16-10169641k
CITY OF
Federal Way
PERMIT NUMBER —� L
��4�11
APR o6 2016
PERM ITtPPLICATION
Cr
OF FEDERAL WAY
<_��
TARGET DATE N k
SITE ADDRESS
2,7 0 f- S t-1 3 1,�N -! -c '. V'� l,•i
SUITE/UNIT Il
PROJECT VALUATION
ZONING
ASSESSOR'S TAB/PARCEL N
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL DEMIOLLIITION ❑ ENGINEERING ❑ FIRE\ PREVENTION
NAME OF PROJECT
11:1
R A
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
-)-,o 6
MAILING ADDRESS E-MAIL
M7'ATE
ZIP
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY
STATE
ZIP FAB
WA STATE CONTRACTOR'S LICENSER
EBPD2ATION DATE FEDERAL WAY BUSINESS LICENSE N
NAME \ / P997 PHONE
r -,'o !: Q � -� 1
MAMING ADDRESS E-MAIL
APPLICANT
CITY.—
M
�TAT
ZIP FAX
PROJECT CONTACT
NAMEPRIMARY
�
PHONE
n q ,-� r
MAMING ADDRESS - E -
'M AIL
(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 79.27.095)
MAILING ADDRESS, CITY, STATE, ZIP IKPHONE
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 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 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
informationsup led to the city as apart of this application.
1
SIGNATURE: r 1 )c DATE I 1
PRINT NAME:
J
Bulletin #100 - February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT Is
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing 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
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/shower combo)
LAVS (band Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Occupancy Group(s)
DRINKING FOUNTAINS
SINKS (Kitchen/unity)
WATER HEATERS (Electric)
TOTAL BUILDING
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
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 (describe)
- .. _.- .................. -- - - — ....._.......... ... -........
Area Totals EXISTING PROPOSED TOTAL
**IWw HONES ONLY**
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA, NLY
Bulletin #100 - February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application
,k
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ALL SAINTS AFH
Project Address: 2704 SW 314TH ST
Building - Single f- mhty,
Permit #: 16 -101696 --SF
Inspection Request Line: (253) 835-3050
Parcel Number: 150310 0140
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner
ARI21ican
Contractor
Lender
ANTHONY WANJTKU
ANTHONY WANJIKU
Occupancy Load
4211 E T ST
(PRESIDENT)
TACOMA WA 98404
ALL SAINTS ADULT FAMILY
HOME
2704 SW 314TH ST
FEDERAL WAY WA 98023-7842
Census Category: 434 - Residential altladd - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Calculated Structure Valuation..............................0.00 Occupancy # I -Construction Type. ....................... Type V - B
Mechanical to be Included?....................................No
Occupancy # 1 -Class.............................................R-3
Plumbing to be Included?......................................No Occupancy # I - Use............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, October 3, 2016
Permit Issued on Wednesday, April 6, 2016
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
I \ c and the City of Federal Way.
Owner or, agent: ��� U�� Date:
r
V.
� t
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2012 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER:
SECTIONS 1, 2, 3. AND 4 MUST BE COMPLETED By APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTIONPROPERTY INFORMATION
SITE ADDRESS: Ir ASSESSOR'S TAX/PARCEL#:
SECTION•• •' •
PROPERTY OWNER NAME: n DAYTIME PHONE:O ?jZ rJ I b
1_rA
AFH LICENSEE NAME (IF DIFFERENT): — S O� S ` ` S DAYTIME PHONE:
�\ o N-42 —
On a separate sheet of paper (8 '/i 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
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 filed against the jurisdiction, but only where such claim arises out of the reliance of the
jurisdiction, includin its officers and employees, upon the accuracy of the information sup led to the jurisdiction as a part of
this application. n ` ` V
NAMEITITLE: ► \ r�/` (� v ` I L "1 rO v t C DA E:
[1(ROPERTY OWNER '�PPLICUNT Q LICENSEE
Effective: 2013 July 01
Updated: 2013 June
NAME OF AFH: {
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 E AND F AND CLASSIFICATION CODE S, NS1 OR NS2.
SECTIONBUILDING INSPECTOR'SINSPECTION
..,,..,. ..P'.5 ..„. a,mn—.... caul ]leCF/1118 morn In an Nana ramuy mome snail oe classittea 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 R325.9 is provided to evacuate residents to public area.
Tvnp N57 - wharn 7 M—C of --CC of 0 -An Imml n..,N. k-..... ,....,.........,._...-.-A-_-_i,-_.... — —11 .. _ __ __ ,1 .1 _ _ . .
Type S ype y 113V Type NS2
YES
NO c
Closet door/s are readily openable from the inside Yes 113yo- Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly from the outside when locked
Q
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
13
EXCEPT per R310.1.1: at -grade escape windows — may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under indow permitted
Er..
13
Types EFType NS1 Type NS2
YES
NO
Closet door/s are readily openable from the inside IRYes Q No 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)
13
EXCEPT per R310.1.1: at -grade escape windows — may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under indow permitted
IT
13
Type S GFType N51 10 Type NS2
YES
NO
Closet door/s are readily openable from the inside 113yej,'113'!4ar 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)
Mr
13
EXCEPT per R310.1.1: at -grade escape windows — may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under w'ndow permitted
Type S I Mfype NS1 10 Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes " [3Na 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)
0
EXCEPT per R310.1.1: at -grade escape windows — may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under w'ndow permitted
13
Type S I Ufype NS1 10 Type NS2
YES.
NO
Closet door/s are readily openable from the inside IM Yes [,j No I Smoke alarm is installed in the bedroom
13
Bedroom door opens easily and quickly from the outside when locked
Q
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
13
EXCEPT per R310.1.1: at -grade escape windows — may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
CV
0
Type S 113 Type NS1 113 Type NS2
YES'-
NO -
Closet door/s are readily openable from the inside Yves C3146, Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly from the outside when locked
Q
C1
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
Q
0
EXCEPT per R310.1.1: at -grade escape windows — may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
Q 1
E3
Effective: 2013 July 01
Updated: 2013 June
JT
ter,`' ��
... _
YES
..
NO
Bathroom doors are easily and quickly openable from the outside when locked
R325.4 Operable parts of door handles, pulls, latches, locks and other devices installed in AFH shall be operable with one hand
13
Carbon Monoxide alarms are installed as required in R315.1 on each level of the home.
IFF0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry
Smoke alarms are installed on all levels of the dwelling, in each resident sleeping room, outside each separate
without use of key, tool or spe ' I knowledge. Required exit door shall have no additional locking devices.
sleeping area in the immediate vicinity of sleeping rooms (R314).
YES NO
R311.7.4.1 Riser Height: Max riser height shall be 7 % inches (8 inches in structures built prior to July 1, 2004)
Smoke and Carbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in alla
R311.7.4.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004)
parts of the dwelling upon activation of a single device.
0
risers. Handrails shall be installed in accordance with R311.7.7.1— R311.7.7.4
Access road and water supply meet local fire jurisdictional requirements.
M
0
R325.4 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
0
Guard
36" min
minimum
Handrail both sides
34"-313"
One unit vertical in twelve units horizontal
is an 8.3% slope all along surface of the ramp.
1 3- --"I
minimum
Effective: 2013 July 01
Updated: 2013 June
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.
11711
R325.4 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).
ET" 0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry
Q
without use of key, tool or spe ' I knowledge. Required exit door shall have no additional locking devices.
YES NO
R311.7.4.1 Riser Height: Max riser height shall be 7 % inches (8 inches in structures built prior to July 1, 2004)
R311.7.4.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004)
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple
0
risers. Handrails shall be installed in accordance with R311.7.7.1— R311.7.7.4
Effective: 2013 July 01
Updated: 2013 June
f
Effective: 2013 July 01
Updated: 2013 June
pZCEIVLD
(DFLOOR PLAN