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11-101708 ' ilding - Single Family City of Federal Way I ' Community Development Services Permit #: 11-101708-00-SF P 0 Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050 Project Name: DESIGNED TO CARE ADULT FAMILY HOME Project Address: 32245 8TH AVE SW Parcel Number: 926492 0590 Project Description: ALT-Code inspection and verification of occupancy for adult family home.***NO CONSTRUCTION WORK TO BE DONE UNDER THIS PERMIT*** Owner Applicant Contractor Lender DARRY&REBECCA HANSON PHYLLIS HARRIS 32245 8TH AVE SW 32245 SW 8TH AVE FEDERAL WAY WA 98023 FEDERAL WAY WA 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.) 0 0 0 0 New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Mechanical to be Included? No Plumbing to be Included? No ' . a�, srrrn.« �[�, ,•,,,,,—,,,,,,,,,,„4,,,„;:.....,,,; s,x, gra; P. i, rf r.. • :.e r (es.m.s.t«'4 t. t" $0,,f. ;SYtil♦ _ y 34.,,,•;.,,,,,:.,., " k t,p,, r.%.„.•..,v3•• S .J' #�"A..'7,'-'4,..4w -,�',•�" .:,F�,st. "� 3w.s•i xrM4��4 r�.4,w�,_.r•;.rX n•1,f k PERMIT EXPIRES Monday, October 31, 2011 Permit Issued on Wednesday, May 4, 2011 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington i / and the City of Federal Way. /44)111'0% Owner or agent: i Date: b " - ) • • ..•!ir tl,,,:i •,,•0!•• r'•1•‘•,,------•-•.•••my ..,•,..-,•• P-. '..137 P..1 1 .• •':q•,'•••,1i,:' •:,44y # " •. ";;VVVii:t,,i,•,` .1 V )/..21*/V * : • c.nmr+1.1t.?1.il . IC 1AID')t4:>. „,v, • .... 4,1„..„ ) ,,,./ ' '.' •,,viY.( I • . 14:A4.. . 1 , . : 1 , Ci” ' '•'. A.1'f: - • r•A I1 l ! • , IT W . , , 1 . 1. , , :;z1 g, . , 1 iv cirty..,, . , I .„,, ,14,14, 4111 11 11 illisii ...., . A •,..t• 0..:: • 1 , 'int 11 • Air(S , ,. . • , , 1 .4 I ! i • . , . W..04.144.1,1 N6141 •4.41•41no 44) . , i •. l'.1''''? 1 ' .i.i'•,1'1 k 1 ..._ _. .... ....... ........ g,, A.:04.$ 0 4941 0. i 4 . .•1 .1 B it ‘,. gi Ciot 4/ , i 141,(21Viti 1 I it000 11,70 . ...111.......•4000••••••••••••NW.,1•100,1•••••~10' I il 0; .3 y i',4411 1 L•44. 41004wmtgair 1 I 1:. 1 i ) E '',7,"......„• ovair , 1 i i ;;,........, r,,,'a o•,1 ;., et i . ? • 3 sio ''i4" i 1141 0 1 • P. 1 , , .I 1.........J VI •••!.,, al 1." '- , (t I 0:0 Ms 1 ! , . (1 7 .sy.........1., .1'ot"?....... 4 •,•a".•:••••0...• 1,„,,,,,,,t,f, ,••, .„j ,14.0.1i•,,..1.....ifo. •••••11111•101.1.01.....•••••••••••*••••••••••*. •11: t ii:. ' V!:• 1 4. i•.;• ?•'•, INI • 1 1:'•,' - • la Now, I :' 1 rt.4geiffOrigirallattn Maar',..USW/ 111 . • i i ,R..,, g . . I ,I Ioi.4; • Wind"'/ 'Yi' tit 1 '711), CIVAAO ef R ......... I 4:,• rA 4 1 .e .••• ....,.. • .•...... ... ,... . .. .. •,.•.•. .. .. • ...,......••••• ,. . ,.... ....• . .. .. .. .,, ,.., ,.,,,,,.•,. . . . ....• . . „• ., .... .. ,,. .... .. . .....,,.. ., ... . ,...,. ..........,......,. .........••••,..•„, ,,, ., .)„.... .„:„., ,10, ....;... . .: .'",.,_'. . t ti • • . Adult Family HomtRAFH) LOCAL BUILDING INSPEcON CHECKLIST Code References: 2009 IRC Section R325(WAC 51-51) / /1 Q APPLICATION NUMBER: / �0 1�D(� SECTIONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1�- PROPERTY INFORMATION he SITE ADDRESS: 3A2-04'S — A'Lg. d W ASSESSOR'S TAX/PARCEL#: � IP y f? - C75R U 1�,,,.nn,,..SECTION 2 - APPLICANT INFORMATION PROPERTY OWNER NAME: CAOCCl .. (0I'1 son DAYTIME PHONE: El 2.5) 59) — (�I 17-%( AFH LICENSEE NAME(IF DIFFERENT): x-51 fled t Ca Ye, DAYTIME PHONE: Ca 55)P-3‘-1-1 <6 It-1 SECTION 3— FLOOR PLAN APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THIS FORM(ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS(BEDROOMS). ON THIS DRAWING. INDICATE WHICH BEDROOM IS A, B, C, D, E, AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS. RAMPS. PLATFORM LIFTS&ELEVATORS. 4- fckQd SECTION 4—DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and that I am requesting or I am authorized by the owner of the above premises to request inspection for the operation of an Adult Family Home at this location. I agree to hold harmless the jurisdiction conducting such inspections, at my request,as to any claim(including costs, expenses,and attorneys'fees incurred in the investigation of such claim), which may be made by any person, including the undersigned,and filed against the jurisdiction, but only where such claim arises out of the reliance of the jurisdiction, including its officers and employees, upon the accuracy of the information supplied to the jurisdiction as a part of this lication. . NAME/TITLE: 1 �"� `�y DATE: — '7" - ( 1 0 PROPERTY OWNER ( APPLICANT 0 LICENSEE 08101110 r .# I , (Effective July 1,2010) WAC 51-51-0325 Section R325—Adult family homes. SECTION R325 ADULT FAMILY HOMES R325.1 General.This section shall apply to all newly constructed adult family homes and all existing single family homes being converted to adult family homes. This section shall not apply to those adult family homes licensed by the state of Washington department of social and health services prior to July 1,2001. R325.2 Submittal Standards.In addition to those requirements in Section 106.1,the submittal shall identify the project as a Group R-3 Adult Family Home Occupancy.A floor plan shall be submitted identifying the means of egress and the components in the means of egress such as stairs,ramps,platform lifts and elevators.The plans shall indicate the rooms used for clients and the sleeping room classification of each room. R325.3 Sleeping Room Classification.Each sleeping room in an adult family home shall be classified as: 1. Type S-where the means of egress contains stairs,elevators or platform lifts. 2. Type NS1-where one means of egress is at grade level or a ramp constructed in accordance with R325.9 is provided. 3. Type NS2-where two means of egress are at grade level or ramps constructed in accordance with R325.9 are provided. R325.4 Types of Locking Devices.All bedroom and bathroom doors shall be openable from the outside when locked. Every closet shall be readily openable from the inside. Operable parts of door handles,pulls,latches,locks and other devices installed in adult family homes shall be operable with one hand and shall not require tight grasping, pinching or twisting of the wrist. The force required to activate operable parts shall be 5.0 pounds(22.2 N)maximum.Exit doors shall have no additional locking devices. R325.5 Smoke Alarm Requirements. All adult family homes shall be equipped with smoke alarms installed as required in Section Y T A.Alarms shall be installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon activation of a single device. R325.6 Escape Windows and Doors. Every sleeping room shall be provided with emergency escape and rescue windows as required by Section R310.No alternatives to the sill height such as steps,raised platforms or other devices placed by the openings will be approved as meeting this requirement. R325.7 Fire Apparatus Access Roads and Water Supply for Fire Protection. Adult family homes shall be served by fire apparatus access roads and water supplies meeting the requirements of the local jurisdiction. • R325.8 Grab Bars. Grab bars shall be installed for all water closets and bathtubs and showers. The grab bars effective WAC 51-51- ' 0325:Section R325—Adult family homes.date 7/1/10 shall comply with ICC/ANSI A117.1 Sections 604.5 and 607.4 and 608.3. EXCEPTION: Grab bars are not required for water closets and bathtubs and showers used exclusively by staff of the adult family home. R325.9 Ramps. All interior and exterior ramps, when provided, shall be constructed in accordance with Section R311.8 with a maximum slope of 1 vertical to 12 horizontal.The exception to 8311.8.1 is not allowed for adult family homes.Handrails shall be installed in accordance with R325.9.1. R325.9.1 Handrails for Ramps. Handrails shall be installed on both sides of ramps between the slope of 1 vertical to 12 horizontal and 1 vertical and 20 horizontal in accordance with R311.6.3.1 through R311.6.3.3. R325.10 Stair Treads and Risers. Stair treads and risers shall be constructed in accordance with 3U.7.4. Handrails shall be installed in accordance with R325.10.1. R325.10.1 Handrails for Treads and Risers.Handrails shall be installed on both sides of treads and risers numbering from one riser to multiple risers.Handrails shall be installed in accordance with R311.7.7 through R& [Statutory Authority: RCW 19.27.190, 19.27.020, and chapters 19.27 and 34.05 RCW. 09-04-023, §51-51-0325, filed 1/27/09, effective 7/1/10. Statutory Authority:RCW 19.27.074,19.27.020,and chapters 19.27 and 34.05 RCW.07-01-090,§51-51-0325,filed 12/19/06,effective 7/1/07.Statutory Authority:RCW 19.27.031 and 19.27.074.04-01-109,§51-51-0325,filed 12/17/03,effective 7/1/04.] 08101110 'r • NAME OF AFH: :De ci!voIi —z, (&tie: i c SECTION 5 MUST BE COMPLETED THE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED. PLEASE CHECK ALL APPLICABLE BOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN-USING THEIR PROSPECTIVE RESIDENT BEDROOM DESIGNATIONS OF A,B,C,D.E,AND F AND CLASSIFICATION CODE:S,NSI,OR NS2 SECTION 5- BUILDING INSPECTOR'S INSPECTION CHECKLIST R325.3 SLEEPING Room CLASSIFICATION. Each sleeping room in an adult family home shall be classified as: Type S-where the means of egress contains stairs,elevators or platform lifts to evacuate residents to public area. Type NS1-where 1 means of egress at grade level(has no stairs),or a ramp constructed compliant with R325.9 is provided to evacuate residents to public area. Type NS2-where 2 means of egress at grade level(both have no stairs),or ramps constructed compliant with R325.9 are provided to evacuate residents to public area. SLEEPING ROOMS Sleeping Room A 0 Type S j Type NSI 1_ 0 Type NS2 YES NO Closet door/s are readily openable from the inside j YES El NO 0 Smoke alarm is installed in the bedroom J' 0 Bedroom door is easily and quickly openable from the outside when locked .' 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"high; at least 20" wide) 441 ' ❑ *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS—MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maximum sill height of 44"above floor,no steps under window permitted C ❑ Sleeping Room B 0 Type S Type NSI ; _0 Type NS2 YES NO Closet door/s are readily openable from the inside YES❑ NO 0 Smoke alarm is installed in the bedroom ' ❑ _ Bedroom door is easily and quickly openable from the outside when locked I' ❑ Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"high; at least 20"wide) J' 0 *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS—MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maximum sill height of 44"above floor,no steps under window permitted 0 Sleeping Room C 0 Type S ., Type NS1 ❑ Type NS2 YES NO Closet door/s are readily openable from the inside YES❑ NO 0 Smoke alarm is installed in the bedroom . Bedroom door is easily and quickly openable from the outside when locked �' ❑ Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"high; at least 20"wide) Cr El *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS—MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted ❑ Sleeping Room D — 0 T •e S ❑ T •e NSI 0 Type NS2 Y NO Closet door/s are re-.' openable from the inside YES 0 NO 0 Smoke alai' is installed in the bedroom ❑ ❑ Bedroom door is easily a : quickly openable from the outside when locked ❑ ❑ Sleeping room window has a - opening of 5.7 SF* (minimum dimension • least 24'high: at least 20"wide) ❑ 0 *EXCEPT PER 8310.1.1:AT .U ESCAPE WINDOWS—MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maximum I height of 44"above fl•: ; no steps under window permitted ❑ 0 Sleeping Room E T •e S 0 T •- NSI _ 0 Type NS2 YES NO Closet door/s are readily openable from the insidei NO 0 Smoke alarm is installed in the bedroom ❑ ❑ Bedroom door is easily and quickly openable fro r e o• ide when locked 0 ❑ Sleeping room window has a net opening of •. SF* (minim dimensions at least 24"high: at least 20"wide) ❑ ❑ *EXCEPT PER R310.1. . TRADE ESCAPE WINDOWS—MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maxi,. m sill height of 44" above floor; • steps under window permitted ❑ 0 Sleeping • • •m F 0 T •e S 0 T • NSI 0 Type NS2 YES NO Closet door/s are readily•'enable from the inside i YES 0 NO 0 IIIIL' oke alarm is installed in the bedroom 0 ❑ Bedroom door is e-- y and quickly openable from the outside when locked ❑ 0 Sleeping roo ' indow has a net opening of 5.7 SF* (minimum dimensions at least 2'"high: at least 20"wide) 0 0 *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS—MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted 0 ! 0 GENERAL YES NO Bathroom doors are easily and quickly openable from the outside when locked ❑ ❑ _ Smoke alarms are installed on all levels of the dwelling,in each resident sleeping room, outside each separate sleeping 0 ❑ area in the immediate vicinity of sleeping rooms R3141 Smoke alarms are instaled instal-rain such a manner so that the flee warning may be audible in all parts or the dwelling upon 0 p activation of a single device. Access road and water supply meet local fire jurisdictional requirements ; 0 - ❑ 08101110 R i1..i ..,-...m-:1-,- . , - ,,,,,.,,„,„,r):# - r , Inside Ramp YES NO R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 0 0 R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp ❑ ❑ changes directions. R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1-R311.8.3.3. 0 0 f�31 � um Slope one unit vertical t , . uryts.hori ( pej.. Ex ; z ,, irF: zorrtal 8.3°b slo � -��+:�,,•,} i1:1:8.1 Not allowed in AFH) �. �.) ,�� Rte': aet rig Requirements:min.3X3 foofaiic tig at toplbottom,where doors© "'' .,# r =�.' _ p�on r ramps,and where ramp ;x-'t-ii'.' ':' • r.. ;red on both-sides of,_ fx; dance with R31,1.&3 i -- tai"`-{ `* t t sbetow are depicted verticaH t as t_etamp a only. e-Guards Less than 4" Handrail both sides 34"-38" Guard I it 36"min 1 1 I ' 1 i 1 ' i 3'x 3'min — "`-"la.. ; landing landing _ 1:12 max slope ---- � -- 3' 3' , 8.3% m min ADULT FAMILY HOME RAMP per 2009 IRC with WA. ST. AMENDMENTS *ALL RAMPS REQUIRE A BUILDING PERMIT* R311.2 Means of Egress • - • YES . NO R311.2 Door must be side-hinged with min.width of 32 inches between face of door and stop.Height not less than 78 inches. . - ❑' R325.4 Operable parts of door handles,pills,latches,locks and other devices installed in AFH shal be operable with one hand and shall not require tight grasping,pinching or twisting of the wrist(lever-type,emergency egress hardware). The Exit doors ,,a: ❑ shall have no additional locking devices. R3111 StaIrways; YES-, NO 8314 7-.4.t Riser Height Max riser height shalt be %inches (8 inches in structures built priortoJuly 1.,2004) O., 0311.7.4.2 Tread Depth: Min.tread depth shall be't0 inches., (9 inches in structures built prior to July 1,2004) #E1' 0 025:19.1 Hands for Treads and Risers shall boinstallad on both sides of treads and risers numbering from one riser to mile risers.Handrails shall be installed in accordance with R311.7.7.1-R311.7.7.4 © R 325.8 Grab Bars in Bathrooms(May require'alternate'approval in accordance with IRC Sec.RI04.10 and.11) YES NO R325.8 Grab bars shall be installed for all water closets(toilets),bathtubs and showers. ,�/ Bathing facilities such as tubs and showers;and 12 ❑ On both sides of the toilet. (shall comply with ICC/ANSI A117.1 Sections 604.5,607.4&608.3) I2-' 0 AG103-AG 105 Swimming Pool.Spa,Hot Tub A YES NO AG105.2 Must be surrounded by a barrier that is 48 inches high,may have doors and or gatesthat must have audible ❑ ❑ alarms when opened. AG1 Das EXCEPTION:Pools,Spas or hot tubs with a safety cover which complies with ASTM F 1346 0 0 PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED Q_^AL NSPE�CTOWS SIGN6 ` ATURE: IDATE: +* �y INSPECTOR'S ADDRESS: � PHONE: Application and Inspection Checklist developed by Washington Association of Building Officials(WABO), in cooperation with Department of Social,and Health Services(DSHS)for use by both departments and licensors. 08101110 QTY OF „ lik•ERMI S MF CO ME PL DE EN FP e Federal Way COMDEVELOPMENT SERVICES A P P L I C gi 0 1---C , 253-835-23-835-2 607•FAX 253-835-2609 I wwwrtyoffederalu.au corn O i MAS CAL W A`i SITE ADDRESS � SUITE/UNIT# 3-zZyS �' S.Pt • ,t;IV Or fC�ps PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL-/ y A _ Ai $ /A 9 A / B TYPE OF PERMITUILDING ❑ PLUMBING 0 MECHANICAL ❑'DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) 11 S \ Y\ea 0 Ca y-�, PROJECT DESCRIPTION 1 SC'(_LQ -Foy F - Detailed description of work to (� be included on this permit only NAM PRIMARY PHONE PROPERTY OWNERebt.cca, Pan sor, MAILING ADDRESS E-MAIL CITY STATE ZIP . •ed•eral WAY wr} -5----/- 9.30d.3 _ NAME P ONE MAILING ADDRESS E-MAIL CONTRACTOR - CITY STATE ZIP FAX WA ST. - ONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N / / NAME \` 1,5 ^ -{1 S PHONE MAILING ADD CJ E-MAIL APPLICANT . -2-2,--(A C) %4\ (uc - sc..,.) . CITY STATE ZIPFAX edQ1-z\ t�A� c.500 98oa3 PROJECT CONTACTl j ' / (The individual to receive and NAME `11 5 `` a YY S CZs'J,Z 2-y "1 1`'t respond to all correspondence MAILING ADD E-MAIL concerning this application) CITY STATE ZIP F - ALTE: CONTACT NAME: •-• E r L PROJECT FINANCING NAME 0NER-FIN Required value of$5,000 or more IRCW 19 27095) MAILING ADDRESS ',STATE, • / P 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 'ty as a part of this application. SIGNATURE: ijelMi ) DATE 5•-" 't - 1 , PRINT NAME: .. Al,) ,\5 G11(Y 1'S Bulletin#100—January I,2011 Page 1 of 3 k:\Handouts\Permit Application . 0 • .7.:7X7. su i:'r1,-43' 4.';•"Ai i3. -` j''''-1 'r-•,qs �737: �:P- '- ° reirr ... oil t r»: y,?e, ;:�•S, `.3< - ,. .; ...t. I.ii <> T. -x�: oa : _•�=.k`s. a ..,sc� a,s� s.�,`>ax `•�t4.� ids:.... :... .1 4-,4r�:': > ,si'z .f VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures 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 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/utditry) WATER HEATERS(Electric) •,.erg-11•:,-,Iii` HOSE BIBBS SUMPS WASHI G MACHINES `� '(}T ,/ ► t s: • kE. );:,r,.,'':';'32,!;',:q-•.;',r .,..Z-:,i'lR'+r •.3t .2'S sn .� �� M .- ''�l��.i 'i• i:t „ ,< t 5” .Y��'`'•��i.,• ,LX>`Ft�..,n'f.`:..•,�D•r3<" '�-, rte:"rte x' ''� �t1 t,. j'�1.,` {!3 R IP, ,<. �,^•,N. glj� 'ff-� - , • 3,':.:3:.:.,,.,.:A: -f*. .,,.-...•.•..;1< ;s�;",:i;.ie >_i.' ., . ;7:4 3� r ±,:€i . •.� '„ " , ,,, r:.A ""�nm", .r. . -i;a _"'a:�-c ,: �,vcrz,�2czsifx.,. ..x, rr r.� ir.1'_6`.,--...'�,�s'../'a"x ::., ...�.;L»:r:•,e.,.<.P..,:.�, ..r,..,�.:,;a.; CRITICAL AREAS ON PROPERTY? WATER ' RVEYOR SEWER PURVEYO- VALUE OF EXISTING IMPROVEMENTS $ EXISTING/PREVIOUS USE LOT SIZE(In quare Feet) EXISTING FI'E SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes E No a Yes o No ", x.t-- ..,•-•„•.,.-:-w.rs` .z ,,, ; I 2. sx„q. " i: . — .,, y� :r-..�.o-' ia'' .t ,. �_0.1„,-.:,..!",,,,.. 5�(:'E��` '§�+' .t?� i � xx� �" � n �..C' +�� td,r,v. .x.`����di 'T�-€1?''. �r2i `s'`�; ,N���"� AREA DESCRIPTION(in square feet) EXI'4 LNG PR* ••SED TOTAL FOR OFFICE USE atP;' .-;%44!"lrt: ;s - c• 'yam';'" # "•I: .a^ ",, '- '•,':;' .;k',--4:%:',4"-:' y �:sr. ::::" ------ - - -- - - - - - - - -- --- - FIRST 4., . FLOOR(or Mobile Home) 4 '''','''144,(4Ps`i•' �it ..4441'";-;'' '°,.''''::::4:•,-.;':;41,-; 4- r :- ma ; :• Ir �" ', .. ;•.-s:v '5 ' y.,r3ti .git: 1"'' .0..:; E . . .::s: . . �: i-'.F,r4;,"-:jwi;.5-.) COVERED ENTRY � - < 3 � «Fux` i ." - „ „. ' "I; -<' rn F -*ter ".::72:.1,1.7 _ i :i iy s'v._m ..'..,!.[.✓'L:.'i'zi._`.ii,ur.:. 'b 3:;«>-s`-;.:f. •':11. ,.,..v, ...: 1::41''S6a •il GARAGE ❑ CARPORT [I , EXISTING PROPOSED - - Area Totals .*n , ' ''£, " ` ti''1 ,i, --,r i'* i .HOlitE5`o111 4k`<* Af",`-- ... • ESTIMATED SELLING PRICE$ #OF BEDROOMS L r1'i. .' •�F✓•` � 'tC r ,'�` . -.4.•�� -Whiay. y'�'?�� s• �,�',,�”` _�,=,..»...s.,r. '6`1: , y« ,. ::,,.4 A., -i`t *It,. '.ra:� 4, ..3. r3�. R,. -, .':.7-t . . id 1..7I,�;,•..``i--,t"'..t ,- <';'r::A +-w'ca—,: ^i--. -t'` 1i;:0'-o AREA DESCRIPTION , Area Occupancy Group(s) Construction M of Additional Information In Square FeetType Stories :ss`z. ;r �- ' 'moi' ,5,: ' 4,ai :',...o4, ...,'-•.,,:•F ^,t,,,t X'' -v^ x,20.., f",w 2- ,,, .r �� ADDITION ., - �4>w:-qy ,:;,, • • s f {,Z",, { S`.tG` "L.yS t... '-443'• ' ,n.f.y.4:.i...,,,, - • rce,...,, " ...x< �e> ;^� ',,,,....,„a2/.7 .7.0-,..,,,?{{,::x , a i.::!".*'::`:;:t ^y +> '%i'. '',tx•YqA:'1R1,.4 . i1 s ,3 .i!}1 ! Ay/y ± AREA DESCRIPTION Area Occupancy Group(s) Construction Stones Additional Information in <uare Feet t<�:x• + m .ti :;..: r'r^.., "k,a,." _ 't .?**21::q.:::4,24,:14... r:':':rr,r „J+7.-.1.,,r4 >:ay,t”- - �"-i, ` .; .0 L'» '....is '!'':' :k.: atY - S^t.-r-;r. ' - • 7.•rr.:�. :.•«,,a• •' ,$'',,.1 '", „,: is :.5 ' s 'i� TENANT AREA ONLY ;mss" ss� .,,,- .ee �Sj� r: Q,.p I+.- ..,ry = -;"rs's--' y 'oki _ ."*T".,. „moi`. �i♦ :£:.IK� •i'w J� fir Tf•:ii�..,.. '.�"t�Nk'=`',-'>•.>�<'�,'w, L �Y3Y.; " ;1:�`.%-:<s I'+7.4.; R' 3. Cyt 'S :�+ :,,,,,,,,,, ,,-,,i;:):,,,::%,-;::.::4 3y , 6•.. [ i i f :k: `f ." a Thn` - ,. - ,/> . x, .S :i..^�"Y'�'. , nixie:. .��:"�`'".Y".`v-` . -• ��^s r,m z,"�>-y�����n��� r, .. , :j;.,'.. I. Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application