22-104431City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ANNIES ADULT FAMILY HOME LLC
Project Address: 32116 43RD PL SW
Building - Single Family
Permit #:22-104431-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 873202 0840
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner
Applicant
Contractor
Lender
MARITHA MUKUA
ANNE NJENGA
32116 43RD PL SW
32116 43RD PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
91
92
#3
#4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
0.00
0.00
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor .....................
00
New / Additional Sq. Feet- Basement....................
00
Occupancy # I - Construction Type .........................
Type V - B
Mechanical to be Included?.....................................
No
Is this an Online or O.T.C. application? ..................
No
Plumbing to be Included?........................................
No
Occupancy #I -Use ................................................
Residence (I or 2
Comprehensive Plan Designation ...........................
SF - High -Density
family)
Residential
No Fixtures Associated With This Permit II
PERMIT EXPIRES Monday, 3 April, 2023
Permit Issued on Wednesday, October 5, 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
4"alif ton e City of Federal Nay.
L�
Owner or agent: Date:
To: CITY OF FEDERAL WAY2 Page: 3 of 7 2022-09-27 18:09:20 GMT 18888130332 From: Lucy Ngai
Adult Family H.olr>r>se (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2015 IRC Section R330 (WAC 51-51)
ApPUCATIONI HUMBER. (-)9fq-'�,�
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL. BE PROCESSED
SECTION I — PROPERTY INFORMATION
SITE ADDRESS: ` �' 43
4 ASSESSOR'S TAX/PARCELtS7 5
SECTION APPLICANT ! a !
PROPERTY OWNER NAME; 11f'ii4Ri �' _- � .. m_-- - DAYTIME PHONE, 34Q01 '5'�—
Ste? 0 66_;L
AFH LICENSEE NAME (IF DIFFERENT): O DAYTIME PHONE:
SFCTION 3 — FLOOR PLAN
On a separate sheet of paper (8 1I2 x.11) draw a floor -plan (including all
floors) of your prospective AM Include all sleeping moans (bedrooms)
indicating which bedroom is: Af B, C Dr E and F.
Label all components for exiting i.e., stairs, ramps, platforms, lifts and
elevators,
L)N A— DISCLAIMEVSiGNA1'URE SLC
I certify under penalty of perjury that the Information fumished 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 oration 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 undal^signed,
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 application.
NAMI-VITFLE! a.13.] t DATE:
®PROPERTY OWNER APPLICANT JdUCENST;E
Implementation Date: 2021 February 01
Updated: 2021 February
ro: CITY OF FEDERAL WAY2 Page: 4 of 7 2022-09-27 18:09:20 GMT 18888130332 From: Lucy Ngai
SECTIONS MUST BE COMPLETED BY 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 AS Cis E AND FAND CLASSIFICATION CODES, N51 OR NSZ.
SECTION 5 — BUILDING INSPECTOR'S INSPECTION CHECKLIST
11133.0.3 Sleeping Roam Classification: Each sleeping room In an Adult family Home small be classified as:
Type S _ where the means of egress contains stairs, elevators or platform lifts to evacuate residents to public area.
Type N51 — where 1 means of egress. at grade level (has no, stairs) or ramp constructed compliant with 13330.9 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 R330.9 are provided to
evacuate residents to public area.
SLEi=PAN .IROC�M i1 ::.. ` :.T .:` Type 5IM Type IV51 Type Ns2
YES
PLO
Closet door/s are readily 9penable from the inside ®YeSN �] N..o N/A Smoke alarm is installed in the bedroom
0
13
Bedroom door opens easily and quickly from the outside when locked
0
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
M
13
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
,:r;.,:•;;:;.<. ;; ;::.;::'S ;,t:; e T N 1 T e N52
U •::...IL,EP�IG�.[`:' i " ''::` :r Typ S YPe S Yp
XES:
M(3
Closet door/s are readily openable from the inside Mjlyes JMNO.- /R. ': Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside 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 R3.10:2..1. at -grade. escape windows — may have net clearance opening 5 SF
0
13
13
Steeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
m.- -
TYpeNS1 TYpe N
ESllpeS
Y
_
Closet door/s .are readily openable from the inside 113Yes '13<No - IVIR Smoke alarm is installed in the bedroom
13
Bedroom door opens easily and quickly from the outside when looked
0—
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
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
P4N�irE7,;'`3r'.;:: Type 5_ _T a N:S1 a N5Z
YES
NO
Closet door/s are readily openable from the inside Ye4'::
ioke alarm is installed in the bedroom
M"
13
Bedroom door opens easily and quickly from the ou side 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-$cade escape windows — may have net clearance opening 5 SF
[3
Sleeping room window has a maximum sill height of 44" above floor to clear o e in ; no steps under window allowed
G.,11 G> .'C� i ^ =r - '- ` T e S T. a NS]
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T e S2
®Yp N
'YE5
alv7O .
Closet door/s are readily openable from. the inside ' Yes.: did:.::; ®M1J/A' ;..: Smoke alarm is installed in the bedroom
Bedroom door opens easily and_quickly from the outside when locked
D
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per 11310.2.1: at -grade escape windows — may have stet clearance opening 5 SF
rb
13
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
13
.i Type 5 Type NS1 10 Type NSZ
YES.
NO .
Clo ors are rea i V nside `CI Yes ::: %.. '�IUTA Smoke.
Bedroom door opens easily and quickly from
Sleeping room windo minimum dimensions at least 24"high; at feast 20" w
EXCEPT per R3 -grade escape windows — may have net clearance opening S SF
®]
Sleeping ro m window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
E3
EYI
Implementation Date: 2021 February 01
Updated: 2021 February
ro: CITY OF FEDERAL WAY2 Page: 5 of 7 2022-09-27 18:09:20 GMT 18888130332 From: Lucy Ngai
Bathroom doors are easily and quickly openable from the .outside when locked _
yfs
NQ ,
13
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
_13
Smoke alarms are installed on ail -levels of the dwelling, in each resident sleeping room, outside each separate
sleeping area in the immediate vicinity of sleeping rooms (R314).
13
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. �Y
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:).
�q
4
Pocket doors shall have graspable hardware available when in the closed or open position.
Rai 1"8 Ram 1?
__ ::ti
Y85:.�
: NO..
-
".
13
..-
frisidia Fiasrp
iV A
1
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3%.slope). (Exception R311.8.1 Not allowed in.
®
0
R330.9)
'
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
ram changes directions. _
I�
T
R330.9 1 Handralls required on both sides of ramp.
®
E
13
titiitsiii -sRa"' '•'1+i1 Ae:
_
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in
d
R330.9) f
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
R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 3.0 inches measured
13
vertically to the floor or grade below at any point within 36 inches horizontally to th.e edge of the open side,
Guards below are depicted vertically as an example only.
Guard
36" min
minimum
Handrail both sides
34" - 38"
Is an 8.3% slope all along:surface of the ramp.
minimum.
Implementation Date.: 2021February 01,
Updated: 2021 February
To: CITY OF FEDERAL WAY2 Page: 6 of 7 2022-09-27 18:09:20 GMT 18888130332 From: Lucy Ngai
,i . - ... ... ..
YES
N
R311.2 Door must be side -hinged with min. width of 32 inches between face of door and sto .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 re uIre tight gras in inchin or twl sting of the wrist (lever-t e).
W
13
R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry
103
without use of key, tool or special knowledge,
ry
R31.1:7. Stairwa,ya.i. N/A .:.
YES
NO
R311.7.5.1 Riser Hel Max riser height shall be 7 % inches J8 inches in structures built pricir to July 1, 2004)
R311.7.5.2 Tread Depth: Min, tread depth shall be in Winches (9 inches in structures built prior to July 2, 2004)
R330.1.0.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple
risers. Handrails shall be installed in accordance with R311.7.9.1— R311.7.8,4
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-
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Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R330.8.
Water Closets toilet shall have 0b bars installed on both sides according to R330:8.3
ja
Bathtubs shall have two vertical and three horizontal grab bars Installed accordlMg to R330.8.4
Shower stalls have two vertical and horiznntal grab bars mounted on all sides of shower according to R330.8.5
Shower stalls must be minimum size of 30 inches deep by 48 inches tong (11330.11)
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Updated: 2021 February
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fo: CITY OF FEDERAL WAY2 Page: 1 of 7 2022-09-27 18:09:20 GMT 18888130332
RECEIVED
From: Lucy Ngal
S11212"'PERMIT
CITY �` OF FEDERAL WAY
Federal mr❑EVELOPMENT
APPLICATION
PERMIT CENTER + 333268", Avenue South + Federal Way. WA 980OW25
253-835-2607 +FAX 253-835-2609 + pettltitcanfel QwityoffacEerg°way.com
PERMR NUMBER �y�� - S TARGETDATE
SITEAD13RESS SIIrTERINITA
+e�' 9 L� a V) w " vi k q
RROJECTVALUATION
i ZONING ASSESSOR'STA%IPARCEL#
2— 2—, -Q— �i- 0
TYPE OF PERMIT
❑ BUILDING 1:1 PLUMBING El MECHANICAL ❑ DEMOLITION 1:1 ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
P-s3 t.l ue s �i�t l �^ f` '�--1 Uj 14-o m l& 1 Ll c—
t-xh\n}N Ir-k 1pb=-t-
PROJECT DESCRIPTION
Datailed description of work to
; g C •iw �+
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vI{ d
be ihcluded on this permit only
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PRIMARYPHONE
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MAUNOADDR6ss .
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CfTY �B
—UEE ZIP
NAME
PHONE
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&MAIL
Cf)NTRACTOR
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STATE
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FAX
WA STATE CONTRACTOR'S LICENSE 6
EXP1RAT.IONDATE
URI*
NAME
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PRIMARY PHONE
APPLICANT
MAWNSAODRESS
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STTATTEE4 IIP/L'y{ r�
FAX
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NAME
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PRWAYPHONE
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and
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respond to all correspondence
whenindividualtolcol es pond
CITY� L ��
STATE � 4P1 � �
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When. value is $5 000 ormore
MARINO ADDRESS, CITY; STATE, ZIP
PHONE
(RC W 19.27. N5)
►.certify under penalty of perjury that 1 am the property owner or authorized agenf of the pmparty Omer, f certify that to VW best of my knowfadgc,
the information submiffed in support of this permit appifraffon is true and coYrect r certify. that I wilt comply WIM all applicable. City of Federal My
regulatiorrs periatning to the work authorized by the Issuance at a permit f understand That the issuance of this permit does nut mino s Vm owner's
responsibility for compliance with focal, state, or federal laws rogulafing construction or environmental (aws.
i furtharagme to hold harmless the City of Federal Way as fO any efelm ffnclUding costs, expenses,. and attorneys'tiees.fncunad in the investigation
and dafense of such cfalm), which may be mado.by any person, including.ilia uadersrgned, and Mad agalnst the city, but only where such claim arises
"i of Me M110nCe of ffPa City, including itr; 4tfi&= and empfeyaes, upon the accuraCy of the information supplied to the city as 'a part of this
sppfrcadom
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SIGNATURE. sU DATE3 T 1�
PRINT NAME: w
Bulletin #100 — February 19, 2020 Pagel of 2 k:\TIandoutslPenmit Application
CA -1