM94W
111-L-01 10925-53 Pais Chips-BIue Color, Exterior 83.3 3,318.7 0.332
111-L-02 10925-54 Paint Chips-Sdver Color,Exterior 2.17 <2.17 <0.002
Quaity Assaraace Information
Method Bbmk:<5.0 mgn
Linem Regmsion Lower Limit:0.990
AMW Bumb Linear Regression:0.997
Ch=k Standard Per Sete-0.6 mall
�2Reviewed By Member AOAC,ACS,AIRA
Donna McNeal Aff l r Carry
Laboratory Director
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