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22-104909r � a City of Federal Way Community Development Dept. 33325 8th Ave 5 Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name Project Address Project Description ELEVATION-13 AFH 32012 41STAVE SW Building - Single Family Permit #:22-104909-00-SF Inspection Request Line: (253) 835-3050 Parcel Number: 873190 2710 Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender JAMES BROOKS ELEVATION- B AFH INC 34930 30TH AVE S 32012 41ST AVE SW FEDERAL WAY WA 98003 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.) Additional Permit Information Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. No Plumbing to be Included? .................. :..................... No No Fixtures Associated With This Permit 11 PERMIT EXPIRES Wednesday, 26 April, 2023 Permit Issued on Friday, October 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 t an ity of Federal Way. Owner or agent:F Date: Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2018 IRC Section R330 (WAC 51-51) (V )-S APPLICATION NUMBER; OOL v�� SECTIONS 1. 2.3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1— PROPERTY INFORMATION SITE ADDRESS: (L 1 ' ' J a • r-e d4vq' PJ* W*% ASSESSOR'S TMPARCEL#: -- I -- --- PROPERTY OWNER NAME: v -4w6tFf i&0 14 f AFH LICENSEE NAME (IF DIFFERENT): S-LGVA%I P 4- JS A-,FN - i rJ C SECTION 3 — FLOOR PLAN DAYTIME PHONE: ZO 6 -6 61� I'll 3 DAYTIME PHONE: °�KOZ -09 D C On a separate sheet of paper (8 1/2 x 11) draw a floor plan (including all floors) of your prospective AN. 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. 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 fled 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 supptiedd two the jurisdiction as a part of this applicati74' NAME/TITLE: GY� �rt IM I�Q f'I n DATE: OPROPERTY OWNER APPLICANT 0 LICENSEE Implementation Date: 2021 February 01 Updated: 2021 February (Effedtive 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 Dames. 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 1 114 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 1 112 inches between the wail 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 Handralls 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 19,27,031 and chapters 19.27 and 34,05 RCW. 13-04-068, § 51-51-0325, filed 2/1/13, effective 711/13. Statutory Authority: Chapter 19.27 RCW. 10-18-036, § 51-51-0325, filed 8/25/10, effective 9/25110. 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.Z7— , 12.27,020, 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 19.27.03,1 and 19.27.074.04- 01-109, § 51-51-0325, filed 12/17/03, effective 7/1/04.][Statutory Authority: RCW 19.27.031 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 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 BCDEAND FAND CLASSIFICATION CODE S, NSl OR NS2. 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 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 0 Type S Type NSl E3 Type NS2 YES NO Closet door/s are readily openable from the inside Ila Yes (3 No N/A I Smoke alarm is installed in the bedroom 13 13 Bedroom door opens easily and quickly from the outs de when locked rp IE33 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 to 0 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 93 0 SLEEPING ROOM B Type S Type NSl Type NS2 YES NO Closet door/s are readily openable from the insNo [3N/A I Smoke alarm is installed in the bedroom ide ® Yes[3 0 Bedroom door opens easily 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 5 SF 0 13 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 13 SLEEPING ROOM C 10 Type S Type NSl Type NS2 Y S NO Closet door/s are readily openable from the inside Yes [� No ON/A I Smoke alarm is installed in the bedroom 0 13 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 Q E3 SLEEPING ROOM D 113 Type S 191 Type NSl I E3 Type NS2 AS NO Closet door/s are readily openable from the inside ® Yes 13 No N/A I Smoke alarm is installed in the bedroom 0 13 Bedroom door opens easily and quickly from the outs de when locked 7 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 10 E3 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 13 13 SLEEPING ROOM E 10 Type S ' ype NSi I E3 Type NS2 AS NO Closet door/s are readily openable from the inside JIM Yes {]I No CIN/A I Smoke alarm is installed in the bedroom Q 0 Bedroom door opens easily and quickly from the outside when locked 10 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 13 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 13 13 SLEEPING ROOM F E3 Type S Type NS1 10 Type NS2 YES NO Closet door/s are readily openable from the inside JE3 Yes 113No N/A I Smoke alarm is installed In the bedroom j] [j Bedroom door opens easily and quickly from the outside when locked - 13 Sleeping room window has a net opening of 5.7 S lnirnu r�ffl_mensions at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grad in ows — may have net clearance opening 5 SF 0 0 Sleeping Indow has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 0 Implementation Date: 2021 February 01 Updated: 2021 February GENERAL YES NO Bathroom doors are easily and quickly openable from the outside when locked ® 0 Carbon Monoxide alarms are installed as required in R315 on each level of the home. 0 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 (R314). 1? 0 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. Access road and water supply meet local fire jurisdictional requirements. 0 0 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 Pocket doors shall have graspable hardware available when in the closed or open position. 0 R311.8 Rampil IYES NO Inside Ramp j N/Ajq 1 0 0 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 ramp changes directions. E3 0 R330.9.1 Handrails required on both sides of ramp. 13 0 Outside Ramp I N/A r] 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 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. Less than 4" � Guard 36" min I 1 3'x3'min minimum r— Handrail both sides 34" - 38" One unit vertical in twelve units horizontal is an 8.3% slope all along•surface of the ramp. 3'x3'min landing I7:' I__3' minimum Implementation Date: 2021 February 01 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 tight grasping, pinching 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. 11311.7 Stairways I N/A P I YES NO R311.7.5.1 Riser Height: Ma 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) R330.10.1 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 R311.7.8.1— R311.7.8.4 R330.8 Grab Bars In Bathrooms N/AE3 I NO Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R330.8. 0 1 0 Water Closets (toilet) shall have grab bars installed on both sides according to R330.8.3 Cl Bathtubs shall have two vertical and three horizontal grab bars installed according to R330.8.4 Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R330.8.5 0 1 Shower stalls must be minimum size of 30 inches deep by 48 inches long (R330.11) PASSED NAME OF AFH: Adult Family Home Project Address BUILDING DEPT. INSPECTOR'S NAME (PRINT) BU ILDIA&MA INSPECTORS SIG NATURE DATE: oC�� OJJ 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 deeRrtments and licensors in accordance with WAC 388-76-10700. Implementation Date: 2021 February 01 Updated: 2021 February | ' � .� k � � � I ,. � \ w » ° $ cm, I■ _ �___ _ m .« CITY OF Federal Way PERMIT NUMBER a rc--). _ RECEIVED OCT 2 5 2022 PERMIT APPLICATION PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 CITY OF FEDERAL WAY 253-835-2507 + FAX 253-. 35-25a9 + permitcenter d_cityoffedcralway.com COMMUNfTY DEVELOPMENT ` O Lf 1 V 1 - 0 `' F TARGET DATE BITE ADDRESS 3aar-,1. 41st me,• Xj. -F.�d6vda i- 04A .97oa 3 SUITE/UNIT # A . PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # X.BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION TYPE OF PERMIT NAME OF PROJECT �L ��i1' p ^ I dG - i PROJECT DESCRIPTION Detailed description of work to be included on this permit only I<< M ul++f PROPERTY OWNER NAME � M & P-s PRIMARY PHONE i?od — 641— K&MIN�0 s� � �C • �� EMAIL 7VI/� ,t,Ja. gA A ZIP goo3 _ - — CONTRACTOR NAME PHONE MAILING ADDRESS AI/A- E-MAIL CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI N APPLICANT NAME L,�v�l►T��^J- B- /f . /n! C . MAILING ADDRESS 1.0 CITY STATE ZIP �,►�.�,t ww� w �- 48o i 3 ,T PRIMARY PHONE 6 -- 09 d E-MAIL 0-0-A i onQ !,Q rwil FAX PROJECT CONTACT (The individual to receive and respond to all correspondence concerning this application) PROJECT FINANCING When value is $5,000 or more (RCW 19.27.095) NAME LCvi 4Q r. NI.A � iA I MAILING ADDRESS 0 ���' CITY STATE ZIP -4cf_ _ aIA y'81f b - NAME N A- MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE pp -,I, C. 7 E-MAIL FAX ❑ OWNER -FINANCED PHONE I cent; jy raider penalty of perjury that I am the property owner or authorized agent of the property owner. I certVij that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I cert(f'y 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 Waly as to any claim (including costs, expenses, and attorneys' fees incurred to the investigation and defense of such claimf, 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 ofj4cers and employees, upon the accuracy of the information supplied to the city apart of this application. SIGNATURE: �r PF. AT /o/V 1iz2Z. PRINT NAME: �I �f 4N /ilA.6.4 Bulletin # 100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application MECHANICAL PERMIT ICI r-r 2te how many of each AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING FANS FIREPLACE INSERTS _ FURNACES _ GAS LOG SETS GAS PIPING VALUE OF MECHANICAL WORK as part of this project. Do not include existing fixtures to remain. GAS PIPE OUTLETS OTHER (Describe) HOODS (commcr6si) HOT WATER TANKS (ans) REFRIGERATION SYST WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT r� / # ' � Indicate how many of each t e 2LE2Lre to be installed or relocated as part of this project. Do not include exis ' res to remain. BATHTUBS (or Tub/show combo( LAVS (HondSinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (1Cnchmpti V) WATER HEATERS (siectic) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF FMSUW IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE (In Sgnare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes Aj No ❑ Yes y( No RESIDENTIAL - NEW OR ADDITION Al%%v AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ ........................_. OTHER (dvecriba) PROPOSED TOTAL Area Totals EXIsTMG r*11 wHOME3 ONLT** ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in S uare Feet Occupancy Group(s) Construction TKPe # of Stories Additional Information NEW BUMDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in _square Feet — Occupancy Group(s)Additional Construction Tye # of Stories i Information TOTAL BUILDING -a TENANT AREA ONLY _ PROJECT AREA ONLY Bulletin # 100 — February 19, 2020 Page 2 of 2 k:\Handouts\Pemut Application