22-100917City offederal Way
Community Development Dept.
33325 8th Ave s
Federal Way, WA 98003
Ph:(253) M5-2607 Fax: (253) 835-2609
Project Name: MBURU
Project Address: 416 S 306TH ST
Building - Single Family
Permit #:22-100917-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 241330 0430
Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under
this permit.***
Owner
Applicant
Contractor
Lender
PETER MBURU
PETER MBURU
416 S 306TH ST
416 S 306TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# I
#2
#3
#4
Occu ancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Mechanical to be Included?
Plumbing to be Included? —
Additional Permit Information
No Is this an Online or O.T.C. application? .................. Yes
No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, 28 August, 2022
Permit Issued on Tuesday, March 1, 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
Washington and the City of Federal Way.
4
Owner or agent: Date:
N MW L
Adult Family Horne (AEH) LOCAL BUILDING INSPECTION CHECKLIST
Cade References. 20.k�l IRC Section R330 (WAC 51.51)
APPLxArWiV NUMBER: A � — 1—V021 —7
SECTIONS'1, 2, 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
PROPERTY"i•
�7� �7 ���y� 50 Y 30--0`430
SITE ApuRESS 6 � T G Y ClY� �_l�y - ASSESSORS TA tf £AR � - - - - - - - - - - - -
Pi LPERiI OWN DER lVt1ME< i E" - - DAYTIME PHONE:
AFH LICENSEE NWE (rr IITM' W)N _ --
SECTION 3 -FLOOR PLAN
IiAMME PHONE:
On a separate sheet of paper (8 112 x 11) draw a floor plan (including all
floors) of your prospective AFH. Include all sleeping rooms (bedrooms)
indicating which bedroom is. A. B, C Dir E and F.
Label all components for exiting i.e., stairs, ramps, platforms, lifts and
elevators.
SFr lON 4— ❑ISCIAIMERISIGNATURE BLOCK
I certify under ❑enatty of pet]ury that the information furnished by me Is true and correct to the best of my knowledge, and that I am
requestng or I am autharized byy the owner of the above premises to request Inspection for the operation of an Adult Family Home
at thas location. I agree to hold harmless the jurisdiction conducting such Inspections, at my request, as to any claim (including cosm,
expenses, and attormeys'fees incurred In the investjgatton of such calm), which may be made by any person, including the undersigned,
and filets against the ]unsdiction, but only where such claim arises out of cite reoance of the jurrsdicUon, irscludmg Its officers ana
tmozoVee% vpc n tht a wzi:3 yf ti rC SM%xmVbtm 91rjh�bd la tht j�urll'WKk_VM M " 'pwt to kt is afY�i VC'rrm 'i.
NAMI-'tl11 I- t Cam- YK o Q'JPul € Al 11 ` _r ^q
2efrrarf.f4tvow%trt C.r'r'r.fr-�4.''T Quitivti'F•ir
Irnpiernentat€on Cuter 2021 February 01
Updated. 2021 February
SECTION MYJT T
__DIE_LCLMftELQJLY.LH� C DEPAtoMENT IN THE JQ85P_1MQ_N!�A�_H_QW Wl!t HE.
PLEASE CHECK ALL APPLICABLE BOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN - USING THEIR PROSPECTIVE
RESIDENT BEDROOIM DESIGNATIONS Or A 0 CDEAND F AND CLASSIFICATION CODES, INSIOR N52,
SECTION 5 - BUILDING INSPECTOR'S INSPECTION CHECKLIST
R330.3 Sleeping Room Classification, Each sleeping room In an Adult family Home shall be classified as:
Type 5 - where the means of egress contains stairs, elevators or platform lifts to evacuate residents to public area.
Type NS1 - whore 1 means of egress at grade level (has no stairs) or ramp constructed compliant With R330A is provided to evacuate
residents to public area.
Type NS2 - where nrie;inis of egress at grade level (both have no stairs) or romps constructed compliant with R330.9 are provided to
VaCuLiTe iesioenks ku quo . I I C, ore'd.
SLEEPING ROOM A Type S TEKType NSj Type N52
YES
NO
Closet door/s arc, readfly openoble from the Inside IM Yes NalaItIN/A Smoke alarm is Installed in the bedroom
Bedroom door opens easily and quickly the outsid when locked
Sleeping room window has 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 sit] height of 44" above floor to clear opening; no steps under window allowed
_rL
[3
JUTypeS Type N52
SLEEPING ROOM B I EP Type NS1 I--
Closet d oor/sare readity_2penable from the inside! P Yes JE3No jE3N/A I aka alarm is installed In the bedroom,
YES
NO
_CL
-2-
E3
Bedroom dooropens easliv and quickly 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)
EXCEPT per R310.2.1; at -grade escape windows - may have net clearance opening S SF
Sleeping room window has a maximum sill height of 44' above floor to clear op ninji no site s under window allowed
SLEEPING ROOM C E3 Type S Type jS1 Type NS2
. y
Y S
NO
Closet door/s are readily opena.ble from the inside fl&Yes ID No 1[3N/A_ Siihoke-alarm is installed in the bedroom
Bedroom door opens easHLLnd quickly 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)
EXCEPT per R310.2.1: at -grade escape windows - may have net clearance opening 5 SF
V13-
03
E
Sleeping room window has a maximum sill height of 44" above floor to clearopening; no steps under window allowed
SLEEPING ROOM D Type 5 TyPe NSI I Type N52
E
NO
-10
Closet door/s are readily openable from the inside Yes 13N; JEYN/A I Sn)oke alarm is instailed in the bedroom
_L
r133
the citl�e 'h�
Bedroom door opens easily and gulciiii from the outsi e when locked
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
I
Sleeping room window has a maximum sill heJght of 44" above floor to clear opening; no steps under window allowed-W
SLEEPING ROOM E JE3 Type S 10 Type NS1 Type N52
YES
13
NO
from the inside 10 Yes 1[3 No 113N/A 1_ smoke alarm is installed)n the bedroom
Bedroom door a �nd quickly from he outside when locked-0—
nimum dimensions at least 24"high; at least 20" wide)
Sleeping room window has a net opening of 53 SF-(minimum
EXCEPT per R310.2.1: at -grade escape windows - may have nibt clearance opening 5 SF
-0-
-a-
13
0
Sleeping room window has a maximum sill height of 44" above floor to clear op nin ; no steps under window allowed
010
- SLEEPING ROOM F LL31 Type S 13TVpeNS1 . Type N52
YES
NO
Closet door/s are TLdIIj. Na l[3N/A -1 Smoke Afarrn is installed in the bedroorn
Bedroom door opens ea:;( n locked
_0
❑
13
Sleeping room window has a net opening of 5,7 SF (minimum dimensions at least 24"high; at least 2W wide)
C3
C1
EXCEPT per R310.2,1: at -grade escape windows - may have net clearance opening 5 SF
Sleeping room window hasa maximum sill height of 44" above floor to clear opening.. no stepsunder window allowed
]
implementation.Date: 2021 February 01
Updated: 2021 February
GENERAL
YES
NO
Bathroom doors are eas0y and quickly openable from the outside when locked
IP13
Carbon Monoxide alarms are installed as required in R3115 on each level of the home,
Smoke alarrns are installed on all levels of the dwelling, In each resident sleeping room, outside each separate
a
Sleeping area in, the imme dii, e vicinity of sleeping rooms (R314).
Smoke tend Carbon Monoxide alarms are installed in such manner so that the audible warning may Ile heard in all
Paris of the dweHinguipon activat'ortof,,iSingle (ip-vlce.
—
fire
Iq
q
Access road and water s6pply meet local jurisdictional requirements.
R330 4 Operable parts of )door handles, pulls, latches, locks and other devices installed in AFH shall be operable
13
with one hand and shall i of regoi e ht g2jE!� I!L_ j . �pinching .
13
Packet doors shall have graspable hardware.available When in the closed or open posit ion,
R311.8 Ram pli
YES
NO
Inside Ram 14WU/A
R311.8.1 Ma _ ximum Slope one unit vertical in twelve units horizontal (83% slope) (Exception R311,8,1 Not allowed in
13
R330,9)
13
R311-8,2 Landing Requirements; min, 3X3 foot landing at top/bottom, where doors open onto ramps, and where
El
ramp changes d irections. —
'
R330,91 Handrails required on both sides of ramp.
Outside Ramp I N/A g I
YES
NO
R311.9.1 Maximum Slope one unit vertical in twelve units horizontal (83% slope). (Exception 11311,81 Not allowed in,
R330.9)
11311,8,2 Landing Requirements; 3X3 foot landing at top/bottom, where doors open onto ramps, and where
[13
ramp changes directions.
R330.9.1 Handrails required on both sides of ram p.
30 inches measured
R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than
vertically to the floor or grade below at any point within 36 inches horizontally to the edge of the open side.
Guards belLw are deed vertically as an example only.
Gkia(Al
W m1r,
Handrati both sides
14" - W
3; X 4' MIA
ariding
. V — One unit vertical In tWOVC uNts horizontal
-
minimum is an 8 3%, SioPe A along SW1'aCe Of the ramp. minbrurr
Implementation Date: 2021 February 01
Updated: 2021 February
R311-2 Means of Egress
YES i
NO
R311.2 Door trust be s de.hiqed -mtfi nfln, width of 32 inch" between face of door and stop. Wei W1003'5than 78 inches,
R330,4 Operable parts of door haridles,, pulls, latches, locks and other devices Installed in AFH, Shall be optINIhIt 1AAth One hand
and shall ndt !,"
R330,4 Required exAdwjr, hTsrlwar-e sll;-111T-irilock insidn and outside rne6anlsrm when exiting the buddmg allowing re-entry
without use of keff. toot or 5pecEal t<nowindge
C3
C3
R311.7 Stairways I NIA J&[
YES
NO
R311.7 5.1 Rrser Heilht. M x riser helptshall be 2 3S inclieS (8 inches in structures built prior to July 1. ROOM )-
R3113.5.2 Tread Cm�N; Wflf), !rF,3d dopth shall be in 10 Inche,� 19 inches ;n structures built prior to JUIV 1, 2004)
R340.10,1 liafldrallr for Trr,,id5and Risers shall be installed on both sides of treads aocl risers numbevrig drpre one riser to muttipte
risers. Flondraft shall by installed in accordance with R311,7.8.1 — 11311.7,8A
[3
13
R330.8 Grab Bars In Bathr6ams I N/A 13
Grab bars shall be installed for all waterclo%thuts), bathtubs and Showers according to R330 8,
Water Closets tcollet ) shall have grob bars Installed on both sides ar.co;ding toiR330.8.3
Bathtubs shall have two ver!= al and three horlyontal grab bars installed according to R330.94
Shower stalls have two vertical anti horii(Intal grab bars mounted on all sides of shower accardinit toR330 8.5
sho-wer stalls mast he mqirnum svze of 30 inches drop by 49 inchos WSJR330,111)
1K PASSED
NAW 0; Ar It: MRLA 1Z LA
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Adult ramify Home Project Address
- Qui-61 — Pj0—,C—t-0-\
BUlIDING DEPT, INSPECTOR`i NAME (PRINT)
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A01A)
-
WSSIGNATURf DATE,
253 055 2,63
BUILDING DEPT. OFFICF-ADVAESS OFVICE PHONE NUMEM,
A pphwWri4rid inspector ChecJdiltdOlmfgped by wash mgtonAs5ociarlori of Building Officials (WABO), In cooper at i on with Dppartmert of Social arid
HraM Smltk % 0HSI for asap by bo0i departments and i,icerisvf-, In
implementation, Date: 2021 February 01
Updated: 2021 February
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FEB 2 8 2022
c; e ov CITY OFFEDERAL WAY PERMIT APPLICATION
r COMMUNfTY DEVELOPMFMIT CENTER + 33325 8� AvcnUr'3011111
Federal Y + i ccierni wily. W3 480D3 &3«5
Way 253-835-2607 + FAX 2,53-835-2609 +
PERmrr NumsER �( / _ J ••_ }� TARGET DATE ---
SITE ADDRESS r1 ht� � / ---� �Y( I,Jv �•{ glltT&1iDNIT b
_ 10 11 J 1 r PRpJEG f V ALt]ATIpTS j 7ANTIS0 AS6T 669 C7 E J O ty V
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
De;rtaiiecl description hf a=ark tr
be fneludeed on this Permit anti!
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual ao receive arld
respond to all evrrespondencve
mncMing this application)
PROJECT FINANCING
Mwn value i5 $5,00 or Mtore
a 13tm 131,NO 12 P1,Vki61N0i Cj1 h'TI:4 HAtiK,AL C DEN,fOLMON' ,C3 ENGINEL'E IN0 C PIPY PRFsvl ."noN
QAA
R IOU,
NAME
MAII.INO ADDRESS
CITY
WA STATE CONTRACTOR'S LIC19NOM N
ItAiiE
' ytA UnG ADDRESS
CITY
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xAILIRO ADDRESS
CITY
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STATZ { ZIP
PAX
EX IItATIOR DATE
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PRIMARY PHDtiE
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STATE ZIP
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PRndA.RY PHONE
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I cer'tffit undor penalty of prryurg rnar r ......r - - - -- - - ,. . • - of my knowlaago, the fnformatian submitted in support of this permit applicator ra true and correct. I carrify that I wlII comply with
all applicable City of iedaral Woy ragutattons pertaining to the work aut compliance xdd he Uith Catp Aluanef !anal, C d m federal understand
thatrthe
issuance of Chia parmit dolls not remi?uf the owner'o rrsponsibWty /o
gng
construction or environmental lauv.
i further agree to ha id harmless the CRY of Federal tVay as to any ciafm [including costa, eapd"ses, and dttarneya' fees Incurred in
the Investigaclwt and defense of much clairrU, u+hlch may he made by any person• in etudl ng cite undersig net{ and flied againat the city,
but only where auch tlaim drtaes out of rite reliance of the city, including its ofJ4cere and rmproyae�j, upon the accuracy of the
irtrarmation aupppwd tojhr city asapart of Ihis application.
DATE
i3 rlietin €i lot) het}nlasy l9. <Q2i1 Page I of 2 k:iliaildaut�,Perr ail App[icstion