16-105325 FLE
Building - Single Family
City of Federal Way Permit #:16-105325-00-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: AMAZING CARE II ADULT FAMILY HOME
Project Address: 32614 8TH CT S Parcel Number:326070 0550
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
EMMA KINYUA AMAZING CARE AMAZING CARE II ADULT
AFH FAMILY HOME
37225 40TH AVE S 32614 8TH CT S
AUBURN WA 98001 FEDERAL WAY WA 98003
USA
Census Category:
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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PERMIT EXPIRES Wednesday,3 May,2017
Permit Issued on Friday,November 4,2016
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: i1 ` ',A/A Date: '\ \ \ 21, A
RECEIVE®
CITY OF PERMIT APPLICATION
'Federal Way NOV 04 2016
* CITY OF FEDERAL�, WAY
/
PERMIT NUMBER !„ - / l.//� 5 _ s
G v \ TARGET DATE
SITE ADDRESS ! k LA :b- ), SUITE/UNIT#
PROJ VALUATION ZONING ASSESSOR'S TAX/PAR,-' #
3a & 0 70 _ 65 S o
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT V0\ . CakAi'e
-c
PROJECT DESCRIPTION t�
Detailed description of work to
be included on this permit only
NAME n PRIMARY PHONE
PROPERTY \f‘AAN
k
MAILING ADDRESS
E-MAIL
Se.". ‘e,u
CITY
i STATE
� Z3c6Cje IS VC\IP
�P
NAME
PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
30-6 `�{ �� S
CITY STATE ZIP FAX
NAME t. 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 0 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: attLVIA DATE \1� -1_O�'L)
PRINT NAME: ,. '-\ 11
Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
r
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST ' ' .
Code References:2012 IRC Section R325(WAC 51-51) J/ �`
APPLICATION NUMBER: J t, /0 v 3015
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1— PROPERTY INFORMATION
:13:16k301 (070 - OSSO
SITE ADDRESS: F`, N- C .J U,1C.:t,� ASSESSOR'S TAX/PARCEL#: -
k-
SECTION 2 —APPLICANT INFORMON
PROPERTY OWNER NAME: GGA` 5 t ..,rA -,. (;,,^.�;-VANIV \ l'ACi DAYTIME PHONE: .0 <.3 k `'Z
AFH LICENSEE NAME(IF DIFFERENT): �rk.,�c /e Cr-x_ -\-�- DAYTIME PHONE: `�--0 6 `L 9 t
SECTION 3— FLOOR PLAN
On a separate sheet of paper (8 1/2 x 11) draw a floor plan (including ail
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 c.t+t\aR.te.T,,, \s"�? r \^N. '�1 DATE 0 3 V `Z0 L
0PROPERTY OWNER 0APPLICANT 0 LICENSEE
Effective: 2013 July 01
Updated: 2013 June
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NAME OF AFH: ( ;�r�o� a•r\ C..eA r _ �-c-
SECTION 5 MUST BE COMPLET6 BYTE 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 BC D E AND F AND CLASSIFICATION CODES,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.
O Type S eitrype NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside Wes CI No Smoke alarm is installed in the bedroom Ea' 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) 12r 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 or 0
� ROOMB 0T eS T eNS1
Type ;� Yp 0 Type NS2 YES NO
Closet door/s are readily openable from the inside , 'Yes 0 No Smoke alarm is installed in the bedroom ga 0
Bedroom door opens easily and quickly from the outside when locked P 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,window permitted ®' 0
SLEEPING`ROOM .f': 0 Type S eirype NS1 0 Type NS2 YES ` NO
Closet door/s are readily openable from the inside ZYes 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! 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 IR 0
Type S ,Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside yes 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) 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;no steps under window permitted 0
Type S Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside fees No Smoke alarm is installed in the bedroom ar 0
Bedroom door opens easily and quickly from the outside when locked ®' 0
Sleepingroom 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 window permitted 0'
0 Type SeitType NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside SYes 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;no steps under window permitted 0
Effective:2013 July Ol
Updated:2013 June
YES NO
Bathroom doors are easily and quickly openable from the outside when locked Ce 0
Carbon Monoxide alarms are installed as required in R315.1 on each level of the home. ' 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). 10 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. ikr 13
Access road and water supply meet local fire jurisdictional requirements. i
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). IV 0
Pocket doors shall have graspable hardware available when in the closed or open position. ® 0
3/.4 Ramps YES NO
® 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
PutstdtitriP, NIA
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) D 0
R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp changes 0
directions. El
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0
Guards below are depicted vertically as an example only.All Ramps must have Guards 2 0
Handrail both sides
-- Less than 4" [34"-38"
Guard
36"min
3'x3'min
landing
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
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. Er 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
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry t 0
without use of key,tool or secial knowledge. Required exit door shall have no additional locking devices.
til:&7 StrOVS,V ;' 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 June
�s, . rla C .•., pis` No
Grab bars shall be installed for all water closets(toilets),bathtubs and showers according to R325.8. IrEl
Water Closets(toilet)shall have grab bars installed on both sides according to R325.8—R325.8.3.2. 0
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 ►
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.2& 0
R325.8.5—R325.8.5.2.
•
Shower stalls must be minimum size of 30 inches deep by 48 inches long(R325.11) A
"tin"* • fl 'SI+i+ drf >r1,Sia,Mph ub 'N • YES No
AF105.2 Must be surrounded by a barrier that is 48 inches high,• may have doors and or gatesthat must have audible alarms when
opened.
AG105.5 EXCEPTION:Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0
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Effective:• 2013 July 01
Updated:2013 June