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23-102218City of Federal Way Community Development DepC 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Building - Single Family Permit #:23-102218-00-SF Inspection Request Line: (253) 835-3050 Project Name: A BETTER CARE AFH Project Address: 28615 21ST AVE S Parcel Number: 422200 0150 Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender FEHJOHNSON FEHJOHNSON 28615 21ST AVE S 28615 21ST AVE S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 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 l- No Fixtures Associated With This Permit 11 PERMIT EXPIRES Sunday, 22 October, 2023 Permit Issued on Tuesday, April 25, 2023 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: A 3 - / 6) A a 10 SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED By APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1— PROPERTY INFORMATION % 1 , ` p� l� �dk lloos 4 2-Z2.00 `— " S ` Vy�E� ASSESSOR'S TAXIPARCEL#:_ _ _ SITE ADDRESS: i SECTION 2 — APPLICANT INFORMATION PROPERTY OWNER NAME: &2-k D, AFH LICENSEE NAME (IF DIFFERENT): DAYTIME PHONE: �0 � C XSZ3 Ff ,Vd-g ur=161►1sil 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. 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 }-tome 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 daim), 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 e accuracy of the Information supplieddtt the jurisdiction as a part of this applic�ajtion. NAME/TITLE: ��r l CJ • �o �^! �S a �D /►-ice v e r �l or DATE: fr ` Z3 XPROPERTY OWNER APPLICANT LICENSEE 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 BCD E AND F AND CLASSIFICATION CODES, N51 OR NS2. L _.. 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. rya SLEEPING ROOM A OType S Type NSi 113 Type NS2 YES NO Closet door/s are readily openable from the inside © Yes Q No /A 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 S SF ❑ Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 0 SLEEPING ROOM B 10Type Type N51 JUType N52 YES NO Closet door/s are readily openable from the inside 0 Yes 0 No I P/A I Smoke alarm is installed in the bedroom Q 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 Sleeping room window has a maximum sill height of 44" above floor to clear Opening, no steps under window allowed 0 A 0 SLEEPING ROOM C 113Typp S Type NS1 ©Type NS2 YES NO Closet door/s are readily openable from the inside ❑ Yes [3 No N/A I Smoke alarm is installed in the bedroom 0 Bedroom door opens easily and quickly from the outside when Iocke6 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 openi ; no steps under window allowed 0 SLEEPING ROOM D j 0 Type 5 I PLType NS1 10 Type NS2 YES NO Closet door/s are readily openable from the inside © Yes ❑ No I N/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 opening; no steps under window allowed 0 SLEEPING ROOM E 10 Type 5 Type N51 Type NS2 YES NO Closet door/s are readily openable from the inside ❑ Yes 0 No ONJA I Smoke alarm is installed in the bedroom 0 [] Bedroom do and quickly from the outside when locked13 0 Sleeping room window —has a net opening ns at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape win ay have net clearance openi 0 ❑ 51e s"e-rnaximum sill height of 44" above floor to clear opening; no steps under allowed [] 0 SLEEPING ROOM F 0 Type S 0 Type NS1 0 Type NSP YES NO Closet door/s are readily openable from the inside 0 Yes Q No I E3N/A I Smoke alarm is installed in the bedroom 0 0 room ❑ r m--tlTe-outstde-wheniocked ❑ 0 Sleeping room window has a net opening of 5.7 SF (minlm t least 24"hi h a " EXCEPT per R310.2.1: at -grade escape windows — may have net clew ng 0 Sleeping room window has a maximu above floor to clear opening; no steps under wrn lowedl 13 0 Implementation Date: 2021 February 01 Updated: 2021 February GENERAL YES N01 Bathroom doors are easily and quickly openable from the outside when locked Carbon Monoxide alarms are installed as required in R315 on each level of the home. 13 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). ❑ 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. 0 Access road and water supply meet local fire jurisdictional requirements. 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). ¢'d 0 Pocket doors shall have graspable hardware available when in the closed or open position. 0 R311.8 Ramp YES NO Inside Ramp I N/A ❑ ❑ _ R311.8.1 Maximum lope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in i 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 0 R330.9.1 Handrails required on both sides of ramp. 0 [3 Outside Ramp N/A 0 1 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 ramp changes directions. 0 R330.9.1 Handrails required on both sides of ramp. R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 30 inches measured 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. 0 ❑ G 36 minimum is an 8.3% slope all along surface of the ramp. minimum Implementation Date: 2021 February 01 Updated: 2021 February A 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). 0 R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry Q without use of key, tool or special knowledge. R311.7 Stairways I N/A IJ I YES NO R311.7.5.1 Riser Height: ax riser height shall be 7 % inches (8 inches in structures built priorto July 1, 2004) R311.7.5.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built priorto July 1, 2004) 0 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 risers. Handrails shall be installed in accordance with 11311.7.81— R311.7.8.4 R330.8 Grab Bars in Bathrooms I N/AE3 YES NO Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R330.8. 0 Water Closets (toilet) shalf 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 E3 Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R330.8.5 0 Shower stalls must be minimum size of 30 inches deep by 48 inches long (R330.11) 0 PASSED NAME \ �/ C/�� 1 r OF AFH: Y � ( q- 21 5T- l/ � S- Ir A1N Adult Family Home Project Address flYt BUILDING Q T. INSPECTOR' AME (PRINT) BUILDINbreff.INSP crowsSl ATUR£ DATE: II5_VC BUILDING DEPT. OFFICE ADDRESS OFFICE PHONE NUMBER: i 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 Q W J 0 m O J Cl) r CV co 't Z Q _ W W Q �222 U w ~ Z Q� 0000 w rr W 0000 w O w []C Cr OC Or ❑❑❑❑ ❑ w ❑ 2 Z H T- V 04 wwww � � J m m m m Cl) W C3 LLJ "Q 00 fU cV 0 N LU Q m W Qmo❑ �� 1 LL w Q L m w U LL r W 1' 0 0 z z > Z J H Z. a lUL3 m llx O O � . LU cn LLI 0 w LU c� tl � C d9 S w> LLI zLL cs • qW❑W LLJ Q w W C) < m C/i w Q C/) N g T^' CITY OF Building Division 33325 Eighth Avenue South Federal Way Federal Way, 98-6325 Phone 253-835-2607 Faxx 253-835835-2609 vz�:� CORRECTION NOTICE ADDRESS: ZffC 2 �� S. PERMIT#: IF YOU HAVE QUESTIONS CALL (253) 835- WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835- 050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED.TO BE MADE WITHIN 15 DAYS. zq j0 _ DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of RECEIVED i STY oF _ APR 21 20 23 PERMIT APPLICATION Federal 111iay PERMIT` CENTER + 33325 81^ Avenue South +Federal Way, WA 98003-6325 CITY 0[r FEi7ERAl_WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com COMMUNITYY DEVELOPMENT ////���� PERMIT NUMBER � 3- _ / o Ia JN IJJ-- LYL TARGET DATE _ s J _ SITE ADDRESS SSSL" SUITE/UNIT # ! sr ¢-V e- S FE W Ar 1, PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ' S Q .� +zr � t— L—6, e i/\ PROJECT DESCRIPTION Detailed description of work to be included on this permit only i NAME �� C � - - - PRIMARY PHONE '] Q MAILING ADDRESS 1 r Zf GIs E-MAIL PROPERTY OWNER a4� .p54 �rr• ��p�JFf) STATW ►1 -- NAME PHONE ` MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP 1 FAX . WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI # vpsrrxvy O,�g iNAME q [i Jo LDS DA ' MALI�LINdGApAAlFJtE38 APPLICANT P.+ 'PAX ! N PROJECT CONTACT I3� PRIMARY PRONE E E-MAIL (The individual to receive and MAILING ADDRESS s� A� respond to all correspondence concerning this application) i J ST TZ ZIP FAX PROJECT FINANCING NAME ❑ OWNER -FINANCED When value is $5,000 or more (Rew ] 9.27.095) 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 permit application is true and correct. I certTj that I will comply with all applicable City of Federal Way regulations partaining 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 far compliance with focal, 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 as a part oft application. SIGNATURE: DATE PRINT NAME: T' .Grl Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application