23-102873I 10ITM r,
City of Federal Way Permit #:23-102873-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SERENE MANNER AFH
Project Address: 30816 3RD PL S Parcel Number: 667265 0050
Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under
this permit.***
Owner Applicant Contractor Lender
MILLION ASFAW MILLION ASFAW
30816 3RD PL S 30816 3RD PL S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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Includes: #1 #2 #3 #4
:cut)ancv Class:
Construction LEI. J
Occupancy Load: I
Floor Area (sq. ft.) J 1 —1 - I
Additional Permit Information
Mechanical to be Included?.. ... No is this an Online or O.T.C. application? .................. Yes
Plumbing to be Included? ........................................ No
1 1 11! ni n!
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:
I own 16021,17".
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code kieferences,� IM SRC section R330 (WAC 51'5,11
APPLICATION NUJMBIER4-111
SPFCIION CTION
WILL BE PROCESSED
SECTIONS 1, 2. 3. AND 4 MUST BE COMPLETED By APPLICANT BEFORE IlN
SITE ADDRESS 3(
SECTION 2—APPLICANT I lilis
PROPERTY OWNER NAME: -S DAYTIME PHONE:
AFH LICENSEE NAME (JFDJFFERENT)DAYTIME PHONE: . . .....
SECTIONS INPLAN'
Oparate sheet of paper ($ 1/2 x 11) draw a floor plan (Mcfuding all
floors) of your prospective APH. Include all sleeping: roo(bedrooms)
indicating which bedroom
Label all components for exiting i.e., stairs, ramps, platforms, lifts and
elevators.
NA,M1ff11LV HA'�" - - ------- - DArF
0-AIIPIXANI 131-ICENSEE
IMPlernentation Date: 2021 February 01
Updated: 2021 February
(Effective Feb 1, 2021
WAG 51-51-0330
Section R330 — Adult family homes.
* I , I
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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 Ilifts
2. Type NSI - Mere 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.
NOW
will be approved as meeting this requirement.
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access roads and water supplies meeting the requirements of the local jurisdictiom
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
an:e 2 i?�ches maxim ta�tf 2 i6ches maximum 2A,1-2—
perimeter dimension of 4 inches minimum and 4 5/8 inches maximum.
R330.&2 Grab bar !)installation. Grab bars shall have a spacing of 1 112 inches between the wall and the bar. Projecting objects.
�ntral u *r sX,twer st2ll eAeisure fe2tures above, Welow awt Ot 41 eAI�s 4+-Ma gra�, *ar sha"Vis a cl�21` S�?Q-
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 havea structural strength 0150 pounds applied at any point on the grab bar, fastener, mounting device or
�svpport�ng structural member, Grab bars shalt not be supported directtv by any residential grade fiberglass bathing or showering
unit. Acrylic ars f6cirrd m b6thma units the,$ be nrl
Fixed position grab bars, when mounted, shall not rotate. spin or -move and have a graspable surface finish,
ii Jig J1,j ii Iiiii illigi Wag I osels shall have rat) bars I I ourq
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Updated: 2021 February
77,
riches 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'
RIXB4ert ca grab bam. VOrfical grab bars shall be a minimum of 18 inches long and installed at the control end wall and
h"d en wall. Grab ' r shall Mwht within 4 bathtub edge or Within 4 inches within the bathtub, The
bottom end of the bar shall start between 36 inches and 42 inches above floor grade,
EXCEPTION: The required veMeal grab bar can be substituted with a floor to ceiling grab bar meeting the
requirements cif R330.8 at the control end and head end entry points.
ATA.8-4.2 Horizontal grab bats� Horizontal grab bars shall be provided at the control end, head encl� and the bAcir wall within the
Cootrol end andhead end grab bars
shall be 24 inches minimum in length. B I ack wall grab bar shall be 36 inches minimum in length.
R330.8.5 Grab bars at shower stalls. Mere 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 Vdirtical or horizontal grab
bars at the seat end wall. A vertical floor to ceiling grab bi�lr shall be installed within 4 inches of
the exterior of the shower aligned with the nose of the built-in seat.
R330�8;5.11 Vertical grab bars. Vertical grab bars shall be 18 inches minimum in length and installed at the control end wall and
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 R31 1.8 with a
maximum slope of 1 vertical to 12 horizontal. The exception to R31 1, 8A is not allowed for adult family homes, Handrails shall be
installed in accordance with R330.9.1.
RM.9A Handrails, for ra ,.&&,,H,,drajts shall be installed on both sides of ramps between the slope of I vertical to 12 horizonta:�
R330.1 0 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.
R33oA0A Haodrails for treads and risers. Handrails shall be installed on bo.th sides of treads and risers numbering from one riser
i
to mutople risers. Handrails shot! be installed in R311.7,8.1 through R311.7.8,4
Vjw,&t t#__vP_-Lt�.P.EP4flrements for bath Lh'9
adult family home shall be 30 inches deep by 48 inches long.
if
'YeFi =F Z 13 n I a i e: z 9, z I r 6 777MVIPIP31
Updated: 2021 February
Implementation Date: 2CQ1FebruarYOl
Updated: IO2lFebmnw
Handrail both sides
- Less than 4" 34" - 38"
s
Guard
36 rmi,
_.3 x 3' min a r x r'a-rr.w z x e I r x t.o's': u
IandinP
_- One unit vertical in twelve units horizontal
re!Mrraurn .. is an 83 59ope all alan surface of the ramp,
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In"ple"Ientation Efate: 2021 FebrUJry 01
Upcle lc�dl: 202t Feln'` dry
IN
BUILD& 15EPT. OFFICE ADDRESS
Application and inspection checklist developed by Washington A5$46,ltion of But
-
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NCE PHONE NUMBER.
ImplementationDate: 2U2lFabmaryOl
Updated: ZO21Febmary
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RECEIVED
CITY OF FEDERAL WAy
COMMUN[TY
APPLICATION
CITY OF 8u .ax"' q'^'ayvamw.a JERMIT
Federal Way
PERMIT NUMBER
7 DATE
_ -
i ' -3 - ® TARGET
.. SITE ADDRESS ,-, ........_
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PROJECT vALvaTtox
zoxtxG AssEss OR'S TAX/PARCEL
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DE-00LITION ❑ ENGINEERING ❑ FIRE PR f,LL\!'IG`
NAME OF PROJE CT
Sc, (I /®n
PROJECTDESCRIPTION
j
Detailed description Of uJOri f0
r tJl
be included on this permit only
l(
NAME PRIMARY PHONE
H'M'lo IN 1 - a
PROPERTY OWNER
MAILING ADDRESS E°MAIL
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CITY
STATE ZIP
QL�.
NAMEPxoxE
MAMING ADDRESS F MAIL I
CONTRACTOR
c[rY STATE
ZIP FAX
WA STATE CONTRACTOR'S LICENSE X
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
d � 1
NAME .+ - PRIMARYMAR PHONE
r L J P ✓`
APPLICANT -.MAILING
ADDRESS E-MAIL
CITY STATE
ZiP FAX
NAME _.
PRIMARY PHONE
PROJECT CONTACT
(The Indwidual to recciue and
LING ADDRESS - E- L
respond to all correspondence
concerning this application)
CITY STATE
66 ZIP FAX
NAME
PROJECT FINANCING
El OWNER -FINANCED
Wh,rc vuluc is a'J, 000 ar nl-e
MAILING ADDRESS, CITY, STATE, ZIP -. 3"
PHONE
IRr f. 7.04:;1
I certify under penalty of perjury that I am the property. owner or authorized agent of fliq proprrly owner. I ecrt#fy that: to the Hest
of any knowledge, the information saharritted in .support :of this permit application is true aoal`:Co. rrrp. ieert certify that I bill cnmpfy ,rattle.
all upplY:ea.Gfe Pity of Federal Way retlrtlatins pertaining to the work authorize, b9 tlrc Issaarancia of" a. perniFtr l..tantlaratzrrad thee# the
issuance of this permit does not
remora :the owner's responsibility for. Coaraphard ce with locaal, state, orfederal law$ tatolulaflr
construction or environmental laws.
I faxrt#her ogrr«,v:.W halal is rrrtalexs the city of roddral Way as to any claim :.l#ncluoinfl costa, erlaen.Cs, aanal attomeys' fees incurred in
&Fee tiNr gatitaFr axnc! dvjanu a of rueh:. clamgr which may: he nsarle by ang persa a, #rrclading thy:: a anelrvrsfyrred,: and filed against the city,
lint only;: where ssxrt, cicallfr: aarix�r:x goofof time reliance nj the city, latCludiay It$ officers 01119 of the
trrforrnatlon sripliftrd to, e1w r rtaj its a 1aarl of fhiv application, enaplrayees, upon the accuracy
l�
SIGNATURE:
a
_DATE.—
PRINT NAME:
I..l'I)rUllft 22.2016
fare I of I
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