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10115 EDMONDS WAY.PDFiiiiiiiiiiiiii11088 10115 EDMONDS WAY I12c. 1SC CITY OF EDMONDS 121 5th AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 www.edmondswa.gov DEVELOPMENT SERVICES DEPARTMENT March 29, 2012 US Bank PO Box 1800 Saint Paul, Minnesota 55101-0800 Re: Performance Bond Account Number 2 535 5044 8265, Gourmet Latte/Bresheare at 10115/10111 Edmonds Way, Edmonds WA Dear Sir or Madam: DAVE EARLING MAYOR The City of Edmonds hereby authorizes the release of $383.00 from the above referenced Performance Bond. All interested City departments have approved the release of the Performance Bond. Sincerely, L�NZ ��rnso Senior Permit Coordinator Cc: Applicant File UTemp/DST's/MasterLetters/ReleasePerformance02/01 • Incorporated August 11, 1890 • Sister City - Hekinan, Japan bank. P.O. Box 1800 Saint Paul, Minnesota 55101-0800 3334 TRN Y ST01 Business Statement Account Number: 2 535 5044 8265 Statement Period: Dec 26, 2011 through Jan 26, 2012 Page 1 of I 000603368 1 AT 0.374 106481445979928 P TIMES SQUARE ANTIQUE & CRAFT To Contact U.S. Bank CITY OF EDMONDS PERFORMANCE BOND 24-Hour Business HELD UNTIL WRITTEN AUTHORIZATION. 19755 35TH AVE NE Solutions: 1-800-673-3555 LK FOREST PK WA 98155-2e 17 Telecommunications Device for the Deaf. 1-800-685-5065 Internet: usbank.com membei BASIC 'BUSINESaSAViNu ... .... . FDl ..... ............ .. .. . ....... .. ..... ........ U.S. Bank National Association Account Number 2-535-6044-8265 Account Summary Beginning Balance on Dec 26 456.35 Numberof Days in Statement Period 34 Ending Balance on Jan 26, 2012 456.35 JI 117 '57o /0 4 j M fil ry CIONSTPLICTION PCHMIT APPLICJ�Tlot4 N, i 41 ".7 - /A/ ""I" (7 1: U PROGRESS INSPECTIONS PER UBC 100 7. FINAL INSPECTION REQUIRED ILI", j rj r"f pm Plan Chec� No. woc-ty 0?41. . ......... . �j f �m--tnm�ma wow F CALL F 0 V. ATTENTION I NS F! E C T I ON 1-022 0 Scope of Work for parking lot at 10117 Edmonds Way Edmonds, WA 98020 * Demolish and remove the coffee kiosk building including all miscellaneous items attached within. * Remove the concrete curbs and patch the pavement to match the surrounding area. The pavement will be in filled to match the grade of the existing surrounding pavement. * Disconnect and cap off any and all utilities that are present at the location per local codes. * The parking lot drainage will remain per the existing conditions. * The existing angled parking stalls against the building are 16'9" x 10'. All new angled parking stalls will match this existing condition. AUG 7 P, wq BUILDIN(j DEPT. ASBESTOS SURVEY FOR DEMOLITION LOCATION: COFFEE RETAIL LOCATION 10117 EDMONDS WAY EDMONDS, WASHINGTON STREET FILE REPORT DATE: AUGUST 11, 2008 FORENSIC ANALYTICAL PROJECT NO: PJ6291 PREPARED FOR: MR. MIKE MAGILL GRAHAM CONTRACTING LTD. 3' AVENUE NE, SUITE 300 SEATTLE, WA 98115 JONATHAN CURTIS, RICHARD W. CARLIN Forensic Analytical Consulting Services, Inc. Portland Office 17400 SW Upper Boones Ferry RD, Suite 245 Durham, OR 97224 503-595-1001 TABLE OF CONTENTS 1. INTRODUCTION 2. FINDINGS 3. RECOMMENDATIONS 4. METHODS 5. LIMITATIONS 6. COMPLETE SAMPLE INVENTORY APPENDICES APPENDIX A: LABORATORY REPORTS AND CHAIN OF CUSTODY FORMS APPENDIX B: GLOSSARY OF TERMS APPENDIX C: INSPECTOR ACCREDITATION GRAHAM CONTRACTORS LTD AUGUST 11, 2008 FORENSIC ANALYTICAL PROJECT #PJ6291 1.0 INTRODUCTION ASBESTOS SURVEY INTRODUCTION PAGE 1 OF 2 Forensic Analytical Specialties, Inc. performed an inspection to identify asbestos -containing building materials at the property located at 10117 Edmonds Way in Edmonds, Washington. Jonathan Curtis conducted the field investigation on August 8, 2008 at the direction of Mike Magill of Graham Contracting Ltd. The purpose of the inspection is to determine whether ACM is present in the structure onsite. The subject property consists of a single story coffee retail store. This report presents the results of the asbestos inspection conducted by Forensic Analytical Consulting Services, Inc. for the above referenced project. Results of the inspection are summarized in the table under the Findings section below. A detailed laboratory report and chain of custody forms are presented in Appendix A. A glossary of terms is presented in Appendix B. Copies of the inspectors credentials are contained in Appendix C. 2.0 FINDINGS Asbestos was not detected in any of the samples submitted to the laboratory. 3.0 RECOMMENDATIONS Materials for which sample analysis by PLM results in greater than one percent asbestos (for any one sample collected from a homogeneous material) are classified as ACM under regulations promulgated by, but not limited to, the following agencies: federal EPA and federal OSHA. Regulatory agencies use the following definitions: Federal EPA: materials containing greater than one percent asbestos are ACM Federal OSHA: materials containing greater than one percent asbestos are ACM For detailed regulatory requirements in specific situations, Forensic Analytical should be consulted, or the applicable regulations should be examined. 4.0 METHODS Materials suspected of containing asbestos were sampled in accordance with the federal EPA AHERA protocols. Materials determined by the inspector to be non -suspect, such as wood, metal, glass, and fiberglass insulation, were not sampled. Destructive sample techniques were not used during the inspection. Additional suspect building materials may be present in areas that were inaccessible, unsafe to inspect, or obscured from view during the inspection process. Suspect materials were grouped and classified as homogeneous materials based on their appearance, usage, and age of the building. Representative samples of each homogeneous material were collected for laboratory analysis. Samples were collected in such a manner as to minimize release of the material into the surroundings. Material type, sample number, sample location and other pertinent information were recorded at the time GRAHAM CONTRACTORS LTD ASBESTOS SURVEY AUGUST 11, 2008 INTRODUCTION FORENSIC ANALYTICAL PROJECT #PJ6291 PAGE 2 OF 2 of sampling. Each sample was placed in a sample container labeled with a unique sample number and submitted to Forensic Analytical's NVLAP-accredited laboratory for analysis under chain of custody documentation. Samples were analyzed in accordance with EPA Method 600/R-93-116, using PLM with dispersion staining and using visual area estimation to determine percent asbestos content. This method allows for the identification of the primary types of asbestos used in building materials. The lower limit of detection for this method is one percent. Samples containing less than one percent asbestos by PLM with visual area estimation are reported as Trace. 5.0 LIMITATIONS Forensic Analytical did not inspect subsurface areas for asbestos. ACM such as underground waterproofing coatings, asbestos -cement water pipe, electrical ducts, or other subsurface materials or equipment may be present beneath the site. Forensic Analytical did not disassemble building equipment; such as fans, ducts, and electrical equipment. Consequently, equipment may contain untested gaskets, internal components, overspray of building materials and the like. If the aforementioned materials or any other untested suspect materials are encountered during construction, demolition or maintenance activities, they should be assumed to be asbestos -containing materials and not disturbed, unless sampling and analysis of the materials proves otherwise. Forensic Analytical has performed this asbestos sampling in accordance with generally accepted methods and practices of the profession, and consistent with that level of care and skill ordinarily exercised by reputable environmental consultants under similar conditions and circumstances. No other representation, guarantee or warranty, express or implied, is included or intended in this asbestos inspection report. 6.0 COMPLETE SAMPLE INVENTORY ID Analytical Material Description Sample Location(s) Number(s) Estimated Results Condition for Samples Quantity (Percent Analyzed Asbestos Floor Tile, 12" x 12" Blue w/ streaks and SW comer PJ6291.01 - ND - Yellow Mastic Floor Tile, 12" x 12" Blue w/ streaks and Under bathroom door PJ6291.02 - ND - Yellow Mastic Wallboard and joint compound SW corner PJ6291.03 - ND - Wallboard and joint compound SW comer of restroom PJ6291.04 - ND - 4" gray base cove with yellow baseboard East wall outside of the PJ6291.05 - ND - mastic restroom Black vapor barrier On roof, above east PJ6291.06 - ND - window Black composite shingle On roof, above east PJ6291.07 - ND - window ND — None Detected j f-a I W ,mil ....... LABORATORY ANALYSIS REPORTS AND CHAIN OF CUSTODY RECORDS Forensic Analytical Final Report .Dulk Asbestos Analysis (EPA Method 600/R-93-116, Visual Area Estimation) Forensic Analytical Consulting Svcs Client ID: PE21 Richard Carlin Report Number: B115740 17400 SW Upper Boones Ferry Rd Date Received: 08/11/08 Suite 245 Date Analyzed: 08/11/08 Durham, OR 97224 Date Printed: 08/11/08 First Reported: 08/11/08 Job ID/Site: PJ6291; Asbestos Survey for Demolition Graham Contracting Ltd 10117 FAST Job ID: PE21 Edmonds Way Edmonds WA Total Samples Submitted: 7. Date(s) Collected: Total Samples Analyzed: 7 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer PJ6291-01 10785638 Layer: Blue Tile ND Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos (ND) Cellulose (Trace) PJ6291-02 10785639 Layer: Blue Tile ND Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos (ND) Cellulose (Trace) PJ6291-03 10785640 Layer: Off -White Drywall ND Layer: White Joint Compound ND Total Composite Values of Fibrous Components: Asbestos (ND) Cellulose (20 %) PJ6291-04 10785641 Layer: Off -White Drywall ND Layer: White Joint Compound ND Total Composite Values of Fibrous Components: Asbestos (ND) Cellulose (20 %) PJ6291-05 10785642 Layer: Grey Non -Fibrous Material ND Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos (ND) Cellulose (Trace) PJ6291-06 10785643 Layer: Black Felt ND Total Composite Values of Fibrous Components: Asbestos (ND) Cellulose (99 %) 1 of 2 3777 Depot Road, Suite 409, Hayward, CA 94545 / Telephone: (510) 887-8828 (800) 827-FASI / Fax: (510) 8874218 Report Number: B115740 Client Name: Forensic Analytical Consulting Svcs Date Printed: 08/11/08 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer PJ6291-07 10785644 Layer: Stones ND Layer: Black Tar ND Layer: Black Felt ND Layer: Stones ND Layer: Black Tar ND Layer: Black Felt ND Total Composite Values of Fibrous Components: Asbestos (ND) Fibrous Glass (45 %) Comment: Bulk complex sample. Q014-44J" James Flores, Laboratory Supervisor, Hayward Laboratory Note: Limit of Quantification ('LOQ') = 1%. 'Trace' denotes the presence of asbestos below the LOQ. 'ND' ='None Detected'. Analytical results and reports are generated by Forensic Analytical at the request of and for the exclusive use of the person or entity (client) named on such report. Results, reports or copies of same will not be released by Forensic Analytical to any third party without prior written request from client. This report applies only to the sample(s) tested Supporting laboratory documentation is available upon request. This report must not be reproduced except in full, unless approved by Forensic Analytical. The client is solely responsible for the use and interpretation of test results and reports requested from Forensic Analytical. This report trust not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. Forensic Analytical is not able to assess the degree of hazard resulting from materials analyzed. Forensic Analytical reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified All samples were received in acceptable condition unless otherwise noted. 2 of 2 3777 Depot Road, Suite 409, Hayward, CA 94545 / Telephone: (510) 687-8828 (800) 827-FASI / Fax: (510) 8874218 Forensic Analytical BULK SAMPLE REQUEST FOB Page of Client: �jb({q,r,l G•af1�Wc..�ac Sampled by. )SL PM: Jon Curtis Date: ell oa e8 Contact: f4 iN1% Phone: Special Instructions: f 6ttAS Site: 9 /.®/! 7 �+wf►teit GJat. y t5z7.•randsr w/� �-My -2-Oay 3-Day Turnaround Time: 5-Day Otbex Due 1 &Tim �% Client No.: FACS Job#: pJ(29 l Analysis: f ang / Point Count / Flame AA (Pb) / Other. Semple Number Material Description Sample Location Friable Coed. Quantity 01 PJG 1 V' 64e- F7 `%/ Y�l/o�.. FTC''/ f•�uar.....- /PJAtf/_ o6 1 f,...a,c(,, "pf'°t'.4 � •v-- /✓ .. C� _?J—U "j 3Uv 0 - If rr� `'?i i �ll•w i —to" RIi-Wat2..W' X-laae Caipaua rr-Fk-T* FTM-r—T&M.,& BAM.Ae IMmr PA" C,-At RSi • Faircr S!m floava CT - CtW Tile SRAM - Spep-AMWAoeeelal MaeriU WT • WaS Tome YalNa Frt/hp, Shipped via _FedEx Abberne UPS U$ Moil Carrier =DropOQ other Relinquished by; � ZZ - _ Dole di Time. ✓ r'7� d 8 Rec iNrd by: Oatt A row: Obqt.Won meptabic 6 N. lip iiiii GLOSSARY OF TERMS GLOSSARY OF TERMS ACM: Asbestos containing material. AHERA: Asbestos Hazard Emergency Response Act of 1986. AHERA Building Inspector: A person who has successfully completed the training requirements for a building inspector established by EPA Asbestos Model Accreditation Plan; Interim Final Rule (40 CFR Part 763, Appendix C to Subpart E, 1.6.3) and whose certification is current. AHERA Project Designer: A person who has successfully completed the training requirements for an asbestos abatement project designer established by EPA regulations (40 CFR 763.90(g)) and whose certification is current. Asbestos: Chrysotile, amosite, crocidolite, tremolite, anthophyllite, actinolite and any of these minerals that have been chemically treated and/or altered. This includes suspect and/or presumed ACM. Asbestos Containing Material (ACM): Any material containing more than one percent asbestos. Asbestos Inspection: A written report describing an inspection using the procedures contained in EPA regulations (40 CFR 763,86) to determine whether materials or structures to be worked on, renovated, removed, or demolished (including materials on the outside of structures) contain asbestos. Authorized Person: Any person authorized by the employer and required by work duties to be present in regulated areas. Chain of Custody: Legal documentation that follows samples from collection to the laboratory indicating who has been in possession of the samples. Competent Person: A person capable of identifying asbestos hazards, selecting appropriate control strategies and having the authority to take prompt corrective measures. Additionally, for Class I and Class II work, one who is specially trained in a training course meeting the criteria of EPA's Model Accreditation Plan (40 CFR 763) for project designer or supervisor, or its equivalent and, for Class II work, who is trained in an operations and Maintenance O & M Course developed by EPA (40 CFR 76392 (a) (2)). Contractor: The asbestos abatement contractor. EPA: United States Environmental Protection Agency Friable Asbestos Containing Material: Asbestos containing material that can be crumbled, pulverized or reduced to powder when dry, by hand pressure. High -Efficiency Particulate Air (HEPA) Fitter: A filter capable of trapping and retaining at least 99.97 percent of all mono -dispersed particles of 0.3 micrometers in diameter. Intact: ACM that has not crumbled, been pulverized, or otherwise deteriorated so that its no longer likely to be bound within its matrix. LF: Linear feet NESHAPs: National Emission Standard for Hazardous Air Pollutants, 40 CFR part 61. NVLAP: National Voluntary Laboratory Accreditation Program OSHA: United States -Department of Labor - Occupational Safety and Health Administration Owner: The legal entity, including a lessee, which exercises control over management and record keeping functions relating to a building and/or facility in which the abatement activities described in this document take place. Owners Representative: A person authorized by the Owner to act on the Owners behalf. PLM: Polarized Light Microscopy Presumed Asbestos Containing Material (PACM): Thermal system insulation and surfacing material found in buildings constructed no later than 1980. The designation of a material as PACM may be rebutted through PLM analysis of samples obtained by certified inspectors. Removal: All operations where ACM and/or PACM is taken out or stripped from structures or substrate, and includes demolition operations. Sq. Ft.: Square feet Surfacing Material: Material that is sprayed, troweled -on or otherwise applied to surfaces. Suspect ACBM: Material that is suspected of containing asbestos that has not been sampled and analyzed for asbestos content. Thermal System Insulation: ACM applied to pipes, fittings, boilers, breaching, tanks, ducts or other structural components to prevent heat loss or gain. r1 T ACCREDITATION a ,-r �r-� 'iA'r.'.''.:-%'i' A.-'�:`+wr:s: .;.. r.A -t- .-.`,;.Yti "ram- •'C:r' .,-y. - :�.�+ .w, -y;y'•;� .d••,+;=3-��,: ,',•.:;;;,k. 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'•� y, }..� :c 1i'•'d r� � �; �• •'v q•�•r,•;z �`,'•• �� i ., � • ` •J� r �. ;..•'.:-•.,. v "" ,,� v ,� 'y .3 ,'.�,.w�n a.,. �„ .e _:�: Syr, w;-•..* "5 s.:;,--,=` :r'• � �.:�� " -^..... a a_ •^,. - a:R• ..+�x,..�,..rt tea. �• �, � .�• '•c.:.,':;yy,�k u•;: � �',..1•':� i cr, gRUK^. geaernro LITHC IN U.5 A v`p o ►o 0 te Completion This is to certify that Rfl"chard W,, Carlin I has attended and successfully completed the requisite training for accreditation under TSCA Title II, Part 763, Subpart E, Appendix C of 40 CFR EPA AHERA (Asbestos Hazard Emergency Response Act), and ASHARA Model Accreditation Program requirements for AHERA INSPECTOR REFRESHER as presented by Bureau Veritas North America, Inc. 4-e .w� Allen George s 9n INSTRUCTOR Course Date: 01/22/08 r e 2 a Certification# 08-1004�� Certificate Expiration Date: 01121109: 3800 NE Sandy Boulevard, Suite 101, Portland, Oregon 97232 - (971) 244-1200 - fax (971) 244-1209 - - - ------- ------- - ------ ­ --- ---- . ....... . 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