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17722 67TH AVE NE_056542_2026
-INSPECTION REPORT ¢titN G?'O Permit No.: oy S Lt:r Lot#: Q Address: -7 Zz G-7 4,115' Contractor: des f wrW O Owner: Date: C'S 3o-o _. ,APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: -3 y —��• TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: r�err �� ��+r ���� _ _• _ — — —�— i i ' r �f � � � + L ■ ■ i � � �� i � — — — — — L+ —� i i i — � — i — INSPECTION-REPORT ¢ti1N G TO Permit No.: b 9 ios g r' Lot #: Address: c-7'2 • Contractor: a—T H- 4 Owner: 9s�INC'� Date: - is i APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: ° 4� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CC]IVST RUCT II C]hJ I PERM I T PEF2M I -jr "C] _ _ �5 6542 Owner: RUTH, WESLEY 3717 2 5.{NI,1 ST HE ARLINGTON 98223 Value of Work: Tar. ID: 31052200400400 Phone: 360-659-5045 Describe Work: DEMO EXISTING RESIDENCE Proposed Use: Legal Description: Job Address: 17722 67TH AVE Me Contractor's Hasse Type Address License OWN TOTALS Fee Permit Fee $100. 00 State fee $4. 50 TOTAL FEE. . . . . . . . . . . . . . . . . $104. 50 S113NATURE A HERESY R I Y^THAT I HAVE READ PAYMENTS. . . . . . . . . . . . . . . . . .$0. 0 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COR- TOTAL DUE. . . . . . . . . . . . . . . . . $104. 58 R T ALL PROVISIONS OF LAWS AND O INANC 'S GOV RNI THIS TYPE OF W R WIL E PL D WITH WHETHER DATE RECEIPT # ��°�� q S E IFIE H O NOT. DING OFFICI L 00-L r-ti � 7 t: 0 NJ I ro 0 0 0 0 ■ mom . . � ■. 1 K - 1 J" iL 1 . . ■ — • 1 i� rrI E-tel �■ r 7rorAwas ME L, . ZL or- �r . •T ;m:1 . r. or r' '■Rim 1"rl 1 r- -1r♦: �■ ■ I INSPECTION REPORT 4ti1N G TO Permit No.: v C 6Syl. Lot #: Q Address: ►-'n Contractor: w,�-_7-s &.t_ •f rN GAO Owner: Date: 8- 3� CWAPPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. tJ��w-o pll�r�.av�� Inspector: r Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: of • rl ■ I - � ' r Lr'• a. 1 G I TY MF= AFRL I I,4GTQhI CQIVS-IF FtIJGT I C3I44 P FEE F?M I T F>EF2M I T IgC3 = 92!15—bSf+S Owner: RUTH, WESLEY 3717 252ND ST NE ARLINGTON 96223 Value of Work: Tax ID: 31052200400400 Phone: 360-659-5045 Describe Work: DEMOLISH RESIDENCE Proposed Use: Legal Description: Job Address: 17722 67TH AVE HE Contractor's Name Type Address License# OWN TOTALS Fee Permit Fee $100. 00 State fee $4. 50 SIGNATURE: GLi'C�L p� TOTAL FEE. . . . . . . . . . . . . . . . . $104. 50 I HEREBY C RTIFY TI;AT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 0 KN W THE SAME TO BE TRUE AND COR- RE ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $104. 50 OR NANC 5 GOV RN MG THIS TYPE OF W K WIL BE CIMP ED WITH WHETHER DATE RECEIPT # n- m S C FSE N NOT. le—�Il�l 1 1 LDING OFFI AL A6P -W v" u �� ' ti � `� �� � ■ 'f% err it r • ■ ■ 0 f1J 1 11 I= NAM 1 ' L . . ,Z�-OM .96 rr"% LM .MLM L 10 ONE No 16-m1W *oZ M ,- 1•!- T ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ mmlMM6&U ■ AP Fir dor,. ME & OU I L • 1 i C I -F C]F-- ARL I 114C9T'"P4 C01,,lET RU(---IF I: "114 F),FEE RM I T PE Ft I T" I14C3 _ a 05-6 S6 1 Owner: AUTOZONE, BALDRIDGE DEV 11825 MANCHESTER RD ST LOUIS 63131 Value of Work: $8, 000. 00 Tax ID: Phone: 360-754-9339 Describe Work: INSTALL 2 AWNINGS Proposed Use: RETAIL Legal Description: Job Address: 7715 204TH ST NE Contractor's Name Type Address License# RAINIER INDUSTRIES GEN 18435 OLYMPIC AVE S R INIIL066QP TOTALS Fee Permit Fee $172. 50 r Plan Fee $112. 13 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $289. 13 I HEREBY CERT FY HAT I 1AVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0.00 KN.: THE SAME TO BE TRUE AND COR- RE '"� ALL PROVI SIO OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $289. 13 OR I ANC GU ERN G THIS TYPE OF O K WIL � ': � 7KP IED WITH WHETHER F FLE ! '. IPA i R NOT. DATE �I1O10 5- RECEIPT # 1— / �� - - --- L l �O B DING OF I IAL rIliaLgplIT Ir r! m ' `TI I ` mm"M 1 3 ■ N ■ NO ■ ME ■ ME ■ ■ ME � '■ ■ 1 ■ � ' ■ ■ ■ _ yea - ■ M1111111011117111 ! r I= I mom : N- 1 ' 1 MEOW ' I Nor ' ■7.1 ■ 0100 NJ Ni. 1L ' L ■% 1 `■■`r Y J I Mm ELM ■ ■■r i Will momm%■ I ■ 77�7 LI ■� ■ ■ ■ ■ ■ I ■ ' mom■ � � . ME 'T ■ _ ■ J ■ ti ■ 1 �� - ■ I 1 I G`rY NEW COMMERCIAL/MULTIFAMILY ,�! PERMIT APPLICATION I N G1 Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3431 • FAX(360)403 3447 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS UNITS CONTAINING TOWNHOUSES OR THREE OR MORE UNITS. THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8)SETS OF CONSTRUCTION DRAWING,EIGHT(8)SETS OF STRUCTURAL DRAWINGS AND CALCULATIONS,EIGHT(8)SETS OF SITE PLANS,EIGHT(8)SETS OF SPECIFICATIONS IF APPLICABLE, THREE(3) SETS OF ENERGY CODE CALCULATIONS, THREE(3)SETS OF THE GEOTECH REPORT.TWO (2)SETS OF THE APPROVED LAND USE PERMIT. Name of Project:—��► ^ i� Project Address: j�i IZ i Ljol_ INeu 6-ic I—,INta Parcel ID,#: Legal Description DZA Owner: 5 Phone Number: �•yl� � � Address: 12M 644Z, AkW, 0 City: 1129Z, State: LJI--- Zip Code: Architect: Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Engineer; Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code General Contractor: At► IEZ II-NEA-1MIM Phone Number: Cell Phone: Z.0" AM,Lo'66Z Fax: '�._V51- �i E-mail- Address: �i6Jl ?�wiiEFlr.►�11�5R�E`J.C'c.1t•� l dc-it-10IC 6 'r_ !)• City: State: Ll66 Zip Code:�81� Contractor's License Number:_'^fit t "Q� Expiration: Contact Person: y6aatlt- Phone Number: S• I �Z Cell Phone: 7,4oCD-_'?in2•L60557- Fax: 't/Z5_?:�/.S�Ce E-mail-4&JILS ���'�lr�-�a�" a� C Address: Q!0_36 Cl?i!- a0- !�_ S City:'►U Il.. State: Ub., _ Zip Code: f�ZIEZ Proposed Scope of Work: 16Xl�I�� ZD PCIJ &l.►*2h WJJ4.t 1Z�J-\¢ t�11t.l,lsS Estimated Project Value* 7CoOZ- �b Building Footprint: Occupancy Classification: Type of Construction: Number of Stories: Total Square Footage: Square/Footage per Floor Parking Spaces Provided: Barrier Free Spaces: I hereby certi that the above information is correct and that the construction on, and the occupancy and the use of the above- describ pert will be' accordance with the laws, rules and regulation of the State of Washington. 7.14aaz: Applicants Signature Date Imo► �1>r..496LL Print Applicants Name ^c., FOR STAFF USE ONLY n5-�D`JWI -7 - l S-�S Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-07 Page 1 of 1 5/05 dwa N7-,R•• • 41 , City of Arlington Building Department REQUEST FOR REVIEW FORM NAME: &L ZE)n C_ BP M. 05- U eLa I DATE: RETURN THIS FORM BY: PROJECT SUMMARY: RESPONDING DEPARTMENTS: ❑ TOM C., FIRE ❑ KAREN L., UTILITIES ❑ DERYL T., UTILITIES ❑ BILL B., NATURAL RESOURCE 12---YVONNE P., PLANNING ❑ GREGG E., ENGINEERING ❑ JIM T., CONSULTANT ❑ CHUCK W., CONSULTANT ❑ SHERRI PHELPS SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments, either on the drawings or in memo form, to the Building Department. If you have no comments, please return the form with the"No Comments" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA. ❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY v a e DATE t I 1 ` 9 Y '� NEW COMMERCIAL/MULTIFAMILY PERMIT APPLICATION •ING1 Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3431 • FAX(360)403 3447 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS UNITS CONTAINING TOWNHOUSES OR THREE OR MORE UNITS. THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8)SETS OF CONSTRUCTION DRAWING,EIGHT(8)SETS OF STRUCTURAL DRAWINGS AND CALCULATIONS,EIGHT(8)SETS OF SITE PLANS,EIGHT(8)SETS OF SPECIFICATIONS IF APPLICABLE, THREE(3) SETS OF ENERGY CODE CALCULATIONS, THREE(3)SETS OF THE GEOTECH REPORT. TWO (2)SETS OF THE APPROVED LAND USE PERMIT. Name of Project: LI Project Address: _nIS 2C141t �,�f.�i 0 Parcel ID#: Legal Description Owner: ?D�95 K�`f Phone Number: ZGt.o•�11 Address: 12M Ll= &XV A61E &A City: 1z32 l.1Cw State: Lk'o, Zip Code: 4J94L5 Architect: Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Engineer: Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: General Contractor: Zci4"Izz 1"m 33't:S Phone Number: S•�f •��� Cell Phone: Z-O(— Fax: 1?5�.Z51,45Ckc'::� E-mail: K I I tiE,21�7U i afc�,Cc1f-� Address: tts-r� cc-i- ole- � �� C ��C1`ltf!S- Stater Zip Code: Contractor's License Number: Expiration:-J�t !•�^ Contact Person: s1I Phone Number: ��7. ��l• IZLoZ Cell Phone: ZbC -1112,"5GZ Fax: '�/Z5.7'7t.S��i E-mail- Address: 1t_'1"?l CLVA ao- S City:'W*-UILots, State: �_ Zip Code: �jISA Proposed Scope of Work: 16J__:At"�2� �+� �►- t��� T?b-&—kF_ L6_%61tICT5 Estimated Project Value- Building Footprint: Occupancy Classification: Type of Construction /4.LaMi"L1t4 _ Number of Stories: Total Square Footage: Square/Footage per Floor: Parking Spaces Provided: Barrier Free Spaces: hereby certif that the above information is correct and that the construction on, and the occupancy and the use of the above- describ pert will be n accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date I ,t �LL JUL 15 1005 Print Applicants Name FOR STAFF USE ONLY -7 - 1 S-C S Permit u Accepted By Amount Received Receipt# Date Received WEB Forms—07 Page 1 of 1 5/05 dwa i G``Y °f DEMOLITION 7 o PERMIT APPLICATION It NG� 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 OF AN ASBESTOS ABATEMENT REPORT COMPLETED BYAN APPROVED AGENCY. Type of Permit: (check one) ( ) Residential (,4 Commercial Project Address: IZZA2 J J'/'� Parcel ID#: �1QSAZ0ny0yee' Lot#: Subdivision: Building Area(Sq Ft) '�� No. of floors: Number of Buildings: 2 Owner: Phone Number: Address: 3 212 a5 a SIT 4�L City: A2 ,12 State: -- Zip Code: Contact Person: O)CI ��' �/ I� Phone Number: 3,i3O-- Cell Phone: Fax: , 6�� - i ��- S�d S E-mail: Address: /� ����..�.t�u ST l�= � City: f AL State: 402 Zip Code: Scope of Work: /� h p 4) 4 � lb1C Contractor: Phone Number: Address: City: State: Zip Code: 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 Taccordan a with the laws, rules and regulations of the Stat of Washington. Applicants Si natur Date rint Applicants Name © CO- RECEIVED JUL 0 7 2005 COA BUILDING DEPT Forms/DEMO-1 �� _ k4 + -' -.� ', i ti ,���;- � ,,� . vmG 70//OI 1S1NHOOW34/1SIN43/SWJO3 IM SNlallna voo a3A13338 t7L90 E0t;, (09£) auil uoijoadsui anoq-tZ ay} Ilex uoi;oadsu j .roj ;sanbaaj jo ao!;oN inou-pZ pajaldwoo si uoljpwap uagm uoijoadsui axis leuii uoijoadsui leuij le lesodsip piezey 10 uoi}ejuawnoop apinoad saiilmn }o uolieul al suolpe sul paain aNl s:podai }uawalege solsagse jo slas (Z) Omi sueld fold peuolsuaualp Allnj alemooe jo s}as (Z) OM-L uoijeoildde jpjad uoijpwap pajaldwoo y le;}ivagnS aol s;uauaaainaaN pefoad inoA 10 nnainaa .101 papinoid si uoijeuaaojul Ajesseoeu Ile }all ainsue o} IsilMOOLlo smi ash �p11 hl - 4 Fq-,"p7v O5 Lbb£ £017(090 X` J • l£b£ £Ob(09£) 9UOgd • £ZZ96 dM 'UO16UIIJy . -any o1dwA10 N 9£Z • uo;6uiIay 10 Aj!:D juawdo/anaQA;!unwwol10;uawpe cj IS11M33Ho 1d1.LiwanS Nounow3a Aj:*`' � Iy �+I 1 .. 1 . 1 • iflECEOVEDDJU L 0 8 2006 City of Arlington Utilities Building Department Div. REQUEST FOR REVIEW FORM NAME: l��5 ( Tl+ BP #: 05- (� S q Z (9 5 1p 514 to DATE: — /7�u� RETURN THIS FORM BY: PROJECT SUMMARY: RESPONDING DEPARTMENTS: ❑ TOM C., FIRE KAREN L., UTILITIES DERYL T., UTILITIES ❑ BILL B., NATURAL RESOURCE ❑ YVONNE P., PLANNING ❑ GREGG E., ENGINEERING ❑ JIM T., CONSULTANT ❑ CHUCK W., CONSULTANT ❑ SHERRI PHELPS SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments, either on the drawings or in memo form, to the Building Department. If you have no comments, please return the form with the"No Comments" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA. ❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO ❑ NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT . atfni�l �a' COMMENTSV-e 2c`Cx-f�i�G71d REVIEWED BY DATE _ S-- Agency Case No. PUGET SOUND CLEXI-T,t Md�M AGENCY 110 Union Street,Suite 500 200500466 -— ------ Cattle, 98101-2038 MAY 2 3 2005 www.pscle . amr.org ML NOTICE OF INTENT PUG E*f',Mtiftht;, ,,A,J!rviect Tysio- J r) V WA&M L'alikmVid— Property Owner ���Cj I Fy�� --- Phone: a- Maing Address: City State i4r,-� =W-71his=71 ,C As H:�5.17A U111u,"-1,ZtT Contractor: Lle 1_Owner/CEO: Contractor MailingAddr a7 7 Phone:.3&- �-_6(jq� Job No.: i�I CY, P )7A 19 in /1 State. 1 Zto -Fax.:V/zo) D. 4 Site N6 Ma ,M=6 cr Local Phone Date of AAbeinrs L Survey Or IN Of- Was Friable Asbestos Identified" --ZFY—es M.%e AHERA 8 '1 din —LaIrp-�1)r survev U 1-t Was Nonfriable Asbestos Identified? UYes &KO tion#: Attach a copv of the 57urwv when friable asbestw -7 has nor been Identyied Inspector. --ECxerpU1D,=ate V. Dtfflotition Start--. -U—T-raining Fire(List Fire Dept) 0 5, g4 Information: E 30 No. of L� Structures: Ordercd Demolition(anuh coX of Order� Deolifion InwridewW46rm coniractar'v mairzn9wdr-%V Ian-ZT7Will nonfriable asbestos be left in place during demo? LJ Yes LJ No If yes,list type and qty. Note disposal requiretnents In Stop 6(an back). G. Frbbk Asbestos AEI Days- T W Tb F Sa.Su 1pralftt lftformatwi�!O*. Start Date: Completion Date: Hours: Will all friable asbestos yes Total Qtw. to be Removed: Liiwar Ft. Square Ft. materials be removed? 13 No we WrAs*a LJ Pipe 116QLAU--Z pamus U Am" Ted C oauaga Ccmcat Wd C=W-Plp� Lj7- Ll Friable RAofiagmacri&I 0aw: K As bntelaDmalion ft9jeeA Csftorj": 1. Singie-Fwrdly Residence(owns-occupied): cON 1tv A. 0-Asbestos Removal Project Only EM §Eskw A. Prior Notice A $25 Dernahlim Project(-with or-,,,ilhuui asbestos removal project) B. 10 Days* B. S50 *(Asbestos removal can be upon notification;demolition must wait 10 d 2 x NOW If the SW9kfiwd1y residence is owned by one faintly who has 4=�31011 X"g the residence as their domicile, the above boxes 1A or IRmay be checked. &fo w m b is m an mer; of the earegorks listed below~be usainswed Asingle roily residence does not include rental pruperty. N-units, or env mixed-use building 2.P .Au()#=Demofitiom(with no Asbestos remval or NoafiuWc Asbestos 10 Days 1-2RIJ or ids ttAn 10 linear feet and/or 48 square feet of friable Asbestos) Friable Asbestos EM Lects(other than Single Faiaft Residence). Asbestos Demo 3. LJ � to-259 lumm feet and/or L 48-159 square feet of asbestos Prior Notice 10 Da ys $100 S100 4, U 260-999 linear fed and/or 160-4,999 square feet of asbestos 10 Days S2W SIM 5. Q > J linear feet a3&or>5.(x10 isan feet of asbcws R)Days $600 6 LJ Emergency Asbestos Project or LJ Emergency Demolition Proje ct Prior Notice $50 Emergency Fee (Single-FuMv Rcaiderrocs are exempt from crncrFency t1m,ho xcvcr.propertv owners must ovide a written emorat7w res!!!!t) L I catify the. d. thin ImAif-w-aijou m4 pleuxuld data L%to the best of my knawWp,wAuMW&wLup[ft_ F4 A gig mom- Repre-10" it"ft Date Rennved PU .M - 'Sound Clem Alfr A016my Vorn;No.. W1W(R X1 gvizrAM)'V-, FAM co CL NO. RUT. I' _ � � �f� � .� .. _ �• a NVL Laboratories, Inc. 4708 Aurora Ave.N..Seattle,WA 98103 TeL 206.547.010.0, Fax:206.634.1936 #102063 wwwnvllabscom BUIk/ sbestosf roV,s 8y Polarized Light �-y Client:Lucus Building Inspections �IVEU Batch #: 2505295.00 Address:2219 Lakewood Road Arlington, WA L Client Project#:nla JUL 0 7 2005! Samples Received:36 Attention:Mr. Chuck ucus us Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 COA BUILDING DC thod: EPA/600R-93/116 Lab ID : 25031971 Client Sample#: 445A 1�I G Location: 17722 67th Ave. NE Arlington, WA 9822 _,—t��j Layer 1 of 1 Description: Black asphaltic material with granules U5 6_ l Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % _ Fine particles, ,sp lait/binder,Granu6s Glass fibers 20% None Detected ND Lab ID : 25031972 Client Sample#: 446A Location: 17722 67th Ave, NE Arlington, WA 9822 Layer 1 of 2 Description: Black asphaltic material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder None Detected ND None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particlesrAsphalt/binder,Granules Cellulose 30% None Detected ND Lab ID : 25031973 Client Sample#: 447A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 1 Description: Black asphaltic fibrous Felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Celldose 70% None Detected ND Lab ID ; 25031974 Client Sample iv: 446A Location: 17722 67th Ave.NE Arlington, WA 9822 Layer 1 of 1 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Cellulose 70% None Detected ND Lab ID :25031975 Client-Sample#: 449A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Brown tile Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/binder None Detected ND Chrysotile <1% Layer 2 of 2 Description: Black asphaltic mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asph.altlbinder None Detected ND None Detected lillJ Sampled by: Client I� Analyzed by: Ly udmiia Manzar Date Analyzed 04121/2005 D I1MFT Note. If samples are not homogeneous, then subsamples of the components were analyzed separately. Al) bulk samples are analyzed using EPA 600/ft 93l116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1_9%, 10°k 55-15%,20%u=10-30%, 50%=40-60%).This report relates only to the Items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by Vic methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. ^� Page 1 of 10 ti �'�i�'fl�_ � �,7 • air = �r — � Ili ��� - NVL Labor� Inc 5QW11 aqoi 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:28e.5 1 Fax: 5 20 .834.1936 www.nviiabs.c.omm Bu Asb�s RbersAra :b wwnv By Polarized Light Microscopy Ghent:I ucus Building la-6pectionS Batch : 2505295:00 Address:2219 Lakewood Road Client Project#:n/a Arlingtori WA 9822' Samples Received:36 Attention:Mr. Chuck Locus Samples Analyzed:35 Project Location: 17722 67th Ave.NE_Arlington;WA 9822 Method: EPA/600R-931116 Lab ID : 25031976 Client Sample#-. 450A Location: 17722 67th Ave. NE Arlington,WA 9822 -Layer 1 of 2 Description: Gray thin sheet Vinyl Non-Fibrous Materials: Other Fibrous Materials:% As Type: % Vinyl binder None Detected NO None Detected ND Layer 2 of 2 Description: [clack asphaltic fibrous backing with brown mastic Non-Fibrous Materials: -Other Fibrous-Mlaterials:la Type: e 1a Asbestos a Aspnaitlbinder,Masticlbinaer Cellulose 60% None Detected ND Lab ID: 25031%77 Client Sampte#: 451 A Location: 17722 07th Ave. N1PArlington,WA 9822 Comments:Composite result for whole sample is less than 1%asbestos Layer 1 of 2 Description: Off-white compacted powdery material.with.paint Non-Fibrous Materials: Other Fibrous Materials.°! Asbestos Type:% Calcareous particles,BinderlFiller,Paint None Detected ND Chrysatile 2% Layer 2 of 2 Description: Off-:white chalky material with paper Non-Fibrous Materials: Other Fibrous Mafterials'% Asbestos Type: % _ Fine particles,Gyps um/binder Cellulose 12% None Detected ND Lab ID :25031978 Client Sample#: 452A Location: 17722 67th Ave. NE Arlington,WA 9822 Comments:Composite result for whole sample is less than 1%asbestos Layer 1 of 3 Description: Off-white compacted powdery material with paint loon-Fibrous Matenal& Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected ND Chrysotlle 2% Layer 2 of 3 Description: Off-white powdery matrial with paper Non-Fibrous Materials: Other Fibrous Materials;% Asbestos Type:1/6 Caic -160uspar:icies,BinderiFilier Cellulose 0% None Detected ND Layer 3 of 3 Description: cuff-white chalky material with paper -Non-Fibrous-flllaterials: Other Fibrous Materials:/o Asbestos Type: °lA Fine particles,Gypsum/binder Cellulose 12% -None-Detected ND Lab ID:2503197S Client Sampee#: 453A Location: 17722 67th Ave. NEArlington, WA 9822- Sampled by: Client n�/� T Analyzed by: Lyudmila Mannar Date Analyzed:04/21120€]5 Q RAF f Note:If samples are not homogeneous, then subsamples of fha components were analyzed separately. All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1°/u=0-3°/a,6%=1-9%, 10%=6-16%.20%=1030%, 501/6=40-60%).This report relatos only to the items tested. If sample was not collected by NVL personnel,then the ac:curacyof the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc, It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 2 of 10 NVL L:abmb ies, Inc. 4708 Aurora Ave.N.,Seattle;WA 98103 #102063 Tel:206.r ww.n, i ax:206.z;34:i93D Bulk As F nr � �,vww.nvilabs.corri L7 l"9� !�V By;polarized Light Microscopy Client:Lu us Building Inspac ions Batch M 2505295.00 Address:2219 Lakewood Road 3 Ciient Project#:nla Arlington, WA 9822 Samples Received: 36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave.NE Arlington,;i1iA 9822 I+Idtlaod:EPA/609R-931116 Layer 1 of 2 Description: Off-white chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine part Iles Gypsurrilbinder,Paint Cellulose 12% -None Detected WD Layer 2 of 2 Description: Gray fibrous material with paint Non-Filarous Materials: Other Fibrous Materials:%o Asbestos Type: % Binder/Filier,Paint Cellulose 60% None Detected ND Synthetic fibers 15% Lab 10 : 25031980 Ciient Sample#: 454A Location: 17722 67thAve. NE Artirigton,WA 9822 Layer 1 of I Description: Tar.compressed filurous material' Ikon-Fibrous Materials: Other Fibrous Materials:%a Asbestos Type: % Binder/Filler Cellulose 95% Norse Detected ND Lab ID : 250319131 Client Sample M 455A Location: 17722 67141r Ave.NE Arliagton,WA 9822 Layer 1 of 2 Description: Tan fibrous material with paint Non-Fibrous Materials: Other Fibrous Materials-:% Asbestos Type: % Binder/Filler,Paint Cellulose 65% None.Detected ND Layer 2 of 2: Description. Gray fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Tyne: % i3incierlFilter Cellulose 65% None Detected ND _ Synthetic fibers 16% Lab ID: 26031982 Client Sample#: 456A - - Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-write suet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyllbinder,Synthetic foarn Norte Deteeted ND Norte Detected ND Layer 2 of 2 Description: bray fibrous backing with mastic Non-Fibrous Wter;als: Other Fibrous Materials:% Asbestos Type-- % Birtder/Fiiier,Masticibinder,Diatoms Cellulose 60% None Detected ND Glass fibers 3% Lab ID ._25031983 Client Sample#: 457A Location: 17722 67th Ave. NE Arlington, WA 9822 Samplers by:Client Analyzed by: Lyudmifa Manzar Date Analyzed:04/21/2005 DRAFT Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-931116 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%, 5%=1-9%, 10%=5-15%,20%=10-30%, 500/.-40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except In full,without written approval of NVL Laboratories, Inc. It shall not be used to Balm product endorsement by NVLAP or any other agency of the US Government, Page 3 of 10 r ., .. NVL Laborabies,Inc. 4708 Aurora Ave.N.,Seattle,WA 9.8103 #10206a Tel:206.5 WW"V. v "ax:26.634.1936 B ,Ik Asb��Fite,..y-11ra 1i✓'vVw.riVilc7Gs.CUlii �nai J rli✓Z�5 By Polarized Light Microscopy Client:LucLs Bulldir~�g inspectionsBatch #�: 2505205.00 Address:221g Lakewood Road Client Project#:nla Arlington,WA 93223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington,'VVA%22 Method: EPA/600R-93/116 Layer 1 of 3 Description,: Gray fibrous backing withr mastic. Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Strider/Filler,Mas6c/bnder,Diatorns Cellulose 60% None Detected WD Glass fibers 3% Layer 2 of 3 Doscripf:ion: Off-w ;iie challicy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % tare particies,Gypscm/bindar Cellulose 4%- None Detected ND Layer 3 of 3 Description: Tan compressed fibrous material Non-Fibrous Materials: -Other Fibrous Materials:% Asbestos Type:% Binder/Filler Cellulose 97% None Detected ND Lab ID :250.31984 Client Sample* 458A Location: 17722 67tn Ave.NE Arrington,WA'9822 Layer 1 of 2 Descriptkn: Tan thin sheet vinyl Nort-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Vinyllbinder None Detected ND Norte Detected ND Layer 2 of 2 Description: Duck asphaltic fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials,% Asbestos Type4% Fine parliciessAspanalflbindenMastie/binder Cellulose 60% Nome Detected ND Lab ID : 25031985 Client Sample#: 459A -Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 1 Description: Tan compressed fibrous material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Paint Cellulose 90% None Detected ND Lab iD : 25031986 Ghent Saimple . 460A _-- Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off"ilite vinyi Non--Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % C.aicareouvs par=,ictes,Vinyl/binder None Detected ND None Detected ND Layer 2 of 2 description: Clear soft adhesive Non-Flbrousr Materials: Other Fibrous Materials:% Asbestos Type:% Adhesive/binder None Detected ND None Detected ND Sampled by: Client. Analyzed by: Lyudmlia Manzar Date Analyzed.0412112005 DRAFT- Note: if samples are not homogeneous,`then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-931116 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%, 5%=1-9%, 10%=5-15%.20%=1U-3U%' 50%=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample coliector. This report shall not be reproduced except In full,without written approval of 14VL Laboratories, Inc. It shall not be used tr clahm product endorsement by NVLAP or any other agency of the US Government Page 4 of 10 i :y - a 4 ti M/L Laborabiesr inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206-547,0100, Fax:206.634.1936 BUll:AtiJi.1C.SbS I-Ib b/V a� www.nviiabs.corn By Polarized Light Microscopy Client:Lucas Buiidi��y inspections Batch #: 2505295.00 Address:2219 Lakewood Road Arlington; WA 98223 Client Project#:nta Samples Received:36 Attention,Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave, NE Arlington,'WA 9822 Method: EPAI600R=93/116 Lab ID : 25031987 Client Sample#: 461A Location: i 7722 67th Ave. NE Arlington, VVA 9822 Layer 1 of 3 Description: mark red sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % VinyiJbinder=Synthefic foam hone Detected ttiu None Detected ND Layer 2 of s Description: Tan fibrous backing with mastic Non-F<orouv Materials: Other Fibrous Materials-% _ Asbestos Type:% Binder/FillerMasticibinder Cellulose 60% None Detected ND Class fibers 3% Layer 3 of 3 Description: Off-white brittie chalky material Nor-Fibrous Materials: Other Fibrous Material,:/3 Asbestos Type:% Fine particles,Gypsum/binder Cellulose 3% None Detected ND Lab ID : 2553/988 '%-.laent Sample M. 462A Location: 1772213701 Ave,NE Arlington, WA 9822 Layer 1 of 2 Description: Beige file Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particies,VinyUbinder None Detected ND None Detected ND Layer 2 of 2 Description: Taft soft n;astic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/binder None Detected ND None Detected ND Lab ID : 25031989 Client Sample#: 463A Location: 17722 671:4 Ave.NE Arlington, WA 9822 Layer 7 of 2 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibro :[ylla-ter-tals:% Asbestos Type: % VinyVbi rider,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Sinder(Filier,-Masbc/binder Cellulose 60% {done Detected ND Glass fibers 3% Lab ID : 25031990 Clsent Sample#: 44A Location: 17722 Vttt Ave. NE Arlington, VVA 9822 Sampled by: Client Analyzed by: Lyudmila Manzar Date Analyzed- 412112005 DRAFT Note: If samples are not homogeneous, then subsomples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(10/6=0-3%,50/4=1-9%, 10%=5-15%,20%=10-300/6, 50%=40-60%).This report relates only to the items tested. If sarnple was not collected by NVL personnel,then the accuracy of the results Is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 5 of 10 v I 1 NUL Wx rabies, Inc. a i 4708 Aurora Ave.N.,Seattle,WA 9-8103 #102063 Tel:20�i_341.010 Pax: os6. 4.193s www.rivilabs.com Buk Austlestis Fibers Analysis By Polarized Light MicroscopyClient:Luaus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:n0a Arlington, WA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. Nr_Arlington,WA-9822 Method: EPAl60GR 931116 Layer 1 of 3 Description. Tarr sheet vinyl - --- — — Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/binder,Synthatic foam None Detected ND -None Detected ND Layer 2 of 3 Description: Gray fibrous backing with mastic Non-Fibrous Malen5als: Other Fibrous Materials:% Asbestos Type: % Hinder/riller,Masticlbinder Cellulose 60% None Detected ND Glass fibers 3% - Layer 3 of 3 Description: Off--white brittle chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % inc pt,rticles,CypaurrilbincYer Cellulose 3% None Detected ND Lab-lD : 25031991 Client Sample#:465A Location: 17722 67th Ave,NE Arlington,WA 9822 Layer 1 of 2 Description: Off-while brittle chalky rnater'sal Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type. % Fine particles,Gyrsurrlbinder Cellulose 3% None Detected ND Layer 2 of 2 Description: Tan brittle clastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Tyke: % Mastic/binder None Detected ND None Detected ND Lab ID : 25031992 Client Sample#: 466A Location: 17722 67th Ave.CIE Arlington,WA 9822 Layer 1 of 2 Description: Gray spongy material Non-Fibrous.Wiatehals: Other Fibrous Materials:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Tan compressed fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % BiridedFiller Cellulose 97% None Detected Nil Lib ID : A-5031993 Client Sample#: 467A Logtion: 17.722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials-.% Asbestos Type: % Calcareous partivics,l3lnae'd llie rPalnt None Detected ND None Detected ND Sampled by: Client Analyzed lay: Lyudwilla Matrizar Plate Analyzed.04/2 IJ2005 DRAFT— Note: If samples are not homogeneous, then subsamples of the componants were analyzed soparately. All bulk samplos are analyzed using EPA, 60(VR-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1-9%, 10%=5-15%,20%=10-30%, 501/a=40-60%).This report relates only to the Items tested. if sample was not collected by NVL personnel,then llie accuracy of the results is limited by the methodology and acuity of the sample collector. This report shell not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to cialm product endorsement by NVLAP or any other agency of the US Government. - Page 6 of'TO 07 NVL Labmbries. it . 1 4708 Aurora Ave.N.,Seattle,INA 98103 #1020W Tel;206 5 wvm.0 Fax:201i,s34.1 Bul AsbeslDs FibersArda sb 4�Jd W.n4 ild��.Cprii �y Polarized Light Microscopy Client:Lucus Building Inspections By #: 2505295.00 Address:2219!ak wcad Road Ctient Project#t_rVa Arlington,WA 98223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722,67th Ave.NE Arrington,VVA 9822 Method. EPA160OR 93f'116 Layer 2 of 2 Description: Off-white chalky material with paper — Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particies,Gypsurn/binder Cellulose 10% None Detected ND Glass fibers 2% Lab ID : 250319 4 Client San pie#: 468A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer l of 2 Description: Off-white compacted powdery material Vvith pal.it Non-Fibrous Materials: Other Fibrous Materials:% Asbastos Type: 0/6 Calcareous partial ,Sistder/F?l"er,Paint None Detected NO None Detected ND Layer 2 of 2 Description: Ciff-white chalky materiat with paper Nora_Rbrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine partieles,GypsumNnder Cellulose 10% None Detected ND Glass fiber- 2% Lab tO : 25031995 Client Sample#: 469A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer I of 2 Description: Off-white compacted powdery rnati�rial with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler;Paint None Detected NG None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Fine particies,Gypsum/binder Cellulose 10% None Detected ND Glass fibers 2% Lab ID : 25031996 Client Sample#: 470A Location. 17722 67th Ave. NE Arlington, WAD= Layer 1 of 1 Description. Gray fibrous material Non-Fibrous Materials: URher Fibrous Materials:% Asbestos'Type: % Fine particles Cellulose 95% lone Detected ND Lao 1D : 2502/997 Client Sample#:475A Location: 17722 67th Ave, NE Arlington;WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous.Materials; Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected NO None Detected ND Sampled by: Client Analyzed by: Lyudmila Manzar Date Analyzed:04/21/2005 DRAFT- Note: If samples are not homogeneous. then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1-9%, 100/0=5-15%,20%=10.30%, 50%=40-60%.).This report relates only to the items tested. if sample was noecottected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except In full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Govemment. - 15age �10 i �' - NVL Labo abriesr Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tei:2flt3.547.4104, Fax:2Q6_fi34.193& gull€AsbeSbos A fQ� wwrv.nvliab�.c�rr Ry f'oiariz(:d:Light Microscopy Client:Lucus Building inspections Batch #: 2505295.00 Address:2219 Lakemood Road Client Project*n/a Arlington, VA 98223 Samples Received: 36 Attention:Mr.Chuck Lucus Samples Analyzed:35 Project Location: 17722 67th Ave_ NE Arlington, WA 9822 Method:EPA160DR-93/116 Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles;Gypsum/binder Cellulose 12% None Detected NO Lab ID : 25031998 Client Sample M 476A Location: 17l 22 67th Ave.NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white lumpy foamy material with paint Non-Fibrous Materials: Other Fibrous Materials-% Asbestos Type: % Calcareous particles,Binder/Fitler,Synthebe foam None Detected ND None Detected NO Paint Layer 2 of 2 Description: Tan compressed fibrous material Non-Fibrous Materials- Other Fibrous Materials:% Asbestos Type:% Binder/Filler Cellulose 97% None Detected NO Lab ID : 25031099 Client Sample 4: 477A Location. 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: O;.whhite compacted powdery material with paint Non-Fibrous Materials: Other fibrous IViaterials:% Asbestos Type: % Calcareous particles,Binder/Fil<,ar,Paint None Detected ND None Detected NO Layer 2 of 2 Description: Off-white-chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 12% Norte Detected NO Lab 10 : 25032000 Client Sample#: 478A Location: 17722 67th°Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous°Materials: Other.Fibrous Materials:% Asbestos Type: °/® Calcareous particles,Binder/Fi Her,Paint None Detected ND None Detected NO Layer 2 of 2 Description. Off-white chalky material`with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles;Gypsurn/binder Cellulose 12% 1�lone Detected NO Lab ID : 25032001 Client Sample M 479A Location: 17722 67th Ave. NEE Arlington,WA 9822 Sampled by: Client {{�� Analyzed ley_ LyudmUa Manzar Date Analyzed.04/21/200� D RAFT Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. Ail bulk samples are analyzed using EPA 600/11-93N 16 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%.5%=1�9%, 10°h=5-15%,20%=10-30%. 50%=40-60°/„)_This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except In full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the Us Government. _....__............_._____— Page 8 of 10 - - :r � . r .: :.: I M/L Laboratories, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:2os.547.€t100, Fax:20&_634.1 3 BUIkASbe�s FtbersAn*sb www.n�ilahs.com By Polarized Ligrrit MicroscopyClient:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:n/a Arlington, WA 98223 Samples Received: 36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722,67th Ave, NE Arlington,V/A 9822 Method: EPA/600R 23f1'16 Layer 1 of 2 Description: Black and white vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Vinylibinder None Detected t4l7 None Detected ND Layer 2 of 2 Description: Beige soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/binder, None Detected ND None Detected ND Lab ID 25032002 Client Sample#: 480A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Broom--heet vinyl Nora--Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % ulnyVbinder,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Tan backing material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler- Glassfibers 10% None Detected ND Lab ID : 25032003 Client Sample#: 431A Location: 17722-67th Ave.`NE Arlington,WA 9822 Layer 1 of 1 Description: White spongy material Non-Fibrous Materials: Other Fibrous Materials.% Asbestos Type: % Styrofoam None Detected ND None Detected ND Lai tl�: 2ra032004 Ctiertt Sample#: �4�A Location: 17722 67th Ave. NE Arlington,WA 9822 Dyer 1 of 1 Description: Off-white lumpy foamy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Caicareous particles,Pinder]Fille-r,Syrithetic foam None Detected ND None Detected ND Paint Lab ID : 25032005 Client Sample#: 4831A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 1 Description: Off-white lumpy foamy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Calcareous partictes,Binder/Fitle-r,Syritheticfeam Morse Detected ND None Detected ND Perlite Sampled by: Client DRAFT Analyzed iby. Lyudr ula Manzar Date Analyzed:04/2112005 D RAFT Note: If samples are not homogeneous, then subsamples of the components were analyzed separately, All bulk samples are analyzed using EPA 600IR-93I116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1-9°l0, 101/6=5-151/6,201/6=10.30%. 50%=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results Is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except In full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the Us Govemment. Page 9 of 10 N , A! �� :� ►', I II I TY QFf FlRL I IVGTQR! C�UP4E;- 'RIJCT I Qh! PE RM I T PE RM I T h!O_ = Gi5—Ex 54E, H, WESLEY 3717 252ND ST NE ARLINGTON 98223 irk: Tax ID: 31052200400400 Phone: 360-659-5045 ork: DEMOLISH SHED Ise: -ription: ,ss: 17722 67TR AVE HE r's Name Type Address License# OWN Fee Fee $100. 00 y' ee 4. 50 t .E'CllL SIGNATURE FEE. . . . . . . . . . . . . . . . . $104. 50 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K HE SAME T BE ,[TS. . . . . . . . . . . . . . . . . . $0. 0 RED ALL PROVISIONS DFULAWSDANDR DUE. . . . . . . . . . . . . . . . . $104. 50 ARRI LACES GOVERN LAG THIS TYPE OF K IL L C MP _._ED WITH WHETHER C F FE i :' N NOT. RECEIPTLDING OFFICIAll _ • .,. SI Ir 4; `Iy DEMOLITION 7 o PERMIT APPLICATION �l N G� 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 OF AN ASBESTOS ABATEMENT REPORT COMPLETED BY AN APPROVED AGENCY. Type of Permit: (check one) ( ) Residential ('Commercial Project Address: A2 J L ,T4 'r ' Parcel ID#: 3���5•�2C���Y �L7C I Lot#: Subdivision: Building Area (Sq Ft)/Q? ''`'L No. of floors: Number of Buildings:/ Owner: Wcl S f J )n il'�i Phone Number: Address: �� L' ►�='���Q ;'�r- city:,ftlLtl State:_G,_%�_ Zip Code: 3 �.� Contact Person: �0 -�C 1 Phone Number: &,Z) Cell Phone: Fax: , �� - :Yf- S�� S E-mail: Address: 1.�r? ' t��l!�T— City: �" State: ���� Zip Code: Scope of Work:, 4- ]1�z Contractor: Phone Number: Address: City: State: Zip Code: 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. pplicants Sig_natur Date / rmt Applicants Name CC iiV REC JUL 0 7 2005 COA BUILDING DEPT Forms/DEMO-1 ,� .3 • '�� Agency Case No. ornlrvr% R1J',G_ETS U_7v il_D —054— Lq.;J%.ah&4L&'et jl AGENCY 110 UtdOn Stroet Suite 500 200500466 -Z-000400*66^NSwwp sWlAaar0.10-rg38 MAY 2 3 2005 NOTICE OF INTENT PUGS 1MWk%1Nk =R - Property owner. V(\1 1f 'n. Phone- htailin Address: City �I I 17 s ri State U C_ Asbestes Contractor: Owner,'CE0- Mailing A. ess: I -S - ontract or Phone: q5a5JobNo.i S tateZi Fax: X,51- 1-16* D. Site Address: city:-S;,c 71v Manager: Local Phone Asbestos Survey or No. R_/-/ Date of. b z s Was Friable Asbestos Identified'?Mat -2—) Yes "yd 'I Pr Cure Was Nonfriable Asbestos identified? Uyes (V\10 AHERA Build' Certification#: -7 AtTaCh a coo,(?f the survey when friable asbestos L-L'P'�or. E\-p Date:- d has not been.;denti�ied An AHM-Sw-y is,-q--ad Wo"ag JmxxUzow p",e,F. D*motitlon Stan No.of 1Training Fire(List Fire Dept.) Worrask6cm: Date: 30/03' of sw'Xrutes. 3 2. U Ordered Dcm. lition_(artach CM of Order) DernoEtion will nenfriable asbestos be left tn place during dem? Ll Yes LJ No Contractor +-U if yes,list qW and qty. Note disposal requirements in Stop 6(on back). G. Fr"k Asbestm Work Days: M T W Th F Sa.Su Praiw Information: Stan Date. ' C041)LIrUtm Date: Hours: Total Qtv. to be =Reved: Will all friable asbestos Yes Linear Ft. Square Ft materials be re=ved) C1 No wpAwm 7J_D�cja-s� a -- LRECM —Pipe losaliam U F w.-;pw Dfi ag —paim PLIM U Texaned CID.L�S .L=Boaw Ll �P�Pc Friab1cF1=-g Fri tbkr_r tltwnal 011 K Asb"t"Dan"I"A Project CWneries:' W2. L Sin4t-Fazn4Pe*Mmce(owner pied)��� I.-- A- D ksbevz%Re=,,W Project Only J��51 A.Prior Nodca A $25 la. Detnotitiott"ed(MIffi or without asbestos rnnoyai project) i B. 10 Days' B. $50 (Asbestos removal can begot u If&,e n,.Vtefmn1ty rertdme is aw7wa try onefumt" K)�s M4&well be uszng the residence dwa—bow boxer ]A or 1B maybe checked. Vrtkk is not an cwmerqccwpw'rr5k&ei2re,one ofike catelorks thief blow must be used Instead Asingle Omfly residence does not include.rental property. multi-amilv units, or anv mixed-use bu,ldinj. 2. -AR Other Derr-AAhoas(with no Asbcow ixmvval or N'oufhabicAsbrstoi I U Days aril Y_2LIess than 10 lLwar fee and/or 4s square feet offhable Ast;c;ws) Friable Asbe9tes tpjectl(other tALRn Sln%le Famity Rriidence): Demo Asbestos 3. L 10-239 Brew feet and/or�48.-159 sj!are feet of asbmtos Prior Notice 10113ays S1W SUM 4._ U 260-994 6eff feet and/or 160-4,999 square feet of asbestos 10 Days S200 SIM 5. LJ_>I,()(XJ WWRr feet=&or>5.(00 sauare f=cd'asb,,—_tos 10 Days 56W S100 6, U Emergency os Project or U Emergency Demolition Project Prior NoticeS50 Emergency Fee (SinSJc-F#m%J,,?x-sid4m(A_-am exempt fm,,n cE,?crZcncy Lce,_hourvcl-pfvl!!rrv,.,v.n,;-rs must providt a written cmerRencV request) L i ocrEfy ti>rY the ir>JTmntiauwa"&wpd' this c IUILA"* Il&SUFp1c=uwL data 6,tn the exit ofmy bawJa*_a"umM&completc- AIFn 0 Dwe Puget.iouW Clem Air A4-nn,harm No_ 66-16k)(Rievieed 2/4)5)-1.4 -N 171sy Pi-0 UA T 00 1001— (P Cr L CK. 140. 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X 6 N p (D (D (D :7 N 41 S v (D O p O (D O L1 (D T (D (D 71 Q, (D (D (D Cp O - N � C - �' (D (D @ - .► (D �s 0 cr (n m (U <_ C 7 v _C Z. Z. o v O O n v OT :3 < ' 5 K 7 = M : (D V7 0 n ai f) D a (Din CL n ::r OJ (D O O rn Q _ Q. (D CD -CL CD CV C C v (7 S71 N ,� N (D CL C7.1 0 c0 O O O (� 3 ? a O 3 � 5 O _ o D u o m O 7 3 p O (D p Cy 0 O (D 7 O O (D m 0 7 j D(G n 3Z3 - � 0 0 _L o 3 3 = � 3a_ 00 mm °_�' 7 0 Q 9f 7 p ' Oj = Q 3 -3 N =3 3 = U) N Z Z Z Z Z Z -n Zff m t t t t t t 1 t t t t t t t t t fJA OJ (n (n (-n oD CO O O O N N N ) 6) Co O -" -'' O O '.n (r. O O O — O O J 4 + .0 X G� G7 G) G7 67 G) G) G) G) G) 0 G) 0 0 G) G) 00 O O O O O O O O O O O O O O O O O O O O O O O O 0 0 0 0 0 0 0 O O 3 O 0- O_ O- 0_ O_ CL O- O- O- a 0- 0- 0- Cl Q 0- 3 a m - m o' y � r r r r r r r r r r DD O O 0 0 D o 0 0 {� O O O 0 TrD N = CL O_ N M 3 3 3 0 N m � 3 N M � N N N) IV P% N N N t"J ^..' PJ r.] N Tv N N Ln Cn 0 cn 0 cn cn cn cn m (.n Cn cn cn cn 0 cn m O O O O O O O 0 0 0 0 O O O O O GJ co G0 w W co CO w w W co co co W W ci 3 r CCU U C.0, co U( 'J (K) :J (n eD (n 17 eri CO (-r; O 6 c0 (O (n (0 co co co OD 00 00 00 00 00 CD `I v (J Ny O (-0 Co -1 my M -PAW N) CD (C # Z 00 Z Z Z Z Z Z Z Z Z Z Z f o O 0 0 0 0 0 0 0 0 0 0 0 0 0 cr 0 O * c (D s O ..� 3 (no D o CZ c 0 O (D v d ((DD O � a :: - 4 / f £ / / �/ \ 5 + ? cn E I w c d a o e d $ I 3 § ƒ - . _ g - � s2 & e s E 7 & 7 « e C C C o \ n a o o ] - @ aQ = G � / I 2 2 o & c / @ EE @ = 2 = -0 3 -0 s c o 0 o e 3 & 2 x 2 \ k d k \ \ \ ra CD \\ \ \ 0- 3 \ / 30 �\ S \ O \ 8 K8 / d0 y \ % ƒ ƒ ° o y o o 0 o o _ E - W J J s f = \ j \ / / j / 7 m 9 9 5 E \ ] m CI- CL p _ P- E E� w © 0 \ m m = G m % U 3 c -0 . - \ i \ / / _ \ / J (DCD a) 7RfC / ] fE / :3 C0 :3 / / / E ± � � ama - r - m = 3 Ee � rsE = � E - c s & - 3 = o 4 2-_ « g = a g g ® @ , 3 » a ? o / - § o S 2 0 @ - o e 3 _ = 2 • s , m ] 3 - o ) c < m e e = ] e & 3 e Q e 5 - = o . 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S ci VVI 1 S Q 7 0-7 N6 �s � cC- NVL L.c1boraCI ries, Inc. 4708 Aurora Ave.N_,Seattle,WA 99103 #102063 Tel:206.54 vww06.634.1936.n Ile s.om Bulk Asbesbs Fibers Ardysis By polarized Light Microscopy Client:Lucus Building Inspections \ Batch #: 2505295.00 Address:2219 Lakewood Road RECEIVE[[i Client Project#:n/a Arlington,WA 98223 Samples Received: 36 Attention:Mr. Chuck Lucus JUL 0 7 2005' Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method: EPA160OR-93/116 �:QA Al III f111�1t'" e-tgdr Lab 10 : 25031971 Client Sample#: 445A J Location: 17722 67th Ave. NE Arlington,WA 9822 �( g <ZV Layer i of i Description: Mack asphaltic material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,;sphalt/binder,Granules Glass fibers 20% None Detected ND Lab ID : 25031972 Client Sample #: 446A Location: 1772-2 67th Ave. NE Arlington, WA 9822 Layer i of 2 Description: Black asphaltic material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder None Detected ND None Detected ND Layer 2 of 2 Description: Blank asphaltic fibrous material with granr,!es Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles Asoheltibinder,Granules Cellulose 30°10 prone Detected ND Lab ID : 25031973 Client Sample#: 447A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 1 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Cellulose 70% None Detected ND Lab ID : 25031974 Client Sample #: 443A Location: 17722 67th Ave._NE Arlington, "A 9822 Layer 1 of 1 Description. Black asphaltic fibrous ieit Non-Fibrous Materials Other Fibrous "aterials:% Asbestos Type: % AsphUlt'binder Cellulose 70% None Detected ND Lab 1D . 25031975 Client Sample#: 449A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Brown file Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/binder None Detected ND Chrysotile <11% Layer 2 of 2 Description: Black asphaltic mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder None Detected N4 None Detected ND Sampled by: Client DRAFT Analyzed by: Lyudrnila Manzar Date Analyzed:0412112005 Note: If samples are not homooeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R-93/116 hAethod with the following measurement uncertainties for the reported %Asbestos(1%=0-3%,5%=1-9%, 50%=40-60%).This report relates oily to the items tested. if sample was not collected by NVL personnel.then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full.without written approval of NVL Laboratories. Inc. It shall not be used to clairn product endorsement by NVLAP or any other agency of the US Government. �'- Page 1 of10 NVL Laborabrles, Inc. �a 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.5 www.0, Fax:206.634.1936 Bulk /t,�4,��,E, s Fibers Ar„�` www.nviiabs.cor�� i Fibers h1 idly'.7fs By Polarized Light MicroscopyClient:Lucus Building inspections Batch #• 2505295.00 Address:2219 Lakewood Road Client Project#:nla Arlington,VIJA 98223 Samples Received: 36 Attention:Mr.Chuck Lucus Samples Analyzed:35 Project Location: -17722 67th Ave.NE Arington,WA 9822 Method: EPA160OR-93/116 Lab ID : 2"5031976 Client Saw—pie#: 450A _ -- L----- — Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Cray thin sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl binder None Detected ND None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Asphabt/binder,Mastic/binder Cellulose 60% None Detected ND Lab ID : 25031977 Client Sample#: 451 A Location: 17722 67th Ave. NE Arlington,WA 9822 Comments:Composite result for whole sample is less than 1%asbestos Layer 1 of 2 Descriptlon: Off-white compacted pmrdery material with paint Non-Fibrous Materials: Other Fibrous Materials-.% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected ND Chrysotile Z°/a Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Typa: % Fine pardcles,Gypsum/binder Cellulose 12% None Detected ND Lam lb : 25,3197 CClient Sample#: 452A Location: 17722 67th Ave. NE Arlington,WA 9822 Comments:Composite result for whole sample is less than 1%asbestos Layer 1 of 3 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type. % Calcareous particles,Binder/Filler,Paint None Detected ND Chrysotile 2% Layer 2 of 3 Description- Off-white(powdery matriai with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Calcareous partildes,Under/Filler Cellulose 60`!a None Detected- ND Layer 3 of 3 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type-- % Fine particles,Gypsumlbinder Cellulose 12% None Detected ND Lab ID :25031979 Client Sample#: 453A Location: 17722 67th Ave. NE Arlington, WA 9822 Sampled by: Client D��� Analyzed by: Lyudmila Manzar Date Analyzed:04/21/2005 00 Note: If samples are not homogeneous. then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported %Asbestos 501/6=40-60%).This spurt relates only to the items tested. If sample was not collected by NVL personnel,Uien the accuracy of die results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 2 of 10 NVL L.ibora oriel, inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.547.0100, Fax:2G5.534.i 935 Bulk Asb ests Fibers lii 'a 'vV�VVr.I iviiaiiS.Cum i� By Polarized light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:nia Arlington., WA 98223 Samples Received: 36 Attention:Mr.Chuck Lucus Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method:EPAy600R-93/116 Layer 1 of 2 Description: Off-white chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsumlbinder,Paint Cellulose 12% 'None Detected ND Layer 2 of 2 Description: Gray fibrous material with paint Non-Fibfous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Paint Cellulose 60% None Detected ND Synthetic fibers 15% Lab iD : 25031980 Client Sample#: 454A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 'I Descrip:lon: Tan cornpressed fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Birder/Filler Cellulose 95% None Detected ND Lab ID : 25031991 Client Sample#: 455A Location: 17722 s 7 th Ave.NE Arlington,WA 9822 Layer 1 of 2 Description: Tan fibrous material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Paint Cellulose 65% None Detected ND Layer 2 of 2 Description: Gray fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 65% None Detected ND Synthetic fibers 16% Lab ID : 25031982 Client Sample#: 456A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinylibinder,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Gray fibrous backing with mastic Non-Fibrous Material$: Other Fibrous Materials.% Asbestos Type: % Binder/Filler,Mastic/binder,Diatorns Cellulose 60% None Detected ND Glass fibers 3% Lab ID : 25031983 Client Sample#: 457A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by: Client D A Analyzed by: Lyudmila Manzar Date Analyzed:04/21/2005 DRAFT Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R-931116 Method with the following measurement uncertaintles for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%,20%=10-30%, 50%=40-601f).This report relates only to the items tested_ if sample was not ailected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of RVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. - _ Page 3 of 10 NVL LaN rabies, Ire. a ara 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.547.0100, Fax:206.634.1936 Bulk �C;(,�ers Analysis WWVJ.nVIiBbS.Cur71 L�l.i i� Fibers 1'1t fQ By Polarized Light Microscopy Client:Lucus Building Inspections etch#: 2505295.00 Address:2219 Lakewood Road Client Project#:n/a Arlington,WA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington, WA 9822 Method:EPAI600R=931116 Layer 1 of 3 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % oindedFiller,rviastic/binder,Diatotts Cellulose 60% None Detected ND Glass fibers 3% Layer 2 of 3 Description: Off-white chalicy material Non-Fibrous Materials. Other Fibrous Materials:% Asbestos Type: % Fine particles,GypsunVbinder Cellulose 4% None Detected ND Layer 3 of 3 Description: Tan compressed fibrous material Non-Fibrous 1J3terials: Other Fibrous Materials:% Asbestos Type:% BindedFiller Cellulose 97% None Detected ND Lai,ID : 25031984 Client Sample#: 458A Location: 17722 67th Ave.NE Arlington,WA 9822 Layer 1 of 2 Description: Tan thin sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Vinyllbinder None Detected ND !Slone Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Fine particies,AsphalVbinder,Mastic/binder Cellulose 60% None Detected ND Lab ID : 25031985 Client Sample#: 459A Location: 17722 67th Ave.NE Arlington,VVA 9822 Layer 1 of 1 Description: Tan compressed fibrous material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Paint Cellulose 90% None Detected ND Lab ID : 2503198o Client Sample#. 460A -- _ _ — Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white vinyl Jon-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous parti-cles,Vinyltbinder None Detected ND None Detected ND Layer 2 of 2 Description: Clear soft adhesive Non-Fibrous Materials: Other Fibrous tvlaterials:% Asbestos Type:% Adhesive/binder None Detected ND None Detected ND Sampled by: Client DRAFT- Note: Analyzed by: Lyudiriiia Manzar Date Analyzed.04121/2005 If samples are not homogeneous, then subsemples of the components were analyzed separately.All bulk samples are analyzed using EPA 6001R-931116 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%,5%=1-9%, 10%=5-15%,20%=10-30%, 50%=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample coliector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc.-!'shall not he used to claim product endorsement by NVtAP or any other agency of the US Government. _ - — - - - - - - Page of 10 I I Laborabries, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 9' �y,,,� #102063 Tel:20ti.54 vvw.n, Fax:206.634.1936 Bulk /`sb�6 f bers /,, dysis rruvw.nvifabs.com /"1 i'ii fGU By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:n/a Arlington, WA 98223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington, WA 9822 Method: EPA160OR-931116 Lab ID : 25031987 Client Sample#: 461A Location: -17722 67th Ave. NE Arlington,WA 9822 Layer I of 3 Description: Dark red street vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/binder,Synthetic foam None Detected ND None Detected ND Layer 2 of 3 Description: Tan fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Fiiler,Mastic/binder Cellulose 60% None Detected ND Glass fibers 3% Layer 3 of 3 Description: Off-wl-rite brittle chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine p:articles,Gypsurribindar Cellulose 3% None Detected ND Lab ID : 25031988 Client Sample M. 462A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Beige the Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particies,Vinyl/binder None Detected ND None Detected ND Layer 2 of 2 Description: Tan soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/binder None Detected ND None Detected ND Lab ID : 25031989 Client Sample#: 463A Location: 17722 67th Ave.NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % VinyVbinder,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Bindeffiller,Masbc/binder Cellulose 60% None Detected IUD Glass fibers 3% Lab ID : 25031990 Client Sample#: 464A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by: Client ���� Analyzed by: Lyudmila Manzar Date Analyzed:04/21/2005 Note: If samples are not homogeneous, then subsamples of Lhe :amponants were analyzed separately.AJI bulk samples are analyzed using EPA 600/13-931116 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%.5%=1-9%, 10%=5-15%.20%=10-301I0, 50%=40-60%).'Thi5 report relates only to the items tested. If sample was not collected by IT&personnel,then the accuracy of the results Is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product ertdorsernent by NVLAP or any other agency of the US Government. -. - Page 5 of 10 r i /L Laborab ies, Inc. ava'6�q 4708 Aurora Ave. N.,Seattle,WA 98103 #102063 Tel:206.54 vmv.n, Fax:206.634.1936 B ,�� q,�►..�es&o F,y ers p„�^i, ^is wvnv.nviiabs.com �t,ItRt'1.�LJ�� il.JCt J ril k�t�/J By Polarized Light MicroscopyClient:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:n/a Arlington, WA 98223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method:EPA/600R,93/116 Layer 1 of 3 Description: Tan sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinylibinder,Synthetic foam None Detected ND None Detected ND Layer 2 of 3 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Fiiier,Mastiedbinder Cellulose 60% None Detected ND Glass fibers 3% Layer 3 of 3 Description: Off-white brittle chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 3% None Detected ND Lab JD : 25031991 Client Sample#: 465A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white brittle chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum!binder Cellulose 3% None Detected ND Layer 2 of 2 Description: Tar, brittle mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Mastic/binder None Detected ND None Detected ND Lab ID : 25031992 Client Sample#: 466A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Gray spongy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Tan compressed fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 97% None Detected ND Lab ID : 25031993 Client Sample#: 467A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,13inder/FIIIer,17aint None Detected ND None Detected ND Sampled by; Client DRAFT Analyzed try: Lyudmila Manzar Date Analyzed:04/2112005 Note: If samples are not homogeneous, then subsamples of the cornponants were analyzed separately.All bulb;samples are analyzed using EPA 6001R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%.5%=1-9%, 10%=5-15%.20%=10-30%, 50%=40-60%).This report relates only to U,,e Items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endoisement by NVLAP or any other agency of the US Government. - - — - Page 6 of 10 N\4-Laboratories, Inc. ' 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.547.0100, Fax:206.634.1936 Bulk s �m�� vrww.nvllabs.com i�!-'U f IUCI� �J By Polarized Light Microscopy Client:Lucus Building Inspections Batch M 2505295.00 Address:2219 Lakewood Road Client Project#:n1a Arlington, WA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 1772267th Ave. NE Arlington,WA 9822 Method: EPA/600R-931116 Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particies,Gypsunvbinder Cellulose 10% None Detected ND Glass fibers 2% Lab ID : 215031964 Client Sample#: 468A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description,: Off-wrste compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Calcareous partictes,Bindar/Fitter,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 10% None Detected ND Glass fibers 2% Lab ID : 25031995 Client Sample* 469A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 10% None Detected ND Glass fibers 2% Lab iD : 250311996 Client Sample#: 470A Location: 17722 67th Ave. NE Arlington, V'JA 9822 Layer 1 of 1 Description: Gray fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Fine particles Cellulose 95% None Detected ND Lai 1D : 25031997 Cl;ent Sample#: 475A Location: 17722 67th Ave. NE Arlington;WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous.Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected ND None Detected ND Sampled by: Client D RAFT Analyzed by: Lyudmila Manzar Date Analyzed:04/2112005 Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported % Asbestos(1%=0-3%,5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%).This report relates only to the items tested. It sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page—7 10 i! „ •; ti I MIL Labuabories, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.5471 Fax:206.634.1936 www.nvliabs.com Ik s CLLers A ' By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#-.n/a Arlington,WA 98223 Samples Received: 36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method: EPA/600R-93/116 Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gyps umlbinder Cellulose 12% None Detected ND Lab ID : 25031998 Client Sample#: 476A Location: 1 i722 67th Ave.NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white lumpy foamy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Syntheticfoam None Detected ND None Detected ND Paint Layer 2 of 2 Description: Tan compressed fibrous material Non-Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 97% None Detected ND Lab ID : 25031999 Client Sample#: 477A Location: 17722 filth Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous partictes,Binder/Fil!er,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/hinder Cellulose 12% None Detected ND Lab ID : 25032000 Client Sample#: 478A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/FiIIer,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 12% Woke Detected ND Lab ID : 25032001 Client Sample#: 479A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by: Client � /p� T Analyzed by: Lyudmda Manzar Date Analyzeti:04/2112005 __D R-AF 1 - Note: If samples are not homogeneous, then subsamples of the componeris :vere analyzed separately. All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%, 10°/.=5-15%,20%=10-30%, 50%=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 8 of 10 W-Lalborabries, Inc. �� 4708 Aurora Ave.N.,Seattle,WA 98103 #1012063 Tel:206. i7.0100, Fax:206.634.1936 B .11�AsbE),,,t•,.,. �;1..,,B A�is wvwnr.nvUabs.com �l.7ti'` ��.A �i[.J�� By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:Na Arlington,WA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave.NE Arlington,WA 9822 Method: EPA/600R 93/116 Layer t of 2 Description: Black and white vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous partides,Vinyl/binder None Detected NO None Detected NO Layer 2 of 2 Description: Beige soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/binder None Detected ND None Detected ND Lab 10 : 25032002 Client Sample#: 480A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Brown sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % VinyL'binder,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Tar backing material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % BindebFiller Glass fibers 10% None Detected ND Lab ID : 25032003 Client Sample#: 481A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 1 Description: White spongy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Styrofoam None Detected NO None Detected ND Lab ID: 25032004 Client Sample#: 482A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of -t Description: Off-white lumpy foamy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,BinderiFitter,Synthetic foam None Detected NO None Detected ND Paint t`ab fD : 25032005 Client Sample #: Y83A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer i of l Description: Off-white lumpy foamy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder(Filler,Synthetic foam Plone Detected NO None Detected ND Perlite Sampled by: Client Dn A � Analyzed by: Lyudmila Manzar Date Analyzed:04121/2005 __D RA.F Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600[R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1-9%, 10%=5-15%,20%=10-30%, 50°'0=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results Is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. - - - - ----- — Page 9 or 10 DEMOLITION 7 o PERMIT APPLICATION !1tvG� 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 OF AN ASBESTOS ABATEMENT REPORT COMPLETED BY AN APPROVED AGENCY. Type of Permit: (check one) ( ) Residential (Commercial Project Address: Parcel ID#: Lot#: Subdivision: Building Area (Sq Ft)12'9 No. of floors: Number of Buildings:/ 2, Owner: �d n de 0 T11 Phone Number: I Address: -3 2/ 7 2�6 Z rd �2 .. L City: )4 State: / A:Ze Zip Code: Contact Person: hz �,' Phone Number: Cell Phone: Fax:. ��-l:Y - �il� .S E-mail: Address: 22 2/2 0 % S - /'{/.F. City: r/" A State:402 Zip Code: 2 a of Work: -, p �7�a Scofl`2 5 j Contractor: Phone Number: Address: City: State: Zip Code: 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. pplicants SiRaturb Date Print Applicants Name bE� C��Y JUL 0 7 2005 COA BUILDING OEM Forms/DEMO-1 Agency Case No. PUGET SOUND CLEAN %.aa&X*.e1WU4 AGENCY 110 Utdon Street,Suite 500 200500466 1! Seattle,WA 98101-2039 MAY 2 3 2005 OftmNE"S wwwpscleariair.org NOTICE OF INTENT PUGEF49M&Nk- 21-4 iaj A Demolition Property Owner,. W Ph one ?;(s 0 �5q —got ailing Add, C- Asbesses -C011tractor: owner"CEO: Contractor Nlailin_q Address, Job No.Phone:.W� i State Zip Fax: D. Site 16 Address: City: - --Sire . I Manager Local Phone: has not been identified E. Asbestos Survey No. of Date of A b I s - - Was Friable Asb--ms Identified? LlYes Wie 2—)0(� was sonfr St T'e43 ,) .5-- '.' t 4 AHERA Building. I table Asbestos Identified? UYes V& 't'I\A&�-U�S Certification Aaach a coPY qf the sur'KY whenftiable asbestw Lupectxir.C An AMU S--y is rrq-r4 WDre ag jwo4z,0,p-0jet L, F. 5eatO—Vitlou Start No. of 1. Training Fire(List Fire Dept.) Information: Date: I struc-micsp- 3 2. Q Ordered Demolition at Copy of Order) W ----T — Demolitionill ncriffiable asbestos be left in place during defm? U Yes J No ConMww: b If yes,list type and qty. Note disposal reqttiramts In Step 6(on back). G. Friable Asbe" Work Days: M T W 'M F Sa Su ProjeclinformatlawDaie: Howl: Will all triable asbestos U Yes Total to be Removed: Linear Ft. Square Ft. materials be rernoved? Ll No 804aTfaa"W"13"M U DuCt bEWAm 0 Pipe hi&"m Q F,,: W.T U jj-wts--U piuw LJ TexuLvd Coamigs Ccar"u BoaW Q ccmw Pip-c— rnwc Fkwa—gEl Friable Roo 11,CuL.21 Oilier: kre*t cateten": 1. Single-Family Resklence(awver-orcupiedy A. AsbestosRarwval Project Only En A. Prior Notice A $25 DeTnOhbau PT*ed(wrth or without asbestos removal p Jw) B, 10 Dirvs* B. $50 *(Asbestos removal can begin upon notification,demolition must LN&it 1CVj%*j) &,�711 be usmg the residence as diev�icrmczac the abow boxes f the s'-';91e)bWty residence is 0-.7-a by one ftimttv,� r pea res nce,1A or 1B may be checked, Ifthly is not an owiver.1vcki Vie ofte ourrhe caterorks Meted bdow~be used husese A single 6ml1v residence does not include renral properry, multi-family uni,,s, or an-v mixed-use budding. 2.xAU Otim Dena-A6ow(with w Asbestos=wval orNoufnaWc Astcsws 10 Da"vs iW square fed orfriaWc Asbe:aqs) Friable Asbestes!t?jects Other tlLQn SinrJe Fatuity Residence): Asbestos Demo '3-�Iti-239 linear feet and/or Z 48-159 square feel of asbestos ?nor Notice 10 Dan SIM S100 4. 0 260.999 linear feet and/or 160-4,999 square feet of asbestos 10 Days S2()O,- S100 5. Ll>j OW how feet mdor>5.wo square ft=W*asb,--tos 10 DMI S600 S100 6. U En=gency Asbestos Project or U Frnergency Demolition Project Prior Notice Emergency Fee Rmid—are exempt from ernerskency fiff,hvi6vver,prop"owners must provide a written cmargem I acetify the*T'r1G&ftaL1Qanta;uad' thisoccumtcgie_ cmwpetaAgm 0 Lwe Remr.uvrd 'PTLI Puget hourd Clean Air 4—F �arm Na.:No- 66- —(11gviScd 2/4)377 A ---- 00 AMOUNT Lcmr— CK. lio. Rept 4�- W o (0 ao ---A rn m = o o m m DKO >� m � 3 3 -d 2 n� I� O K � c) � D00vZ D � O � 5 ` ' m � In O CD � v � " Xon N o v v zo a0) � CD o � m Wm = 'T. 0 1 R: � Q � 3 0 0 v ? 3 � (D (n � cn ti+ < mom• _ 0 0N � � rti Nlr L < N (0 (0 0 (D C n a) r > > N a O 0 (p ° � Z DCD (D � -o m m o v m D Z II 3: 0 1 u� 3 ail {i-- � (D tj 7' <, � C. 4 < O O O O ncn Q O 4) (D (a(0 (0 (D (=O (D (0 ((DD ((DD (D CD O O (Q 7 O ; ` 1 , r� , . 33 3 3 0 � � ~ o _ D O �. D (n (n o. 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CO co V U[ (0 co co coeC) U ren [J V [ 6 (0 (.0 (0 (0 00 00 CO OD 00 w 00 w 00 00 v v D Ca N O 0 00 -1 m U1 -P, co N O CO OD :ft Z Z Z Z Z Z Z z Z Z Z Z Z 711 Z o O O o 0 0 0 0 0 0 0 0 0 0 0 m 0 c (D 0 3 0 0 n C 7 r: O (D J (D O (D .� uJ C .� i I . I -0!- � A Al 4 cn 00 rn cn -p co ryv o co co 3 m — cn cn Gib cn S nM �r.' Co' (n %o' �, n' �' m a' m m m n 0 0 () 0 0 3 v) (n (n CO m (J) (n in --- u"i i7 C� Ci j u� (D i) m w : 3 zy C O O 0 C O (D (D N O S11 O fil (D N Z3C (D r (D GI (D (D (D CD (D -� C p n_+I O ((DD (CD " :: .* a 0 cl O a 0 a 0 O O 0 0 7 I O O O � 0 7- O � O n O O O_ O (� O O 7 I :r fil C C (D 3 3 x 3 X 3 X o �n (Q (� E L c a � c a w N o o a n a a m �, o CD (D (D D Wm rv — m NwCT (n vwcr v0) o- cnwwa' cn DmvmD : vwD 2 (D O. < <. N 9l 7 C O O C p 7 O C p 7 O C O r O a N 0 d n O SJ Sb = a W = O-u� — LCil - C a _� - •- 1Ci -' r OLEO = (_ n' O (D a = O 0- cn 3 � � --+ � �' O �� N � a � a � O - � Q- Q C (i r'. O ((D 3 03 (0 3 � � � 3 � 3 � 3 � � � 3 � � :� 3 �' � :Dom mo A� � cD (D (D (D O v (D (O (D (O (D (0 ' (D (O _- O _ ] m (D .. 0 3 h O O. � 0O = W O O O z C] O .Jl v 3 J O m (D cow (D �n 'i' n' ! 0 (a m 0 -< z z z z z -n zv m N N N N \I Ui U7 (j) M co 00 co N A -R O OD a' -(nn (n ( (n O 00 00 00 O �, U M X ((nis ((n (n -(n ((n `G 0 O o 0 0 0 0 0 0 0 ol o a 0 0 0 0 0 0 0 a o a 0 3 3 a a a a a a a a a a a 3 a 0 o N 3 o 0 0 0 0 DD Q a u a � a a m J m Z (A f ' N N N N N N N cn cn 0 cn Cn cn cn m CD 0 0 CD w W W w W W prj O CD co CO (D (O O (D z z z z Z z z z 0 0 O O O O O O O o 0 D n / co/ \ --A3 � kb m # � O - / on cn/ G / § ; , ] ? / ƒ Co \ / R 'o \ \ / ƒ ƒ � \ \ m o / � CD < e 7 ° 0 % - = 7 � » = 277 > » 0) r c a) cr � I m m �-0 W CD -_ m r - e e - = EQ ± - 010 M 1EC-3 r o88 � nBm � a & _. & = � _. E = 20 E o _� e 2 o e e ] a = 7 / 2 = / q g // § D j § ? § / \ 2 ; E e m o m � � o } } 0- a = Z Z Z Z Z -n � ƒ » � m 0) ƒ ƒ IQ \ 9 » / / / ƒ ƒ \0 / / / / / o n k k a k k k \ 0 r � m r r r r » » \ / 2 \ \ \ ƒ � $ 7 / ƒ / \� \ k L c o 0 0 o E / / / / 2 / f 7 0 f . � � � w -- -�--� 21 a of f�1� C, CT�� 3�, 5 ck VVI si � 0-7 live iV6 ,ts stvuo M2 NVL Laborabries, Inc. 4708 Aurora Ave.N_;Seattle,WA 98103 #102063 Tel:206.5 www.nvilabs.com Fax:206.634.1936 www.nvllabs.com Bulk Asbestos Fibers Analysis ' By Polarized Light Microscopy Client:Lucus Building Inspections B Batch #: 2505295.00 Address:2219 Lakewood Road � V e Client Project#:n/a Arlington, WA 98223 Samples Received: 36 Attention:Mr.Chuck Lucus JUL 0 7 2005, Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method: EPA/600R-93/116 C Od Al III i')11�1G i•tcp Lab 10 : 26031971 Client Sample#: 445A �) ` Location: 17722 67th Ave. NE Arlington,WA 9822 t�� -- O 5 - �. Layer i of 1 Description: Black asphaltic material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine panicies,;;spha!t'bi�der,Granu!es Glass fibers 20°%6 None Detected ND Lab ID : 25031972 Client Sample#: 446A Location. 17722 67th Ave. NE Arlington, %N_A 9822 Layer 1 of 2 Description: Black asphaltic material Non-Fibrous"Materials: Other Fibrous Materials:°a Asbestos Type: % Asphalt/binder None Detected ND None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine par-Uctes,Asc)halt/binder,Granules Cellulose 30°1° prone Detected ND Lab ID : 25031973 Client Sample#: 447.E Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 1 Description: Black asphaltic fibrous Lett Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % 'Asphalt/binder Cellulose 70% None Detected ND Lab ID : 25031974 Client Sample#: 449A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 1 Description: Black asphaltic fibrous ieit Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asp kalt/Under Cellulose 70% Hone Detected ND Lab ID : 25031975 Client Sample #: 449A Location: 1.7722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Brown tie Non-Fibrous Materials; Other Fibrous Materials:% Asbestos Type: % Vinyllbinder None Detected ND Chrysotile <1% Layer 2 of 2 Description: Black asphaltic mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder None Detected ND None Detected ND Sampled by: Client Analyzed by: Lyudinila Manzar Date Analyzed:04/21/2005 DRAFT- Note: if samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 60D/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1-9'/°, 10%=5-15%,209/6=1D-30%. 60%=40-60°/).'fhis report relates only to file items tested. If sample was not collected by I4VL personnel,Bien Vie accuracy of the results is limited by Vie methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to Bairn product endorsement by NVLAP or any other agency of the US Government. Page 1 o 1 D NVL Lamrat&es, Inc. � 4708 Aurora Ave.N_,Seattle,WA 98103 #102063 Tel:20i;.547.0100, Fax:205.634.1936 Bulk n bests Fib,, A�,d� www.nviiabs.com h l'`:�i,X,,� ` 1 By Friiarized Light Microscopy Client:Lucus Buiiding in,pections Batch#: 2505295.-00 Address:2219 Lakewood Road Client Project#:n/a Arlington,".i.1), 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method: EPA160OR-93/116 Lab ID : 25031976 Client Sample M 450A Location: 17722 67th Ave. NE Arlington, WA 9622 Layer 1 of Description: Gray thin sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % vinyl binder None Detected ND None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder,Masticibinder Cellulose 60% None Detected ND Lair, ID : 25031977 Client Sample#: 451A Location: 1�722 67th Ave. NE Arlington,WA 9822 Comments:Composite result for whole sample is less than 1%asbestos Layer 1 of 2 Description: Off-white compacted pmrdery material with paint Non-Fibrous Materials: Other Fibrous Materials,. Asbestos Type: ado Calcareous particles;Binder/Filter,Paint None Detected ND Chrysotite 2-°/a Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gyps um/binder Cellulose 12% None Detected ND Lab ID : 2 5u31976 Client Sample#: 452A Location: 17722 67th Ave. NE Arlington,WA 9822 Comments:Composite result for whole sample is less than 1%asbestos Layer 1 of 3 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected ND Chrysotile 2% Layer 2 of 3 Description: Off-white powdery matrai with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Under/Filler Cellulose 60% None Detected ND Layer 3 of 3 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials.-% Asbestos Type, % Fine particles,Gypsum/binder Cellulose 12% None Detected ND Lab ID : 25rJ31la79 Client Sam p e#: 453A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by: Client Analyzed by: LyudmiiaManzar Date Analyzed:04/21/2005 DRAFT Note: If samples are not homogeneous, then subsamples of the components were analyzed separately_ All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos�1%=0 °/,5%=1-9°/a, 101k=15-15%20%=10-30%, 50%=40-50°i5).This report relates only to the items tested. If saMple was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. it shall not be used to claim product endorsement by NVLAP or any other agency of the U5 Government_ Page z of iv NVL Labaraories, Inc. w aria 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:2Ufi.547.0100, Fax:2U6.634.i93S vU1,VVr'.ilviidCia.Culi'1 Bulk n7es�!os Fibers AraV,;s J sy Polarized light tvlicroscripy Client:L ucus Building inspections Batch M 2505105.00 Address:2219 Lakewood Road Client Project#:n/a Arlington, VJA 98223 Samples Received: 36 Attention:Mr.Chuck Lucus Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method: EPA/600R-93/116 Layer 1 of 2 Description: Off-white chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder,Paint Cellulose 12% None Detected ND Layer 2 of 2 Description: Gray fibrous material with paint Non-Fibrous rt,iaterials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Paint Cellulose 60% None Detected. ND Synthetic fibers 15% Lab Q : 25031980 Client Sample#: 454A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 Q1 1 Description: Tan compressed fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Birder/Filler Cellulose 95% None Detected ND Lab ID : 25031981 Client Sample#I`: 455A Location: 17722 67th Ave.NE Arlington,WA 9822 Layer 1 of 2 Description: Tan fibrous material with paint Mon-Fibrous Materials: Other Fibrous Materials:ro/c Asbestos Type: % Binder/Filler,Paint Cellulose 65% None Detected ND Layer 2 of 2 Description: Gray fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % BindedFiller Cellulose 65% None Detected ND Synthetic fibers 16% Lab ID : 25031982 Client Sample#: 456A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: O`f-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/binder,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % 3irider/Fiiler,Mastle/binder,Diatoms Cellulose 60% None Detected ND Glass fibers 3% Lab ID : 25031983 Client Sample M 457A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by: Client /� Analyzed by: Lyudmila Manzar Date Analyzed:04/21/2005 D RAFT Noce: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bull: samples are anal�aed using EPA 600/R-93/116 Method with the following measurement uncertaintles for the reported%Asbestos(1%=0-3%,51/6=1-9%, 10%=5-15%,20%=10-30%, 60%=40-6011.).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page s o 10 NVL L.,qh-orato6es, Inc. ) 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.5 www.0, Fax:206.634,1936 Bulk , lk /t„bests Fibers n, ors, s vuww.nvilabs.carn �t.i t�.`X.x"' 1 ILJCi J t-11 fQ By Polarized Light Microscopy Client:Lucus Building Inspections Batch##: 2505295.00 Address:2219 Lakewood Road Client Project#.n/a Arlington,DIVA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed:35 Project Location: 17722 67th Ave. NE Arlington, WA 9822 Method:EPA/600R-93/116 Layer 1 of 3 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % oinderFiiler,f>/1asticlbinder,Diatams Cellulose 60% None Detected ND Glass fibers 3% Layer 2 of 3 Description: Off-white,chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: 0/6 Hne particles,Gypsurn/binder Cellulose 4% None Detected ND Layer 3 of 3 Description: Tan compressed fibrous material Non-Fibrous M iiaterials: Other Fibrous Materials:% Asbestos Type:% Einder/Filler Cellulose 97% None Detected ND Lab ID : 25031984 Client Sample#: 458A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Tar,thin sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:%o Asbestos Type:% Vinyl/binder None Detected ND ;,Sane Detected ND Layer 2 of 2 Description: Bieck asphaltic fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Fine particies,Psphalt/binder,Mastic/binder Cellulose 60% None Detected ND Lab ID : 25031985 Client Sample#: 459A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 1 Description: Tan compressed fibrous material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Paint Cellulose 90% None Detected ND Lab ID : 25031986 Client Sample#. 460A - Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white,vinyl Non-Fibrous Pviateriais: Other Fibrous Materials:%o Asbestos Type: % Cak:areous partJfdes,V1nylli.�inder None Detected f�D None Detected ND Layer 2 of 2 Description: Clear soft adhesive Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Adhesiveibinder None Detected ND None Detected ND Sampled by: Cliennt ® � e Analyzed by: Lyudlriiia f�4anzar Date Analyzed:0412112005 D irZ.r'-�.f Note: If samples are not homogeneous, then subsemples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R-93I116 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%,5%=1-9%, 10%=5-15%,20%=10-30%, 50%=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the metrtodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. ft shall not be used to claim product endorsement by NVLAP or any other agency of the US Government, Page 4 of 10 Laborabries, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 4102063 Tel:206.547.0100, Fax:206.634.1936 p, k SbeStS Are wvvw.nviiabs.com E fly ti7iil. 1�/ By Poi2ri?'ed Light Microscopy C!iOnt:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:n/a Arlington,WA 98223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington, WA 9822 Method: EPA1600R-93/116 Lab ID : 25031987 Client Sample#: 461A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 3 Description: Dark red sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Viny!lbinder,Synthetic foam None Detected ND None Detected ND Layer 2 of s Description: Tan fibrous backing with mastic Ilion-Fibrous Materials: Other Fibrous Materials:%Q Asbestos Type: % Binder/Fi!ler,tvlasticibinder Cellulose 60% None Detected ND Class fibers 3% Layer 3 or 3 Description: Off-wriiie brittle chalky material Non-Fibrous Materials: Other Fibrous Iola€erials:% Asbestos Type: % Fine partic!es,GypsurnlGind;r Cellulose 3% None Detected ND Lab lD : 25031988 Client Sample#: 462A Location: 17722 67th Ave.NE Arlington,WA 9822 Layer 7 of 2 Description: Beige We Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particies,Vinyl/binder None Detected ND None Detected ND Layer 2 of 2 Description: Tan soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Masticlbinder None Detected ND None Detected ND Lab ID : 25031989 Client Sample#: 463A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/binder,Syntheticfoam None Detected ND None Detected ND Layer 2 of 2 Description: Gray fibrous backing with rnastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,iviasricrbinder Cellulose 60% None Detected ND Glass fibers 3% Lab ID : 25€331990 Client Sample#: 464A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by; Client DRAFT Analyzed by: Lyudmila Manzar Date Analyzed:04/21/2005 Note: If samples are not homogeneous, then subsamples of Lie ;amponants were analyzed saparately.AJI bulk samples are analyzed using EPA 600/R-931116 Method with the follmving measurement uncertainties for the reported %Asbestos(1%=0.3%.5%=1-9%, 10%=5-15%.20%=10-3M. 50%=40-60%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall riot be used to claim product endorsement by NVLAP or any other agency of the US Government. -- --- ___ — Page 5 of 10 NVL Laborabries, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.5 www.ri, Fax:206.634.1936 gr s F� ^ra ,.�s www.nviiabs.com R!-1J 1'1 '�/J By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505235.00 Address:2219 Lakewood Road Client Project#:n/a Arlington,WA 98223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE Arlington,WA 9822 Method:EPA/600R 931116 Layer 1 of 3 Description: Tan sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyllbinder,Synthetic foam Atone Detected ND None Detected ND Layer 2 of 3 Description: Gray fibrous backing with mastic iron-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Fiiler,Mastic/binder Cellulose 60% None Detected ND Glass finer; 3% Layer 3 of 3 description: Off-white brittle chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 3% None Detected ND Lab ID : 25031991 Client Sample#: 465A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white brittle chalky material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 3% None Detected ND Layer 2 of 2 'Description: Tan brittle mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Mastic/binder None Detected ND None Detected ND Lab ID : 25031992 Client Sample#: 466A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Gray spongy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Tan compressed fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 97% Norte Detected ND Lab ID : 25031993 Client Sample#: 467A Loction: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Fille,Paint None Detected ND None Detected ND Sampled by: Client DRAFT_ Analyzed by: Lyudmila Manzar Date Analyzed,04/2112005 Note: If samples are not homogeneous, then subsamp)es of:he components were analyzed separately. All bulk samples are analyzed using EPA 15MR-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=0-3%,5%=1-9%, 100/6=5-15%,20%=10-30%, 50%=40-60%).This report relates only to die Items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product andoisement by NVLAP or any other agency of the US Government. -- - -- - -- —--- t_. ,T rage 6-of 10 NVL..Laborabries, Inc. ' 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.547.0100, Fax:206.634.1936 wwv�.nvllabs.com Bulk Asbestos s Fiba s Arkma ds J By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:nla Arlington,WA 98223 Samples Received:36 Attention:Mr. Chuck Lucus Samples Analyzed: 35 Project Location: 1772267th Ave. NE Arlington,WA 9822 Method: EPA/600R-93/116 Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 10% None Detected ND Glass fibers 2% Lab ID . 25031994 Client Sample#: 468A Location: 17722 67th Ave. NE Arlington,W.4 9822 Layer 1 of 2 Description.: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Calcareous particle.s,BindarlFitter,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials-% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 10% None Detected ND Glass fibers 2% Lab ID : 2503/995 Client Sample#: 469A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particies,Binder/F iller,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 10% None Detected ND Glass fibers 2% Lab ID : 25031996 Client Sample#: 470A Location: 17722 679h Ave. NE Arlington, WA 9822 Layer 1 of 1 Description: Gray fibrous material Non-Fibrous Materials: Other Fibrous Materials-.% Asbestos Type:% Fine particles Cellulose 95% None Detected ND Lal ID : 25031997 Client Sample#: 475A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous par6cles,Binder/Filler,Paint None Detected ND None Detected ND Sampled by: Client D��� Analyzed by: Lyudmila Manzar Date Analyzed:04/2112005 Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.Ail bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported % Asbestos(1%=0-3%,5%=1-9%, 10%=5-15%,20%=10-30%, 50%=40-60%).This report relates only to the items tested. it sample was r&colleeted by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. — — — — Page 7 or 10 x i ,. :. -. I ;. I NVL Lahaaories, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206.547w1 nv Fax:206.034.1938 B Ik A�.t,�,.,,.,tos t'�,4.,.rsAnaVd . vvwmr.nvlfabs.com �.7irof-�L�i.Jl.3UJJ f_IL.�7� ',yam By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project Mn/a ,Arlington, WA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave. NE-Arlington,WA 9822 Method:EPA/600R-93/116 Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,GypsunUbinder Cellulose 12% None Detected ND Lab ID : 25031998 Client Sample#: 476A Location: 17722 67th Ave.NE Arlington, WA 9822 Layer 1 of 2 Description: Off-white lumpy foamy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,BinderiFiller,Synthetic foam None Detected ND None Detected ND Paint Layer 2 of 2 Description: Tan compressed fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 97% None Detected ND Lab IiD : 25031999 Client Sample#: -477A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Fi11er,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-whitechalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 12% None Detected ND Lab ID : 25032000 Client Sample#: 478A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler,Paint None Detected ND None Detected ND Layer 2 of 2 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles,Gypsum/binder Cellulose 12% Norte Detected ND Lab ID : 25032001 Client Sample#: 479A Location: 17722 67th Ave. NE Arlington,WA 9822 Sampled by: Client D�� l Analyzed by: Lyudmila Manzar Date Analyzed:04/21/200a Note: If samples are not homogeneous, then subsamples of the components were analysed separately.All bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%.5°/k="%, 100%=,1515%,20%=10-30%, 50'/=40-60°10).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. - - - Page 8 of 10 NVL Laborabries, Inc. a�aa� 4708 Aurora Ave.N.,Seattle,WA 98103 #102063 Tel:206. t7.0100, Fax:206.634.1936 B ,It` /t,.t....,.,,bos cL.,..,r.Ana w�ww.nvllabs.com I�L71f�!'1J{,JC+�f.JJ I�IUCib By Polarized Light Microscopy Client:Lucus Building Inspections Batch #: 2505295.00 Address:2219 Lakewood Road Client Project#:Na Arlington, WA 98223 Samples Received:36 Attention:Mr.Chuck Lucus Samples Analyzed: 35 Project Location: 17722 67th Ave.NE Arlington,VVA 9822 Method:EPA/600R-93/116 Layer t of 2 Description: Black and white vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Vinyll`uinder None Detected ND None Detected ND Layer 2 of 2 Description: Beige soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type:% Mastic/binder None Detected ND None Detected ND Lab ID : 25032002 Client Sample#: 480A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of 2 Description: Brarin sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % `dinyllbinder,Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Tan backing material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Glass fibers 10% None Detected ND Lab ID : 25032003 Client Sample n: 481A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of I. Description: White spongy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Styrofoam None Detected ND None Detected ND Lab ID: 25032004 Client Sample#: 482A Location: 17722 67th Ave. NE Arlington, WA 9822 Layer 1 of -t Description: Off-white lumpy foamy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,BinderiFiller,Synthetic foam None Detected ND None Detected ND Paint Lab ID : 25032005 Client Sample #: 483A Location: 17722 67th Ave. NE Arlington,WA 9822 Layer 1 of ,1 Description: Off-white lumpy foamy material Non-Fibrous Materials: Outer Fibrous Materials:% Asbestos Type:% Calcareous particles,BinderlFiller,Synthetic foam None Detected ND None Detected ND Perlite Sampled by: Client � A C� Analyzed by: Lyudmila Manzar Date Analyzed:0412112005 DI�. _ ___ - Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R-931116 Method with the following measurement uncertainties for the reported%Asbestos(10/6=0-3%, 5%=1-9%, 10%=5-15%,20%=1D-30%, 50%=40-GO%).This report relates only to the items tested. If sample was not collected by NVL personnel,then the accuracy of the results Is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc, It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. - - - ---- Page 9 of lu e � , - --- 4t,� ar, -N � n c w o co�aDl� rn v, 3 r- � � " LZ > m D_m K�• 0� oD(D ° 3 �rn a � n �yoc � m n _ D v x _ 5 n 000chi c'i 0 1 O 0 _ (D > r o cn a ¢ m !? 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N NEW AWNINGS r PARKING LOT NOTES: DRIVEWAY — MATERIAL FINISH: POWDER COAT COLOR: ------___----_ — FABRIC- SUNBRELLA FIRESIST COLOR- -------------- • — GYMP: BEST MATCH — LIGHTING: NONE — FABRIC ATTACHMENT: STAPLE — GRAPHICS: NONE CUSTOMER NAME B O V K E AT L EY JOBNAME: PENNON CONSTRUCTION RAINIER WEDGE AWNING W TRUSS DRAWING TITLE: THIS ORIGINAL DESIGN(S)IS THE PROPERTY OF RAINIER INDUSTRIES,LTD.AND Rainier Industries LTD IS PROTECTED BY FEDERAL COPYRIGHT LAWS. ANY REPRODUCTION OR 9 2241 KWT 07.08.05 APPROVED BY: CONSTRUCTION OF A DISPLAY PRODUCT SIMILAR TO THE EMBODIED HEREIN IS 18435 OLYMPIC AVE S JOB NUMBER: DRAWN BY: DATE: EXPRESSLY FORBIDDEN. SHOULD SUCH CONSTRUCTION OCCUR, RAINIER TU ( ILA 425)251-18 WA 98188 SINCE 1896 ASSEMBLY FABRIC DTS FRAME GRAPHICS INSTALL SALES PROJECT MGR. 425)200 INDUSTRIES IS DUE A MINIMUMOF$1000.00 AS COMPENSATION FOR THE TIME 1(800)869-7162 AND EFFORT IN CREATING EACH INDIVIP' "L DESIGN(S). ALL RIGHTS RESERVED, FAX(425)251-5065 www.Rainierindustries.com REVISION NUMBER: IISIONDATE: SCALE: 3/6/ IPAGE NUMBER: 1 OF 3 Ol 3/4"x3/4"x.110 ALUM. TUBE \ � r�)loo O1"x1"x.1 10 ALUM. TUBE 2 1 O �1"x1"x.1 10 STAPLE EXTRUSION (DOWN) 8 O7 1"x1"x.1 10 STAPLE EXTRUSION (FORWARD) `° TOP VIEW O8 1"x1"x.1 10 STAPLE EXTRUSION (BACK) SCALE: 3/4" = 1'-0" LLJ O 1"x2"x.125 STAPLE EXTRUSION (UP) m Y LL_ Q '-,W u 0' Em m 9 AWNING FRAME )3 r STEEL SINGLE HOLE 8 2 Z-BRACKET 3/16" • .e • , THICK x 1 " WIDE 2 83 3/8"x3" LONG HEX HEAD BOLT 3/8" EXPANSION ANCHOR (SINGLE) 6 - TILT-UP CONC. WALL CD2 �2 CONNECTION DETAIL i I 1 SCALE: 3/8" = l'-0" 2 AWNING #1 (LEFT END AWNING # 1 ) SCALE: 3/81, = 1'-0" 6 CUSTOMER NAME: BOB I \E/ \ 1 L E I y JOBNAME PENNON CONSTRUCTION RAINIER WEDGE AWNING W TRUSS DRAWING TITLE• THIS ORIGINAL DESIGN(S)IS THE PROPERTY OF RAINIER INDUSTRIES,LTD.AND Rainier Industries LTD IS PROTECTED BY FEDERAL COPYRIGHT LAWS. ANY REPRODUCTION OR 92241 KWT 07.08.05 CONSTRUCTION OF A DISPLAY PRODUCT SIMILAR TO THE EMBODIED HEREIN IS 18435 OLYMPIC AVE S JOB NUMBER: DRAWN BY: DATE: APPROVED BY: EXPRESSLY FORBIDDEN. SHOULD SUCH CONSTRUCTION OCCUR, RAINIER TU (425)2 WA 98188 SINCE 9896 ASSEMBLY FABRIC oTs FRAME GRAPHICS INSTALL SALES PROJECTMGR. (425)251-1800 INDUSTRIES IS DUE A MINIMUMOF$1000.00 AS COMPENSATION FOR THE TIME 1(800)869-7162 --� AND EFFORT IN CREATING EACH INDIVID1 L DESIGN(S). ALL RIGHTS RESERVED. FAX(425)251-5065 www.Rainierindustries.com REV�SIONNUMBER: VISION DATE: SCALE: AS TED PAGE NUMBER: 1 OF X SINGLE HOLE, STEEL Z—BRACKET 5/16" x 5" LONG LAG SCREW 1 EVERY 32" O.C.) Co I cQ n � cD _T Z—BRACKET BOO , 5/1 6" TEK SCREW (1 PER MULLION) TOP VIEW SCALE: 3/4" = 1'-0" Lntoo / 37 o =Qo 1 ' Q AWNING #2 SCALE: 3/8" = 1'-0" 3\6 \ /(, CUSTOMER : BOB K EAT L EY ATTACHMENT DETAIL JOB NAME: PENNON CONSTRUCTION SCALE: 1/2" = V-0" THIS ORIGINAL DESIGN(S)IS THE PROPERTY OF RAINIER INDUSTRIES,LTD.AND DRAWING TITLE:I E DR � RAINIER WEDGE AWNING W TRUSS Rainier Industries LTD IS PROTECTED BY FEDERAL COPYRIGHT LAWS. ANY REPRODUCTION OR 92241 KWT 07.08.05 CONSTRUCTION OF A DISPLAY PRODUCT SIMILAR TO THE EMBODIED HEREIN IS 18435 OLYMPIC AVE S \ JOB NUMBER: DRAWN BY: DATE: APPROVED BY: EXPRESSLY FORBIDDEN. SHOULD SUCH CONSTRUCTION OCCUR, RAINIER TU (425)2WILA,WA 98188 `� SINCE 1896 (425)251-1800 _ ASSEMBLY FABRIC DTS FRAME GRAPHICS INSTALL SALES PROJECTMGR. INDUSTRIES IS DUE A MINIMUMOF$1000.00 AS COMPENSATION FOR THE TIME 1(800)869-7162 AND EFFORT IN CREATING EACH INDIVIDI''L DESIGN(S). ALL RIGHTS RESERVED. FAX(425)251-5065 f www.Rainierindustries.com — — AS ,TED 1 OF X "V REVISION NUMBERISION OATS: SCALE: PAGE NUMBER: s of I W' '350.17' SIDEWALK--- / EWALK EX MB EX SIDEWALK .7 Wm PHONF PED 5' CHAIN _X WELL EH 0 LINK FENCL X__X_ x m nrin'N'F dlVjp* 20" FIR 4w Z EX ASPHALT 10" ALDER It 8" ALDER 18"FIR :3-- Ali&24'FIR HOUSE 24'FIR 18'FIR 'M 0 18'FIR G CL EX GRAVEL NOTE. GI EX150NG DRAINFIELD(S) EXIST ON SITE SMOHOA41SH COUNTY HEAL IH DISTRICT RECORDS INSUFFICIENT TO DETERMINE 36' MAPLE LO CA TION(S) r F SHFO Los 6 rt 012"APPLE Q I HOJSE mw EX WELL x J X__X (�� GRO-1 ELEV=138.75' GROUND ELEV=138.40' TOP r PIPE=140.75' Top OF pipF=14a4O' I pi 199912075010 ss IX PARCU'NO* 310522-0,04—OF-00 _rD RECEIVED- � S, .......... JUL,0`7 2005 DemwMEW 0 A BUILDING DEPT Sly j GROUND ELL V=IJ7.58 VVII, �OP OF PIPC=1.39.58' -L 7-IS-- DATE jeQPFit � S 02'4!V2r E "L_OA BUILDING I IZLM_ ...... 12" ALDER -11 16'AL DER 18"ALDE9_ 10" ALDER HURLINGTON NORTHERN RAILROAD 448-