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HomeMy WebLinkAbout18726 SMOKEY POINT BLVD_BLD20080043_2026 ­ 2 CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit t#: BLD20080043 BUILDING PERMIT Project Address: 18726 SNIOKEY POINT BLVD, ARLINGTON Parcel No: 31052000100300 YANG,SO UN YANG,SO UN SUNSTONE C LLC 18726 SMOKEY PT BLVD 18726 SMOKEY PT BLVD 12819 SE 28 ST#019 ARLINGTON,WA 98223 ARLINGTON,WA 98223 BELLEVUE,WA 98006 Phone:360 220-6592 Phone:360 220-6592 LICENSE#: EXP: Email: Email: PLUMBING CONTRACTOR MECHANICAL CONTRACTOR Lic#: Ex*- Lic#: Ex>. i DESCRIPTION DEMOLITION PERMIT for existing Older CMU house. PREVIOUSLY KNOWN AS THE LONGHORN MINI-MART,NOW USED AS RESIDENTIAL. VALUATION: $0 PERMIT TYPE:Residential PERMIT GROUP:Demolition NUMBER OF STORIES:0 ITYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: EXISTING AREA PROPOSED AREA BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 l ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTSETBACK SIDESETBACK REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: PERMITAPPROVAL 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 �- 4x., J O-e-3 z d Signature Print Name Date Re1ea ed D e ATTENTION 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.UBCl09/IBCI 10/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER 13LD20080043 CONDITIONS • None PERNI IT FEES Description Fee Amount Paid Balance Due C-Building Permit Fee $100.00 $0.00 $100.00 C-Plumbing Permit Fee $0.00 $0.00 $0.00 C-Mechanical Permit Fee $0.00 $0.00 $0.00 C-State Building Code Surcharge $4.50 $0.00 $4.50 Total Due: $104.50 $0.00 $104.50 INSPECTIONS THIS PERMIT AUTHORIZES 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. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. None 07,41PO DEMOLITION PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone(360)403 3431 - FAX(360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED TWO(2)SETS OF FULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP PLAN, TWO(2)COPIES OFAN ASBESTOS ABATEMENT REPORT COMPLETED BYAN APPROVED AGENCY. Type of Permit: (check o )i nee) Residential ( ) Commercial Project Address: nzx76 !!OH 14-1-e ID#: e9«lea-14120 3znD Lot#: Subdivision: -- Building Area (Sy Ft) No,of floors: Number of Buildings: - Owner: Phone Number: 39e-ZcID Address: IE�n_-L6 ity:_ A?A%nb_4,m State: _Se2A Zip Code: �h�223 Contact Person:,��) U 11Ttf?°ar- Phone Number Cell Phone: Fax: E-mail: Address: —SAMP- as Cx 0 7e City: State: Zip Code: Scope of Work: Contractor: hC �P_S' 1S Phone Number: Address: —Sr 4019 City:�2� �p State: .Zip Code: `3Ry06 — Contractor's License Number: Expiration: 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. yn Applicants Signature Date �ECEIVED W O 1A n Y FEB Q 6 2008' Print Appli nts Name VOA PERMIT CENTER FOR STAFF USE ONLY ermit# Accepted By Amount Received Receipt# Date Received WEB Forms-14 Page 1 of 1 5@5 dwa Snohomish County Online Property Information rage i of i Snohomish Snohomish County Assessor' s Office County44A', Snohomish County Online Property Information Washington Assessor Home I County Home Privacy Statement Disclaimer I Contact Us Frequently Asked Questions NORTH Show Overview Map , l -�.-- 31051700404000 View Property Information ^� sruo"�' U. 7 $ View recent sales Find Parcel ID: "O to Select a City _� � _ 52000100300' sz Locate Address as2aoQrooso 2062000fbA.50 052000 2Qa Ma Action: J Zoom In Zoom Out Move Map Full View Refresh Map Print Map p Map Layers: some layers disabled when zoomed out F Color Aerial Photo r Tax parcel numbers Street Address �� �b 2?d00JK00 4090r40a002iO1j Q 0�'Q` z�pa E E p0Up14000a1900�l�0090r4pD0 220 DOi 0 24D 'Q.qb. A - - -- -- --- s s oa9nr9aoaa2oao T T I i SOUTH Map Help >Zoom out: click once on the map, or click and drag to redraw at a smaller scale http://gis.co.snohomish.wa.us/maps/property/viewer.htm?PIDA=31052000100300&ADD... 2/11/2008 1 Inspection for the Presence of Asbestos Containing -Building !"%d aterials February 12, 2008 House Located at 18726 Smokey point Blvd. Arlington, Washington This inspection report must be on-site during all phases of abatement/demolition of the structures. The Knebel Company,Inc. 9122 169`h Avenue NE Granite Falls,WA 98252 (360)691-5910 "A �.. ��°'`� r i.:�. Table of Contents .> SECTION 1 Introduction SECTION 2 Sample Summary SECTION 3 Homogenous Material List ,s�'�'"'.'1 _ _ - — -_- •.� fru."r1.—�'-T P:�'.•^�C- ti=r. ', � ��a�tL'L:'^��'s�iC'� �;i�� .';`�?"� SECTION 4 Bulk-Data Report SECTION 5 Laboratory Analysis Report SECTION 6 Sample Location Drawinas - is SECTION 7 Certification and Accreditation ,w �� SECTION 1 Introduction a 18726 Smokey Point Blvd. Arlington, Washington INTRODUCTION A non-destructive inspection for- the presence:of asbestos containing building materials was conducted on February 12, 200 S, i n the occupied House located at 18726 Smokey Point Blvd. in Arlington, WA.This inspection is to identify asbestos containing materials that will affect the proposed demolition of the structure. Ron Jones from the Smokey Point Jewelry&Pawn requested the asbestos inspection_ Dan Shelly, an AHERA certified building inspector from The Knebel Company, Inc. conducted this asbestos inspection. Seattle Asbestos Test, LLC analyzed the suspect bulk asbestos samples_ The following report contains material descriptions, sample locations, assessment of asbestos containing building materials, laboratory results and accreditation,and inspector certi 11cation. AHERA Building Inspector: Dan Shelly Inspector Number: 07-1252 Expiration K- a 10 20 Signature ' 1 LIMITATIONS OF SURVEY The sole purpose of this inspectiorZ report is to document the asbestos containing material discovered during the inspection a31d sampling of suspect materials b The the House located at 18726 Smoke p s y Point Blvd. in Arlington, WA Y Knebel Company, in In strict accordance with NESHAP S regulations, this site visit consisted of thorou h visa through of the House for the purpo se of viewing and sampling n al walk materials. As inspections are non—comprehensive b p ng potential asbestos containing be held liable for materials which i-�q destructive nature,The Kriebel terIII all Inc. cannot g g Find alls) mater ameans s which cannotaccess, materials which are hidden from sight e. materials hidden b� to obscure nature, or which otherwise cannot be discovered with reasonable diligence.D etto►r electrical shock hazard, none of the Wiring was sampled. All sample analysis reported here-irl were analyzed using analysis subpart E,40 CFR part 763, secti on 1,Polarized Light Microscopy.thod specified in Appendix This survey does not include documentation for other hazardous materials that m including lead, soil contamination due to underground storage tanks, etc. ay exist on site, �- SECTION 2 tom: Sample Summary 't•'Tawi t.s�f���iLv't-�i`r.��','���t�3'b�l�"�r3�+'1A�ei+l.�•�-•'�'-'Rl-:_��� '' -Tr'+T+ �'�•4 "s�4Y1 'YQ�+�t��dT'J,�'��..�`w�'t3iyi'� -�, p•,'_vaa. -�'�_ '��•:�{-�' `� �r".�- tar �• ..�_ z� �..,r_••o.,.� �= �•q"��- ��� y4,n .et..k�... r..�• � �. c � �' zap.:.--i.--�r-::,.c r--�-r --s�-.na-a�--.--t•r--••-t �••-saw----"-�s_�r.�-ticz•-s-- •-,r .�c1 r,-�..:. f, .�cc�•.�`+'.. .�..__ Ef-7.�.^.;I;�tt�'�-•-'b�C:.�"'-L�� •jam-»�- ,:a-, 3 _`;" �'a�. �"+..-tv _ "r*r tv�s� --sr•-�-=rrs�--se •+t7czr tic, � l.e 1 _ .. ..;i�X. �w1.-_ —.,�:.µ^: '-5-�."�..w �L.,:M ,r a �....�..�.,,�.,,�•"'- __ __T____. - _ _ L wr. �- - •�ji .fin r. !u! e� �}s5 F �k'' F �L�.�' �- A t�r> ;�t eY�dU i :fz r �r� "3-ems '�1d+"v a�',y si. 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T�y 'G!(.i�.tt.�'1.r�1 ♦.�[+•...� Ti,•�5e1.='_s_ft_ _� r�7« ���-���-t-_qW~� �-.sil.C'^�^>.'!�-'.�5..�"�' '�'L�r �.�� .-4� a4-" .� -tr F:Ir:.�u-��i-- � ---��� ��;�' = e.�.. ��k-,�_H,-:; •_i :� ; -1_ :,sr:.y.�za v.a,a� t�,:.� - '. _-T^:���r���`Lei;,!'_ _� 4 .."_- L _�. S"•T..�.L :- 1 � M� �.y�\meµ' T.,._�•� .�iKa��r- :-max-.' �__ «.,,�.Tr:� t-'"`=sz�, - 7.t�� Z- '�.r. •:!':y _ t���t:"C.T.- ,:.,1•� ,`, _ _ _ �-i''. ✓�_-.,. ��� �'� 'r.c" '�rl-� ` '1-`� "rIIF"''lY..'i�'.-._a� �1-" -Y�f i4wt��. ':i:'' ,`� ASBESTOS SUMMARY with RECCOMMENDATIONS (Recommendation comments are not to be used as contract document directives.) 18726 Smoker Point Blvd. Arlington,Washington House: This is a one-story wood and CMU block framed building constructed on a concrete foundation. The primary source of heat is electric heaters. The pitched portion of the roof is covered with metal over composition roofing shingles.Rolled composition roofing is found along the parapet wall on the east side ofthe building, and rolled hot tar roofing covers the south section of the building. ASBESTOS: House: Black floor tile and black mastic(Homogenous Material#08)was sampled from the floor in the laundry room. The floor tile was found to contain 4%chrysotile asbestos. The black mastic was found to contain no detectable asbestos. MATERIAL AREA AMOUNT ASSESSMENT DAMAGE Black floor tile Laundry room 80 square Non-friable Minimal feet Materials sampled by The Knebel Company Inc.,and found to be NON-ASBESTOS CONTAINING MATERIALS. House: • (Homogenous Material#01)spray applied ceiling texture(popcorn type) • (Homogenous Material#02)spray applied wall texture • (Homogenous Material# 03)trawled on wall/ceiling texture • (Homogenous Material#04)duct tape • (Homogenous Material# 05)spray applied ceiling texture • (Homogenous Material#06) 12"x 12"floor the with gray leveling compound • (Homogenous Material#07)multiple layers of sheet vinyl flooring and mastic • (Homogenous Material# 09) 12" 12"floor tile over gray leveling compound • (Homogenous Material# 10)blown-in attic insulation • (Homogenous Material# 11)thick green exterior paint • (Homogenous Material# 12)window glazing • (Homogenous Material# 13)multiple layers of composition roofing shingle and roofing paper • (Homogenous Material# 14)rolled composition_roofing and tar �T-Tmm�rtan n, a n�f�tor;�l 151 Mack tar rolled Recommendations: General-:- Any suspect asbestos containing materials discovered during the demolition project, that have not been sampled, should not be disturbed until an assessment of the suspect material can be made. All asbestos-containing materials that will be disturbed by the demolition, should be removed by a certified asbestos abatement contractor, using methods as outlined in: 1. EPA 40 CFR Part 763, Asbestos-Containing Materials in Schools. 2. EPA 40 CFR part 61,National Emission Standards for Hazardous Emission Standards for Hazardous Air Pollutants;Asbestos NESHAP Revision; Final Rule 3. Department of Labor and Industries,Asbestos,Tremolite,Anthophyllite,and Actinolite WAC 296-62-077 through 296-62-07761. 4. Department of Labor and Industries Safety Standards for Asbestos Removal and Encapsulation WAC 296-65-001 through 050. 5. Department of Labor and Industries,Respiratory Protection,WAC 296-62-071 through 07121. 6. Department of Labor and Industries WISHA Regional Directive WRD2310 April 30, 1997 7. All current regulations of Washington State Department of Transportation. S. Puget Sound Clean Air Agency,Regulation III Article 4, Asbestos Control Standard,and current Amendments to Article 4. 9. All regulations of the landfill where asbestos materials are deposited. 10. 29CFR 1926, Safety and Health Regulations for Construction. SECTION 3 Homogenous Material List O Q r o m O m d �0 � r O Kt F- ZI ZI ZI ZI Z) Z � O U) QU W d a i .N J N �L C� G O O N Q dCL 0 0 0 O O O O N � L L L X X X N N CD X XC CD O a+ V U U i rOi N N N N N Q Q Q Q Q a C N (0 (0 (0 m (0 > y CD (gyp m (U M m m Q d Q Q Q d U) U) U) U) U) U) O d N MY C 0)Z O O = lC E " d L C (n C O H O O :a t E m OD = v v v _ v v r 0 5 0 0 9 0 9 0 5 0 m 2 m m I m = m 2 m 2 m 2 I 0 a � C� N r+ a z� z1 zl z1 zl z1 zl � C V1 O a � I x x x rn rn rn c c c C U U U O ` x x x O L) U n 2 2 2 N N N a- CLC C C O O O OL N m (0 o cn cnCL c N 7 � O d � C d •O CO Lo 0 CW O O O c N a) S N N N C N C N O w N U) N v N N 5 0 :3 o :3 0 5 0 o :3 0 5 0 m 2 00 2 m S m = m m m = m = i • 1 Oco_ QV a a-(n U- o O m O c m � a r O aF- H zl zl �I zl zl zl zl QN OU h ti m h 0 -o ti o c Q a E E U U <h h C) 'O C) > O y > p v N C N m (0 O Q N E > O C +' O L O O +� a) ` N sz N (6 N 0 D cm cm N (A p N C .N. O A) S. 0 C 0 F4 f0 (0 U w y0 Q) ` CN N N O O (V (a x 3 d T Q +� O T C O X c7C 1O, C z X rMOn U _0 04 T G 1.L T W N 7 d — C 0 c0 co m O T N O .I O O O O E 2 o) m o) m o) o) m O v of ai v N N u°)) u°)i 'S o ':3 o '� o 'S o '� o '� o '� o m S m 2 00 2 m m 1 m 2 00 2 m 2 1 0 a E L Q 4) O a � x g N o m ` a a � 0 c z� mw c N O Qu N f0 4 rn C Lr= O O Y U N N O (0 Y U fE .a L r-. _N N D) � C U L N N cm L 0 3 rn c a 0 LP Ycn o c c a c o ° o O U O p a. 4-- O- N V O — ` O O` .` a) O) 0 L 5 O � CD N O d C d � d M LO O r r r E _ ni ai v N > > — '9 m m m T m = SECTION 4 Bulk Data Report •6a�w��_-.a+..v •..er�++tr•x,t'lw^ n�.+�w+-+•r•w•K•-... .r .arw�aa•. -�.��.�'=:aE•'" 'Y.�e:tacaw... .r�i'Lts+saFrsi"-s s ?�`tss.'.��4Fr '}L'�•'u"�`�ii�.�v. �"7c��a.�,����R�' � �}�:� _ _.�_ - ��y. _ ,/• _ ���g� L. � � iti-1 j-...-- =t-••+max��s'r���'-� c-........: .y .Z..:Ys - 4� �='�" - ::e..��� n �..� .��.• .� _ ri._y!t �s1't fiF'1ri''s� a`'�.st�•r-_�. ac � �� s ., S s: r" 5 ti4Y—•-'£' ".�" tii�s' _ .-1' • �'S+c. 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Bulk Asbestos Report Job#: 18726 TKC Job#: 0802-1938 Customer ID: 383 Company Name: Smokey Point Jewelry&Pawn Billing Address: 3405 172nd NE City: Smokey Point State: WA Zip Code 98223- Contact Name: Ron Homogeneous Material#:01 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-01-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: living room Material Description Spray applied ceiling texture(popcorn typel sample Location Collected from the west side of the ceiling in the living room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:01 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-01-02 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: living room Material Description Spray applied ceiling texture(popcorn type) Sample Location: Collected from the middle of the ceiling in the living room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: i Reviewed By: 11 Page 2of8 ,, aIk Asbestos Report Continu.J Homogeneous Material #:01 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-01-03 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: living room Material Description Spray applied ceiling texture(popcorn type) Sample Location: Collected from the east side of the ceiling in the living room Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:02 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-02-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: living room Material Description Spray applied wall texture Sample Location: Collected from the north wall in the living room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:02 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-02-02 Analyzed By: Seattle Asbestos Test,L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: W bedroom Material Description Spray applied wall texture Samole Location: Collected from the south wall in the west bedroom of the house. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: n Reviewed By: Page 3of8 _ -ilk Asbestos Report Contima,d Homogeneous Material #:02 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-02-03 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd,Arlington, Building: House Floor: 1 Washington Room: E bedroom Material Description Spray applied Wall texture Sample Location: Collected from the north wall in the east bedroom of the house. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:03 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-03-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: living room Material Description Trowel on wall texture Sample Location: Collected from the south wall in the living room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:03 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-03-02 Analyzed By: Seattle Asbestos Test,L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: storage room Material Description Trowel on wall texture sample Location: Collected from the east wall in the storage room Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit:r-�4. Reviewed By i Page 4of8 'Alk Asbestos Report Contin. ,d Homogeneous Material#:03 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-03-03 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: storage room Material Description Trowel on wall texture Sample Location: Collected from the west wall in the storage room Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material#:04 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-04-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: laundry room Material Description Duct tape Sample Location: Collected from the chimney in the laundry room. Comments: Asbestos Content : ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:05 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-05-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: living room Material Description Spray applied thick ceiling texture Sample Location: Collected from the ceiling in front of the entry to the west bedroom. Comments: Asbestos Content : ND Asbestos Type None-detected Approx Amt of material: Unit: Ea-'I Reviewed By: Page 5of8 Su k Asbestos Report Continueu Homogeneous Material #:05 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-05-02 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: storage room Material Description Spray applied thick ceiling texture Sample Location: Collected from the ceiling in the storage room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:05 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-05-03 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 _Washington Room: storage room Material Description Spray applied thick ceiling texture Sample Location: Collected from the east side of the ceiling in the storage room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:06 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID #: 18726-06-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: kitchen Material Description 12"x 12"floor the over gray leveling compound Sample Location Collected from the floor in the kitchen on the West side. Comments: Asbestos Content : ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: Page 6 of 8 L,ik Asbestos Report Continut�,J Homogeneous Material#:07 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-07-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: storage room Material Description Multiple lavers of sheet vinyl flooring Sample location Collected from the middle of the floor in the storage room,just inside east entry from living room. Comments: Asbestos Content : ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material#:08 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-08-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: laundry room Material Description Floor the and black mastic Sample Location: Collected from the floor in the laundry room. Comments: The floor tile was found to contain 4%chrysotile asbestos. The black mastic was found to contain no detectable asbestos. Asbestos Content :4% Asbestos Type Chrysotile Approx Amt of material: 80 Unit: Square Feet Homogeneous Material#:09 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-09-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: bathroom Material Description 12" x 12" floor tile over pray leveling compound Sample Location: Collected from the floor in the bath room. Comments: Asbestos Content : ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: Page 7of8 F_]k Asbestos Report ContinuL 1 Homogeneous Material #:10 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-10-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: attic Washington Room: attic Material Description Brown attic insulation Sample Location: Collected from the west side of the attic crawl space. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:11 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-11-01 Analyzed By: Seattle Asbestos Test,L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: exterior Material Description Thick exterior green paint sample vacation. Collected from the window ledge on the west side of the house. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:12 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-12-01 Analyzed By: Seattle Asbestos Test,L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: 1 Washington Room: exterior Material Description Window glazing Sample Location Collected from the window on the west side of the house, bathroom window. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: .� �S I r \ Page 8of8 L_.Ik Asbestos Report Continued Homogeneous Material #:13 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-13-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: roof Washington Room: exterior Material Description Multiple lavers of composition roofing shingle with black tar over black roofing paper. Sample Location: Collected from the north side of the roof of the house, underneath metal roofing. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:14 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-14-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: roof Washington Room: exterior Material Description Rolled gray composition roofing with black tar Sample Location: Collected from the east side of the roof off of parapet wall. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Homogeneous Material #:15 Collected By: Dan Shelly Date Collected: 2/12/2008 Sample ID#: 18726-15-01 Analyzed By: Seattle Asbestos Test, L Date Analyzed: 2/19/2008 Building Name: 18726 Smokey Point Blvd.Arlington, Building: House Floor: roof Washington Room: exterior Material Description Black hot tar rolled roofing Sample Location: Collected from the middle of the south side of the roof over laundry room. Comments: Asbestos Content :ND Asbestos Type None-detected Approx Amt of material: Unit: Reviewed By: SECTION 5 Laboratory Analysis Report 02-20-2008 18:1,1 PAGE4 Page 1 of 4 SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation Lynnwood Lsbomfory:19711 Sedber Lake Rd,Suite D,Lynnwood,WA 98036;TO;4125.673.9810,Fax:425.673.9810 Lab Code;2W768-0 Bellevue Laboratory:12727 Northup Way,Suite 24,Bellevue,WA 99005;Tel:425.861.1111,Pax:425.861.1118 weblitc:ht ;/.r,.v,v v. ltlees �st�t„ r. E-mail;admin@=-&nleasbestWwst,com Aa�ALYTICAIL LABOP.AT^*IRY REPORT PLM by Method EP^/600/R-93/116 Aftn_:Mr. Dan Shelly Client Job* 18726 Cllent:The Knebel Company, Inc. Laboratory Batch,: 20089892E Address:9122 169th Ave NE Date Received: 2/14/2008 Granite Falls, WA 98262 Samples Received: 23 Date Analyzed; 2/19/2008 Samples Analyzed: 23 Project:18726 Smokey PT_ Blvd Lab ID Client Sample Layer Description — °Oo Asbestos Non-Fibrous % Non-asbestos ID Fibers Components Fibers n White soft lumpy None Synthetic foam, Filler, 2008989211 1872fr01- 1 material with paint detected Binder, Paint 4 Cellulose 2008989212 18726-01-02 1 'Nhite soft lumpy (None 'Synthetic foam, Filler, 3 Cellulose (material with paint detected IBinder, Paint 2008989213 18726-01-03 1 White soft lumpy (None ,Synthetic foam, Filler, 6 Cellulose material with paint detected IBinder, Paint 2008989214 18726-02-01 1 White powdery (None Binder/filler, Paint 5 Cellulose material with paint detected 2 White chalky None Binder/filler 25 Cellulose material with paper detected Gypsum/binder 2008989215 18726-02-02 1 'Gray sandy/brittle None Sands, Filler, Mica, 3 'Cellulose imaterial with paint detected Paint 2008989216 18726-02-03 1 White powdery None Binder/filler, Paint 5 Cellulose material with paint detected 2 White chalky None Binder/filler :27 Cellulose material with paper detected Gypsum/binder 2008989217 18726-03-01 1 White brittle material (None Filler, Binder, Paint 2 Cellulose with paint detected o Fan sandy/brittle None material detested [2008989218 1872tI-03-02 1 Tan brittle material None (Filler, Binder, Paint 2 CCellulose with paint detected Analyzed by:Weilong Tai 1leviewed y�Svc(Fanyao)Zhang, President 02-20-20d8 18:14 PAGES Page 2 of 4 SEATTLE ASBESTOS TEST, LLC NVLAPAccreditoon Lynnwood Laboratory: 19711 Scribcr lad:c Rd,Suitc D,Lynnwood,WA 98036;Tcl:425.673.9850,Fnx.425.673.9810 Lab Code,200768-0 Bellevue Laboratory:12727 Northup Way,Suite 24,Bellevue,WA 98005,Tel:425.861.1111,Fax:425,861.1118 Website:http://www.seatticasbcstostcst,com, E-mail:adminfa�seatticn hcatc��ccvc,com ANALYTICAL LABORATORY REPORT PLAN by Method EPA/600/R-93/116 Attn.:Mr. Dan Shelly Client Job#: 18726 Client:The Kriebel Company, Inc. Laboratory Batch#: 200898926 Address:9122 16M Ave NE Date Received: 2/14/2008 Granite Falls,WA 98252 Samples Received: 23 Date Analyzed: 2/19/2008 Samples Analyzed: 23 Project:18726 Smokey PT. Blvd Lab ID Gllent Sample Layer Description"-]% Asbestos Non-Fibrous % Non-asbestos IDFibers Components Fibers 2 an sandy/brittle None ands, Filler, Mica 6 Cellulose material detected 2008989219 18726-03-03 1 Tan sandy brittle None Filler, Binder, Paint 2 Cellulose material with paint detected 2008989220 18726-04-01 1 Tan fibrous material None Filler, Binder, Paint 4 Cellulose with paint detected 2 Yellow mastic (None Mastic/binder 6 Cellulose detected 2008989221 18726-05-01 1 an sandy brittle (None iFiller, Binder, Paint, g Cellulose material with paint detected Sand 2008989222 1872"5-02 1 an sandy brittle None Filler, Binder, Paint 2 ellulose material with paint detected 2008989223 1872605-03 1 Tan sandy brittle 'None Filler, Binder, Paint 6 Cellulose material with paint detected 2008989224 18726-06-01 1 Gray the None Vinylibinder 1 Cellulose detected 2 White mastic detected Mastic/binder 4 :ellulose 3 Gray brittle material (None Binder/filler 3 'Cellulose detected 2008989225 18726-07-01 1 Gray vinyl None Vinyl/binder 15 'Cellulose detected 2 Tan woven fibrous (None Binder/filler, 155 Cellulose material with mastic detected Mastic/binder Analyzed by:Weilong Tai Reviewed by: Steve(Fanyao)Zhang, President 02-20-2008 18:15 PAGED Page 3 of 4 SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation l ynnw xki Laboratory: 19711 Scriber Lake Rd,Suite D,Lynnwood,WA 98036.Tcl;425,673,9850.Pax:425.673.9810 Lab Code;20076" Bellevue Laboratory; 12727 NoMup Way,Suite 24,Hcltevw,WA 9$005;Tcl:425.861.111 L,Fax:425 861,1118 \7,/rhCI P'btlpJ!w.,vw.spal�!eb®stoatest.coan, E_mail:admin(d�seattle�+4~:����tPst.com ANALYTICAL LABUcA.`_r0PY REPORT PLM by Method EPA.1600/R-93/116 Attn.:Mr. Dan Shelly Client Job#: 18726 Client:The KnebeI Company, Inc, I_aborato,Ratwh#: 200898926 Address;9122 169th Ave NE Date Received: 2/14/2008 Granite Falls, WA 98252 Samples Received: 23 Date Analyzed: 2119/2008 Samples Analyzed: 23 Project:18726 Smokey PT. Blvd Lab ID F lient Sample Layer Description oA Asbestos Non-Fibrous % Non-asbestos ID Fibers Components Fibers 3 Yellow vinyl None Vinyl/binder 10 Cellulose detected Black asphaltic Binder/filler, 4 fibrous material with meted Mastic/binder, 65 Cellulose mastic Id Asphalt/binder 2008989226 18726-08-01 1 Black tile 4 ChrysotileVinyl/binder 3 ellulose 2 Black mastic None Mastic/binder 5 Cellulose detected 2008989227 18726-09-01 1 White tie NoneVinyl/binder 2 'Cellulose detected 2 White mastic Idonitected Mastic/binder 4 Cellulose 2008989228 18728-10-01 1 ray fibrous material (None Binder/filler, Paint 90 Cellulose with paint detected 2008989229 18726-11-01 1 Green paint None Paint 3 Cellulose stetted 2008989230 18726-12-01 1 White brittle material None Paint, Binder/filler 4 Cellulose with paint detected - Black asphaltic None 2008989231 18726-13-01 1 fibrous material with detected Asphalt/binder, Sand 25 Cellulose and (Black asphaltic t:a��a� ^ 2 fibrous material with stetted phalt/binder, Sand 27 Cellulose sand Black asphaltic None .- 3 fibrous material with detected sphalt/binder, Sand 26 Cellulose Fend i Analyzed by: Weilong Tai Reviewed by: Steve(Fanyao)Zhang, President 02-20-2MB 18:15 PACE7 Page 4 of 4 SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation Lynnwood Laboratory:19711 Scribcr Lnkc Rd,Suite D,Lynnwood,WA 98036;Tel:425,673.9851),Fax:425.673.9810 Lab Code:200768-0 Bcllevue I aAKn jamy; 12727 Northup Way,Suite 24,Bellevue,WA 98005-1 Tel-.425,861.1111,Fax:425.861.1118 Website,hllp:!/www.seatileaebestostcs+.cm. B-Fnail; ANALYTICAL LABOS"s'ORY REPOeRT PLM by Method EPA/500/R-931116 Attn.:Mr. Dan Shelly Client Job#: 18726 Client-,The Knebel Com.-ny, Inc. Laboratory Batch#: 200398926 Address:9122 169th Ave NI= Date Received: 2/14/2008 Granite Falls, WA 98252 Samples R& eived: 23 Date Analyzed: 2/19/2008 Samples Analyzed: 23 Project,18726 Smokey PT. Blvd Lab ID Client Sample Layer Description Asbestos �^ Non-Fibrous Non-asbestos ID Fibers Components Fibers d Black fibrous None sphait/binder, material detected Binder/tiller 65 (;ellul�,.�e (Black asphaltic None Asphalt/binder, 2008989232 18726-1401 1 IFbrous material with detected Bindertfiller, Sand 30 Cellulose sand Black asphaltic None Asphalt/binder, Cellulose, 2008989233 18726-15-01 1 fibrous material with 34 detected Binder/filler, Sand Glass fibers sand Analyzed by: Weilong Tai Reviewed by: Steve(Fanyao)Zhang, President 02-20-2008 18:14 PAGE2 SEATTLE ASBESTOS TEST, Lt_C I� ` NVLAP Accredited.20OM-0 19711 Scriber Lake Road,Suite D.Lynnwood,WA 98036 ` 1:(425)673-9850 Fax:(425)673-9810 ,ww.seardew benostest.com Accredited i.xperienced-Insured,and Well Managed! CHAIN OF CUSTODY ANALYSIS:BULK M08 TERT�POINT COUNT( 00)..��POINT COUNT(IWO,�P014T COUNT(O a:in�lc)�Ofl" Client 7+frsfrae 1 %1 Address City — .1 ST�)L 2IP .Phone: r J Fit„ Email:—� Project Location_ Z f�4 -.�1 �—�••G�'V l. r' Proj- Manager: —1 Aq-•4 - Turn Around T.M� ber of Samples,j. ,. Client Job�i_ Sample Condition:Good 2�,Damaged_ Severe Damage(Spiilage) SE # CLIENT SAMPLE# SAMPLE DESCRIPTION LAB ID A/R I 2 3 - -4 _ .• _._. 4 ,o 6 U:.x ©' V 7 — 03 —u — — 10 - -G l I 05` —O i m_....... _.. _ 13 —p 14 061 I5 16 O EI,9u -E:4 /2 -C� Print Narne ftnswm COMI]MY NaRW — -� Date Time Sam led 4 D Ralinquiahad - - Delh Receivo _ b AnahEo Result repo g method: Phone ,Fay_. _, Email , Pick-up report Seattle Asbcstos Test warren the rest results to be of a precision normal for the type and methodology employed fvr etu:h sample submitted and disclaims any other warrants,expressed or implied, including w4minty of fitness for a particular purpose and warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the test results. By signing on this form the clients agree to relieve Seattle Asbestos Tcsl of any liability that may arise from the test rebuiLS. Invoices paid late may be charged of interest,and invoices go to collection may be charged 17%Lo 25%of collection fee. Checks with NSF will be charged$50. 021-20-2008 18:14 PACE3 SEATTLE ASBESTOS TEST, LLC `' NVLAPAccredhed 20076" 19711 Scriber L 4kc Koad,Suite 0,Lynnwood,WA 98036 i 'I=(425)673-9850 Fix:(425)673-9910 ww.seattieasbestostest.00m Accredited_ Experienced. lnsured,:aid Well 4lanage:d! CHAIN OF CUSTODY A!lpLy !8:BULK ASBESTOS TEST_Y'JtN3 ceuN*(sMa..J pallgT CC)UNT(t3�� ._ ,P0114T 03'.1HT(t ravl Via_......o�er.._, Client NnMe Address y -- City ST ZI P Phone: Fax: Email., Project Locations - — Pr0j. Manager: Three Around Time Number of Samples -Client Job# Sample Condition:Good Damaged Severe Damage(Spilinge)_ SE # CLIENT SAMPLE# SAMPLE DESCRIPTION LAB ID VR 1 177.24 - 2 _3 �D f 4 6 .. 7 9 _ 10 11 _ .._.._..�_ 12 l3 ^ 14 15 16.._.M ,.. _..... _� 17 ;0 Pdnt etns 41ignature, comeny Name Diu. Time Smpled 19 Relinyui�hed v Delivered - Received r final r Repotied Result re Ling method: Phone_ . Fax Email Pick-up report Seattle Ashestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted and disclaims any other warrants,expressed or implied,including wamtnry of fitness for a particular purpose and Warranty of merchantability.Seattle Asbestos Tcst tu:cepts no legal responsibility.for the purpose for which the client uses the test results. By signing on this form the client,,;agree to relieve Seattle Asbestos Test of any liability that may arise from the test results. Invoices paid late may be chtwgcd of interest and invoices go to collection may he charged 17%to 25%of collection fee. 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