12-102800 0 litilLIF .
wilding - g1e•Family
,
City of FederalWay Permit #: 12-102800-00-SF
Community&Econ.n.D II ev.Services
33325 8th Ave S
Federal Way,WA 98003s Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: MARTIN
Project Address: 30102 4TH AVE S Parcel Number: 052104 9155
Project Description: REP-Foundation settlement repair
Owner Applicant Contractor Lender
CAROLYN F MARTIN AQUEOUS SOLUTIONS INC AQUEOUS SOLUTIONS INC CAROLYN F MARTIN
30102 4TH AVE S 4585 S 314TH PL AQUEOS*9610S(10/14/12) 30102 4TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 4585 S 314TH PL FEDERAL WAY WA 98003
FEDERAL WAY WA
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.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Plumbing to be Included") No
Zoning Designation. RS 9.6
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, February 24, 2013
Permit Issued on Tuesday, August 28, 2012
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: :/(9 el/1 R
q it
P(t111(Uolil) /11
` THIS CARD IS TO MAIN ON-SITE ' • t
CITY OF
ismAtt
0 Construction In ection Record ,._
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-102800-00-SF Address: 30102 4TH AVE S
Project: CAROLYN F MARTIN FEDERAL WAY, WA 98003-3673
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) El Initial Erosion Control(4365) Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
0 Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4
El Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
o Final Erosion Control(4375) ' Final-Building(4050)
Approved Approved
By Date By Date
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
i •
G E O Group Northwest, Inc• Geotechnical Engineers.Geologists
&Environmental Scientists
September 7, 2012 G-3313
Ms. Maria Ramirez
Aqueous Solutions, Inc.
4585 South 134th Pl.
Tukwila,Washington 98168
Subject: Final Geotechnical Inspection Letter
Martin Residence Underpinning
30102-4th Avenue South
Federal Way, Washington
Wade Lassey from GEO Group Northwest, Inc., monitored the underpinning of the above subject
residence. The northwestern portion of the perimeter foundation of the house had settled up to
approximately 3 inches due to an organic soil layer in the subsurface. A total of twelve push
piers were installed by Aqueous Solutions,Inc.,to stabilize and relevel the settled portion of the
perimeter foundation of the house. The push pier log and the pier location plan are attached.
Based on our observations, the piers were properly installed and are acceptable.
Please contact us if you have any questions.
Sincerely, t Wasy�
GEO GROUP NORTHWEST,INC. '�•f•'
.02(0 4, - ---
Wade J. Lassey e%✓ i116 °4
Engineering Geologist Ge°\ '
,, sYQ Wade J. Lassey
Si
William Chang, P.E. ~ Q
Principal 9 gym
13240 NE 20th Street,Suite 10 • Bellevue,Washington 98005
Phone 425/649-8757 • Fax 425/649-8758
•
• •
Field Rep. Job No. Report No.
G(:,(-) Group Northwest, Inc. W.Lassey G-3313 /
Geotechnical Engineers,Geologists,& Contractor Page No
Environmental Scientists
Aqueous Solutions,Inc. / of /
Permit No. Project Name&Location
12-102800-00-SF Martin Residence,30102-4th Avenue South,Federal Way,WA
Pier Information: Psi to Driving Force Conversion Dates of Pier Installation
Foundation Supportworks,Model 288 Push Piers Equivalent Lbs.= q/S//Q -
2.875"OD,Galvanized Steel Pipe _ (Final Pressure,psi)(9.62) 9/ro//„2.
PUSH PIER LOG
Length uiv.
Pier PierLocation Before Cut-Off Total Length Allowable
Equiv. Allowable Bracket Pile
No. Cut-Off Pressure Lbs. Completed Accepted
Capacity
_ (ft) (ft) (ft) (psi) (lbs) (tons) YIN Y/N
Akar J mu id..7}oti tcJ..l l i r r
/0 6's .-f N��..,�Y �,z" 1- /: y. s. = v coo /1/,y.10s 7, z I Yes tits
--I
/VD,f`h Po,,..lschos, Zt.)aH_ , I a Ir
r r
X021 a•E .1 ,4'W G'ar.«,- 1 7 -Z" 1 71- Z" ,000 : 914261 1 /.8 1 yes ! ilex
I Altst- 14.14.J/ 1 I 1 i
p 1 /41 'S .-F Nwl aortic', 7-2" - ifs" a--9"r moo
9,62.01 "48 1 'Maes { yes
�l..fi. 1,00-11 _ i
a. 7-Z" I 0 " /'foo /J,*8 G• 7 I lies '/as
/O a i Ill ta,l ee ewie r I 7"Z �_ I
I
/3=2." E of 4iJ Co.hkw 1 /d-2 — 2 1 f- Z /boa { /3,.fin= 7."1 if,, 1 lies
I Nee n, Wed' I a I I
3 1 6 ' E vF N1,)Corwrr I /3 '-Z";- t-7" 11,-'1" 264001 /1,01%, 9. G Ve4 yes
, I
NAL 474— t✓a,l 1
//
.../.' S o•P Alt.) CorMLr 71-2"i --- 8 a• 4'-fie"a !zee ill rii, I S. } yes es
1y
6Jast kt/a.// / ) 6 r r
9 /o 'S e-F A J Cerner 7 2" ; - /LS••i r -r] 42.00 ///-5 >r7 1 s-8 1 V� 1 VeS
I 1 I i I 1 r r
West Wall w r Y
'1 -2 -- 2' S"-Z," /'e' 1/o,.r'z -S 3 e t yet
eZO=�� S ossa l�t.f Cerner i
, ,
i
Wcsr Wail r r a
171 .2r '.S' • t /ll Cal Gor tea 1 7=27 I--/.4" I S f r I f s t' /3, 468= 4,7 7 I tis s je.i
• kt)ex t ideal I i i r
" i 17'.S 0,,c Aim) C.rwe,-i yrz't ,t J , ; S=21 goo 1 7,04 $.e. ' let I yes
West- Wall r
S ay - 41 " S e.f/Vele- 7Z"1 — 10" 1.1 91 170o I 1L,3s9j I. 1 /Gs = Lice
Notes: Piers were Pvs Ile al lotto c7«sos,nd 1174r*.ss/i ea//y s...set;/ pause- tca,sN d. -* ,4
S¢strryird -Iv /i;ef (%a— h,.` ,}.,,,i lite tira/rw.eli. -f:rt.a1 /or.essure- wars
t r.
l ety4, j0,. * 7 44$4.5 "loved nortit Split-#17 to atho#Cl Side,
Set+tJe-r ripe, .
•
0 5' 10'
Approx.Scale: 1 inch=5 feet
r r r r
/ Z 3 /2
// r
/0 r
' 6
/L/o vs c 8'
7 r
i
S r
V r
PIER LOCATION PLAN
( 11 ) Group Northwest, Inc. Mar,tin Residence
Geonsaxwai Gookiaists.a 30102-4th Avenue South
Environ n ntal Scientists
Federal Way,Washington
SCALE 1"=5'+1- DATE 9!7/12 MADE WJL CHKD WC JOB NO. G-3313 PLATE 1
• A. RECEIVE - O 2 0-00
Federal Wa PERMIT vIF CO ME PL DE EN FP
�u►v 2 o zo12APPLICATION
COMMUNITY DEVELOPMENT SERVICES t� -/�1J
253wew dfl7•FAX 253-835-2609OF FEDERAL WAY ( g i
wu�u�.dtU4(Igd4!r( C2i l' � ,
CDS YYY
SITE ADDRESS SUITE/UNIT#
30102 4th Ave. S . , Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ /C?/v2-5- Rs 9• tQ 0 5 2 1 0 4 _ 9 1 5 5
TYPE OF PERMITCR BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) MARTIN
Foundation Settlement Repair
PROJECT DESCRIPTION Install FSI Model 288 Push Pier
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Carolyn Martin 253-839-2441
MAILING ADDRESS E-MAIL
30102 4th Ave . S .
CITY STATE ZIP
Federal Way WA 98003
NAME Aqueous Solutions, Inc. PHONE 206-812-1851
MAILING ADDRESS -- - EMAIL.
CONTRACTOR 4585 S . 134th P l .
CITY ukwila STATE WA168 ZIP FAX 800-219-6980
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AQUEOS*9610S 10/ 14 /12 20-12-102725-00-BL
NAME
Maria Ramirez PHoxE 206-812-1851
APPLICANT MAILING ADDRESS E-MAIL
4585 S . 134th Pl .
CITY STATE ZIP FAX
Tukwila WA 98168 800-219-6980
PROJECT CONTACT NAME PHONE
Maria Ramirez 206-812-1851
(The individual to receive and
MAG ADDRESS E-MAIL •
respond to all correspondence II°v 4585 S . 134th Pl .
concerning this application) mart Q()i2q U eou S.Sd Irhw'Isww..(,oINI
CITY STATE ZIP FAX
Tukwila WA 98168 800-219-6980
T CONTACT PHONE E-MAIL
Vi s14rlah4.011 lla 204.13101-4135I
PROJECT FINANCING NAME
CMr yj yjlCarti
5rbq/
OWNER-FINANCED
Required value of$5.000 or more
(RCW 19.27.095) MAILSTING PHONE
' /Ale 3uj�-9fU3 53- S39 .1y
y/
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 d ease of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where suc im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information su pli o h city as ar• application.
SIGNATURE: , DATE
(°//1(4211
PRINT NAME: WI i ,1 ire Z
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how man- o each .e o acture to be installed or relocated as .art o this pro'ect. Do not include existin.fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLL15 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercleq
BOILERS FURNACES HOT WATER TANKS(Gra)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(fend Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(E)ecmc)
HOSE BIBBS SUMPS WASHING MACHINES *OM AL
..�. v ..u. x_. '.,,sl..d.. , :s ,.. ...� ,°..> d�a �6" 1,
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
W A+er 06-ty;c f Pub1 t $
EXISTING/PREVIOUS USE 1� LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
13, 429- ❑Yes❑ No ❑Yes X No
'�.,.."°"y.D -„•?�s.,3?a..,. �>r .,E ;^� � .... .a,....�....,..-_ ,<e _: ,,... a..3..--.a_, r i,,....�.r u, .su„,+.,<a _">.,. ,. .... _ .s
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home) D
COVERED ENTRY 111111111
o
GARAGE CARPORT ❑ I W0 ....................._...__....— --.._.._.._..._.._.__._......_.._._............_......_............ ....
MEM
•: -ate .�� �� ��'�� � �' - ,� ................._..........._...-..-_-_...._._....___....._...._.__..._...._........._...._...._.................. .
,:.%� °fit, {'•-�, .�=i r 'r� �-', �..
Area Totals 'OD NNW.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S•uare Feet •e Stories
ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in '•uare Feet j•e Stories
- < :& ' :- '".'� '' s r . 'E•��( Kia
TENANT AREA ONLY
Elk.1:45>i, a' , �, n? ..,....... .»...`...,?5,w�,�„>�,i ,°ea .e ,.,. ;�k...i-,...»,.„a-.,...,.km.,,,,�'. .« .,u.,.a,..,, , ..5 :.
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application