13-100096 v.
•
° •uilding - Single Family
City of Federal Way Q
Community&Econ.Dev.Services Permit #: 13-100096-00-SF
33325 8th Ave S
Federal Way,WA 98003 835-3050
Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: EMMANUEL HOUSE INC
Project Address: 942 S 293RD ST Parcel Number: 515280 0080
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
JAMES PARK HAESIN PARK
HAESUNG PARK EMMANUEL HOUSE INC
942 S 293RD ST 942 S 293RD ST
FEDERAL WAY WA 98003-3711 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.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, July 7, 2013
Permit Issued on Tuesday, January 8, 2013
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 e City of Federal Way.
Owner or agent: Date: 6 j....
fli*'.e e ft CA 3
II L E
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2009 IRC Section R325(WAC 51-51) D0(>9j
APPLICATION NUMBER: ��
SECTIONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
C:� L� SECTION 1 - PROPERTY INFORMATION n p �i
SITE ADDRESS: / / S S . 9-93rc/ P� ASSESSOR'S TAX/PARCEL#: 5I SIX p A cop O
SECTION 2 -APPLICANT INFORMATION
PROPERTY OWNER NAME: TG7I/ke_S £ 11aeS(MACJ P((IL DAYTIME PHONEC�o(o)oZ 3,137
3
F
AFH LICENSEE NAME(IF DIFFERENT): ' ae_s1 vk P V'k DAYTIME PHONE:6153)3 1/411' 8a (p
D
SECTION 3— FLOOR PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THIS FORM(ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS(BEDROOMS).
ON THIS DRAWING, INDICATE WHICH BEDROOM IS A, B, C, D, E,AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS,
RAMPS, PLATFORM LIFTS&ELEVATORS.
See A--1-}-ac l•Led
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 thisapplication.tti
\l
NAME/TITLE: f �l�Q DATE: 1/51 I
0 PROPERTY OWNER C�) AP CANT 0 LICENSEE
/` 08101/10
• III e
I
R31k1.8 am
Inside Ramo M>C 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 directions.
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0 0
Outtside Ramp . YES NO
R31'18't1 Maximum Slope one unit vertical in twelve units-hanzontal(&3% (Exception.R3118:1:Not allowed in AFH),, 0
R311-8-2 t;indini Requirements:min.,3X3 foot tending at top/bottom,where doors open onto ramps,and where ramp
changes directions 0
8325 91 Handrails required on botttsides of ramp io accordance with R3118 31-R�8.83. 0
x
*Guards:below are depicted vertically a an example only. . Alt,Ramps'must:have Guards
Less than 4"
Handrail both sides
34"-38"
1.11.111.1"114111
Guard i1'36"mini
s..:+s�.�, .nMar.rnww,;ru�w�.e+r...n,"+.w.aw.r...rr 1111111,1"1."1"kilftel
€ 3'x 3'min
3'x 3'min L r+.,Yr..w,,n,rw._______m landing
landing
= = 1:12 max slope 6....... - 3'
3'
, 8.3%
min
III ADULT FAMILY HOME RAMP
per 2009 IRC with WA. ST, AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
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. g. 0
" 5 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,emergency egress hardware). The Exit doors iir 0
shall have no additional locking devices.
R311.7 Stairways MX YES NO
R311 7 41;Riser Height Maxriser height shall be°7%inches°(8 inches in structures built prior to July 1,2004) • ❑ a,0
R311.7A2 2 Tread Depth Mm tread depth shall be 10 inchep (9 inches in structures built prior to July'1 2004) , 0 0
R325.10.1-Handrails forTieads and RisersRisersshalt be installed on both sides of treads and,risers numbering from°natter to
multiple risers`Handrails shat be unstailed in accordance with R311.7.7.1—8311.7.7.4
R 325.8 Grab Bars in Bathrooms(May require"alternate"approval in accordance with IRC Sec.R104.10 and.11) YES NO
R325.8 Grab bars shall be installed for all water closets(toilets),bathtubs and showers.
Bathing facilities such as tubs and showers;and ' 0
On both sides of the toilet (shall comply with ICC/ANSI A117.1 Sections 604.5,607.4&608.3) 5K 0
AGI03—AG 105'Swimminct Pool;Spa,Hot'Tub M
✓4 YES NO
AG105,2 Must be surrounded by a barrier that is 48 inches high,may have doors and or gates that must have audible o
alarms when opened.
AG105.5 EXCEPTION:Pools,Spas or hot tubs with a safety cover which complies with ASTM F 1346 0 0
.*/P SED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
4•124, e ./,/,1"),V.4060.- f.- /3
INSPECTO NATU DATE:
CY 5.* #/e l'IW fe7fre4/C- ii/ley --.6 -- S7135- 2Z0Z.
INSPECTOR'S ADDRESS: PHONE:
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.
08101110
I •
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
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 NSI-where 1 means of egress at grade level(has no stairs),or a 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 ramp constructed compliant with R325.9 are provided to evacuate residents to pubic area
SLEEPING ROOMS
Sleeping Room A) 0❑ Type S Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES 0 NO 0 Smoke alarm is installed inthe bedroom ; jia 0
Bedroom door is easily and quickly openable from the outside when locked # 0
Sleepingioom windowlas a net opening__aL51 sF* (minimum dimensions_at_.teast 24"n; aLteast_20"wine)--
*EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44"above floor,no steps under window permitted " 0
Sleeping Room B 0 Type S Type NS/ ❑';Type N32 YES NO
Closet door/s are readily operable from the inside., YEs NO,0 Sm ke alarm is installed in the bedroom 0
Bedroom door is easily and quickly openable from theo de when locked 1E1 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"hien; at least 20"wide) p 0
*EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44"above floor,no steps under window permitted ❑
Sleeping Room C 0 Type S p[Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YEs NO 0 Smoke alarm is installed in the bedroomh 0
Bedroom door is easily and quickly openable from the outside when locked +g ❑
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 CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted % 0
Sleeping Room D 0 Type SKTypeNS1 C'1i',Type NS2 S NO
Closet door's are readily openable from the inside YEs NO 0 Smoke alarm is installed in the bedroom ❑
Bedroom door is easily and quickly openablefrom the outside when locked 0
Sleeping room window-has a net opening of 57 SF* (minimum dimensions at least 24"high: at least 20"wide). ❑
*EXCEFTPERR310 .1 AT-GRADE ESCAPE MI DWS-MAY HAVE NET CLEAR OPENINGS$F
Sleeping room windoow has awmaximum sill height of 4.4"above floor;no steps under window permitted
Sleeping Room E 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet oor/s are readily operable from the inside YEs❑ NO 0 Smoke alarm is installed in the bedroom 0 ` ; 0
Bedroom door is easily and quickly openable from the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"hien; at least 20"wide) 0 0
*EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44"above floor; no steps under window permitted 0 0
Steeping Room F ❑. Type S . 0 Type NS1 ! 0,`Type NS2 YES NO
Closet do /s,are readily openabte from the inside YES❑ NO El Smoke alarm is installed in the bedroom 0 0
Bedroom door is easily and quickly openable from the outside when lacked 0 0
Sleeping room window has.a net opening of 5.7 SF* (minimum dimensions at least 24"hiah: at least 20"widy) 0 . 0
*EXCEPT PER R3101.tAT-GRADE ESCAPE WIDOWS-MAY HAVE NET CLEAR OPEN ING5 SF
Sleeping room window has a maximum sill height of 44"above floor;no steps under window permitted-. 0 0
GENERAL YES NO
Bathroom doors are easily and quickly openable from the outside when locked 74 0
—3 Smoke alarms are installed on all levels of the dwelling, in each resident sleeping room,outside each separate sleeping 0
area in the immediate vicinity of sleeping rooms R314)
T—> Smoke alarms are installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon ❑
activation of a single device.
..k. Access road and water supply meet local fire jurisdictional requirements 0 0
08101110
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rederal ur��C�IVED �PERMIT MF CO ME PL DE EN FP
Fe
COMMUNITY DEVELOPMENT SERVICES f vt
O A 2013 AP P LI CAT I O N
253-835-2607•FAX 253-835-l'-
:Coif w.Cltl.p rec;eruiil;'lll.o-4
CITY OF FEDERAL WAY
SITE ADDRESS CDSSUITE/UNIT#
9'4-1 5 29 3 (a 5trexit Fe-ARA-AA Wo y WA
PROJECT VALUA ION ZONING ASSESSOR'S TAX/PARCEL#
$
la �,Cp S 1 s � � 0 - 0 0 & 0
//I
4LBUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (
(Tenant Name/HomeownerLast Name) • CZ �LA1�� " c /� �_ __
a
PROJECT DESCRIPTION _
Detailed description of work to a 1A- t0,m-A I t-tO me, ?pX 4
be included on this permit only I
NAME ,. PRIMARY PHONE
PROPERTY OWNER /6L5& ko hi tiv' f2� &5 Zo -
ve/ 221 - 31-37
G
aWi S 2i 3YA S e 1
ees ref,m. @ vu- 7 1
CITY STZIP
(rterc`1 \ m WJGI ? " �, !
_ .. _-- I- -
NAME
PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
... PHONE
NAME H416�� c21,-4(k- 2-53-34.7-g2-9 O
G ADDRESS
APPLICANT
L l 01 I1+41 AV 5 5+64-p 0 Iia-}.r w,f
CITY STATE ZIP FAX
c-ekeirrxt Way _ WA q q a 03
PROJECT CONTACT NAME PHONE
(The individual to receive and _
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
•
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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. rd
SIGNATURE: \( ('U\,Q. DATE t/ D I 1.....5
PRINT NAME: (.'
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Pernut Application