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Permit File BLD-2019-0389 2607 W2nd Street
STY 0 ./ Cityof Anacortes • Invoice/Permit#: BLD-2019-0389 G 904 6th Street Applied date: 06/25/2019 ~"�"' . P.O.Box 547 Issue date: 06/26/2019 " '�C Anacortes, WA 98221-0547 ' Expire date: 12/22/2020 ''-fii ' 'A_ (360) 293-1901 Job Address: 2607 W 2ND ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-1337 Project: APN: P58183 Remarks: Add bathroom, replace 2 existing windows with egress windows, 6-8 floor joist replacement repair, paint and floor covering. No load bearing walls to be removed. Verify full span truss roof system. If roof rests on interior load bearing walls, some inspection will be required in lieu of plans. Owner: CHRISTOPHER NICKERSON Contractor: WADB CONSTRUCTION Address: 2607 W 2ND ST Address: 16306 PENN RD ANACORTES WA 98221-1337 MOUNT VERNON WA 98273-8856 Phone: (360)982-3278 Phone: (360)466-8819 License#: General Information: Fees: Building Valuation 22000 Building Permit Fee 349.25 #of Bathtubs 1 Plan Review Fee 227.01 #of Ventilation Fans 1 State Building Code Fee Resi 6.50 #of Lavatories 1 Mechanical Permit Fees 30.75 #of Water Closets 1 Plumbing Permit Fee 41.00 Total Calculated: 654.51 Deposits/Receipts: 0.00 Total Due: 654.51 ry —9 -a tO ,-, I_, T S -5 !i' -n r- .-- .-. tr., n. - r. C, 0,. •,CI 0 1 E -s I 1_•.1 t•.l - ?; (I I iL• •a t•J )i try !-. -P- r, ri- ,-F F-' 1 I it IA ,--. ••.fit p 4%. p - CD Tr i-.o 1 t-I 0 i..d V *-- . C @ 07 I- _ ••t' rn 3 .:r co I_l i-:. r+ Z -i .. t-+ ,,Y3 I--.• 11, 1-1 -n : THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAAS,:�Ie:1IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMI NC- D; I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER 1ATE: R LOCAL LAW REGULATI C STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. T..,. i' rr, r_r. ,y- -. l�?P<' c1 _n n i_n SI R OWNER ORAUTHORIZ NT ISSUED BY M / -Zo/- 0J82 1,IL0 t 11. \TLI ING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT c' 252019 SIDENTIAL BUILDING PERMIT APPLICATION 111 Mailing Address:P.O. Box 547, Anacortes, WA 98221 3 �w Office Location: 904 6th Street, Anacortes WA 98821 -CITY OF ANACORTES Phone: (360) 293-1901 PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS(St et,Suite#): PARCEL(S)#: ,01-60`7 VJ 2n g pr-Altrceirt 1 C S Subdivision/Lot#: PROJECT VALUATION: $2._s—,14 APPLICANT: Phone: g Q WP 6N 56_o -1 Address(Street,City,Stat ,Zip): Email Addres n kC -CSo'\ ��-c � Pik) b r a ...) ,- - wm / PROPERTY t )OWNER: /� �c � Phone: 2&0 c7,4 3 Z.-)rg Address(Street,City,State,Zip): Email Add n el 8 t r CKNITACT PERSON:^ I ' one: c_Da�� (sQ� 3 (sa („..6.6 s7 S c °i Address(Street,City,State,Zip): 1 Addre ittb 1 c--Q v • Lel LENDING� NCY:Q[�� f,a� Pho L jai II�,Ok y.4,-1\C cr • Addre ,(Street,City,State,Zip): Email e._. A_S -1 @ 1 , J\ `y. . Cam,` _V1 U CSC d" '�l h Ns CON 1 RACTOR:* Phone �� _� 3 O ( 9 INkO 4 tt rS 1 Address(Street,City,State,Zip): Email Adces: • Professional license): Exp.Date: *All Contractors&Subcontractors must have a valid City of uu"00Q7 ,�/�of c 2 yeZ b Anacortes business license prior to doing work in the City. Contact Business License#: Exp.Date: the City's Finance Department at(360)299-1968. 2 ,� PROPOSED WORK: protot t. r/ .{J 2 uu'-,0 S / / PROPOSED NEW SQUARE FOOTAGE: Basement SQ': ❑ Finished Basement: ❑ Unfmished Basement 1st Floor SQ': 1 Garage/Carport SQ': 2na Floor SQ': t`' Deck/Covered Porch/Patio SQ': Fire Sprinkler: ❑ Yes 0 No Lot Area SQ': I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Anacortes. Print Name: Owner ❑ Agent 0 (specify): Signature: Date: Page 1 of 5 IMPERVIOUS SURFACE AREA: Existing Impervious SQ': r x New Impervious SQ': Total Disturbed Land/Soil SQ': i - A Total Proposed: Cut: Fill: New hard surfaces(pervious&impervious) Land converted from native vegetation to lawn or landscaping SQ' Land converted from native vegetation to pasture SQ' MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: Elec#: BTU: Other#: Wall Heater: Gas#: Elec#: Other:#: Location(s): Gas Water Heater: #: Location(s): Heat Pump: Elec#: Other#: Air Conditioning: Elec#: Other#: Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s): Exhaust Fans: Bath#: Laundry#: Other: Range Hood: #: Location(s): Fireplace: Gas#: Elec#: Other:#: Location(s): Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s): Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s): Gas Piping/Outlet(s): #: Location(s): Boiler Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: PLUMBING FIXTURES: Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#: Water Closet(Toilet): 1 Refrigerator water supply(for water/ice dispenser): Kitchen Sink: Pressure Reduction Valve/Pressure Regulator: Utility Sink: Water Service Line: Tub: ' Water Piping: Hand Sink: 1 Clothes Washer: Shower: Electric Water Heater: Tank-less? Yes ❑ No D Dishwasher: Backflow Prevention Device: Hose Bib: Other: TOTAL PLUMBING FIXTURES: Page 2 of 5 -101.-2 15/16' . - •----------------- ------24'-4 15/16' ----------- -- -- - —-------; 1 , :,------ •61-11 7/16.--- ------------7'-0"--- -- - •--- --- ---- --10'-5 1/2 • _ 1 , . e. ,....q. .c.31: i'llft•Ns 40t,„ DC7 i •1,-. • : --.. - •• ' '''' -2.c. 0 rr, 12 r) —7--------------........44 t Z q -- v) - ) • .e.' -.". a - i ______. ; . . cli 1' '.... 1 . . '' ...— -....., •.2'. i - „2.• .,...) Z-..., . .— .. --- ...-• • , I i . ,',t: 4 . .(.0 .. Fri; 71 -- -‹ , 1 t, 'r-- 2 .Q rirrl.: k--,•--,-,-", • P • • , ..„„„,.., -,,.... - --1. i a.. f• , 4Q/. II.:...::: .; 5C rn 744....taH ce•....17), _ __n L....2„.. .......1„...„: . i iit„,........, . . ,---, ', or- T"-..-- .......„.......... ....., \ ....51.. 1 ...1 ..., At I) 71 ......, ...1...4\ ... .'"'"."''' C.11-A -""'• , • . : 1,0 . 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Where required by other sections including glass mirrors in hazardous locations such as those of the code, glazing shall be tested in accordance with indicated as defined in Section R308.4, shall pass the test CPSC 16 CFR 1201. Glazing shall comply with the test requirements of Section R308.3.1. criteria for Category II unless otherwise indicated in Table R308.3.1(1). Exceptions: 1. Louvered windows and jalousies shall comply with Exception: Glazing not in doors or enclosures for hot Section R308.2. tubs, whirlpools, saunas, steam rooms, bathtubs and showers shall be permitted to be tested in accordance 2. Mirrors and other glass panels mounted or hung on a with ANSI Z97.1.Glazing shall comply with the test cri- surface that provides a continuous backing support. teria for Class A unless indicated in Table R308.3.1(2). 3. 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Z C4 C4 (4i C4 CA Q Q Q Q Z Z Z Z v� t{ C4 - C4 : cn v1 rC4 w............._. ....»..«......n...,.....«...........«........... - ...... ««.....«-..« t......«_. ..e......................A «........_. ..........«.«...... ...,... «.« .............«.. .....««....... .......«.......w.«....«......- ..,.. ..... .....3....».......... ............ ...........«. ..,............a.... .........»....».....-3.... « r'- ;..1 0 0 C� C421 C 0 I ', 4 4 ICC 4 vJ c• %•• C 'III U N �., -b a) c O'.VTM 401 N 4 11 r-1 r-i 0 r•- cd r. to U ca a.) CA C 7raii. • r--i �-4 Q N c • • U d .� < ea a 0 Plan Review Legend Ref. # Code Subject 3. FLOORS: 3.1 R502.7/802.8 Floor joists, ceiling joist and rafters to be blocked at ends, intermediate supports. bearing points. 3.2 R507.2.4 amend. Where decks are supported by attachment to an exterior wall, they shall be positively anchored with hold Figures R507.2.3 downs. Either (2) 1500# allowable stress design capacity OR (4) 750# allowable stress design. (1) and (2) 3.3 R302.13 Floor assemblies, not required else where in this code, shall be provided with 1/2 inch GWB or 5/8 inch wood structural panel, or equivalent, on the underside of the floor framing members. 3.4 R502.8.2 Altering engineered products is prohibited unless an additional engineered design is approved. 4. WALLS: 4.1 R602.11.1 Anchor bolt washers (3"x3"xl/4" sq. ) hot dipped galvanized if w/P.T. wood . 4.2 R602.10.8.2 Provide connection between top of BWP and roof sheathing. 4.3 ICC 17.03.180S Eaves 18" maximum into setback area. Table R302.1(1) 1-hour fire resistant construction on the underside if in 5' foot setback area. 4.4 R703.8 Veneer to meet Chapter 7 of the IRC. 4.5 R703.4 Flashing per R703.4 (windows, doors, chimneys, deck ledgers). 5. ROOFS: 5.1 R802.10.1 Truss engineering specifications onsite for framing inspection. 5.2 R802.11 Trusses to have uplift connection per Table R802.11 5.3 R806 Roof ventilation per IRC. 5.4 R807 22" X 30" attic access. (Insulate and weather strip WSEC R402.2.4) 5.5 Table R905.1.1(2) Underlayment application: 2 layers 15 lbs. felt on 2:12-4:12 roof pitch 5.6 R905.2.8.5 A drip edge shall be provided at eaves and gables of asphalt shingles roofs. 6. PLUMBING AND MECHANICAL: 6.1 UPC 408.9 Shower head should not discharge at entrance. 6.2 UPC 807.3 Air gap at dishwasher. 6.3 UPC 909 Island sink venting to meet UPC 909. 6.4 IRC Chapter 13 Inserts, Stoves, Fireplaces: listed appliances installed per manufacturers specifications, combustion air or direct vent, glass or metal doors. 6.5 UPC-507.2,608.5, Hot Water Tank: Seismic straps at upper and lower 1/3's of tank; Pressure Relief Valve to outside; Water 508.4; M1307.3, Tight Pan to outside; 18" from ignition source to finished floor in garages; Combustion air for gas, propane G2407; & non-direct vent; 6.6 ISPSC 305.1 Pool / Hot Tub-barrier or safety cover which complies with ASTM F1376 6.7 M 1307.3.1 Bollard (2,000 lbs. load) for mechanical or plumbing equipment. Design IBC 1607.7.3 6.8 M 2427.10.2.2 Vent connectors in unconditioned spaces to be Type B or Type L or listed w/ equivalent insulation. 7. ENERGY & VENTILATION: 7.1 WSEC R403.3.1 Duct insulation R-8. Ducts w/in concrete/ground insulated to R-10 designed for below grade. 7.2 WSEC R403.3.2 & Ducts, air handlers, and filter boxes shall be sealed. Additional duct requirements M1601.4 Duct testing R403.3.3 required. 7.3 M1507.4 50cfm min bathroom, 100cfm min kitchens, vented to the outside (Table M1507.4) 7.4 M1507.3.4.1 Whole house fan (prescriptive sizing per Table M1507.3.3 (1)). 7.5 M1507.3.4.4 Individual outdoor air inlets or operable windows with an openable area not less than 4 sq. in. net free area for each 10 cfm of outdoor air required by Table M 1507.3.3(1) .in each habitable room. 7.6 WSEC R402.4 Provide air leakage test. Provide the completed passing test result certificate to the Bldg Dept. 7.7 WSEC 403.1 Provide at least one programmable thermostat for the primary space conditioning system and one programmable thermostat for each additional system. 7.8 WSEC R403.5.3 Insulate hot water pipe, both within & outside of conditioned space, shall have a minimum R-3. UPC 312.6amend Hot and cold water pipe in unconditioned space shall have a minimum R-3 insulation. 2 Updated 07/01/2018 krc �r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT C, ` DEPARTMENT Mailing Address: P. O. Box 547, Anacortes, WA 98221 OE Ord c_47Office Location: 904 6tl' Street, Anacortes WA 98821 ° .Fv Phone: (360) 293-1901, Fax: (360) 293-1938 Plan Review Legend - 2015 International Residential Code This Plan Review Legend has been developed and is being used by City of Anacortes Planning, Community, and Economic Development effective July 1, 2018, in an effort to standardize common corrections and speed review of your application. If you have any questions please contact the Plans Examiner who completed your review. We are also interested in any comments you have to improve this Legend. Review code section for all details and requirements. Ref. # Code Subject 1. GENERAL: 1.1 R302.5.1 Door: 1-3/8" thick solid wood or 20-minute fire-rated or approved alternative, w/ self closing device. 1.2 R302.7 Enclosed accessible space under stairs to be protected with 1/2-inch gypsum board. 1.3 R302.11 Fire blocking. See entire code section for all locations. 1.4 R303.7 Stairway lighting: switch at top & bottom. 1 Ft. candle at landing and treads. 1.5 R305.1 Ceiling height above bathroom and toilet room fixtures shall be such that the fixture is capable of being used. A Exception 2 shower, or tub equipped with showerhead, shall have 6ft 8inch minimum at 30inch by 30inch area at showerhead. 1.6 R308.4 Safety glass (Tempered Glazing) See entire code section for all locations. 1.7 R309.1 Garage slab to slope toward Garage door. 1.8 R310 Escape & rescue opening to be min. 24" high, min. 20" wide, min. 5.7 sq ft and max. 44" from sill to finished floor. Must meet all four requirements. 1.9 R311.7 Stairways: 36" min. wide, 6'8" min. headroom at all parts of stairway & landings. 1.10 R311.7.5 Risers 7 3/4" Max, Runs 10" Min (nosing to nosing), cannot vary more the 3/8" from smallest to largest (R311.7.5.3 for nosing configuration requirements). 1.11 R311.7.8 Handrails per IRC-34" to 38" in height, continuous. (R311.7.7.3 grip size requirements). 1.12 R311.7.5.2.1 Winders: Minimum tread of 6" on winders at any point, with minimum tread of 10" (@ 12" away. not to vary more than 3/8" from the largest to the 6 smallest. See Code. 1.13 R312 Guards per IRC - 36" height min, so that a 4" sphere cannot pass thru. 1.14 R314 Smoke Detector-hardwired and inter-connected with battery back up. 1.15 R315 Carbon Monoxide Alarms-within immediate vicinity of bedrooms and inside bedrooms w/ fireplaces. 1.16 R317.1 PT wood or naturally resist decay when exposed to weather, grade or concrete (typical). 1.17 R317.1 Clearance from exposed earth to untreated wood plate is 8"and 6" to untreated siding, typ. 1.18 R317.3.1 Fasteners for PT wood to be hot dip galvanized, stainless steel, silicone bronze or copper. 1.19 R312.2 Window fall protection required at operable window opening located less than 24 inches above finished floor and greater than 72 inches above finished grade or other surface below on exterior. 1.20 Table R302.6 Separation: GAR/SFR '/2" GWB; GAR/habitable above 5/8" type X GWB @lid & 1/2" GWB @walls & supporting members; Garage within 3ft of residence on same lot 'A" GWB. 302.3/302.2 2 family dwellings- 1 hr rated assembly. Townhomes 2 hr or, 1 hr combined with sprinklers. 2. FOUNDATIONS: 2.1 R401.3 Exterior grade to slope away from building 6" in 10' or design drainage. 2.2 R402.2 3,000 lbs. concrete at slabs and weather exposed concrete. )_3 R403.1.3 #4 vert. rebar @ 48"o.c. with standard hook tied into footing and min 14" into stem wall. 2.4 R404.1.3.2 Foundation walls retaining more then 4' feet require grade 60 minimum reinforcement and laterally supported at top and bottom. 2.5 R408.1 6-mil black polyethylene vapor retarder in crawl space. (State Amendment) 2.6 R408.1 Minimum net area of ventilation openings shall not be less than 1 sq.ft. for each 300 sq.ft. of under floor area. (State Amendment) 2.7 R408.4 Crawl access min 18x24. Insulate and weather strip when in house. WSEC 402.2.4 1 Update 07/01/2018 R. H. W eIch Environmental/Safety Management Training & Consulting July 5, 2019 Mr. Darren Bell 1700 E. Blackburn#1 Mt. Vernon, WA 98274 (360) 466-8819 Dear Mr. Bell: This letter and the attached documentation will comprise the `partial' Asbestos Inspection Report for a single-family residence located at 2607 W. 2nd St. in Anacortes, WA. This structure was built—1925. On June 28, 2019 I personally conducted an inspection of the above-mentioned property for the specifi c purpose of identifying the presence or absence of asbestos-containing building materials. In addition to conducting a visual assessment to identify any suspect materials, any materials viewed that have historically been found to contain more than one percent asbestos were sampled and those samples were delivered to an accredited laboratory by U.S. Mail for analysis by Polarized Light Microscopy (PLM). Samples collected included the following: Sample# Material Location Asbestos % DB-001a Ceiling Tile Kitchen ND DB-001b Ceiling Tile Kitchen ND DB-002a Acous. Ceil. Text.' Liv.-Hall-Bdrms. 3% DB-002b Acous. Ceil. Text. Liv.-Hall-Bdrms. NT2 DB-002c Acous. Ceil. Text. Liv.-Hall-Bdrms. NT2 DB-003a Moisture Barrier Exterior ND DB-003b Moisture Barrier Exterior ND 1 `Popcorn'. 2 Not-tested as first sample in series tested positive. Summary of Asbestos-Containing Materials (more than 1%): Only those materials shown in bold text contain more than 1%Asbestos. ND indicates `Non-Detect'. Conclusion: The only material sampled/analyzed with more than 1%Asbestos was the Acoustical Ceiling Texture* (`popcorn'). Any building materials found to contain more than one percent asbestos are considered `Asbestos-containing materials' in accordance with Title 40 Code of Federal Regulations (40 CFR), Subpart M, Section 61.141 and typically must be removed from a structure prior to any demolition,renovation or remodeling that would disturb those materials. Laboratory reports, laboratory certification and Inspector Accreditation attached. It is understood that the purpose of this inspection was to identify asbestos-containing materials, if any,prior to planned renovation of this single-family residence. Notes: Only those materials listed were sampled/analyzed. *The Acoustical Ceiling Texture was sampled/analyzed for future reference...not removal during this renovation project. This will conclude the Asbestos Inspection Report for the single-family residence located at 2607 W. 2nd St. in Anacortes, WA. Sincerely, /Q4/- -JZJLA Robert H. Welch, AHERA Building Inspector Note: A copy of this report IVUS7 be on the premises during renovation. 4017 Ridge Way Mt.Vernon,WA 98273 (360)333-7500 rhwe1ch05(&,gmail.com - - - 4x f$c J l 3_,.t.f 2� nr Jv ASBESTOS 7� signtS $ $ 4 Stta:�4. i .....4.x.Q..,' Lynnwood Laboratory; 19701 Scriber Lake Road, Suite 103, Lynnwoodt WA 98036, Tel; 425.673.9850, Fax: 425.673.9610, NVLAP ...ab Code: 2.00768.0 wwt ,wattle sabest stest,(;om, 8.ddrtin c se ttxeasbestosteSt. Orn Project Manager: Robert Welch Date Analyzed: 7/2/20< 9 Client: R. H. Welch Client <Joh#: wADB Const Addre ,s: 4017 Ridge Way, Mt, Vernon, WA 98273 Project Location: 2607 -NV 2nd-Anacorte WA Tel: 360.333.7500 Laboratory batch#: 201911183 Samples Received: 7 Enclosed please find the test results for the bulk samples submitted to ow laboratory for asbestos analysis, Analysis was performed using polarized light microscopy (PLM) in accordance with Test Method US EPA/ 0i -931116. Percentages for this report are done by visual estimate and relate to the suggested acceptable error ranges by the method. Since variation in data increases as the quantity of asbestos decreases toward the limit of detection, the EPA recommends point counting g far samples;s containing between <1 % and 10% asbestos (NESHA.P, 40 CFR Part 1). Statistically, point counting is a more accurate method. if y©u feel a point count might be beneficial, please feel free to call and request one. The test results refer only to the samples or items submitted and tested. The accuracy with which these samples represent the actual materials is totally dependent on the acuity of the person who took the samples, This report must not be used by the client to claim product certificationf approvals or endorsement by Seattle Asbestos Test, t.LC, NVLAP, MST, or any agency of the Federal government. The test report or calibration certificate ;hall not be reproduced except in full, without written approval of the laboratory. This report is highly confidential and will not be released without your consent. Samples are archived for 30 days after the analysis, and disposed € f as hazardous waste thereafter. ..Thank you for using our service and let us know if we can further assist you. Sincerely Steve (Fanyao) Zhang President 1 1 f - 1 - i Ir L 1 C T >. ) VIA 98036, < /♦ � '. ..� ♦ C ('•r J.,O%+ .• I Lab .(y. .n or:s:2 ..'•.aborattor'y: £ 95�'.�,r'' Scriber alc..is Road, Suite 103. Lynnwood , ` Ifs. i F� &st Fax: c c a , 3,9" ';L hP Code: 200 68w0 .. �,. � . < -{ , Tel: t�.I, . l;S- 3(s�.�L -�z.. .L > �3'i ti y �.� Dili• ain:3t: 1 This: ,rO on must net be used by the client to cyairn product codification, apptov&, or endorsement by Seattle Asbestos Test, I,i.<. ) NVLAP; MST, w any twenty of the Federal government . ANALYTICAL LABORA $wOM REPORT PLM by Method EPA/60 ` 93/i 6 Alto., Robert Welch clime R. 1-1, Welch Address: 4017 €dge Way, Mt ,lemon : WA 98273 Job : WADB Col-St Each* 201911183 ante Rt eive l: 7/2/2019 S an :tr.s Reed: .7 Mite An&yxwt: 7/3I2 J(i 9 S$nnp-t s M Syzed: 7 r'� w,r Fib/5.� s t•f Mr. �.w PmJ.:fy 44a) 2.607 M ( 2ti/ &An cod s WA f INi>, •, .4'. ‘‘‘ r < , err :,K ^ ` .3/4 :r /dr Y: �<', r: f reNw•r n♦Mnw wluw..wvNw•r - e E�3f •a .;. , 4 fad . � r !f• CC' by: Skive .".r,�.r< r ( S •t' NM Y '�i.� h 4 !" .. P ( Reviewed 1. LG t� {�{i # iY.�S . �LI�.3�< .._?: a•_._-..._._..- .rvlw...•w. -- ..........._.r. I.yM•Nn....4./Uw. »•.•or..•.......r...... (mi ..,5.5,,,5<N,.,,N, Mw - .... tM rrNww , Sample y� gg n /. }.� y� yj V+NI .Y . `1 -�wvrN/./vIM.Is Y `Ij�•y,•;4 �tey 4 V�"I S� . T �' & II iw"- Fibers i } S, > I r Cc' 4 ... A"• 4` Q/ Non-asbestos f t '; ' s , �:i. fe, st .ww 1.. : ` eS iOn % bsh ea rrs S1 • ,•f' -fii•1i'o i;c }'� ,r <pI?rnts Fibers'� `a} \ •.r t•:t a"<-rt. 1 M1_, jrf )rr-/wewl./ , ....... •n....u..r (•»4.. +04 Brown fibrous one I _ • a Filler , Paint 9 Cellulose • materialwith paint etected • NN,N N(M-K(.«hv ./wf/r.aaw • .....� N,,. n,W.((n,. <Mw h`- . MNM /INHF/(•'r ._ W u ..�.•'W. wN..-._s ww -. . ..•uuuN..u • N `- ' �w [ Brown fibrous I None. Filler, Paint 08 Cellulose material with paint I detected torn .Ip,NtNM White soft lumpy ..��� Synthetic � t ti c foam ),D W E 1 3 I hrys tilF Cellulose material with paint Filler, Binder, Paint YM/NANI /IIN II I 4wwt . ( . r/Mr/».w.rv•w( White o fiery material with 4 4 4 D MO2b 1 Chr sat le tnderiI lien, Paint 5 Cellulose vemicull e Arid * aims': ».....»........w,...ww4 . ...... . ..•..,NN:«v Mx. .............r.e• . Ia/r.u.Mr..,v..nwrN_.n... t......«./........ ./. . •I./•..»••I•••IN. r.......N.,..,.• / Y ((. OnyMNIyM(.ryN /MNI/N/NI/W N/NNu • • • / .y White powdery nmaterial With 2 ..> y; r ' otil xBinderRiller 6 Cellulose se vermiculite and 'Vermiculite paint >.e....................._..._..•--•T.WM. M,vwwV - a Y9.I.V..W.I .e...r» .�...�_.r.—..www..«wvw,+v« � t.NYwwvwevw..w :I' w.lr.•n•.Y/...Y.N....w..,w. , wa f lack. asphaltic None Filler, Asphalt, r J f '{t i rou material t detected Binder 3Cellulose v..w •N, wwwwWAMM.rMI(NNMMN. w• M4.' .�.»•.••...-.•.••5. YwMwY( Moo ,.. ,,,,N.. A.V*WW/ (NINMlnulu»V•u,u• N,N55•µ•v/./•....wW Black 7 asphaltic None Filler, I et � rv.»......w r.....»...n.._»...,NN fibrous material detected Binder , .. ww. .... w.<•...uSNw...r .......w V.T ♦ •. .wIV et. M.NwYavuw I�.•/«w.•Nm•_..•-,.... of I 1 ‘ , • C je .,) 1 ,....., . k,,,,Ai i I ,,..„,- 4._,..,,,, ?,--- k-----/ I, i , 1 I '') - t_.,..„...„ Robert FL Welch Asbestos Inspection Data Sheet . 3 60 , ' Client: WA (_.-.)7, Cevi4 i,: Phone: - '16 . . Address: ,.17-1. 0(3 j,..1„.7 __.,k fa e„ (9, us.•.0,. ."44.1( —Nit: Ve,rf fla LAI -4 7.1:1 7 cl _ ... , Inspector: 'Robert H.Weleh Inspection Date: Cc t, #: RHW-13IR48425 , ‘t •i Expiration Date: July 11, 2019. Building Address: A. 607 - LA.) „2, ° • ' ---471,3,co,,,,. gt:; (...4„)A - Res: Li/ Corn: Pub; Ind: Other: _ Demo: Repay: / Remod: Other: Year Const: e." ikac4 Prey. Insp.: 1 ,-, y 1 Material Category 1 Fi Gond, Lo 1cation umitity Sample II 1 ! 1 Description 1 ' u TS1-9/1-M NI' . — 1 ICI.'Ll.L'itAilL M „. , r 01...o:cret Kild,, .. ) . .....k.....1 i ,A k 4 1 i t( 1 _ ___... ,, --t I) 87 e i h 4,,...CSLI:I re'ir S M i F - ti .,t Rertyls1 , tu3.111Li , i ------- '' I ,.. ee)''''..... e.,..' fit I 0 2 'it- P,. 4e. • iiii_ AIF ao c, ci E: (76., e-i"''' 1 ' kA, -* tel i ' 1. i ._.. : 1 t-- ! , • i i 1 1 i1 I , 1 I ...._.............,. ...• , : -r — i — . I. I Legend: FT: Floor Tile ACT: 'Popcorn' CAB: Cement .Board Cl': Ceiling Tile AC: Air Cell BI: Boiler Ins. PT: Pipe ins. FP: Fire Proofing FM: Floor Mastic R: Roofing VS: Vinyl Sheeting JC: Joint Compound G: Gasket WB: Wallboard NI: Mortar W13: Wallboard P: Plaster SC: Soft Concrete CAP: Cement Pipe W.P: Window Patty FB: Fire Brick DW: Duct Wrap CM: Carpet Mastic CBM: Cove Mastic • . 40117 Ridge Way Mt. Vernon, WA 98273 (360) 333-7500 rhwelch05kgmail.com Asbestos Definitions AHERA Inspector: EPA credential required to conduct Asbestos Inspections. Credential must be current as of the date of the inspection. Asbestos: a natural occurring fibrous, crystalline mineral. Most common forms are Chrysotile, Amosite and Crocidolite (also, Tremolite, Actinolite and Anthophyllite). DOSH: Also referred to as `Labor and Industries'. Requires asbestos inspections prior to any demolition, remodeling or renovation. Friable Asbestos: material that can be crumbled, crushed or pulverized by hand pressure when dry. Fair(condition): Some damage and/or not totally in stable condition. Good (condition): No (or minimal) damage and/or in a stable condition. LCAA: Local Clean Air Agency (these agencies require asbestos inspections prior to demolition, remodeling or renovation activities. M: Miscellaneous (one of 3 Asbestos Categories, usually non-friable). Floor Tile, Roofing, Cement Asbestos, Wallboard, Vinyl Sheet, Window Putty, etc. SM: Surfacing Material (one of 3 Asbestos Categories, usually friable). `Popcorn', Attic Insulation, Plaster, Fire-Proofing, etc. TSI: Thermal System Insulation (one of 3 Asbestos Categories, usually friable). Pipe/Boiler Insulation, Attic Insulation, etc. NF: Non-friable. Breakable, but not easily crushed or pulverized by hand pressure. ND:None (asbestos) detected...as in the laboratory processs. NT: Not tested (as when the first sample in a series has tested positive). PACM: Material that is presumed to contain asbestos. Even if not tested, it must therefore be treated as Asbestos. Poor(condition): Not intact, falling apart or already in a damaged or friable condition. If you have any questions regarding your report, contact the Building Inspector for clarification. OFc .40,00 is' National Voluntary 4 ",.;' ctle�`� M� L.). Laboratory Accreditation Program : :44a ` No OF SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 Seattle Asbestos Test Seattle 4500 9th Ave.NE, Suite 300 Seattle,WA 98105 Mr. Steve(Fanyao)Zhang . Phone: 206-369-6421 Fax: 425-673-9810 Email: admin@seattleasbestostest.com http://wvvw.seattleasbestostest.com ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 201057-0 Bulk Asbestos Analysis . Code Description '-' 18/A01 EPA--40 CFR Appendix E to Subpart E of Part 763,Interim Method of the Determination of Asbestos in Bulk Insulation Samples 18/A03 EPA 600/R-93/116:Method for the Determination of Asbestos in Bulk Building Materials t tk. For the National Volunta L borat Accreditation Program Effective 2018-07-01 through 2019-06-30 Page 1 of 1 United States Department of Commerce National Institute of Standards and Technology [RI VI • Certificate of Accreditation to ISO/IEC 17025 :2005 NVLAP LAB CODE: 200768-0 Seattle Asbestos Test, LLC Lynnwood, WA is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for: Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard ISO/lEC 17025.2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-IAF Communique dated January 2009). _.stir OF o. 2018-10-01 through 2019-09-30 .4. 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