HomeMy WebLinkAbout19503 63rd Ave NE_035317_2026 C I T Y O F A R L I N G T O N
C O N S T R U C T I O N P E R M I T
P E R M I T N O_ a 0 3—5 3 1 7
Owner: CITY OF ARLINGTON 238 N. OLYMPIC ARLINGTON 98223
Value of Work: Tax ID: 153105-4-012-0009 Phone: 435-5785
Describe Work: DEMO EXISTING BLDG
Proposed Use: FENCE
Legal Description:
Job Address: 19503 63RD AVE NE
Contractor's Hawse Type Address License#
CORNERSTONE GEN
TOTALS Fee
Permit Fee $100. 00
State fee $4. 50 l
SIGNATURE
TOTAL FEE. . . . . . . . . . . . . . . . . $164. 50 I HEREBY e
HAVE READ
ANC- XAMICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . 50.00 KNOW THE E AND COR-
RECTfALL LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $104. 50 ORDI ANCE GOV NIN THIS TYPE OF
OF�K WIL E PLI WITH WHETHER
P C F.IE O NOT.
DATE RECEIPT #
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Transfer In:
001.322.10.00 $300.00
001.345.83.0 13.50
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Signature: -
David Anderson
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Transfer Out: g 3r jb qj O D
$313.50
Signature: Z4111�41e- 1 �3
41Z' ) en Latimer
Reference Building Permit Number 03-5269, 03-5316, 03-5317
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loiO3i2001 09:33 FAX 253 512 8573 CORRECTIONAL INDUSTRIES 2035l053
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34t104 9+Avenue South 0 Boaldiag A Suite 5 • Federal Wsr,Wasb V90 M 34740
W8E W2F5912535 Tekphwm Souk(253)3748113 a Tacmns C253795I-CV s FaoAmue(753)927-4714 •esW ORION6717(paol
Polarized sight Microscopy Test Report
EPA Method 600/R-98/I 16
Client Carrecrional Industries Environmental Services Date September 27,2001
9704 4-Ph Avenue SW Bldg- Suite C Page Page 1 of 3
Tacoma,WA 98499 Invoice 011545
Artm Gary Brock bate Received September 25,2001
Project>rumber NA
Project Name PirlkWon Airport—Lot I I I
Client ,Orion Sample Asbestos Otber
INUMbe Number Stereo ScoEe Exam Treatment Percent Type fibers
11I-01-01a 10925-251 Joint Compound - hD - Cellulose
Assoc.w/111-01-01b
111-01-01b 10925-25b Wallboard - ND - Cellulose
Homogeneous
111-01-02a 10925-26a Joint Compound - ND - Cellulose
Assoc. w/111-0142b
111.01-02b 10925-26b Walmoard - ND - Cellulose
Homogeneous
111-01-03a 10925-27a Joint Compourld - ND - Cellulose
Assoc.wil 11-0143b
111-01-03b 10925-27b Wallboard - ND Cellulose
Homogeneous
1I1-02-01 10925-28 lmulition - ND Cellulose
Homogeneous
111-03-DI 10925-29 Shertrock - ND Cellulose
Homogeneous _
III-"01 10925-39 Building Paper Ash NM - Cellulose
Homogeneous
11 I-05-01 a 10925j10a Vinyl Tile Ash ND -
Homogeneous
111-05-01b 10925-40b TanMasde Chloroform W - Cellulose
Assoc.w1l 11.05-01 a
II I-M-02a 10925-4Ia Vinyl Tile Asti ND -
Homogeneous
II I-05-02b 10925-41b Tan Mastic Chloroform ND - Cellulose
Assoc.w/III-05-02a PEFCEFIVEO
DEC 19 2002
GF efF. G0���� C/ , 5317
NCTCN
:o/03/2001 09: 33 FAX 253 512 8573 CORRECTIONAL INDUSTRIES 038:058
non ]Environmental Services
34084 9'AvenueSasO♦Bo3d6ReA Sane So Federal Way,Ws kh"e 981iM-6740
WB1r W2F5912535 Telephone Seattk(2S3)8744118 eTacmm (.+si,)952-6717*Facsimile(253)927-4714+email OR Gr*717@ol
Polarized Light Microscopy Test Report
EPA Method OOO/R 98/116
Cbent Correctional Industries Environmental Services Date September 27,2001
9704 47e Avenue SW Bldg. Suite C Page Page 2 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 Number Stereo Scope Exam Treatment Pereatt Tvue Fibers
11I-06-01a 10925-33a Slim Coat - ND - Cellulose
Assoc.w/111-06-01c
111.06-01b 10925-03b Joint Compound - ND - Cellulose
Assoc.w/111-06-01c
111-06-01 c 10925-33c Wallboard ND - Cellulose
Homogeneous
111-06.02a 10925-34a Skim Coat - ND - Cellulose
Assoc-w/1 I I-06-02b
I11-06-02b 1092S-341; Wallboard - ND - Cellulose
Homogeneous
111-06-03a 10925-35a Joint Compound - ND - Cellulose
Assoc.w/l 11-06-03b
111-06-03b 10925-35b Wallboard - ND - Ctutdose
Homogeneous
I11-0 -01a 10925-36a Ceiling Teulure - ND - Cellulose
Assoc. will 1-07-01b
III.0 -01b 10925-36b Wallboard - ND - Cellulose
Homogeneous
I I I 7-02a 10925-37a Ceding Texture - ND - Cellulose
Assoc. w/111-07-02b
111.07-021) 10925-37b Walboard - ND - Cellulose
Homogeneous
I11-07-03a 1092S-39a Ceiling Texture - ND - Cellulose
Assoc.w/1I 1-07-03b
10/03/2001 09:33 FAX 253 SIT 8573 CORRECTIONAL INDUrRIES 10037/05a
t
Orion
Environmental Service
s
340"9+Avmme Swt4 4 Beii aC A Smite 5+Fedrtal Way,Wasbin"a 980aM740
WBE WU5912535 Telephone Seattle(29)87"118.6Tacame (M)952-01 +F2esloule(25M 927-4714 +email OR10K6717C,saat
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctkmal Industries Environmental Services Date September 27,200I
9704 47'b Avenue SW Bldg. Suite C Page Page 3 of 3
Tacoma,WA 98499 Invoice 011545
Attn: Gary Brock Date Received September 25,2001
Project Number NA
Project Nine Arlington Airport—Lot I I I
Client Orion Sample Asbestos Other
Number Number Stereo Scope Exam Treatment Percent Tempe Fibers
111-07-03h 10925-38b Wallboard ND - Cellulose
Homogmeous
Dup:Laboratory QA/QC Duplicate;M,Mastic((a),(b),(c),eta]:Sample layers numbered 5om fi=t cc back
Coa==tr Far layered samples,each ctanponeat has been ens])-zed separately.ND means non-detect for
asbestce tlbers by SPA Method 600IR-931116.
Disclaims: PLM has been]mown to miss asbestos in a small percentage afsamples that contain asbestos.
Thus negative PLM results ca=at be guaranteed.
This rep==y only be reproduced in full with written approval of ORION Environmental Services.
Orion swrples are analyzed according ro EPA Mthod 600lR-981116 by A114A Bulk Asbestos Analytical Testing
Pro 11)proficient analysts.
Rerievred B / Member AOA AC5 AIRA
Y G ,
Donna Mc1've2l Lma*,y�xarrar.�csrralCampG�irceCA,rltWlffto tife2P CmU.7
Laboratory Director
10/03/2001 09:34 FAX 253 512 6573 CORRECTIONAL INDUSTRIES Q 038/058
CORRECTIONAL INDUSTR-f-ES
Environmental Servieesll3uidinq Assessment
Awmstos 1 UST 7 q
Tacoma,WA 98499 Fe 7Z
Phone:(253)089.7370 Fa=(2M)589-r-M
Chain of Custody
TO:(L.ab)
ADDRESS:
SAMPLE. TYPE NU_MBER TURN AROUND TIME
�ML a
aLEAD
NOTIFICATION OF ANALYSIS:, ❑Tde mm ;9 Far ❑wnuen
ATTENTION:
PROJECT NAME: 47e-,I Y rs�J F 2-
LOCATION: L-oT ! 1
J013 NUMBER: SAMPLE DATE: P o(
SAMPLE# SAMPLS OESCRIPTIC'N SAMPLE BY Cad.# / C 197�
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PRINTED NAME: y PRINTED'NAME: n
SIGNATURE: SIGNATURE:
DATE• Z z- ;/C / TIME: lCw okra 'fir-fir
TIME: /0 -
LABORATORY-PLEPsE RETURN 014E COPY OF THE(MAIN OF CUSTOOY W IT}1'r f rrTEN ANLY'ICAL RESULTS-
NOTE:540P looting 25 soon as you pet 1 positire ssnrple Ut any aes samPte cateyoiy Please.
10/03/2001 09:35 FAX 253 512 8573 CORRECTIONAL INDUSTRIES 0048/058 ,
' CORRECTIONAL INDUSTRIES
Environmental Services/Building Assessment
Asbestos!UST ` O
Tacoma,WA 98499
Phone: (Z53)589-7370 Fax:(20)589-7328 F6 771 CiO 7—?
Chain of Custody
TO:( Lab) /1-I0 47
ADDRESS;
SAMPLE: nn NUMBER TURN AROUND TWE
p AIR ❑I;Fkxr
❑eULX p 48 Kola
❑50:L
LEAD Z
NCTIFICATTONOF//ANALYSIS: ❑Tdeamne ( Fax ❑written
ATTENTION:
PROJECT NAME: ,4A L-/1)7r�i
LOCATION; G
JOB NUMBER: SAMPLE DATE: 4 a
SAMF�E 9 SAMPLE DESCRIPTTON SAMPLE BY Cert.#
RELINQUISHED 9Y4 RECENED SY: '�{.1 Y'\
PRINTED NAME: - 7"— Ge- PRINTED NAME:
SIGNATURE: SIGNATUR
TIME. io `a) DATE: 9 )-� I TIME:
LABORATORY•PLEASE RETURN ONE COPY OF THE CHAIN OF CUSTODV WITH WRITTEN ANLYTICAL RESULTS.
NOTE:Stop 165Ung 53 soon as you yet 1 pc hive 3&"Pb In any one sample emagery plasse.
i
10/03/2001 09:35 FLX 253 512 6573 CORRECTIONAL INDUSTRIES 0 047I058
0 •
rionEnvironmental Services
34n4 9*A"xim Sevtk a Bu&ftg A Sate 5 4 Faderai Wa7i Wwhk tea"003-6'40
W13E W2FS912535 Telepbae Sestde(Z53)$14-8133 eTaccma (20)95Z-6717•YmshWe(Z53)9I7-4714♦ms910R101%717(s3ao1
Total Lead Test Report
EPA Method 7420
Client Correctional Industries Enviro=cntal ScMcas Date September 27,2001
9704 47"L Avenue SW,Bldg.23 Suite C Page Page 1 of I
Tacoma, CIA 98499 Invoice 011549
Attu:Gary Brock Date Received September 25,2001
Project Alumber NA
Project Name Arlington Airport—Lot I I I
Total Lead
Client ORLON Material LOD(mVkg) PPM % byWetht
?Number Number Dracriptioo (raglkg)
111-L-0I 10925-53 NiEr Chips—BIue Color,Eanerior 83.3 3,319.7 0.332
111-L-02 10925-54 Paint Chips—Silver Color,Exterior 2.17 <2.17 <0.002
Quality Assur2ace Iaformatlon
Mabod Bbmk:<5.0 mgA
Limar Regression Lower limit:0.990
AdualBatch Linear Regression:0.997
Check Standard Pa Set:-0.6 mgA
Reviewed wed By Member AOAC,ACS,AAA
Donna McNeal Lra r vnanrcalCvarplsa�ru�'aa�ralrs+�ylrto A112P C=ftq
Laboratory Director
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