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16-105747 Building - Single Family City of Federal way Permit #:16-105747-00-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: ALGREEN HOUSE ADULT FAMILY HOME Project Address: 30612 11TH AVE S Parcel Number: 091900 0190 Project Description: ALT-Verification Occupancy for a previously approved Adult Family Home to add sleeping room. ***No construction work allowed under this permit.*** • Owner Applicant Contractor Lender DAE KIM KIM DAEALGREEN HOUSE 30612 11TH AVE S ADULT FAMILY HOME FEDERAL WAY WA 98003-4121 30612 11TH AVE S 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 New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Mechanical to be Included? No Is this an Online or O.T.C.application? Yes Plumbing to be Included No �� t��� �,`�. ...� fa�£ 'Jj ✓�' ��, an` �;a`tT �v"J 'r/✓�, �' E �- t�'. �;s Ids ���✓ ✓ r»�.€x��/✓)l('��� ✓1"r: ��}� 3��� iI r ,t �as as - r :- � � sa � t . SEE. �s ✓,.a�t r ;r/s ��'�S�bk�.+.✓', / � �: .. x���c4s�3 ��'l`��,�4�� ,x✓�.. ...����,,,,.e. 1< ',,,i, ,��� ,C �'6`�w�t .,:'��5..�°.t,„.✓�'., ...... ,�E,`�':'�,b��E<�f,yEd,, PERMIT EXPIRES Saturday,3 June,2017 Permit Issued on Monday,December 5,2016 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 A -shington and e City of Federal Way. Owner or agent: - /► Date: elk.((1 • Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST • Code References:2012 IRC Section R325(WAC 51-51) APPLICATION NUMBER: I (el— °3 SECTIONS 1. 2. 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1—PROPERTY INFORMATION SITE ADDRESS: '36` L I� F-"" frneee) ASSESSOR'S TAX/PARCEL#:j i L0Lj j0 SECTION 2-APPLICANT INFORMATION ,r-PROPERTY OWNER NAME: 1.162--- ki• DAYTIME PHONE: 2-WP) ^�� AFH LICENSEE NAME(IF DIFFERENT): DAYTIME PHONE: SECTION 3-FLOOR PLAN 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 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, including its officers and employees, upon the accuracy of the information supplied to the jurisdiction as a part of this application. J`� NAME/TITLE: c./4 I 1 '< (P ) DATE: 10Z '—'2C)7-6 D PROPERTY OWNER APPLICANT Er6CENSEE Effective: 2013 July 01 Updated: 2013 June NAME OF AFH: A fi re (' il-It use k t`( SECTION 5 MUST BE COMP TED 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 CODES,NS1 OR N52. SECTION 5—BUILDING INSPECTOR'S INSPECTION CHECKLIST R325.3 Sleeping Room Classification: Each sleeping room in an Adult family Home shall be classified as: Type 5—where the means of egress contains stairs,elevators or platform lifts to evacuate residents to public area. Type N51—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. Type NS2—where 2 means of egress at grade level(both have no stairs)or ramps constructed compliant with R325.9 are provided to evacuate residents to public area. SLEEPING ROOM A 0 Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside 0 Yes 0 No Smoke alarm is installed in the bedroom 0 0 Bedroom door opens easily and quickly from the outside when locked 0 0 Sleeping roo window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wid 0 0 EXCEPT per R31s. .1:at-grade escape windows—may have net clearance opening 5 SF Sleeping room windo .s a maximum sill height of 44"above floor;no steps under •permitted 0 0 SLE 'G ROOM B 0 Type S Type NS1 0 Type NS2 YES NO Closet door/s are readily openable fr. • the inside 0 Yes CLAW-- Smoke alarm is installed in the bedroom 0 0 Bedroom door opens easily and quickly fro se outside , n locked 0 0 Sleeping room window has a net opening of 5.7 5 • nimum dimensions at least 24"high;at least 20"wide) 0 0 EXCEPT per R310.1.1:at-grade escape wi_n_clows—may h. net clearance opening 5 SF Sleeping room window has a maxi sill height of 44"above :s r;no steps under window permitted 0 0 i $'k NG ROOM C DT •• S 0 Type NS1 0 Type NS2 YES NO Closet door/s are re ' openable from the inside 0 Yes 0 No • oke alarm is installed in the bedroom 0 0 Bedroom dogpet5ens easily and quickly from the outside when locked 0 0 Sleepin om window has a net opening of 5.7 SF(minimum dimensions at least 24"h .•••at least 20"wide) 0 0 E T per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF Sleeping room window has a maximum sill height of 44"above floor;no steps under window permitted 0 0 SLEEPING-ROOM D 0 Type S akType NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside 6(Yes 0 No Smoke alarm is installed in the bedroom Er 0 Bedroom door opens easily and quickly from the outside when locked la 0 Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) ISI0 EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF Sleeping room window has a maximum sill height of 44"above floor; no steps under window permitted 54 0 .SLEEPING ROOM E , ,,,,.$,,,,,,- ,• ,,, 0 Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily o. •.ble from the inside Oyes 0 No Smoke alarm is installed in the bedroom 0 0 Bedroom door opens easily and q from the outside when locked 0 0 Sleeping room window has a net openin: : 5.7 SF(minimum dimensions at least 24"high;at Y'wide) 0 0 EXCEPT per R310.1.1:at-grade escape windows ay have net clearance opt Sleeping room window has a maximum sill height of 4, .bove fl._• , o steps under window permitted 0 0 "SLEEPING ROOM F , • Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily openable fromjbeifi`s e 0 Yes 0 • Smoke alarm is installed in the bedroom I3- 0 Bedroom door opens easily an cry from the outside when locked 0 0 Sleeping room windoaS net pening of 5.7 SF(minimum dimensions at lea 4"high;at least 20"wide) 0 0 EXCEPT per R31.1 amt-grade escape windows—may have net clearance opening 5 Sleepin oom window has a maximum sill height of 44"above floor;no steps under windo, •ermitted 0 0 Effective: 2013 July 01 Updated: 2013 June f GENERAL 'at NO Bathroom doors are easily and quickly openable from the outside when locked 0 0 Carbon Monoxide alarms are installed as required in R315.1 on each level of the home. 0 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(R314). 0 0 Smoke andarbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in 1 0 0 parts of the elling upon activation of a single device. Access road an ater supply meet local fire jurisdictional requirements. 0 0 R325.4 Operable pa s of door handles,pulls,latches,locks and other devices installed in AFH shall be operable with o hand and shall not require ht grasping,pinching or twisting of the wrist(lever-type). 0 0 Pocket doors shall have raspable hardware available when in the closed or open position. 0 0 R311.8'Ramps :,' '1;:c YES NO Inside Ramp N/A0 A t. p._..',=. _ 'r 0 0 R311.8.1 Maximum Slope one unit ,-rtical in twelve units horizontal(8.3%slope).(Exception R311.8,r1 Not allowed in AFH) 0 0 R311.8.2 Landing Requirements:mina X3 foot landing at top/bottom,where doors open onto ra s,and where ramp changes directions. 0 0 R325.9.1 Handrails required on both side •f ramp in accordance with R311.8.3.1— 0 0 Odtside Ramp- N/A❑ f YES NO R311.8.1 Maximum Slope one unit vertical in elve units horizontal(8.3%slope).(Exce ion R311.8.1 Not allowed in AFH) 0 0 R311.8.2 Landing Requirements:min.3X3 foot( ding at top/bottom,where doors op,/`n onto ramps,and where ramp changes 0 0 directions. R325.9.1 Handrails required on both sides of ramp i accordance with R311.8.3.1/11311.8.3.3. 0 0 Guards below are depicted vertically as an exam• e only.All Ramps must have Guards 0 0 =n• .il both sides Less than 4" .34"-3:" Guard _�- 36"min I A3'x3'min / -----..���.� landing 3'x 3'min � '�����_ / I � landing ���� •.���� L. One unit vertical in twelve units horizontal -1 minimum is an 8.3%slope all along surface of the ramp minimum R311.2 Means of Egress/ x YES NO R311.2 Door must be s(,c1e-hinged with min.width of 32 inches between face of door and stop.Height n. less than 78 inches. 0 0 R325.4 Operable pa sof door handles,pulls,latches,locks and other devices installed in AFH shall be ope .ble with one hand and shall not requi r tight grasping,pinching or twisting of the wrist(lever-type). 0 0 R325.4 Required/exit door hardware shall unlock inside and outside mechanisms when exiting the building all•wing re-entry 0 0 without use otkey,tool or special knowledge. Required exit door shall have no additional locking devices. R31277 StAi ays.; N/a!" YES NO R311.7.4 Riser Height:Max riser height shall be 7% inches(8 inches in structures built prior to July 1,2004) 0 0 R311.7 .2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior to July 1,2004) 0 0 R32 .10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser • multiple 0 0 risers.Handrails shall be installed in accordance with R311.7.7.1—R311.7.7.4 Effective: 2013 July 01 Updated: 2013 June • + R325.8.Grab Bars in Bathrooms ;y:N/A Q YES' LIQ Grab bars shall be installed for all water closets(toilets),bathtubs and showers acco Ing to R325.8. a Water Closets(toilet)shall ab bars installed on both sides accordi 325.8-R325.8.3.2. — • a Q Bathtubs shall have two vertical an. ee horizontal grab bars in ed according to R325.8—R325.8.2&R325.8.4—8325.8.4.2 a Q Shower stalls have two vertical and horizo :rab bars m. ted on all sides of shower according to R325.8—R325.8.2& 0 0 R325.8.5—R325.8.5.2. Shower stalls must be minimum size of 30 i s deep by : ' hes long(R325.11) Q Q AG103=.AG105°Swimming Pool,Sp, `,of Tub YES NO AF105.2 Must be surrounde. -• a barrier that is 48 inches high,may have doo or gates that must have audible alarms when a opened. AG 105.5 EXCEPTION:Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 a a PASSED Q CORRECTIONS REQUIRED PERMIT REQUIRED r i r INSPECTOR'S NAME(PRINTj '. ` n v 7 CNSPE ai''''161A14j rsNATURE � ��� PATE '-',‘ - . 1, , , ,,0„,„:,,,,:!-- — ‘'---..i'-3' 32:5'' 33 25 , s ,c� kL4 1 b� �„- `'� - 24.7' INSPECTORS 'II=DICE ADDRESS 1> PHS5f.NE UMBER Applicataon3and inspection checktistideveloped by Washington Association of Budding Officials(NIABO),in cooperation wrth Department of Sutra#afld Health er0 es-DSHSJ far use by both departments and licensors, fl7Jp1/2p13 Effective: 2013 July 01 Updated: 2013 June ® (, tom Ch e S (=eC?{ 1 a9 , wAo 3 I fpm P.• A lq0C,(V) {{ttv Cr .Boob D I1...._ -4 ar 11 �---- R ins t - Room E)(17 FI&E. bEPftfLinflettr ► .044 tjI libbRESS044gcle libterkitej ctt ,3061 l ArVENU6 (c4v I FEiserziit_ tAtFN LAJA ctoD3 1 1+6 Ate. S . 3od 411114161. CITY OF 4111 PERMIAPPLICATION Federal Way PERMIT NUMBER \ r _ "CC TARGET DATE k I ( Y SITE ADDRESS SUITE/UNIT# 3061a I L \ tt'e S Federc,I IAJQj, tilA 98'O� PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ DI9 t9 CLQ - oI 5 TYPE OF PERMIT BUILDING ❑ PLUMBING ❑MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT M4dvve.GI„q,n, Q r,,.,,\ * ' y Koo m" '� y PROJECT DESCRIPTION .I 15 H oust. IS Us i r1Dj "/LUE6J House AFH "Ci f y OF r 4m J r, Detailed description of work to YI cPiv is 41-20.O7— r 05 II C{-oo- 13L, C(.t re ert+l> 1 -oi rr1"ID" L1 t€S be included on this permit only I-4M`i 7 1Oa r+1, 1 Imt. Th`s fI` IR4L]ueSt;nr °hartle d-+� GtS4 . as Resrd�n r goO1 " t) ` NAMEa PRIMARY PHONE CUL K try,, 2s3) PROPERTY OWNER MAILING ADDRESS E-MAIL C01')e S 14Q i ClaA. 1„V.-77e yeAnxiA$ CITY I STATE )I I ZIP NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR r\J /4 CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ��/�,�. �p�/ ,,�/� /� (� PRIMARY PHONE NAME ��CtC2 • \C1` I �Dese ©0AQ-4-) APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME A PRIMARY PHONE PROJECT CONTACT t)aQ K(ry\ (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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 information supplied to the city as a pa/ f,. this application. SIGNATURE: I DATE 1) ' 2l PRINT NAME: 43C0e. K J ���s� Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application