16-102634 Building - Single'Faniily
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-102634-00-SF
33325 8th Ave S �". r
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 assi
a :€ ,, Inspection Request Line: (253) 835-3050
Project Name: MANNA CARE & SERVICES LLC AFH
Project Address: 32027 26TH AVE SW Parcel Number: 873190 0330
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
FLORA HALL ESTHER PANGGA
JAMES B HALL MANNA CARE&SERVICES LLC
32027 26TH AVE SW 32027 26TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 0.00 Occupancy#1 -Construction Type Type V-B
Mechanical to be Included? No Occupancy#1 -Class R-3
Plumbing to be Included? No Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, November 27, 2016
Permit Issued on Tuesday, May 31, 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 Washington
and the City of Federal Way.
Owner or agent: Pc>'^'`" Date: 373//.2,0/6
1✓cd
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
' Code References:2012 IRC Section R325(WAC 51-51)
APPLICATION NUMBER: L �� ���
SECTIONS 1. 2. 3. AND 4MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1—PROPERTY INFORMATION
SITE ADDRESS: 32027 26th Ave SW, Federal Way, WA 98023 ASSESSOR'S TAX/PARCEL#:8731 QQ 9 i O
SECTION 2—APPLICANT INFORMATION
PROPERTY OWNER NAME: James & Flora Hall DAYTIME PHONE: 253.394.31 23
MANNA CARE & SERVICES, LLC
AFH LICENSEE NAME(IF DIFFERENT): do Esther Pangga DAYTIME PHONE: 253.709.7584
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.
NAME/TITLE: Esther Pangga - DATE: 05/26/2016
O PROPERTY OWNER ®APPLICANT Q LICENSEE
Effective: 2013 July 01
Updated: 2013 May
•
NAME OF AFH: MANNA CARE & SERVICES. LLC • •
. 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 CD E AND F AND CLASSIFICATION CODE S.NS1 OR NS2.
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 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.
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 C 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 room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0 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 to clear opening; no steps under window allowed 0 0
SLEEPING ROOM B 0 Type S 0 Type NS1 OType 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 a a
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0 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 to clear opening; no steps under window allowed 0 0
SLEEPING ROOM C 0 Type S OType 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
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 to clear opening; no steps under window allowed 0 0
SLEEPING ROOM D O 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
Bedroom door opens easily and quickly from the outside when locked D
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) a
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 to clear opening; no steps under window allowed a a
SLEEPING ROOM E 0 Type S OType NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside 0 Yes a No Smoke alarm is installed in the bedroom a a
Bedroom door opens easily and quickly from the outside when locked a a
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) a a
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 to clear opening; no steps under window allowed 0 a
SLEEPING ROOM F a Type S OType NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside a Yes 0 No Smoke alarm is insta Pd int room 0 a
Bedroom door opens easily and qu�cic Tyfrom the outside when locked a a
Sleeping room window has a net opening of 5.7 imu - •imensions at eas . igh• t 20"wide) 0 a
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF ---;-.1.---Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed 0 0
Effective: 2013 July 01
Updated: 2013 May
1 GENERAL — YES 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). P 0
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. In I:3
Access road and water supply meet local fire jurisdictional requirements. B 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). la 0
Pocket doors shall have graspable hardware available when in the closed or open position. ® 0
R311.8 Ramps YES NO
Inside Ramp N/A 0 0 0
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 0 0
R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp changes
directions. 0 0
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1–R311.8.3.3. 0 0
Outside Ramp N/A 0 YES NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 0 0
R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp changes 0 0
directions.
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1–R311.8.3.3. 0 0
Guards below are depicted vertically as an example only.All Ramps must have Guards 0 0
Handrail both sides
-y Less than 4" /34"-38"
Guard
36"min
�� ������,�..�.. 3'x 3'min
landing
..... ..............r...,
3'x3'min
landing _ -._.„ , ' ,
—
— -3' One unit vertical in twelve units horizontal . 3' -{
minimum is an 8.3%slope all along surface of the ramp. minimum
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. 0 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). r 0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry D 0
without use of key,tool or special knowledge.
R311.7 Stairways N/A 0 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) 0 0
R311.7.4.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior to July 1,2004) 0 0
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 0
risers.Handrails shall be installed in accordance with R311.7.7.1–R311.7.7.4
Effective: 2013 July 01
Updated: 2013 May
• R325.8 Grab Bars in Bathrooms N/A 0 YES NO
Grab bars shall be installed for all water closets(toilets),bathtubs and showers according to R325.8. r—
1Natev•Closets(toilet)shall have grab bars installed on both sides according to R325.8—R325.8.3.2.
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8—R325.8.2&R325.8.4—R325.8.4.2 0 0
Shower stalls have two vertical and horizontal grab bars mounted 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 inches deep by 48 inches long(R325.11) 0 0
AG103—AG105 Swimming Pool,Spa,Hot Tub N YES NO
AF105.2 Must be surrounded by a barrier that is 48 inches high,may have doors and or gates that must have audible alarms when E
opened.
AG105.5 EXCEPTION:Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 Q
0 PASSED CICORRECTIONS REQUIRED 0 PERMIT REQUIRED
A-40t C� J N o\c-
INSPECTOR'S NAME(PRINT)
rkddit_Piti) i /Le.
INSPECTOR'S SIGNATURE DATE:
7j3/5 g+h 4 . Fe.cter4 91-003 -253 - 55 — 3 9'
INSPECTOR'S OFFICE ADDRESS PHONE NUMBER:
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. 07/01/2013
Effective: 2013 July 01
Updated: 2013 May
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CITY OF MAY 3 1 21C
Federal Wa oPERMIISAPPLICATION
IU PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 +FAX 253-835-2609 +permitcenter(a),cityoffederalway.com
Y CITY OF FEDERAI_\NM
CDS
•
PERMIT NUMBER I F? _ V 3 I, _ 5 t^3 ri) /
TARGET DATE
SITE ADDRESS SUITE/UNIT#
32027 26th Ave SW, Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING D FIRE PREVENTION
NAME OF PROJECT •
C.--rn n 4, C Gr-�- f yt / L A `q y
PROJECT DESCRIPTION A
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
James & Flora Hall 253.394.3123
PROPERTY OWNER MAILING ADDRESS E-MAIL
32027 26th Ave SW floraha1150@yahoo.com
CITY STATE ZIP
Federal Way WA 98023
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
Esther Pangga / Manna Care & Services, LLC 253.709.7584
APPLICANT MAILING ADDRESS E-MAIL
32027 26th Ave SW mannacareservices@gmail.com
CITY STATE ZIP FAX
Federal Way WA 98023
NAME PRIMARY PHONE
PROJECT CONTACT
(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 part of this application.
SIGNATURE: DATE `s/.3i J/
PRINT NAME: S ra C ?' /v G "I
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application