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22-101365City of Federal Way Community Development Dept, 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Building - Single Family Permit #:22-101365-00-SF Inspection Request Line: (253) 835-3050 Project Name: PAP N MUM AFH Project Address: 29613 20TH AVE S Parcel Number: 367440 0236 Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender THU-VY HOANG JOAN KAMONDIA PO BOX 98282 28805 19TH AVE S DES MOINES WA 98198 FEDERAL WAY WA 98003 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 Is this an Online or O.T.C. application?.................. Yes Plumbing to be Included? ........................................ No No Fixtures Associated With This Permit 11 PERMIT EXPIRES Saturday, 24 September, 2022 Permit Issued on Monday, March 28, 2022 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 ashington and the City of Federal Way. ( (� Owner or agent: Date:�- Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2018IRCSection R330 (WAC51-51) APPLICATION NUMBER: SECTIONS 1. 2.3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED {� cj3679f yo - o Z3( SITE ADDRESS: iJ �[ �i ► '1 V_ j Q[[ U_ ASSESSOR'S TAX/PARCEL#:_ PROPERTY OWNER NAME: -10 AFH LICENSEE NAME (IF DIFFBtBVT): -N ki hThi V:* � O A DAYTIME PHONE:: -Cm' 9"S1 3n6sr DAYTIMEPHONE: , )k 34-1 (qu On a separate sheet of paper (8 1/2x 11) draw a floor plan (including all floors) of your prospective AFH. Include all sleeping rooms (bedrooms) indicating which bedroom is: A, B, C D, E and F. Label all components forexiting i.e., stairs, ramps, platforms, lifts and elevators. SECTION 4 -- DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the bestof my knowledgg and that I am requesting or I am authorized by the owner of the above premises to request Inspection far the operation of an AdI Family Home at this toat! on. I agreeto 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 pers on, including the undersigned, and filed againstthe 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 partof this application. NAME/TITLE: 1 0" kti A-1 >I DATE: J � 13 1 102>- PROPERTY OWNER 0 APPLICANT MLICENSEE (Effective Feb. 1, 2021 Implementation Date:2021 February01 Updated:2021 February WAC 51-51-0330 Section R330 — Adult family homes. SECTION R330 ADULT FAMILY HOMES R330.1 General. This section shall apply to all newly constructed adultfamily homes and all existing single family homes being converted to adult family homes. This section shall not apply to those adultfamily homes licensed by the state of Washington departmentof social and health services prior to July 1, 2001. R330.2 Reserved. R330.3 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 R330.9 is provided. 3. Type NS2 - Where two means of egress are at grade level or ramps constructed in accorda nce with R330.9 are provided. R330.4 Types of locking devices and door activation. All bedroom and bathroom doors shall be openable from the outside when locked. Every closet shall be readilyopenable from the inside. Operable parts of door handles, pulls, latches, locks and other devices installed in adultfamily homes shall be operable with one hand and shall not require tight grasping, pinching ortwisting of the wrist. Pocket doorsshall have graspable hardware avai lable when in the closed or open position. The force required to activate operable parts shall be 5.0 pounds (22.2 N) maximum. Required exitdoors shall have no additio nal locking devices. Required exit door hardware shall unlock inside and outside mechanisms when exiting the building a Ilowing reentry into the adult family home withoutthe use of a key, tool or special knowledge. R330.5 Smoke and carbon monoxide alarm requirements. All adultfamily homes shall be equipped with smoke and carbon monoxide alarms installed as required in Sections R314 and R315.1. Alarmsshall be installed in such a mannerso that the detection device warning is audible from all areas of the dwelling upon activation of a single alarm. R330.6 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 heightsuch as steps, raised platforms or other devices placed by the o penings will be approved as meeting this requirement. R330.7 Fire apparatus access roads and water supply for fire protection. Adultfamily homes shall be served by fire apparatus access roads and water supplies meeting the requirements of the local jurisdiction. R330.8 Grab bar general requirements. Where facilities are designated for use by adultfamily home clients, grab bars forwater closets, bathtubs and showerstalls shall be installed according to this section. R330.8.1 Grab bar cross section. Grab bars with a circular cross section shall have an outside diameterof 1 1/4 inches minimum and 2 inches maximum. Grab bars with noncircular cross section shall have a cross section dimension of 2 inches maximum and a perimeterdimension of 4 inches minimum and 4 5/8 inches maximum. R330.8.2 Grab bar installation. Grab bars shall have a spacing of 1 1/2 inches between the wall and the bar. Projecting objects, control valves and bathtub or showerstall enclosure features above, below and at the ends of the grab bar shall have a clear space of 1 1/2 inches to the grab bar. EXCEPTION: Swing -up grab bars shall not be required to meet the 1 1/2 inch spacing requirement. Grabs bars shall have a structural strength of 250 pounds applied atany pointon the grab bar, fastener, mounting device or supporting structural member. Grab bars shall not be supported directly by any residential grade fiberglass bathing orshower ing unit. Acrylic barsfound in bathing units shall be removed. Fixed position grab bars, when mounted, shall notrotate, spin or move and have a graspable surface finish. R330.8.3 Grab bars at water closets. Water closets shall have grab bars mounted on both sides. Grab bars can be a combination of fixed position and swing -up bars. Grab bars shall meetthe requirements of R330.8. Grab bars shall mountbetween 33 inches and 36 inches above floorgrade. Centerline distance between grab bars, regardless of type used, shall be between 25 inches minimum and 30 inches maximum. R330.8.3.1 Fixed position grab bars. Fixed position grab bars shall be a minimum of 36 inches in length and start 12 inchesfrom the rear wall. Implementation Date:2021 February01 Updated:2021 February R330.8.3.2 Swing -up grab bars. Swing -up grab bars shall be a minimum of 28 inches in length from the rear wall. R330.8.4 Grab bars at bathtubs. Horizontal and vertical grab bars shall meetthe requirements of R330.8. R330.8.4.1 Vertical grab bars. Vertical grab bars shall be a minimum of 18 inches long and installed at the control end wall and head end wall. Grab bars shall mountwithin 4 inches of the exterior of the bathtub edge or within 4 inches within the bathtub. The bottom end of the bar shall start between 36 inches and 42 inches above floor grade. EXCEPTION: The required vertical grab bar can be substituted with a floor to ceiling grab bar meeting the requirements of R330.8 at the control end and head end entry points. R330.8.4.2 Horizontal grab bars. Horizontal grab bars shall be provided atthe control end, head end, and the backwall within the bathtub area. Grab bars shall be mounted between 33 inchesand 36 inches above floor grade. Control end and head end grab bars shall be 24 inches minimum in length. Back wall grab bar shall be 36 inches minimum in length. R330.8.5 Grab bars at shower stalls. Where shower stalls are provided to meetthe requirements for bathing facilities, grab bars shall meetthe requirements of R330.8. EXCEPTION: Shower stalls with permanent built-in seats are not required to have vertical or horizontal grab bars at the seat end wall. A vertical floor to ceiling grab bar shall be installed within 4 inches of the exterior of the shower aligned with the nose of the built-in seat. R330.8.5.1 Vertical grab bars. Vertical grab bars shall be 18 inches minimum in length and installed atthe control end wall and head end wall. Vertical bars shall be mounted within 4 inches of the exteriorof the shower stall or within 4 inches inside the shower stall. The bottom end of vertical bars mountbetween 36 inches and 42 inchesabove floorgrade. R330.8.5.2 Horizontal grab bars. Horizontal grab bars shall be installed on all sidesof the showerstall mounted between 33 inches and 36 inches above the floorgrade. Horizontal grab bars shall be a maximum of 6 inchesfrom adjacentwalls. Horizontal grab bars shall not interfere with showercontrol valves. R330.9 Ramps. All interiorand 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 R311.8.1 is not allowed foradultfamily homes. Handrails shall be installed in accordance with R330.9.1. R330.9.1 Handrails for ramps. Handrailsshall 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 R311.8.3.1 through R311.8.3.3. R330.10 Stair treads and risers. Stair treads and risers shall be constructed in accordance with R311.7.5. Handrails shall be installed in accordance with R330.10.1. R330.10.1 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 R311.7.8.1 through R311.7.8.4 R330.11 Showerstalls. Where provided to meetthe requirements for bathing facilities, the minimum size of shower stalls foran adultfamily home shall be 30 inches deep by 48 inches long. [Statutory Authority: RCW_f9.<:7_031and chapters 1U27and 05 RCW. 13-04-068, §51-51-0325, filed 2/1/13, effective 7/1/13. Statutory Authority: Chapter RCW.10-18-036, §51-51-0325, filed 8125110, effective 9125/10. SlatutoryAuthcr;ty: RCW and chapters 19. 7 and RCW. 09-04-023, § 51-51-0325. filed 1/27/09, effective 7/1/10. Slalutory Authority: RCW ..,and chapters 13,27 and 34.D5 RCW. 07-01-090, § 51-51-0325, filed 12119/06, effective 7/1/07. Statutory Authority: RCW .-« :�_i and _i s. 7.0-7.+.04- 01-109, § -032K filed 12/17/03, effective 7/l/04.][Statutory Authority: RCW 197.97.031 and 7,1. WSR20-03-023, § 51-51-0330, filed 1 /6/20, effective 7/1/20.] Implementation Date:2021 February01 Updated:2021 February SECTION 5 MUST BE COMPLETED Y TIjE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED. PLEASE CHECK ALLAPPLICABLE 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, NS1 OR NS2. SECTIONINSPECTOR'S ' • R330.3 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 ramp constructed compliant with R330.9 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 R3 30.9 are provided to evacuate residents to public area SLEEPING ROOM A 113 Type S 113 Type NS1 J!RType NS2 YES NO Closet door/s are readily openable from the inside Yes 193 No I CIN/A I Smoke alarm is installed in the bedroom T Bedroom door opens easily and quickly from the outside when locked [3 Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 13 13 1 SLEEPING ROOM B 1 1 E3 Type S Type NSl Type NS2 YES NO Closet door/s are readily o enable from the inside lipYes 113 No E3N A I Smoke alarm is installed in the bedroom Bedroom door opens easily and quickly from the out ide when locked 13 Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF 13 Slee2in& room window has a maximum sill height of 44" above floor to clear opening; no ste s under window allowed 13 SLEEPING ROOM C 1 E3 Type S 13 Type NS1 Type NS2 YES NO Closet door/s are readily openable from the inside jfj Yes 113 No I E3N/A Smoke alarm is installed in the bedroom M 13 Bedroom door opens easily and quickly from the outsi a when locked ® 0 Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF 0 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 13 SLEEPING ROOM D E3 Type S Type NSi IR Type NS2 YES NO Closet door/s are readily openable from the inside Yes 113 No I 113NIA I Smoke alarm is installed inthe bedroom 0 13 Bedroom door ❑ ens easi!y and quickly from the outsi a when locked 0 Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF 13 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed SLEEPING ROOM E I E3 Type S E3 Type NS1 IR Type NS2 YES NO Closet door/s are readily openable from the inside 14ties No I E3N/A Smoke alarm is installed in the bedroom Bedroom door opens easily and quickly from the outside when locked11] 0 Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF 13 Sleeping room window has a maximum sill height of 44" above floor to clear openin ; no steps under window allowed SLEEPING ROOM F JU Type S E3 Type NS1 113Type NS2 YES NO Closet door/s are readily openable from the inside 10 Yes 10 No I E3N/A Smoke alarm is installed inthe bedroom 0 E3 Bedroom door opens easily and quickly from the outside [3 13 Sleeping room window has a net openin minimum dimensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at-gra pe windows — may have net clearance opening 5 SF 0 0 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed Implementation Date:2021 February01 Updated:2021 February GENERAL YES NO Bathroom doors are easily and quickly ❑ enable from the outside when locked 13 Carbon Monoxide alarms are installed as required in R315 on each level of the home. EF 0 Smoke alarms are installed on all levels of the dwelling, in each resident sleeping room, outside each separate sleeping area in the immediate vicinity of sleeping rooms (11314). Q Smoke and Carbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in all parts of the dwelling upon activation of a single device. E 0 Access road and water supply meet local fire jurisdictional requirements. 13 R330.4 Operable parts of door handles, pulls, latches, locks and other devices installed in AFH shall be operable with one hand and shall not require tight grasping,pinching or -twisting of the wrist (lever -type). 13 Pocket doors shall have graspable hardware available when in the closed or open position. 0 R311.8 Rampsi YES NO Inside Ramp I N/A 1P© 0 R311.8.1 Maximum 14pe one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in 1 0 0 R330.9 R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp changes directions. R330.9.1 Handrails required on both sides of ramp. 13 L3 Outside Ram N/A ❑ YES NO R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in R330.9 R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where 0 ramp changes directions. R330.9.1 Handrails required on both sides of ramp. 0 R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 30 inches measured 0 vertically to the floor or grade below at any point within 36 inches horizontally to the edge of the open side. Guards below are depicted vertically as an example only. Guard 36" min Handrail both sides Less than 4" 1 34" - 38" Tx3'min landing Tx3'min — 3' One unit vertical in twelve units horizontal- 3' minimum is an 8.3% slope all along surface of the ramp. minimum Implementation Date:2021 February01 Updated:2021 February 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. R330.4 Operable parts of door handles, pulls, latches, locks and other devices installed in AFH shall be operable with one hand and shall not require tihtgrasping,pinchin or twisting of the wrist (lever -type). 13 R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry �] without use of key, tool or special knowledge. R311.7 Stairways N/A 1@ 1 YES NO R311.7.5.1 Riser Height: KIN riser height shall be 7 % inches (8 inches in structures built prior to July 1, 2004) R311.7.5.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004) [1 0 R330.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multi pie risers. Handrails shall be installed in accordance with R311.7,8.1— R311.7.8.4 R330.8 Grab Bars in Bathrooms N/A YES NO Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R330.8. Water Closets (toilet) shall have grab bars installed on both sides according to R330.8.3 Bathtubs shall have twovertical and three horizontal grab bars installed according to R330.8.4 0 Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R330.8.5 S)iower stalls must be minimum size of 30 inches deep by 48 inches long (11330.11) PASSED NAME OF AFH: L Adult Family Home Project Address BUILDING DEPT. INSPECTOR'S NAME (PRINT) 22 BUILDING DEPT. INSPECTOR'S SIGNATURE DATE: _ 3 S - BUILDING DEPT. OFFICE ADDRESS OFFICE PHONE NUMBER: Application and i nspection checldist deve loped by Washington Association of Building Officials (WABO), in cooperation with Department of Social and Health Services (DSHS) for use by both departments and licensors in accordance with WAC 388-76-10700. Implementation Date:2021 February01 Updated:2021 February Authentisign ID: F9F554B7-6DAE-EC11-997E-501AC586CB79 HECEIVED PERMIT APPLICATII3N CITY oP 4A MAR Z 8 2022 PERMIT CENTER + 33325 8- Avenue South + FederaS way. WA 98003 6325 Federal Way 253-835-2607 + FAX 253-835-2609 + permiteenterc'rcityoffederalway-cote CITY OF FEDERAL WAY COMMUNfTY DEVELOPMENT PERMIT NUMBER cv� A- , 0 -t 3-4 S SF TARGET DATE --- SUITE/UNIT Y SITE ADDRESS D l S• w VALUATION ZONING ASSESSOR'S TAR/PARC e TYPE OF PERMIT (BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT h L L C PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT 1The individual to receille and respond to all correspondence concerning this application) PRIMARY PHONE .t7 E-bWL Z 8FAT ZIP j . 1\j k T' i PHONE E-MAIL 81('ATE ZIP FAX ERPIRATION DATE U$i ■ PRIMARY PHONE E-MAIL f TL A) S , STATES ZIP FAX r {{�� p L� �J PRIMARY PHONE E-M111L STATE I ZIP FAX {k ❑ OWNER -FINANCED PROJECT FINANCING When value is $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PI{OtiB (RCW 19,27-095) best f evrtifg under penalty of perfury that I am the property owner ar authorized agent of the property owner- r ce k�wiil Complthat to y with of my knowledge, the information submitted In support of this permit application is true and correct. I certijij Ay at? applicable City of Federal Way regulations pertaining to the work authorize rscnhre Issuancth e of �permit. Ite, or and frstanaws +degrs��9 lssuancc of this permit does not remove the owner's responsibility f or construction or environmental Iaws. I further agree to hold harmless the City of Federal Way as to any claim (Including casts, expanses, and a�a ��� �eoaiinat the incurred II the investigation and defonse of such claim}, which may be made by any person, including the undersigned, ,li 9 y+ but only where such claim arlses out of the rolianto of the city, including its officers and employees, upon the accuracy of the information supplied to tho city as apart of this application. �+OG�a� DATE 7A 03/28/22 • """" (I SIGNATURE: PRINT NAME: Thu-� Hoang _ —— NAME L 1 �V -AG MAILING ADDRESS CITY not ri NAME MAILING ADDRESS CITY WA STATE CONTRACTOR'S LICENSE A NAME e& Iv. MAILING ADDRESS � D - CITY w NAME MAILING ADDRESS CITY NAME Page 1 of 2 k:\Handouts\Permit Application Bulletin #100 -February 19, 2020 g