22-104075City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PACIFIC WELLNESS COMMUNITY AFH
Project Address: 29804 18TH PL S
Building - Single Family
Permit #:22-104075-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 367440 0136
Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under
this permit.***
Owner
Applicant
Contractor_
Lender
KUSHAL KUMAR
TIJAN MOHAMED
29808 18TH AVE S
16720 163RD PL SE
FEDERAL WAY WA 98003
RENTON WA 98058
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!!
PERMIT EXPIRES Sunday, 5 March, 2023
Permit Issued on Tuesday, September 6, 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: F I I Date:
Adultfamily Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST,
Code References: 2018IRC Section R330 (WAC 51-51)
APPLICATION NUMBER: -Ad -/D_YO
SECTIONS 1. 2.3. AND 4 MUST BE COMPLETED BYAPPLICANT BEFORE INSPECTION WILL BE PROCESSED
— - SECTION 1— PROPERTY INFORMATION -- - - - —
SITE ADDRESS: �G is a_, ASSESSOR'S TNUPARCELV:------------
PROPERTY OWNER NAME: 1'1 �`T�— Ic u M A L DAYTIMEPHONE.206 �LSb — I S 3 j
AFH LICENSEE NAME(rFoiFFMENT): -Ti 1 0.V1 `" `0 haVA'p—d _J DAYrIMEPHONE:Q®fa — 99 '1 .q7 TO
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.
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 ar 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 attomeys'fees incurred In the investigation of such claim), which may be made by any person, including the undersigned
and Fried againstthe jurisdiction, but only where such claim arises out of the reliance of the jurisdiction, Including its officers aW
employees, upon,the accuracy of the information s upplied to the jurisdiction as a partof this application.
NAMEfiiTLE. V �Y'^
OPROPERTY OWNER E3 APPLTCANT
DATE: ,dj I �I
0 LICENSEE
Implementation Date:2021 February01
Updated:2021 February
(Effective Feb. 1, 2021
WAC 51-51-0330
Section R330 — Adult family homes.
SECTION R330
ADULT FAMILY HOMES
R330.1 General. This section shallapplyto all newly constructed adultfamily homes and all existing single family homes being
converted to adult family homes. This section shall not applyto those adultfamily homes licensed bythe state of Washin gton
departmentof social and health services prior to July 1, 2001.
R330.2 Reserved.
R330.3 Sleeping room classification. Each sleeping room in an adultfamily home shall be classified as:
1. Type S - Wherethe meansof 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 adultfamilyhomes shall be operable with one
hand and shall not require tight grasping, pinching ortwisting 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 exitdoors shall have no additio nal
locking devices.
Required exit doorhardware shall unlock inside and outside mechanismswhen exiting the building a (lowing reentryintothe adult
family homewithoutthe 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. Alarms shall 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 openings
will be approved as meeting this requirement.
R330.7 Fire apparatus access roads andwatersupply 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 adultfam ily 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 diameter of 1 1/4 inches minimum
and 2 inches maximum. Grab bars with noncircular cross section shall have across section dimension oft inches maximum and a
perimeterdimensionof4 inches minimum and 45/8 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 260 pounds applied atany 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 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 m ounted 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.
Implementation Date:2021 February0l
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 fnchesfro(n
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 bathtub edge or within 4 inches within the bath tub. The
bottom end of the bar shall start between 36 inches and 42 inches above floorgrade.
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 back wall within the
bathtub area. Grab bars shall be mounted between 33 inches and 36 inches above floorgrade. 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.
R330.8.5Crabbars atshowerstalls. Where showerstallsare providedto 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 builtan 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 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 showerstall mounted between 33
inchesand 36 inchesabovethe floorgrade. Horizontal grab bars shall be a maximum of 6 inchesfrom adjacentwalls. Horizontal
grab bars shall not interfere with shower control valves.
R330.9 Ramps. All interiorand exterior ramps, when provided, shall be constructed in accordancewith Section R311.8 with a
maximumslopeof 1 verticalto 12 horizontal.The exception to R311.8.1 is not allowed foradultfamilyhomes. Handrailsshall 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 R311.7,8A
R330.11 Showerstalls. Where provided to meet the requirements for bathing facilities, the minimum size of showerstallsforan
adultfam ily 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 7/1/13. Statutory
Authority. Chapter 19.27 RCW. 10-18-036, § 51-51-0325, filed 8/25/10, effective 9/25/10. StatutoryAuth orfty. RCW 1927.190, 1 9.27.020, and
chapters 19.27 an d 34.05 RCW.09-04-023, § 51-51-0325, filed 1/27109, effective 7/1/10. Statutory Authority: RCW 19.27.074. 19,27.020, and
chapters 19.27 and 34.05 RCW. 07-01-D90, § 51-51-0325, filed 12/19/06, effective 7/1 /07. Statuto ryAuth ority: RCW 19.27.031 and 19.27.074. 04-
01-109, § 51-51-0325, filed 12/17/03, effective 7/1 /04.] [StatutoryAuthority: RCW 19.27.031 and 19.27.074 . W SR 20-03-023, § 51-51-0330, filed
1/6/20, effective?/1/20.]
Implementation Date:2021 February01
Updated:2021 February
SECTION 5 MUST BE COMPLFrED BY THE 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 BCD SAND FAND CLASSIFICATION CODE S, NS3 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 5- where theme a ns 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 1 D Type S 11AType
NS1
I E3 Type NS2
YES
NO
Closet door/s are readily openable from the inside NiYes [3 No N/A I
Smoke alarm is installed in the bedroom
IM
Q
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 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 openi g; no steps underwindow allowed
SLEEPING ROOM B E3 Type S
IpType NSl E3 Type NS2
NIES
NO
Closet door/s are readily openable from the inside 111Yes 0 No IONIA
I Smoke alarm is installed in the bedroom
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 underwindow allowed
0
SLEEPING ROOM C
E3 Type S
Type NS3
JU Type NS2
Y 5
NO
Closet door/s are readily openable from the inside 11A Yes Q No I EINIA
I Smoke alarm is installed in the bedroom
0,
Q
Bedroom door opens easily and quickly from the outside when locked
[j
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 openi g; no steps under window allowed
SLEEPING ROOM D Type S
Type NS1
Type NS2
ES
NO
Closet door/s are readily openable from the inside Yes 0 No I E3N/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 ope i
g; no steps under window allowed
SLEEPING ROOM E E3 Type S ICO
Type NS1
L3 Type NS2
YES
NO
Closet door/s are readily openable from the inside JRYes 113 No I UN/A I Smoke alarm is installed in the bedroom
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 openi g; no steps under window allowed
SLEEPING ROOM F JUType S
ElType NS1
113 Type NS2
YIES
NO
Closet door/s are readily openable from the inside IN Yes 113 No I UN/A
I Smoke alarm is installed in the bedroom
W
0
Bedroom door opens easily and quickly from the outside when locked
70
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 SF
9V
13
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 openable from the outside when locked
13
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
IFj]
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).
F4
E3
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
�d
Access road and water supply meet local fire jurisdictional requirements.
Cl
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).
Pocket doors shall have graspable hardware available when in the closed or open position.
E3
R311.8 Rarripsi
YES
NO
Inside Ramp I
N/A
13
0
R311.8.1 Maximum lope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in 1
13
13
R330.9)
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
ramp changes directions.
0
13
R330.9.1 Handrails required on both sides of ramp.
130
Outside Ramp j N/A 13
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.
'M
Q
R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 30 inches measured
r]
vertically to the floor orgrade 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
rHandrail both sides
Less than 4" 1 34" - 38"
Tx3'min
Im landing
3' x 3' min
III
landing
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 tightgrasping, pinching or twisting of the wrist (lever -type).
1-2—
R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exitingthe building allowing re-entry
0
without use of key, tool or pecial knowledge.
R311.7 Stairways I N/A
YES
NO
R311.7.5.1 Riser Height: Max riser height shall be 7 % inches (8 inches in structures built prior to July 1, 2004)
113i1.7.5.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004)
Q
0
R330.10.1 Handrails forTreads and Risers shall be installed on both sides of treads and risers numbering from one riser to multi pie
13
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 E3
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 R330.8.5
Shower stalls must be minimum size of 30inches sleep by 48 inches long (R330.11)
PASSED
�
� 1
NAME OF AFH:
Ui g i 2L- - S . (e dk WN I U A
Adult Family Home Project Address
BUILDING DEPT.. IN�SPE TOR'S NAME (PRINY- T
Bk�IL !NG DEPT. INSPECTOR' NATURE DATE:
1 1 s • 5 `r l �'4 V V l 4JY_�. iW.,,.�� - F �.I ^ y f •J r"( 1
BUILDING DEPT. OFFICE ADDRESS OFFICE PHONE NUMBER:
Application and inspection checHistdeveloped byWashingtnn Association ofBuildingOfficials (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
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CITY OF Building Division
33325 Eighth Avenue South
Federal Way Federal Way, Fax
98003-6325
Phone 253-835-2607 Fax 253-35-609
CORRECTION NOTICE
IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE
ewk\ 0\,\Xv
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
Building Division,
CITY OF 33325 Eighth Avenue South
Federal Wa Federal Way, 98-6325
y Phone 253-835-2607 Faxx 253-835835-2609
CORRECTION NOTICE
ADDRESS: PERMIT#: 2Z - /o �b7
2, rdtea—;vr for c� S
IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
91-?IZz A. i
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
r - RECEIVED
CITYOF SEP 06 2022 PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY
COMMUNrN DEVELOPMENT
PERMIT NUMBER _ / 0 O Cj _ 5 E TARGET DATE
SITE ADDRESS
-:Zq 8 b
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
JJ
C ' [sA le ss cm N1v1 'ti L
PROJECT DESCRIPTION
Detailed description of work to
� ,
e 1- i�-
be included on this permit only
NAME
w s �A A
PRIMARY PHONE
'
PROPERTY OWNER
MAILING ADDRESS
Vex L.��cz`
W A
E-MAIL
CITY lj `
f L- vl1 Vries
` S,TATAE
VV i .
ZIP
[7r
❑ i� [��
�J
r 3 D' 1,5
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
I I
NAME ♦
1 Gi M
PRIMARY PHONE
An La ` C(
ING ADDRESS
SC
E-MAIL
e h
APPLICANT
CITY
SVJA
ZI� 0 1&
'JCS
FAX
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 value is $5, 000 or more
(RCW 29.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 per application is trace 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 he 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 %L 2—
PRINT NAME: -T1 T�� VA VA o 12C"V�A �-' ,\
Bulletin #100 - February 22, 2016 Pagel of 2 k:\Handouts\Permit Application