17-104585 •
Building - Single Family
City of Federal Way Permit #:17-104585-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: WILSON
Project Address: 29826 4TH AVE SW Parcel Number:720500 0200
Project Description: REP-Underpinning of existing residential building to stabilize the foundation.No Plumbing or
Mechanical.
Owner Applicant Contractor Lender
ANTHONY MARK WILSON " MATVEY1 FOUNDATION REPAIR MATVEY FOUNDATION REPAIR OWNER IS LENDER
29826 4TH AVE SW 1912 S 146TH ST 1912 S 146TH ST
FEDERAL WAY WA SEATAC WA 98168 SEATAC WA 98168
98023
•
Census Category:434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) _
Additional Permit Information
Mechanical to be Included? No Number of Stories 1
Is this an Online or O.T.C.application? No Plumbing to be Included? No
Total Valuation: 13,900.00
CONDITIONS:
Special inspections required; provide inspector's report on-site at final inspection
PERMIT EXPIRES Saturday,7 April,2018
Permit Issued on Monday,October 9,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: , Date: I ro f a I\1
TRIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 104585 00 Address: 29826 4TH AVE SW
Project: MARY LAURA WILSON FEDERAL WAY WA 98023-3513
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El SWM Precon Site Mtg(4400) ] Initial Erosion Control(4365) 1:1 Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date r4By Date ��By Date
•
® Foundation Wall(4115) El Drainage/Downspout(4040) ® Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date �By Date Ally Date
.
0 Underfloor Framing(4285) ® Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor { Approved to install flooring Approved to install siding
By Date By Date By Date
Eo Roof Sheathing(4220) ! In Fire/Draft Stops(4095) Q Interim Erosion Control(4370)
Approved to install roofmg Approved Approved
By Date �`By Date By Date
• Prior to scheduling a Framing inspection; 0[
Framing(4120) 14 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop Inspections must be signed-
off and approved. IBC 109.3.4 , Date By Date
Gypsum Wallboard Nailing(4130)
't s ® Final Erosion Control(4375) El Final-Building(4050)
Approved to install mud&tape Approved ' Approved
a
,By Date By Date 1` `"� C Date i b
0 Rough Electrical D Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
r 1 r
5FA DeSIgn Gro , fu.c
STRUCTURAL I C
CML I LAND USE PLANNINGupI SURVEYING
9020 SW Washington Square Dr.,Suite 505-Portland,OR 97223
Sii
1813 Rutan Dr.,Suite C-Livermore,CA 94551
P:(503)641.8311 F: (503)643-7905
www.sfadg.com
Special Inspection
FINAL SUMMARY REPORT
October 13,2017
Federal Way
Building Services
ATTN: Special Inspections
RE: Project Name: Wilson Residence Underpinning
Project No.: MFR17-073
Permit No.: 17-104585-00-SF
Address: 29826 4th Ave. SE,Federal Way,WA 98023
Dear Building Inspection Division:
This letter serves to certify that in accordance with Chapter 17 of the International Building Code requirements
outlined in the General Structural Notes on S1.1 of the approved permit drawings, SFA Design Group,LLC has
performed special inspection as detailed below.
The inspector observed the installation of FSI PP288 push piers,verifying pier locations,installation depth,
installation pressure,bracket type,pier type,pier diameter and thickness. To confirm pier capacity,load tests
were observed following installation and the results were within approved allowances. Please see attached field
installation logs and load test data dated, 10/13/17. All anchors were installed per the intent of the design and any
installation deviations were reviewed and approved by this office with no outstanding non-compliance items.
Our inspection and testing services do not constitute a warranty or guarantee of any type and were provided and
intended to help reduce the risk of construction defects,deficiencies or omissions that may arise during and after
construction.It is the contractor's responsibility to perform their work in accordance with the approved
construction documents.All inspections and tests were performed and reported according to the requirements of
the City Building Regulations and these Administrative Rules and,to the best of my knowledge,the work was in
conformance with the applicable workmanship provisions of the State Building Code and Standards.
Sincerely,
l
Keith Caylor41 t��_
Operations Manager—SFA Design Group * V� "
Cc: Tara Todd,Matvey Foundation Repair
Reviewed by: Jeff Fitch,PE,P.Eng,SFA Design Group,LLC °_'- . ..
RECEIVED
` PERMIT APPLICATION
mt
,I,y of :. '� � ` 017
sw r SES PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607+FAX 253-835-2609+perrniteenlertiic:ityoffedercilwat.cow
,
GIN c, rtD
..:PAL.WAY
COMM UP I T 'UEVE:OPMc NT
PERMIT NUMBER ' 1 _ ' 0 9 5 Y5 _ V F TARGET DATE 1 0 / 2- 1 ' -)
SITE ADDRESS SUITE/UNIT# 7
29826 4th Ave SW, Federal Way 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 13,900 RS9.6 7 2 0 5 0 0 _ 0 2 0 0
TYPE OF PERMIT XBuniuNo 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Wilson Residence
Installing pin piles underneath the existing single family home to stabilize
PROJECT DESCRIPTION the foundation per Engineer Drawings. No additions. remodels or new construction.
D::tailed description of work .o
be included on this permit only
NAME PRIMARY PHONE
Anthony&Mary Wilson 253-839-0496
PROPERTY OWNER MAILING ADDRESS E-MAIL
29826 4th Ave SW amwilson.wilson@mindspring.com
CITY STATEZIP
Federal Way WAI 98023 —
NAME Matvey Foundation Repair-Matt Cote 253 327-1650 1
MAILING ADDRESS E-MAIL
CONTRACTOR 1912 S 146th St matveyconstruction@hotmail.com
CITY STATE ZIP FAX
Seatac Wa 98168 n/a
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Matveci991cb 09929/17/ 2017-101757-00-BL
NAME PRIMARY PHONE
Matvey Foundation Repair-Tara Todd 253-680-9200
1
APPLICANT MAILING ADDRESS E-MAIL
1912 S 146th St permits@matveyfoundationrepair.com
CITY STATE ZIP FAX
Seatac Wa 98168 _
NAME PRIMARY PHONE
PROJECT CONTACT Tara Todd 253-680-9200
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1912 S 146th St permits@matveyfoundationrepair.com
concerning this application) CITY STATE I ZIP FAX
Seatac Wa 98168 n/a
NAME
PROJECT FINANCING lR OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as part of this applicatio
&*/ �
SIGNATURE: A / DATE d
PRINT NAME: LA /y 1'A W l tS On')
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
'--! VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 0
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing factures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas) •
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 0
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
' CRITICAL AREAS ON PROPERTY? j WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
No Lake Haven Water&Sewer I Lake Haven Water&Sewer $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Single Family/Res Use 10,062 ❑Yes X No ❑Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home) 0
COVERED ENTRY 0
DECD q � � a ffi lr
GARAGE ❑ CARPORT ❑ 0
(deb's
�
. ,,,
EXISTING PROPOSED TOTAL
Area Totals 0
ESTIMATED SELLING PRICE$ _ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
,,.{ �,� ....e... .\...r_. -. .. �;r... ..,..> '...... .. .... ... �.,.a ., ,.,.,. ,d Y _ ,ZD--keiVA
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
' £ t ✓ v :r e v 'r� 3�'°zx`2Cf �✓ `\�,,,. _ f_: i \ _ i y, y
TOTAL Btpx .,
TENANT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application