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APPLICATION APPROVAL
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FICATE OF OCCUPANCY HAS BEEN GRANTED.:UBCI 091 IBC110 I IRC11
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6105 PRESS HARD YOU ARE MAKING 4 COPIES
01/19/06 04:39 FAX 360 854 7731 Phillips Env Svc 02
PHILLIPS ENVIRONMENTAL SERVICES
293S4 sAcus Ro.
SEDRO WOOLLEY, WA 913284
360-854-7900 FAX 36"54.7731
January 18. 2006 Sumey Nu, 06005
Cory Heins
100 2nd Ave. S., Suite 390
Edmonds, WA 98020
425-775-3421
RR! Asbestos Survey: 731 Hanna Park Rd., Edmonds, WA 98020
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OnJanuary 17,2006,1 inspected a single family residence located at the above referenced addres for
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the purpose ofdetermining the presence or absence ofbuilding materials that might contain asbestos.
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Titl e 40 Code o f Federa I Regul at i ons (40 C FT0, subpart M, section 61.14 1, establi shed the allowable I imit of
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asbestos i n bui I di ng in aterial s at I % by wei gbt. Materials containing more t ban I % ashestos are regulated and
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must be handled in accordance with I-'etieral,.State, and Local regulations.
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Surveys are based on'visible and accessil,)je niaterials'and although reasonable effort was made to locate and
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test ail suspect materiais—Rotriesuspect materials may remain hidden in walls or below floor underlayment or
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other areas until demolition or rcitovatiot, work in ikes them accessible, Ir other suspect materials are discovered
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during the course ofilemolition or remodel -activities they will require testing prior to continuing work,
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Six bulksamples were collected and subsequently analyzed for asbestos content by Polarized Light Microscopy
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with Stain Dispersion. Samples N 1, 2, and 4 were found to contain more than 1% asbestos. These
materials will require handling/removal by trained asbestos workers (or. in some cases, the homeowner —
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contact Puget Sound Clean Air Agency for homeowner permit) prior to any remodeling, renovation, or
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demolition that will lead to the disturbanceor removal ofasbestos. Priorto removal ol'thesematcrials, notices
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must be filed with the local Air Pollution Authority.
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This letter along with the attached material list and lah report will comprise the 'Asbestos Survey'. Please call
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its ifyou have any questions.
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Sincerely,
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Dave B. lips SO
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Cen.# 05-1191 (expires 3-31-06)
enclosure
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01/10/06 04:39 FAX 360 854 7731 Phillips Env Svc
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PHILLIPS ENVIRONMENTAL SERVICES
2935A BAcus RD.
36"54-7900 SEDRO WOOLLEY, WA 98264 FAX 3604354-7731
Client: Cory lleins Asbestos Survey - 731 Harms Park Rd. Survey N: 06W.
100 2nd Ave. S., Suitt 390 Edmonds,, WA 99020
Edmond" WA 98020 1-17-0
Survey date:
Material Ust
Material # & 0111lipti-il L - I - I i7w, (h7,7,71 t P, , I �10 �6�, �dTQlyT
utility roullf & halfway 600 1 Utility room floor Chry. 9%
lose, A rs;
Asbestos lburd in tilc only, none lound in mastic below
---TMist N F
2 1 Vinyl life & ums ic I Furnace room floor 601( 2 Furnace bey. �10%-
Asbcslo� lound ill tooth Uh: 11110 111011C.
eel Rathroom floor to MiNc 3 Aaxhroom floor,
F atiar 4 Rathrown floor Chry. 20%
141 Vinyl sheet Bathroom floor (below Mist
underlay)
5 1 Unoleurn (belive w,)(xi Mist N F 5 Kitchen floor N/D
,.',oc -1!e,;";l o
isc 6 Kitchen
6 Drywall& Join� Walls M wall NID
Compouz F
NID - N.w 0,1�0.d Ihs, lWssnledls -.0oad, ..� lhcs' pm— undL.O..'l ..
Nfl -Nol icstcd.pmvii)ti%sampicitstcdp,�sitive dloo.g� o, d,sn.,h.x—f ..) kind dy C.I. l. nro�rnabl, "t"i'l, m bCtn,,, tnL,
rnrantilies A— are apro-moc - field scrifl-unn remmlocodcd _, I
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PHILLIPS
ENVIRONMENTAL SERVICES
29354 BAcus Rn.
SEDRO WOOLLEY, WA 98204
360-854-7900 FAX 3604154-7731
ASBESTOS BULK SAW -if A_NAIVS S
Client Name:
Cory Heins
Survey 0: 06005
1 00 2nd Ave, S., Suite 390
Edmonds, WA 98020
425-771�3421
Source of Samples: 731 Hanna Park Rd., Edmonds, WA 98020 Date Rueld: 1-17-06
...............
AtudyflealMr0rod: pL1111ri"tj 1,glit Miermeopy widi Dispersion Staining (PLM-Ds Madlod)
.... ............. .................. .... ...
Samnle#- 1
1.0 No.: 29290 l.ocation: Utility room floor
Layers
D1,
N011-HOMIS material!
er i tons MULT %
Abes PC 'd
�r TLo$f2
c0ayl dic
vin�lllfindcr
Cbrysalilell%
Lay�0.1`2
Bl,,wk maA,
mastivihindertfinc p wtiele,
None detected
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Lab No.: 29291 Location: kirriacc ruum floor
lyers
Description:
Non+1t)rcjjs miterill:
Met Fibrous Ma": %
A.bftt.s I
1.o)er 1 M'2
n,..n inyl tilo ==tV4.)VRi
1,r
Celwlmc Vace - .. —+iC:---rysofllc
Chrysotilw
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11JACk.11-Tific
anides
6%
Sample #: .1
layers
Lab No.; 29292
DeicTiption:
Location: Bath ........
Non -Fibrous Material:
(W I
2th,r Fihrous Mail: %
Mbvlos —Type: "A
E
vin)Vnind.'
o i� detemw
None detected
Cdlulo,c 30%. Glass 10%
None detected
1=2 o I Tl� 1"h pap —lit,
L.ye'.l "I"I Y.11". """fk.
ni 1�dri,,, pavid.
S am Lie 6 Lab No.: M9., 1,ocatien; Kitclierk-all
Non+ibrovs Material: (.ijiler 1-joroos Mail: % Asbestos Type.
' "ron' M"'�"* "/*
Layer 1 of"2 OfTwhile'Tvatpacted po%%,dcr� matl I lindcrMic patildei ('ellulme Trace None tictected
None detected
yLr� MsoriFfi n
l&,L 2.%
(3) ptui0finc particics Cellulose 20%
Layer2ofl WMW -N-1k, ,-Acrial -'P!'Pcr ol ..... a
"'rap '�d d
Loy,
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yer
Date:
T)a
Samples rvlain�d I'tr 2 wee" unless otherwise requcs(ed in writing.
f.oh re.tojry ote vomplewlY roi!fidvnNaL 4ritren permittian Is reqvired in)-clease results to anotherparty.
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Permit Inspection Details
Permit: BLD20060059
PERMITTr4AX
111111-66 h, 1 �i �: � �
166,--toqfioskit d6ntr',�I' 1,zat
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0712412006 Ed 30
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Total Time: 30
107&-,E' re-Dem
07/19/2006 Ed 30
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Total Time: 30
Water So
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Total Time: 30
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07/2612006 Ed 30
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Total Time:
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712006 MS 26 CORRkTION NOTICE WRITTEN
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07125/2006 MS 20 PRE- DEMO APPROVED
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Total Time: 40
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67i�iiiOiiii MS 20 APPROVED
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Total Time: 20
afi4djS tie BI
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07/2512006 MS 20 FINAL APPROVED
Total Time: 20
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Total Inspections:
Total Time: 200
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6/l/2009 11:00:25 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing ......................
Wall .. ........
Pier/Porch . ................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground _ ...........
Rough -in ...................
Commercial Final
HEATING:
Gas Test ...............
Gas Piping
Equipment
commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
t
OK�
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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