BLD2019-0359ov EDAf
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 05/03/2019 Pennit#: BLD20190359
Expiration Date: I I lor 019 Project Address: 228 SUNSET AVE N, EDMONDS
/�J 4 1
Parcel No: 00434401100800 *11 h
HANYUAN & QIN XUAN ZHAO ROCK -SOLID GENERAL CONSTR LLC ROCK -SOLID GENERAL CONSTR LLC
228 SUNSET AVE N CIO PATRICK AUBLE C/O PATRICK AUBLE
EDMONDS, WA 98020 5018 22ND AVE NE 5018 22ND AVE NE
TACOMA, WA 98422 TACOMA, WA 98422
(206) 715-7769 (253) 306-0568 (253) 306-0568
LICENSE #� ROCKSGC942LH EXP:03/18/2021
JOB DESCRIPTION
DEMO SFR AND GARAGE
VALUATION: $0
PERMIT TYPE: Residential
PERMIT GROUP: 23 - Demolition
GRADING� N CYDS 0
TYPE OF CONSTRUCTION -
RETAINING WALL ROCKERY
OCCUPANT GROUP:
OCCUPANT LOAD
FENCE: 0 X 0 FT.)
CODE
IOTHER: ------- OTHER DESC
IZONE:
INUMBER OF STORIES- 0
1 VESTED DATE
INUMBER OF DWELLING UNITS: 0
ILOT #:
EXIS]ING ARFA
BASEMENT: 0 1 ST FLOOR 0 2ND FLOOR: 0
PROPOSIJ) AREA
1BASEMENT 0 1 ST FLOOR 0 2ND FLOOR: 0
3RD FLOOR 0 GARAGE: 0 DECK: 0 OTHER 0
13RD FLOOR: 0 GARAGE: 0 DECK 0 OTHER 0
BEDROOMS: 0 BATHROOMS: 0
1 BEDROOMS: 0 BATHROOMS 0
FRONTSETBACK SIDESEMACK REARSEMACK
RLQUIKLL): PROPOSED: 0(77 RE D: PROPOSED: IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED
SETBACK NOTES
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION
INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
0 _t, 19
I ca. �c 4, A�Lk S 5131.7-0, ,
Signature Print Name Date Released By Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC1091 IBCI 10/ IRCI 10.
= FIRE = APPLICANT = ASSESSOR %LCITY
'1%
STATUS: ISSUED
BLD20190359
• *Pre -inspection required.
• *Street to be cleaned of debris.
• *Side sewer must be capped at property line.
• *Water Service must be disconnected from Water meter and or hose bib with AVB installed.
• *Dump at approved dump site only.
• *See dernolition inspection checklist on back ofjob card for inspection requirements.
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Clieck thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request foralternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon subtrrittal and are non-reftindable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
Sound/Noise originating from temporary construction sites as a result of construction activity are exempt frorn the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Cliapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEVVALKS, DRIVBNAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE ECDC 19.00.005(A)(6)
I BUILDING I : ENGINEER] NG (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov Building Department Inspections 1
2. Then: Ser\Aces are now scheduled online. If you FIRE (425) 775-7720
3. Then: Perm its/Development have difficulties, please call the
4. Then: Online Permit Info Building Department front desk for PUBLIC WORKS (425) 771-0236
5: If you don't have one already, create a assistance during office hours.
login (upper right hand comer) (425) 771-0220 RECYCLING (425) 275-4801
16: Schedule your inspection
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon. —
E-Pre-Con
E-Pre-Dernolition Sewer Cap
E-Pre-Derno Water Sery Discnct/AVB
E-Pre-Demo Erosion Control
E-Engineering Final Derno
B-Final Demolition
BUILDING PERMIT Office Use Only
APPLICATION Permit #: &-D a 01'?-03
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
.". i b7 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov/
JOB SITE I NFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: _43iil 6MWIT Ayk
Parcel: e)O�L_-<4_CL0000,�b
Lot /Unit/Suite#: A PC Subdivision: A A
PROPERTY OWNER:
Name: 4AALtAA) P-RAC +N/"Af� QP
Mailing Address: AV-0—
City/State/Zi p: V"A ij cA VV A
Phone#:
Email: rXLtA V1 V1 V4
OWNER INSTALLATIJ *If yes, read and sign*
Will work be performed by the property owner? 0 Yes RT No
I own, reside in, or will reside in the completed structure.
This installation is being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Signature: c�
APPUCANT / CONTACT INFORMATION:
Name of Applicant: S C- S tA-b OVIP,
Mailing Address:
City/State/Zip:
Phone #:
E-mail: GCV\efq�
GENERAL CONTRACTOR: (if different from applicant) LLC�
General Contractor: [-��4*� c-tc- " 6 1e, LZ
Mailing Address: a Wa 1�' Y,,-\ N Q
City/State/Zip: C1 " cv\ 0�1 \1� (k 44119 H 1101
Phone #: k,53 3�)So os'Lfo
E-mail: h()b.
)W\
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
PC) CA_ lem�G C. q !� I L, k
CITY OF EDMONDS BUSINESS LICENSE #:
TYPE OF PERMIT (Provide
El Accessory Structure/
Detached Garage
Details on Page 2)
0 Addition
Demolition
El Mechanical
• New Single Family / Duplex
0 Plumbing
• Fire Sprinkler
El Remodel
• New Commercial/ Mixed Use
0 Re-Roo�f
• Signs
El Tank
0 Tenant Improvement
El Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: �a Finished 0 Unfinished ID
Ist Floor, sq ft: -7 &-0
2nd Floor, sq ft: pjq
Garage/Carport:, sq ft: 10-0
Deck/Covered Porch/Patio: d-M
Other sq ft: (+
PROJECT DESCRIPTION
ko it Ak W av_" 13 t t';
sio 64-n -ejt_� C_
u, tw -1 Up
I certify that the information I have provided on this form/a ppl i cation is true,
correct and complete, and that I am the property owner or duly authorized
agent of the propertyownerto submit a permit application tothe City of
Edmonds.
Print Name:
Signature: 4djAAA CA�Date ;61"
o
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes 11 No El
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
T! / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
BTUs Gas Elec Other Qty
A/C Un't /Compressor
Air Handier /VAV
Boiler
Dryer Duct
ExhaustFans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provideeleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
QtY Qty
Clothes Washer
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y oCN
Hydronic Heat
Water Service Line
Sinks
0
Other:
Toilets
I
Other:
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL
GAS, AIR VACUUM COUNTS
(New, Relocated or re -piped)
Qty
Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxyge�
Medical Air
Other:
Me cal Vacuum Other:
DEMOLITION
Type of structure to be demolished: an
Square footage of structure to be demolished:
AHERA Survey done? Y/N
PSCAA Case #:
Critical Areas Determination:
Study Required 0 Conditional Waiver El Waiver El
Fill in Place El Fill Material:
Removal El
Size of Tank (Gallons)
Critical Areas Determination:
Study Required El Conditional Waiver [I Waiver El
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubi
Cut * in Critical Area: Yes 13 No 11
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of I year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
Wayland, Christina
From: Qin, Xuan <xuan.qin@seattlechildrens.org>
Sent: Wednesday, May 15, 2019 3:43 PM
To: 'Christina Bachiller'
Cc: Wayland, Christina; rock_solidconstruction@yahoo.com
Subject: RE: Single -Family Notification case# 201902286
Attachments: Asbestos repo rt8.28.1 8.pdf
Hi Christina, thanks for your prompt reply, I logged back into my application and this is what I saw. Does this mean
approved or not? In my last email, I also attached Asbestos survey report. Is that sufficient?
I look forward to your response.
Xuan
View Account "isto Create Amendment 201902286-2
Single -Family Notification Details for Case *: 201902286-1
Fee Amount $65.00.
TrarmacbDn Date 05/13/19
Owner�s Name Hanyuan Zhao & Xuan Qin Phone
(206) 533-2112
Project Street Address 228 Sunset Ave N
City Edmonds zip
98020
Contact Person Xuan Qin Phone
(206) 300-7206
mailing Address
This project includes a demo1ition.
DernofibDn Start Date 05/14/19 Completion Date 05/17/19
DemorkiDn will be completed by a demoliuHm contractor
Demo Contractor Rock Solid Constructiocm LLC
Contractor Job xE, R(ICKSGC942
Contact Patrick Aubte
Phone (253) 306-0568
Mailing Address 16216 Se Ambrn Bkk Diamo
AuburF4 WA 9W92
Thits is an emergency project. The emergency reason:
The project must proceed to avoid imposing an unreasonable burden.
Abte-- Nobfita bons canrwt he amended after the compktion date.
From: Christina Bachiller [mailto:ChristinaB@pscleanair.org]
Sent: Wednesday, May 15, 2019 12:18 PM
1
To: Qin, Xuan
Subject: RE: Single-Damily Notification case# 201902286
Xuan,
I apologize, but I am not sure what it is you are needing from the agency. You submitted a notification which is in our
system. if you need access to this notification, you can login to your online account using the email address you used to
create an online account. Login here: https://secure.pscleanair.org/asbestos/Login.aspx , click "View History" and your
notification will be there. You can print it out, amend the completion date, or change the size of the project. Your
notification number is given to you immediately after you submit payment, so the agency does not email you for
confirmation of the notification. You should print the notification number and have it posted at the jobsite for the
duration of the project. If you require further assistance, please do not hesitate to contact the agency. Thank you.
Best,
Christina Bachiller
Puget Sound Clean Air Agency
Christina B@pscleanair.org
(206) 689-4010
From: Qin, Xuan [mailto:xuan.qin@seattlechildrens.org]
Sent: Wednesday, May 15, 2019 12:11 PM
To: Qin, Xuan; Asbestos Program
Cc: rock—solidconstruction@ya�hoo.com
Subject: RE: Single-Damily Notification case# 201902286
Hello, this notification was submitted online two days ago. We urgently waiting for your kind response as the structure is
located at a very tight and touristy spot in Edmonds.
Xuan
From: Qin, Xuan [mailto:xuan.qin@seattlechildrens.org]
Sent: Monday, May 13, 2019 12:52 PM
To: 'asbestos@pscleanair.org'
Cc: 'XUANQIN@UW.EDU'; 'Hanyuan Zhao'
Subject: Single-Damily Notification case# 201902286
Hello, this is to attach the Asbestos Survey report for zero detection of asbestos.
Xuan Qin and Hanyuan Zhao
228 Sunset Ave N
Edmonds, WA 98D20
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the
intended recipient(s) and may contain confidential and privileged information protected by law. Any
unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please
contact the sendcr by reply e-mail and destroy all copies of the original message.
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the
intended recipient(s) and may contain confidential and privileged information protected by law. Any
unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please
contact the sender by reply e-mail and destroy all copies of the original message.
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the
intended recipient(s) and may contain confidential and privileged information protected by law. Any
SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODES: 200768-0,
200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Inspector Number:
425.861.1111, Fax:425.861.1118; Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 161374
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seaftleasbestostest.com, Email: admin@seaftleasbestostest.com, Facebook: Batch* 201812510
www.facebook.com/seaftleasbestostest
Property Location: 228 Sunset Ave N Seattle, WA
ASBESTOS SURVEY REPORT
RECEIVED
Property Location: APR 0 2 2019
Prepared For:
Prepared By:
228 Sunset Ave N Seattle, WA
Hanyuan Zhao
Mr. Hanyuan Zhao
228 Sunset Ave N Seattle, WA
BUILDING
Steve (Fanyao) Zhang
AHERA Cert. 166059; expiration: 03/07/2019
Seattle Asbestos Test, LLC
19701 Scriber Lake Road, Suite 103, Lynnwood, WA 98036
Inspection Date:
8/24/2018
Report Date:
8/28/2018
N
Note: Summary information for asbestos at named property can be found in "Conclusions" section of the report, in the floor plans,
or in table 3, Nature and Distribution of Asbestos. A "Point Count Supplement", if attached, may change the original asbestos
percentage.
SEATTLE ASBESTOS TEST
NVLAP ACCREDITATION LAB CODES: 200768-0,
200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AH ERA Cert. 166059; expiration:
425,861.1111, Fax:425.861.1118; Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seattleasbestostest.com, Email: admin@seaftleasbestostest.com, Facebook: Batch#: 201812510
www.facebook.com/seattleasbestostest
Property Location: 228 Sunset Ave N Seattle, WA
Purpose/Scope of Survey
This survey is intended to investigate, sample and test ACM in accordance with 40 CFR
763.86, the EPA regulations for Asbestos Hazard Emergency Response Act (AHERA). The
client named will use this report to meet their regulatory requirements in their project.
Method ology/Fi nd i ngs
Inspection, sampling and assessment procedures were performed in general accordance
with the AHERA guidelines published by the U.S. EPA in 40 CFR Part 763 subpart E,
October 30, 1987. The survey include three integrated tasks: visual inspection, sampling and
quantification. Special attention should be paid to the following- material classification,
recognizing of homogeneous areas, differentiation between friable and nonfriable asbestos,
and interpretation of testing results.
Material classification
There are three main kinds of material according to EPA sampling guidelines. They are
Surfacing Material, Thermal system Insulation, and Miscellaneous material. The
classification bears implications for number of samples to be taken. For Surfacing material,
there's the 3-5-7 rule, meaning 3 samples from less than 1,000 square feet area, 5 samples
from 1,000 to 5,000 square feet area, and 7 samples from greater than 5,000 square feet
area. For Thermal system material, with some exceptions, 3 samples should be taken for
each homogeneous area. For Miscellaneous material, at least one sample should be taken
from each homogeneous material.
Table 1 shows the types of material recognized during the survey, and the following is a
tabulated summary of the material types:
Total Miscellaneous Material
Total Thermal System Insulations (TSI)
Total Surfacing Material ------------------------------------------------------- >
Homogeneous Areas
10
0
SEATTLE ASBESTOS TEST NVLAP ACCREDITATION LAB CODES: 200768-0,
200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Cert. 166059; expiration:
425.861.1111, Fax:425.861.1118; Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seattleasbestostest.com, Email: admin@seattleasbestostest.com, Facebook: Batch#: 201812510
www.facebook.com/seattleasbestostest
Property Location: 228 Sunset Ave N Seattle, WA
Homogeneous material means an area of surfacing material, thermal system insulation
material or miscellaneous material that is uniform in color and texture. It should be pointed
out that materials appear to be homogeneous and adjacent to each other may in fact have
different contents in terms of asbestos, and only laboratory testing will decide whether they
are really the same homogeneous area.
Table 2 shows the identified homogeneous areas for this survey.
Total homogeneous areas ---------------------------------------------------- > 7
For each homogeneous area, its representative location and sample number are given in the
table.
Friable vs. Non friable
A material that contains asbestos is friable if the material, when dry, may be crumbled,
pulverized, or reduced to powder by hand pressure, and includes previously non -friable
material after such previous nonfriable material becomes damaged to the extent that it meets
the criteria as a friable material.
The term friable during an AHERA asbestos survey applies only to ACM, and table 3 shows
friable ACMs and nonfriable ACMs during this survey.
Total ACM found on the property ------------------------------------------ > 0
Laboratory Testing Results
Analytical testing is done in house in Seattle Asbestos Test, which is a NVLAP Accredited
lab and participates in PAT rounds administered by NVLAP. Seattle Asbestos Test has over
20 years of analytical testing experience among its key analysts, and it conducts extensive
inter- and intra- laboratory QA/QC testing.
The method of testing employed are polarized light microscopy, or PLM, For QC purposes,
one in every ten samples are analyzed as duplicate and check samples are randomly cross -
analyzed by different analysts
NVLAP ACCREDITATION LAB CODES: 200768-0,
SEATTLE ASBESTOS TEST 200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810-, Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Cent. 166059, expiration:
425.861.1111, Fax:425.861.1118', Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seattleasbestostest.com, Email: admin@seattleasbestostest.com, Facebook: Batch#: 201812510
www.facebook.com/seaftleasbestostest
Property Location: 228 Sunset Ave N Seattle, WA
Table 4 is the test results for the samples taken during the survey. For each sample, it is
sub -divided into layers if the sample is separable, and each layer is then prepared into slides
and analyzed separately. Each layer is also described to show its color, and nature, so that it
provides a check to the homogeneous area classification done on site. Different from the lab
report format, which is listed in the appendices, Table 4 also shows the location of each
sample, and the material as seen by the inspector on -site. This kind cross-reference
enhances degree of certainty to the final report.
The following is a tabulated summary
Total number of samples ---------------------------------------------------- > 8
Total number of layers ------------------------------------------------------- > 10
Conclusions
No ACM was found on the client's property during the inspection. Note: Shed was not
inspected per client's instruction.
Limitations
Major limitations of this survey are: (1) it's impossible to sample every inch of building
material by the method called, (2) sample appears the same, i.e., homogeneous may in fact
be different in terms of asbestos containing, (3) concealed or difficult -to -access materials,
such as underground constructions, areas under vast carpeted spaces where it is difficult to
reveal everything under the carpet, materials inside walls, or under plywood if destructive
sampling is not possible, building foundations, floor substrates, live electric wires, crawl
spaces, areas where the inspector has no access, and debris pile from burning can not be
adequately sampled, (4) random sampling scheme called by the method may skip areas that
contains asbestos, and (5) measurements of area, length and size are all estimated, and
should not be relied on for bidding purposes.
As such, materials that are not addressed in this survey should be assumed ACM and
should be treated as such unless additional samples were taken and tested otherwise. Any
effort for additional survey that may take place after the release of this report should be in the
form of an addenda.
- SEATTLE ASBESTOS TEST NVLAP ACCREDITATION LAB CODES: 200768-0,
200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810 ' Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AH ERA Cert. 166059" expiration:
425.861.1111, Fax:425.861.1118- Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax- 266.633.4747
Website: www.seattleasbestostest.com, Email: admin@seaftleasbestostest.com, Facebook:
www.facebook.com/seaftleasbestostest Batch#: 201812510
Property Location: 228 Sunset Ave N Seattle, WA
This report is for the exclusive use of Client named and their representatives. The inspection
and the report follow the general guidance recommended by AHERA, and no any other
warranty, express or implied, is made. Any unauthorized use or use of this report beyond its
scope are strictly prohibited, and Seattle Asbestos Test, LLC and its inspectors resume no
liability.
Respectfully Submitted,
Steve (Fanyao) Zhang
Appendices
Table 1: Types of Material
Table 2: Homogeneous Areas
Table 3: Nature and Distribution of Asbestos
Table 4: Analytical Testing Results
Floor Plans
Laboratory Analytical Report & Chain of Custody
* Table 3 not attached because no ACM was found
NVLAP ACCREDITATION LAB CODES: 200768-0,
SEATTLE ASBESTOS TEST, LLC 200876-0
Lynnwood Lab� 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Cert. 166059, expiration:
425.861.1111, Fax:425.861.1118- Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seattleasbestostest.com, Email: admin@seattleasbestostest.com, Facebook: Batch#: 201812510
www.facebook.com/seattleasbestostest
Table 1: Types of Material
Property Location: 228 Sunset Ave N Seattle, WA
10 Total Material Type
SAMPLE
LAYER
MATERIAL TYPE
MATERIAL DESCRIPTION
LOCATION
.NUMBER
1
1
M-001
Brown brittle/rigid material with fibrous material
Patio
2
1
M-002
Brown/gray fibrous material with paint and paper
Room One
3
1
M-003
Brown/gray fibrous material with paint and paper
Room Two
41
1
M-004
Beige sheet vinyl
Kitchen
2
M-005
Gray fibrous material with mastic
Kitchen
5
1
M-006
Black soffiloose material
Kitchen
6
1
M-007
Beige sheet vinyl
Bathroom
2
M-008
Gray fibrous material with mastic
Bathroom
7
1
M-009
Gray sandy/brittle material with paint
Exterior Wall
8
1
M-010
Black asphaltic material with sand
Roof
SEATTLEASBESTOS TEST, LLC NVLAP ACCREDITATION LAB COOES: 200768-0, 200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036; Belle�e Lab: 12727 Northup Way, Suite 1, Belle�e, WA 98005; Seattle Lab 4500 9th Ave, NE, Suiie 300, Seattle, WA 98105,
AHERA Carl. 166059; expiration: 03/07/2019
Webste: seatt[easbestostest. corn, Email: admin@seattleasbestostest.com, Facebook:facebook.com/seattleasbestostest Bat&#: 201812510
Property Location: 228 Sunset Ave N Seaftle, WA
Table 2: Homogeneous Areas 7 Total Homogeneous Areas
SAMPLE NUMBE
LAYER
SAMPLE DESCRIPTION
SAMPLE LOCATIONS
4,6
1
Beige sheet vinyl
VariouE
8
1
Black asphaltic material with sand
Roof
6
1
Black soft/loose material
Kitcher
1
1
Brown brittle/rigid material with fibrous material
Patio
2,3
1
Brown/gray fibrous material with paint and paper
Various
4,6
12
Gray fi rous material with mastic
Various
7
1 1
Gray sandy/brittle material with paint
Exterior Wall
NVLAP ACCREDITATION LAB CODES: 200768-0,
SEATTLE ASBESTOS TEST, LLC 200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Cart. 166059; expiration:
425.861.1111, Fax:425.861.1118-, Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seattleasbestostest.com, Email: admin@seattleasbestostest.com, Facebook: Batch#: 201812510
www.facebook.com/seaftleasbestostest
Table 4- Analytical Testing Results
Property Location: 228 Sunset Ave N Seattle, WA
10 Total Layers
SAMPLE
NUMBER
LAYER
DESCRIPTION
MATERIAL
TYPE
SAMPLE LOCATION
ASBESTOS
TYPE
%
1
1
Brown briftle/rigid material with fibrous material
M-001
Patio
None detected
2
1
Brown/gray fibrous material with paint and paper
M-002
Room One
None detected
3
1
Brown/gray fibrous material with paint and paper
M-003
Room Two
None detected
4,
1
Beige sheet vinyl
M-004
Kitchen
None detected
2
Gray fibrous material with mastic
M-005
Kitchen
None detected
5
1
Black soft/loose material
M-006
Kitchen
None detected
6
1
Beige sheet vinyl
M-007
Bathroom
None detected
2
Gray fibrous material with mastic
M-008
Bathroom
None detected
7
1
Gray sandy/brittle material with paint
M-009
Exterior Wall
None detected
81
1
1 Black asphaltic material with sand
M-010
Roof
None detected
SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODES: 200768-0,
200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Cert. 166059; expiration:
425.861.1111, Fax:425.861.1118; Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seaftleasbestostest.com, Email: admin@seaftleasbestostest.com, Facebook:
www.facebook.com/seaftleasbestostest Batch* 201812510
Property Location: 228 Sunset Ave N Seattle, WA
FLOOR PLAN AND SAMPLING SCHEME - 1
Patio
1
Room One
2
Room Two
3
Room Three
Kitchen
Bathroom
4 5
6
Shed Exterior Wall
7
Roof
8
Note: (1) Positive samples in bold face and underlined, (2) Map not exact, not in scale
Note: (1) Positive samples in bold face and underlined, (2) Map not exact, not in scale
SEATTLE ASBESTOS TEST
Lynnwood Laboratory: 19701 Scriber Lake Road, Suite 103, Lynnwood, WA98036, Tel: 425.673.9850, Fax: 425.673.9810, NVLAP Lab Code: 200768-0
Disclaimer: This report must not be used by the client to claim product certification, approval, or endorsement by Seattle Asbestos Test, LLC, NVLAP, NIST, or any agency ofthe
Federal government.
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/R-93/116
Attn.: Hanyuan Zhao Client: Mr. Hanyuan Zhao Address: 228 Sunset Ave N Seattle, WA
Job#: N/A Batch#: 201812510 DateReceived: 8/24/2018
Samples Rec'd: 8 Date Analyzed: 8/27/2018 Samples Analyzed: 8
ProjectLoc.: 228SunSetAveNSeaftle,WA
Analyzed by: Xianjie (Enc) Zeng Rev�ewed by: Steve (Fanyao) Zhang, President
Lab ID
Client Sample ID
Layer
Description
%
Asbestos Fibers
Non -fibrous Components
%
Non -asbestos Fibers
Brown brittle/rigid
None
Filler, Binder, Fine
1
1
1
material with
detected
particles
65
Cellulose
fibrous material
Brown/gray fibrous
None
Cellulose,
2
2
1
material with paint
detected
Filler, Paint
93
Synthetic fibers
and paper
Brown/gray fibrous
None
Cellulose,
3
3
1
material with paint
detected
Filler, Paint
92
Synthetic fibers
and paper
I
1
Beige sheet vinyl
None
detected
Vinyl/binder
None detected
4
4
Gray fibrous
2
mate rial with
None
Binder/filler
66
Cellulose
.
mastic
detected
Mastic/binder
5
5
1
Black soft/loose
None
Filler, Fine particles
3
Cellulose
material
detected
1
Beige sheet vinyl
None
detected
Vinyl/binder
None detected
6
6
Gray fibrous
None
Binder/filler,
2
material with
detected
Mastic/binder
68
Cellulose
mastic
7
7
1
Gray sandy/brittle
None
Sand, Filler,
3
Cellulose
material with paint
detected
Binder, Paint
8
8
1
Black asphaltic
None
Asphalt/binder,
25
Glass fibers
material with sand
de ected
Sand
NVLAP ACCREDITATION LAB CODES: 200768-0,
SEATTLE ASBESTOS TEST, LLC 200876-0
Lynnwood Lab: 19701 Scriber Lake Road, # 103, Lynnwood, WA 98036, Tel:425.673.9850,
Fax: 425.673.9810; Bellevue Lab: 12727 Northup Way, Suite 1, Bellevue, WA 98005, Tel: AHERA Cert. 166059; expiration:
425.861.1111, Fax:425.861.1118; Seattle Lab: 4500 9th Ave. NE, Suite 300, Seattle, WA 03/07/2019
98105, Tel: 206.633.1111, Fax: 206.633.4747
Website: www.seattleasbestostest.com, Email: admin@seattleasbestostest.com, Facebook: Batch* 201812510
www.facebook.com/seattleasbestostest
Property Location: 228 Sunset Ave N Seattle, WA Job#: N/A Total Number of
Samples: 8
CHAIN OF CUSTODY
Sample Condition: Good Damaged Severe Damage(Spillage)_
SEQ#
CLIENTSAMPLE#
SAMPLE DESCRIPTION
LAB ID
A/R
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
Print Name
Signature
Company Name
Date
Time
Sampled:
Steve Zhang
Seattle Asbestos Test
8/24/2018
Relinquished:
Steve Zhang
Seattle Asbestos Test
8/24/2018
Delivered:
Steve Zhang
Seattle Asbestos Test
8/24/2018
Received:
Xianjie (Eric) Zeng
Seattle Asbestos Test
8/24/2018
Analyzed�
I Xianjie (Eric) Zeng
Seattle Asbestos Test
8/27/2018
Reported:
I Steve Zhang
Seattle Asbestos Test
8/28/2018
C�
CAP EXIST] G WATER LINE
ATTHEPR ERTYLINE
E) WM
U�
LEGEND:
(FF) S I T FENCE, E3.10
CONS. ACCESS, E2.10
COVER, E1.15
COVER, E1,20
F--
0 CD
0 r--
OVERHEAD
POWER LINE SEWER MAIN FOR
PROJECT
CY)
r4) CN
CY)
lo EXISTING POWER METER
I
TO BE INSTALLED ON
TEMPORARY POWER POST
7POVERHLEAD
OWER INE
CN
'APPROVED BY PSE
01� A, A J'
7 EXISTING STRUCTURES TO BE DEMOLISHED,
(EF SEE DEMOLITION NOTES FOR REQUIREMENTS.
T
CAP EXISTING SEWER LINE
r 0 cc) AT THE PROPERTY LINE
L. . . . . . . . P
I
r
0 Lo
-J
'G�E
ss - - - - - - - (E) L
I, . . . . . . . . .. J4 TO N
T
CCE�-� NEW GRAVEL— aU, -Z!�Vo Z(" yXti�
A
G
5.15
fly FF ATU�
2 OINT
OWNER/CONTRACTOR RESPONSIBLE
GAS LINE FOR LOCATING ALL ON -SITE UMMI�S.
REI=TIOWEMN TO XJY UTIRM
0:� C'. Or) WMEE PERM
U) I,) MAY REWHE SE
AREA RESERVED FOR DRAINAGE' M [--� 0
0 Lj-j x M i.-
SYSTEM, NO HEAVY EQUIPMENT, Eyf LLJ C\j 0 "t
OR PILE OF MATERIALS z 00) U)
0 -1 : F-- -J
mv* �Wvlfe,,- (0 C,4 LLj OWNEWCONTRACTOR IS RESPONSIBbE FQR
t^oj� aAWVIA G-,24., Cf) ry EROSION CONTROL AND DRAINAGE
U_ LU
0 Cn 4p Imnt 1hal 711pe:1,111pla0e all darnage to
SITE PLAN -DEMOLITION UJ 0 <
Li -j ublib-s or frontage IMP& OdY
Cn -N � �ua%ed
10, 0 5. 10, 20, *.,-hl�f-way per City SUM1.1XIN that is
M durinq the Permitted piclad.
0 0
SCMZ: 1" = 10' >
DEMOLITION NOTES:
1) Conduct an asbesto survey by a qulified testing agency & remove asbestos if they are detected;
2) Install gravel construction entrance;
3) Install silt fence for sediment & erosion control;
4) All materials must be dumped at approved dump sites;
5) The street is to be clean, of debris, vegetation, and garbage at all times;
6) The side sewer must be capped at the property line ( inspection approval required)
7) The lot must be graded back to the original grade contours;
8) If applicable, underground tanks are to be pumped, cleaned, capped or removed (separate permit
required) -,
9) If applicable, septic tanks are to be pumped, collapsed and removed and/or filled with earth, sand,
concrete, CDF or hard slurry;
9) The City shall require repair, or restitution of, any public property damaged during the work;
10) The City encourages recycling of demolition and construction materials.
Mile Post 18
9 228 Sunset Avenue North
BrackeWs Dal.
Landing North
SITE 4, 4-414
Dernetris
WoodstoneTaverna
0'!
Rorys of Edmonds 0
4f. 9 05V
S all) United States
)uth Postal Service
The Refinery Salon
claire's
-A &t[ dQVOua 8006 bVIA 61 C"0� 61-tivU10IJA
p0- �YIAVT-5,1`-6-
g w4w Od Waw-�� At Tlv�-,-' WJXLJ,,�
W, -1-" `,�, 6-WOWC( W-AA/ (-L�) q
�1&44u'
M" V>O- Mo�ulyed OAA-"
Z0110��-(Q Corner —Flag
Setback ..iLe vmd Actual
Front 0
Sides g, I
Rear Is,
Other
Height
VICINITY MAP (N.T-S.)
GENERAL INFO.
SITE ADDRESS: 228 SUNSET AVE N, EDMONDS, WA 98020
OWNER: HANGYUAN ZHAO
TEL: 206 715 7769
TAX ACCOUNT PARCEL #. 0043-440-110-0500
LOT AREA: 7195 SF
LOT SLOPE: 4%
EXISTING IMPERVIOUS SURFACE:
HOUSE (ROOF)
1175 SF
GARAGE
290 SF
NEIGHBOR HOUSE
406 SF
WALKWAY & PATIO
283 SF
TOTAL:
2154 SIF
ENGINEERING DIVI&M
—77ro�� In
APPROVEDf PLANNING
RECElvED
CM C(D?I( APR 0 2 2019
BUILDING
HOME TECH
4946 131ST PL SE
BELLEVUE, WA
(206) 778-2431
/4/26-1-9
G
32229
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C-4
REVISIONS DATE
DESIGN;
Y. S.
DRAWING,
H. H.
CHECK,
Y. S.
DATE,
MAR 4, 2019
SCALEt
AS SHOWN
SHEET,
D I
TEMPORARY EROSION AND SEDIMENTATION CONTROL (TESC) STANDARD DETAILS
SEDIMENT CONTROL STANDARD PRACTICES/GOOD HOUSEKEEPING COVER
FILTER FENCE ETAL FENCE POSTS E3.10 CONSTRUCTION ACCESS E2.10 TEMPORARY SEEDING AND MULCHING E1.10
SEEDING MAY BE USED ONLY BETWEEN APRIL I AND JUNE 30, AND SEPTEMBER I AND OCT013ER 30.
'L -R FABRIC MATERIAL 60" WIDE
I-S. 11. STAPLES OR WIRE RINGS TO"
ATTACH FABRIC TO "RE MIRAFI 7DOX OR AREA STRIPPED AND THEN TEMPORARILY
PRE -APPROVED EQUAL ---.kENGTH PER THE DPD SITE SEEDED, USING OTHER BONDED FIBER
DEVELOPMENT INSPECTOR MATRICES OR HYDRO SEEDING
QU
TECHNI ES.
X 2- X 14go WIRE FABRIC OR EQUIV. 1--'R=21-"MIN--,
(OPTIONAL -PER SITE CONDITION)
BURY BOTTOM OF FILTER MATERIAL IN 8"
X 12' TRENCH
4`-8" QUARRY
I . M
NOTE: ANGLE SILT FENCE BACK UP THE E GEO-TEXTILE FABRIOmJ _�DE FULL WIDTH
SLOPE AT THE END OF RUN. �Ji SS/EGRESS AREA
— - 4 N S/r�
BACKFILL "TH NATIVE SOIL MAT:R'A1 12" MIN. THICK E
OR GRAVEL BACKFILL IN TRENCH AND
ON BOTH SIDES OF FENCE
FABRIC 00 THE SURFACE
' - f6WiiEk6EPii bft�lh SMALL Ai6BNTs'6F
REASON: DISTURBED AREAS DURING CONSTRUCTION. TO
SYMBOL:
TESC GENERAL NOTES
STA131UZED ACCESS SHALL BE USED IN ALL AREAS OF THE SITE NTH VEHICLE TRAFFIC AND PARKING,
INCLUDING PLANTING STRIPS, OTHER MEANS OF PROVIDING STABILIZED ACCESS WILL BE CONSIDERED.
�EA SON—ro
PUBLIC ROADS BY MOTOR VEHICLES OR RUNOFF.
1. From October 1 to April 30, no soil shall remain unstabilized for more than 2 days. From May 1
to September 30, no soils shall remain unstabilized for more than 7 days. Stabili2e all soils, including
stockpiles that are temporarily exposed. Use one of the following to temporarily stabilize soils,
including stockpiles: E1.10 Temporary Seeding & Mulching, E1.15 Matting/Rolled Erosion Control
Products, E1.20 Plastic Covering.
2. After construction but before project is considered completed, permanently stabilize all exposed
soils that have been disturbed during construction.
3. Use E3.10 Filter fence to prevent the transport of sediment from the site
STRAW MULCHING*.
1. FOR AREAS OF SITE WITH LESS THAN 30% SLOPE,
2-3 BALES OF STRAW EQUALS 2-INCHES OF
STRAW MULCH OVER 1000 SQARE FEET.
2. MULCH SHALL BE WEED FREE STRAW.
NAME
... ........
...............
. . . . . . . . . . . . . . . . . . . . . ..
PROPORTIONS B�T
.... ....................................
..................................................
7 PURITY
.............................
% GERMINAIION
REDTOP (AGROSnS AUM)
101
2
4,
22
ANNUAL RYE (LDUUM MULIIFLORUM)
Z 5,
B
o.
CHEMNGS FESCUE (FEIUCA RUBRA COMMUTATA)
40%
97
1 80
WHITE DUTCH CLOVER (TRIFOLIUM PEPENS)
40%
96
1 90
TO PROVIDE TEMPORARY SOIL STABILIZA ON BY PLANTING GRASSES AND LEGUMES TO AREAS THAT WOULD
REASON: REMAIN 13ARE FOR MORE THAN 7 DAYS TWIHERE PERMANENT COVER IS NOT NECESSARY OR APPROPRIATE
SYMBOL:
PLASTIC COVERING STOCKPILES E1.20
NCHOR WEIGHTS WITH STAKES
TRAW WATTLE
10' MAX. IL BERM
AW BALES
ONVEY RUNOFF TO APPROVED LOCATION.
CUT SLOPES
BURY SHEETING IN 4 IN. X 6 IN. TRENCH OHIO To
MINIMUM F 8 FT. SETBACK FROM TOP 10' MAk
SLOPE? BACKFILL NTH WASHED ROi M �� APPROVED LOCA�ION.
PROVIDE ENERGY DISSIPATION AT TOE WHEN N
TOE IN SHEETING IN 4 IN. X 6 IN. TRE:D.
MINIMUM OF 3FT. SETBACK FROM BOTTOM
K.
OF SLOPE. B/CKFILL WITH, WASHED
CONVEY RUN07F TO APPROVED LOCATIO
TO PROVIDE IMMEDIATE TEMPORARY EROSION PROTECTION TO SLOPES AND
REASON: DISTURBED A3FAS THAT CANNOT BE COVERED BY MULCHING & MATTING
SYMBOL: +- �-c
1 10' MAX.
3! MIN.
COVER
4. Prevent sediment from entering all storm drains, including ditches that receive.runoff from the
disturbed area, by installing storm drain inlet inserts, using sandbags and vocuumng sediment from
impervious surfaces.
5. Provide periodic street cleaning by sweeping or shoveling any sediment that mat have been
tracked out. Place sediment in a suitable disposal area where it will not erode aglin. E2.10
Construction Access.
6. Inspect and maintain required erosion controls to ensure continued performanc( of their intended
function.
7. The contractor shall employ emergency measures to remove sediment from paed surfaces, as RECEIVED
needed . Street sweeping shall be considered an emergency measure and not a baiic component of
the TESC system. Sediment tracked onto paved surfaces shall not be washed intostorm drains or APR 0 2 2019
other utility inlets. BUILDING
HOME TECH
4946 131 ST PL SE
BELLEVUE, WA
(206) 778-2431
/4/2019
32229
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REVISIONS DATE
DESIGN:
Y. S.
DRAWINGi
H. H.
CHECKi
Y. S.
DATE,
MAR 4, 2019
SCALE:
AS SHOWN
SHEET:
D2