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24-101210Building - Single Family CunityDFederal lopmenWay Permit #:24-101210-00-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: HOSPITALITY AFH 2 Project Address: 30156 16TH AVE SW Parcel Number: 5153200395 Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender JOYCE & KENNETH JOYCE & KENNETH EJIOGUHOSPITALITY AFH 2 EJIOGUHOSPITALITY AFH 2 920 280TH ST 920 280TH ST DES MOINES WA 99198 DES MOINES WA 98198 Census Category: 434 - Residential alt/add - no change in number of units Includes: # 1 #2 #3 #4 Occu ancy Class: Construction Type: e: Occupancy Load: l--ioor Area (sq. 11.) 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 lI PERMIT EXPIRES Sunday, 15 September, 2024 Permit Issued on Tuesday, March 19, 2024 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. I Owner or agent: p`--fivz SDate: 31 l 1°� FINALED -Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2018 IRC Section R330 (WAC 51-51) APPLICATION NUMBER: SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED By APPLICANT BEFORE INSPECTION WILL BE PROCESSED SITE ADDRESS: U I S� A�e J w �e �W" ��� ASSESSOR'S TMPARCEU PS G3 2 01 SECTION 2 — APPLICANT INFORMATION PROPERTY OWNER NAME: Ke r\a �. C'cJ��� DAYTIMEPHONE:�D AFH LICENSEE NAME (IF DIFFEUNr): SECTION 3 — FLOOR PLAN DAYTIME PHONE: 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 —DISCLAIM ER/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 Aduft Family home at this location. I agreeto hold harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses,and atto rney s'fees incurred in the investigation of such maim), which may he made by any person, including the undersigned, and fried 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 iJnfor�mation supplied to the jurisdiction as a part of this application. NAMEMTLE: \fl e.�"� ��0 DATE: 3'�f PROPERTY OWNER EXAPPLICANT MICENSEE (Effective Feb. 1, 2021 Implementation Date: 2021 February 01 Updated: 2021 February 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 fam ily 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 additio nal locking devices. Required exitdoor hardware shall unlock inside and outside mechanisms when exiting the building allowing reentry into the ad ult family home without the use of a key, tool or special knowledge. R330.5 Smoke and carbon monoxide alarm requirements. Ali aduitfamily 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 thatthe 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 o penings will be approved as meeting this requirement. R330.7 Fire apparatus access roads and water supply 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 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 crass section. Grab barswith a circular cross section shall have an outside diameter of 1 1/4 inches minimum and 2 inches maximum. Grab bars with nondreularcross section shall have a cross section dirriension of 2 inches maximum and a perimeter dimension of 4 inches minimum and 4 518 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 1 112 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. 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. Implementation Date: 2021 February 01 Updated: 2021 February R330.9.3.2 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. R330.8AJ Vertical grab bars. Vertical grab gars shall be a minimum of 18 inches long and installed atthe Control end wall and head endwail. Grab barsshall mountwithin 4 inches of the exteriorof 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. R330.8A.2 Horizontal grab bars. Horizontal grabbars 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 floorgrade. Control end and head end grab bars shall be 24 inches minimum in length. Back wall grab barshall be 36 inches minimum in length. R330.8.5 Grab bars at shower stalls. Where shower stalls are provided to meetthe 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 wail. Vertical bars shall be mounted within 4 inches of the exterior of the shower stall or within 4 inches inside the shower stall. She 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 inchesand 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 foradultfamily homes. Handrails shall be Installed in accordance with R330.9.1. R330.9.1 Handrails for ramps. Handrailsshall 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 meetthe 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 34.0 RCW. 13-04-068. § 51-51-0325, filed 211113, effective 711113. Statutory Authanty: Chapter 19.27 RCW. 10-18-036, § 51-51-0325. filed 8126/10, effective 9125110. Statutory Authority: RCW 19.27 190, 1 .27. 20, and chapters 19.27 and 34.[]5 RCW. 09-04023, § 5151-0325, filed 1/27/09, effective 7/1110. Statutory Authority: RCW 19 , 19.27.020, and 01-148r§ 51 51-0325, lad 2117103, effective 7/1104.][Statut ry Authority. RCW 119.27. 31and Statutory9.27 a74 WSR 20-03-023, § 51-51-03 b fitted 116120, effective 7/1120.1 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 EAND FAND CLASSIFICATION CODE S, NS1 OR NS2. 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 R3 30.9 is provided to evacuate residents to public area. Type NS2 — where 2 means of egress at grade level (both have no stairs) or ramps cons ructed compliant with R3 30.9 are provided to evacuate residents to public area. SLEEPING ROOM A d; D Type S JU Type NS1 10 Type NS2 YE NO Closet door/s are readily openable from the inside Yes 113 No I ON/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 openi ; no steps under window allowed SLEEPING ROOM B. I LJ Type S ffl Type NS1 JE3 Type NS2 YE.J, NO Closet door/s are readily openable from the inside Yes 0 No ON/A I Smoke alarm is installed in the bedroom IM C1 Bedroom door opens easily and quickly from the outside when locked O 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 96 O Sleeping room window has a maximum sill height of 44",above floor to clear openi ; no steps under window allowed O SLEEPING ROOM C 10 Type S Type NS1 113 Type NS2 YE NO Closet door/s are readily openable from the inside 93 Yes 113 No N/A I Smoke alarm is installed in the bedroom 0 Bedroom door opens easily and quickly from the outside when locked _9�10 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 Of 13 Sleeping room window has a maximum sill height of 44"j3bove floor to clear openi ; no steps under window allowed SLEEPING ROOM b JE3 Type S 113 Type NS1 JE3 Type NS2 Closet door/s are readily openable from the inside 113 Yes 113 No 113NIA I Smoke alarm is installed in the bedroom YES NO 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 openi ; no steps under window allowed SLEEPING ROOM E 113 Type S 113 Closet door/s are readily openable from the inside YesJE3 No N/A I Type N51 JU Type NS2 Smoke alarm is installed in the bedroom YES 9j0 NO 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" ove floor to clear op. eni ; no steps under window allowed 0 SLEEPING ROOM F 1 113 Type S Closet door/s are readily openable from the inside Q Yes 113 No J..UNJA I Type NS1 JE3 Type NS2 Smoke alarm is installed in the bedroom YES NO 0 Bedroom door opens easily and quickly from the outside when locked M 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 Implementation Date: 2021 February 01 Updated: 2021 February SECTION 5 MOST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JUR150ICTION THE HOME WILL BE LOCATEQ. 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 EAND F AND CLASSIFICATION CODE S, NS1 OR NS2. SECTION BUILDING INSPECTOR'S • INSPECTION I 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 R3 30.9 is provided to evacuate residents to public area. Type NS2 — where 2 means of egress at grade level (both have no stairs) or ramps cans rutted compliant with R3 30.9 are provided to evacuate residents to public area. SLEEPING ROOM3t E3 Type 5 JM Type NS1 10 Type NS2 YES NO Closet door/s are readily openable from the inside 113 Yes 10 No ©N/A I Smoke alarm is installed in the bedroom Ef `] �[ Bedroom door opens easily and quickly from the outside when locked El 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 openidg, no steps under window allowed SLEEPING ROOMS H I I E3 Type S JEM Type NS1 JQ Type NS2 YES j NO Closet door/s are readily openable from the inside lip Yes [] Noj ON/A I Smoke alarm is installed in the bedroom Q 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 feast 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows -- may have net clearance opening 5 SF Er [] Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed_ SLEEPING ROOM C JE3 Type S Type NS JE3 Type NSZ- `v YES NO �tB et door/s are readily openable from the inside 10 Yes 10 No N/A I Smoke alarm is installed in ti)e bedroom (3 13 Bedro door opens easily and quickly from the outside when locked E3 13 Sleeping ro window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least.2f]" wide) EXCEPT per R310. : at -grade escape windows — may have net clearance opening 5 SF 0 0 Sleeping room window a maximum sill height of 44" above floor to clear opening; qorlsteps under window allowed SLE G ROOM D I L3 Type S ype NS1 Type NS2 YES NO Closet door/s are readily openable-frQM the inside [Z Yes ❑ No JE3NIk-1 Smoke alarm is installed in the bedroom [j E3 Bedroom door opens easily and quickly'iFbM the outside when locked Cj E3 Sleeping room window has a net opening of 5. (minimum dime 5 ans at least 24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape windows — mWhave n earance opening 5 SF 13 13 Sleeping room window has a maximum sill height of 44" a floor to clear opening; no steps under window allowed 13 SLEEPING ROOM E Type S 113 Type NS1 113 Type NS2 YES NO ' Closet door/s are readily openable from the i e 10 Yes JE3 No /A I Smoke alarm is installed in the bedroom 13 (] Bedroom door opens easily and quickly fSzfii the outside when locked 13 E3 Sleeping room window has a net op sng of 5.7 SF (minimum dimensions at least "high; at least 20" wide) EXCEPT per R310.2.1: at -grade ape windows — may have net clearance opening 5 5 0 Q Sleeping room window h maximum sill height of 44" above floor to clear openin ; no ste nder window allowed SLEEPING ROOM F Type S JE3 Type NS1 Type NS2 YES NO Closet door/s readily openable from the inside 10 Yes 113 No I E3N/A I Smoke alarm is installed a bedroom 13 Q Bedroom Oeor opens easily and quickly from the outside when locked 13 [Y Sleepirfg room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide) ,.}F [CEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF 0 0 Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed Implementation Date: 2021 February 01 Updated: 2021 February 'A 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. IT 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 (11314). 13 Smoke and Carbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in all 13 parts of the dwelling upon activation of a single device. 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). �E Pocket doors shall have graspable hardware available when in the closed or open position. 3 R311.8 Ramp YES NO Inside Ramp I N/A Q 0 R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in [i 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. 13 13 R330.9.1 Handrails requi d on both sides of ramp. Outside Ramp I N/A 13 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 13 a ramp changes directions. R330.9.1 Handrails required on both sides of ramp. 0 13 R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 30 inches measured 13 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. Guard 36" min Handrail both sides Less than 4" 1 34" - 38" Tx3'min landing x 3' min One unit vertical in twelve units horizontal 3' --� minimum is an 8.3%slope all along surface of the ramp. minimum Implementation Date: 2021 February 01 Updated: 2021 February R311.2 Means of Egress Yg 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 13 without use of key, tool ors cial knowledge. R331.7 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) R311.7.5.2 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 Handrailsfor Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multi pie 0 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 Ll I YES/ NO Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R330.8. 13 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 Q Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R330.8.5 Sha r stalls must be minimum size of 30 inches deep by 48 inches long (R330.11) 13 PASSED NAME OF AFH: 30 i� b l(�e S uJ� F��e-�r�Q i,J(-• Adult Family Home Project Address BWLDIN O INSPECTO NAM (P IN iLEING T_ INSPECTOR'S 51TURE DATE: BUILDING DEPT. OFFICE ADDRESS OFFICE PHONE NUMBER: Application and inspection checldist 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 a m y y y m E i 9,0� Na E • ®E ri ti blip b �a 6 6 b a is Im a y am b F imp: owz-m (mz) 66696 VM'P--"L 1 9ZO MS 1S MOU oms JNmnSNO3 L131A38 2133NION3 IV'df1iomA1S Mif, a J m b' LLLieiS 8 amr vre tem�� o s bi'b 0bbb�� iZ h : i b u 96EOozE9l9 faM I-apaj do 4.0 CZ096 bM'/aM papazi MS SAV 419L 99L06 3ON3OIS3a noon SS3210(ly ioDro8d C)i a® C) Q p OF CITY Way Bu2ing Division 33325 Eighfh Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: ISOV7t /�'� PUS SW PERMIT#: %�'I- )OIZ/AG' VG �' 0 0 ( E rl b P 0q 0,0wolbleYOlfl Ii`P i►IIS AQ . Z1.75,7G NNA 00' 5 1 AH% 111�ci [ kk o V x n b", &vw #fi g 0u& {ci;P r IF YOU HAVE QUESTIONS CALL (253) 835- J 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. ej�I-Z, LA DATE INSPECTOR ®O NOT REMOVE THIS NOTICE Page of RECEIVED MAR 19 2024 PERMIT APPLICATION CITY OF PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 Federal Way CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway_com COMMUNITY DEVELOPMENT 73 PERMIT NUMBER _ I '2 0 — J l TARGET DATE SUITE/UNIT # SITE ADDRESS 3 0 s Av e PROJECT VALUATION ` ZONING - ASSESSOR'S TAX/PARCEL # $ I ❑` (BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION 1�o SP I+M TYPE OF PERMIT NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to be included on this permit only I C^'fi� ,l.l-2r j y N/a.l; fM A,^ DCb NAME PROPERTY OWNER MAILINGADDRSSS of I o S1;1_V- CITY � STATr ZIP p NAME W O CONTRACTOR APPLICANT 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) MAILING ADDRESS CITY STATE k ZIP WA STATE CONTRACTOR'S LICENSE # NAME QWNV'\ ., Q_ ���'�% ll MAILING ADDRESS �Qh `l 2 u S IFS CITY STATE NAME MAILING ADDRESS CITY NAMZ MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE ab (o —85 E-MAIL J c,,-A e.l PHONE E-MAIL FAX EXPIRATION DATE UBI # I PRIMARY PHONE ZIP 9 r 1 W STATE I ZIP E-MAIL FAX PRIMARY PHONE E-MAIL FAX ❑ OWNER -FINANCED PHONE I certify render penalty of perjury that I ant 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 casts, expenses, and attorneys' fees Incurred in including the undersigned and )lied against the city, the investigation and defense of such claim), which nary be made by any person, but only where such claim arises out of the reliance of the city, including its officers and employees, apart the accuracy of the information supplied to the city as a part of this application. ` I' SIGNATURE: DATE PRINT NAME: QQ� II., a L iP, Bulletin #100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application VA MECHANICAL PERMIT $ LUE OF MECHANICAL WORK Indicate how marz of each ttjpe o - xture to be installed or relocated as part of this project. Do not include existin res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial( BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT VA LUE OF PLUMBING WORK Indicate how many Of each type of flxture to be installed or relocated as part of this project. Do not include existing fivctures to remain. BATHTUBS (or Tub/shower combo) LAVS (Hand sinks( TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kkhen/ULLIIyj WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL, INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes. ❑ No RESIDENTIAL, m NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE F BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ j OTHER (describe) Area TotalsEXISTING PROPOSED TOTAL *NEW HOMES ONLY" ESTIMATED SELLING PRICE S # OF BEDROOMS ComwRcu — NEw/ADDITION AREA DESCRIPTION Area in S uare Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEL,/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information TOTAL BVILDiNG TENANT AREA ONLY Plt=Cr ARF_A ONLY Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application