22-105663City 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 #:22-105663-00-SF
Inspection Request Line: (253) 835-3050
Project Name: ASSISTING HANDS AFH LLC
Project Address: 30621 4TH PL S Parcel Number: 241330 0800
Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under
this permit.***
Owner
Applicant
Contractor
Lender
SULTANU CHECKOLE
LAB KANG
30621 4TH PL S
3701 LARCHMONT AVE NE
FEDERAL WAY WA 98003
TACOMA WA 98422
Census Category: 434 - Residential alt/add - no change in number of units
Includes: # 1
42
#3
#4
Occupancy Class:
Construction T e:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
Mechanical to be Included? ............. ... ......... I........... No Is this an Online or O.T.C. application?.................. No
Plumbing to be Included?... ........................ I ............ No
Ne%lofts This Permit fl
PERMIT EXPIRES Sunday,11 June, 2023
Permit Issued on Tuesday, December 13, 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.
Owner or agent: Date:
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2018 IRC section R330 (WAC 51-51)
APPLICATION NUMBER: 1-2— + CJJ�2�
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED By APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SITE ADDRESS: 30621 4th PL S, Federal Way, WA 98003
ASSESSOR'S TAXIPARCEL#:1.ii1-d&Q -
SECTION 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME: SUltanU CheCkOle DAYTIME PHONE: 702-477-9776
AFH LICENSEE NAME (IF DIFFERENT): Slmranpreet_Khosa DAYTIME PHONE: 206-229-7202
On a separate sheet of paper (8 1/2 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 D, E and F.
Label all components for exiting i.e,, stairs, ramps, platforms, lifts and
elevators.
r� 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 pa jurisdiction 11'�L
assa part of this application.
ITI
NAMETLE: S#mranpreet KhOsa/PrOvider DATC: 12-07-2022
OPROPERTY OWNER DAPPLICANT I.iCENSEE
Implementation Date: 2021 February 01
Updated: 2021 February
(Effer.tive Feb. 1, 2021
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 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.
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 accordance 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 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. Pocket doors shall have graspable hardware available
when in the closed or open position.
The force required to activate operable parts shall be 5.0 pounds (22.2 N) maximum. Required exit doors shall have no additional
locking devices.
Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing reentry into the adult
family home without the use of a key, tool or special knowledge.
R330.5 Smoke and carbon monoxide alarm requirements. All adult family homes shall be equipped with smoke and carbon
monoxide alarms installed as required in Sections R314 and R315.1. Alarms shall be installed in such a manner so 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 height such as steps, raised platforms or other devices placed by the openings
will be approved as meeting this requirement.
R330.7 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.
R330.8 Grab bar general requirements. Where facilities are designated for use by adult family home clients, grab bars for water
closets, bathtubs and shower stalls 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 diameter of 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
perimeter dimension 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 shower stall 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 at any point on the grab bar, fastener, mounting device or
supporting structural member. Grab bars shall not be supported directly by any residential grade fiberglass bathing or showering
unit. Acrylic bars found in bathing units shall be removed.
Fixed position grab bars, when mounted, shall not rotate, 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 meet the requirements of R330.8. Grab bars shall mount between 33 inches
and 36 inches above floor grade. Centerline distance between grab bars, regardless of type used, shall be between 25 inches
minimum and 30 inches maximum.
Implementation Date: 2021 February 01
Updated: 2021 February
R330.8.3.1 Fixed position grab bars. Fixed position grab bars shall be a minimum of 36 inches in length and start 12 inches from
the rear wall.
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 meet the 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 mount within 4 inches of the exterior of the bath tub edge or within 4 inches within the bath tub. 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 at the control end, head end, and the back wall within the
bathtub area. Grab bars shall be mounted between 33 inches and 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 meet the requirements for bathing facilities, grab bars
shall meet the 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 at the control end wall and
head end wall. Vertical bars shall be mounted within 4 inches of the exterior of the shower stall or within 4 inches inside the shower
stall. The bottom end of vertical bars mount between 36 inches and 42 inches above floor grade.
R330.8.5.2 Horizontal grab bars. Horizontal grab bars shall be installed on all sides of the shower stall mounted between 33
inches and 36 inches above the floor grade. Horizontal grab bars shall be a maximum of 6 inches from adjacent walls. Horizontal
grab bars shall not interfere with shower control valves.
R330.9 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 R311.8.1 is not allowed for adult family homes. Handrails shall be
installed in accordance with R330.9.1.
R330.9.1 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 R311.8.3.1 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 Shower stalls. Where provided to meet the requirements for bathing facilities, the minimum size of shower stalls for an
adult family home shall be 30 inches deep by 48 inches long.
[Statutory Authority: RCW 1:2.27 03 and chapters 19.27 and 34.05 RCW. 13-04-068, § 51-51-0325, filed 2/1/13, effective 7/1/13. Statutory
Authority: Chapter 19.27 RCW. 10-18-036, § 51-51-0325, filed 8/25/10, effective 9/25/10. Statutory Authority: RCW 19.27.190, 19.27.020, and
chapters 19.27 and 34.05 RCW. 09-04-023, § 51-51-0325, filed 1/27109, effective 7/1/10. Statutory Authority: RCW 19.27.074, 19.27.t320, 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.][Statutory Authority: RCW 19.27.631 and 19.27.074. WSR 20-03-023, § 51-51-0330, filed
1/6/20, effective 7/1/20.]
Implementation Date: 2021 February 01
Updated: 2021 February
SECTION 5 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 A B C D E AND F AND CLASSIFICATION CODE S, NS1 OR NS2.
I_ SECTION BUILDING INSPECTOR'S
• INSPECTION
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 R330.9 are provided to
evacuate residents to public area
SLEEPING ROOM A 10
Type S Type NS3 0 Type NS2
YES
NO
Closet door/s are readily openable from the inside 0 Yes 0 No /A Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly from the outside when locked
1
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
0
SLEEPING ROOM B 10 Type S IQ Type NS1
0 Type NS2
YES
NO
Closet door/s are readily openable from the inside 0 Yes JF3 No I JAN/A I Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly 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)
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
0
SLEEPING ROOM C Type S Type NS1
0 Type NS2
YES
NO
Closet door/s are readily openable from the inside 0 Yes 0 No N/A I Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly 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)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
l
0
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
SLEEPING ROOM D 10 Type S 14tType NS1
113 Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes 113No ON/A I Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly from the o tside when locked
El
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
11P
0
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
SLEEPING ROOM E
OType S I
PtType NS1
113Type NS2
YES
NO
Closet door/s are readily openable from the inside 0 Yes 0 No I MN/A I Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly 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)
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
SLEEPING ROOM F
10Type S 113 Type NS1 113Type NS2
YES
NO
Closet doo s are rea I y Opena a rom t e Insi a es N/A I Smoke alarm is installed in the bedr
0
0
Bedroom door opens easily and quickly from the outside when locked
0
0
Sleeping room window has a net opening of 5.7 SF ensions at least 24"high; at leas
EXCEPT per R310.2.1: at -grade ows — may have net clearance opening 5 SF
[]
0
Sleeping ow has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
0
Implementation Date: 2021 February 01
Updated: 2021 February
Guard
36" min
i
Less than 4"
3landantln
ing
minimum
Handrail both sides
34" - 38"
one unit vertical in twelve units horizontal
is an 8.3% slope all along surface of the ramp.
3' x 3' min
landing
3' J
minimum
Implementation Date: 2021 February 01
Updated: 2021 February
R311.2 Means of Egress
YE
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 tight grasping, pinching or twisting of the wrist (lever -type).
0
R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry
0
without use of key, tool or pecial knowledge.
R311.7 Stairways I N/A141 I
YES
NO
R311.7.S.1 Riser Height: Max riser height shall be 7 % inches (8 inches in structures built prior to July 1, 2004)
Fri
R311.7.S.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004)
13
R330.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple
0
risers. Handrails shall be installed in accordance with R311.7.8.1— R311.7.8.4
R330.8 Grab Bars in Bathrooms I N/A 131
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 two vertical 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.S
Shower stalls must be minimum size of 30 inches deep by 48 inches long (R330.11)
PASSED
UL
NAME OF AFH:
<G n � 01
Adult Family Home Project Address
0 VW
BUILDING DEPT. INSPECTOR' AME (PRINT
I DE T NSPECTOR'S SEG UR DATE:
B
S� wolf
BUILDING DEPT. OFFICE ADDRESS OFFICE PHONE NUMBER:
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 in accordance with WAC 388-76-10700.
Implementation Date: 2021 February 01
Updated: 2021 February
Assisting Hands Adult Family Home LLC
30621 4tn PL S
Federal Way, WA 98003
FLOOR PLAN
Broom C Bathroom
148.29 sq ft 61.50 sq ft Bedroom B
117 1 /a' x 11' 9 1 /2' 1 1 1 121 73 sq ft
�0 1 sq ft
10 'x11 107/
Bedroom 0
206.98 sq ft Bedroom A
17'53/8'x1243/8'111.47sgft
Bathroom
66.14 sq ft
Living Room
232 02 sq ft
20' 21 /4' x 12' 8 1 /B'
Dining Room
114.5E sq ft
10' 3" x 11' 2 1/8'
EC
Hallway
69-60 sq ft
W�p
El
lose'
Kitchen
100.94 sq ft
X
W
Bedroom E
12' x 11.5'
Garage
481.67 sq ft (21' 11 7/8' x 214 10 3/4')
RECEIVED
DEC � l PERMIT APPLICATION
CITY OF 2022
PERMIT CENTER + 33325 8�h Avenue South +Federal Way, WA 98003-6325
Federal WayL LL
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
COMMUNaY DEVELOPM&g
PERMIT NUMBER V '�E) W _ TARGET DATE
SITE ADDRESS
SUITE/UNIT #
30621 4th PL S, Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
J U
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Assisting Hands Adult Family Home LLC
Conversion of study to bedroom per 21-103630-00-SF requiring WABO inspection.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Sultanu Checkole
702-477-9776
PROPERTY OWNER
MAILING ADDRESS
29040 16th Ave S
E-MAIL
checkole92@gmail.com
CITY
STATE
ZIP
Des Moines
WA
98198
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
URI #
NAME
PRIMARY PHONE
Lab Kang
206-229-7202
APPLICANT
MAILING ADDRESS
3701 Larchmont Ave NE
E-MAIL
labskang@gmail.com
CITY
STATE
ZIP
FAX
Tacom
WA
98422
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When ualue is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19 27.095)
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 city as a part of this application.
SIGNATURE: DATE 12-07-2022
PRINT NAME; Lab Kang
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application