10-104942 building - Single Family
City Way •
Communityof DevelopmentFederal Services Permit #: 10-104942-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ALMA ADULT FAMILY HOME
Project Address: 29933 2ND PL SW Parcel Number: 720530 0180
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
ADMASSU&ALMA ADMASSU WOLDEHAWARIAT 29933 2ND PL SW
WOLDENHAWARIAT 29933 2ND PL SW FEDERAL WAY WA 98023
29933 2ND PL SW FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 101 -New Single Family House
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
Zoning Designation RS 9.6
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, May 23, 2011
Permit Issued on Wednesday, November 24, 2010
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
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and the City of Federal Way.
Owner or agent: Date: /1/9 lit/ T,}
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Federal Way
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COMMUNITY DEVELOPMENT SERVICES A P P L I C I O N
253-835-2607•FAX 253-835-2609
www.citgoffederalwau.com OF FEDLRW—
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SITE ADDRESS SUITE/UNIT#
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 7 2 S 3 0 - 0 I k O
TYPE OF PERMIT ❑ BUILDING CIPLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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PROJECT DESCRIPTION /
Detailed description of work to a •,f,4'C-1 �r Q /Y14•Sl.v� '" C;'-1" C•r,'hi Jtg t.(it-t i ' �:..Q-v�/%.1--
be
/be included on this permit only tf
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NAME _ PRIMARY PHONE
PROPERTY OWNER C l � Mitt���/ J ( .206 —2/2 �03
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MAILING ADDRESS E-MAIL
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CITY STATE ZIP
NAME PHONE
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MAILING ADDRESS E-MAIL
CONTRACTOR )-'i'133 ,L71v' P1 Sw) Gtiir11GIf%li-y►IL' 1vtPit/', /‘yiA
CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENgE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
,1-1 Ir- / /
NAME PHONE .•
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APPLICANT MAILING ADDRESS / y'L J E-MAIL
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CITY � STAT ZIP FAX
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PROJECT CONTACT NAME
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(The individual to receive and f1. "S S N lti e(G(ILACL A)Gtr"l Cr/ LCi 7 r G j
respond to all correspondence MAILING ADDRESS ? E-MAIL
concerning this application) Z 1°� 3 h 0', �'� w LL,I 14%0 t 011(til t14-PE' .k
CITY �Vt�1 STATE ZIP FAX d
ALTER5bir id NAME: 1 IA)A 7 A v x.3 `- i
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PROJECT FINANCING NAME Q, OWNER-FINANCED
Required value of$5,000 or more • \ 1' . 1
(RCW 19.2 7_095) MAILING ADDRESS,CITY,S ATE,ZIP �J G/ l.'3 PHONE
_ 2-`j 13 3 ;Z'Yl c' f C .S 14);f ��� i1 . Vit% 2 )2_ .- b- 30 .3
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 the city as a part of this application.
SIGNATURE: ( il'�ii I/'r J/0
" � DATE �•
PRINT NAME: 1 , S S k V L �j'i s (i i G( r f G -1--
Bulletin
Bulletin#100–April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
RECEI -
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„,, 3 aillamiiy Home (AFH) LE G INSPECTION CHECKLIST
CITY OF FE�ERA� wAY Code References: 2009 IRC Section R325(WAC 51-51)
APPLICATION NUMBER: 10 1 oq L
QEC1'fONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1 - PROPERTY INFORMATION
SITE ADDRESS: 209:33 2' ' PL. Pdjfilrtt L. Wag kik AS...ESSOR'STAX/PARCEL#:7 2k57-3 4
SECTION 2 -APPLICANT INFORMATION
PROPERTY OWNER NAME: wit/ (,(14) r(at Mittel SS LI X (>6t 9CAtp&1.DAYTIME PHONE::2461-.:1-i Z
J !` ‘c3o 3
AFH LICENSEE NAME(IF DIFFERENT: 4 t -t_ ' t 4 P4-1.)U4�f i Ly 0 0 M� DAYTIME PHONE: 40ctl''-'3 a 6—,S'3ck
SECTION 3—FLOOR PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/S ON THIS FORM(ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS(BEDROOMS).
ONTHI *RAW' INDICATE WHI H B DR••M I_ B ID AN• F : •MP•N F. _XTI I.-.: ST'
RAMPS, PLATFORM LIFTS&ELEVATORS.
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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.
NA /TITLE: �lPLG�A lira 4.1/01_•914
/ 1 i( DATE: /11/9/10Off
PROPERTY OWNER L_, APPLICANT L"7 LICENSEE
08/01/10
NAME of AFH: ` • f' .:tt, fT — -IYYI �� N,L C t
SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE URISDICTION 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,0,E,AND F AND CLASSIFICATION CODE:S,NSI,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 ramps constricted compliant with R325.9 are provided to evacuate residents to public area
SLEEPING ROOMS
Sleeping Room A 0 Type S ❑ Type NS1 ❑ Type NS2 YES NO
Closet door/s are readily openable from the inside YES 0 NO ❑ Smoke alarm is installed in the bedroom 0 ❑
Bedroom door is easily and quickly openable 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 CLEAR OPENING 5 SF j
Sleeping room window has a maximum sill height of 44"above floor,no steps under window permitted b 0
Sleeping Room B 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES❑ I NO 0 Smoke alarm is installed in the bedroom ❑ ❑
Bedroom door is easily and quickly openable 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) i ❑ ❑
*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 C 0 Type S 0 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 ❑ ❑
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" high; at least 20"wide) ❑ ❑
*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 D 0 Type S 0 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 is easily and quickly openable from the outside when locked ❑ ❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20"wide) ❑ ❑
*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
Sleeping Room E 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 is easily and quickly openable from the outside when locked ❑ ❑
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 CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted ❑ ❑
Sleeping Room F 0 Type S 0 Type NSI 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES ❑ NO ❑ Smoke alarm is installed in the bedroom ❑ ❑
Bedroom door is easily and quickly openable from the outside when locked ❑ ❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20"wide) ❑ ❑
*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 ❑ ❑
GENERAL YES NO
Bathroom doors are easily and quickly openable from the outside when locked ❑ ' CI_
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)
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.
Access road and water supply meet local fire jurisdictional requirements ❑ ❑
08/01/10
•
R311.8 Ramp
Inside Ramp N/A YES NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal 18.3° slope).(Exception R311.8.1 Not allowed in AFH) ❑ ' 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 1 ❑
Outside Ramp N/A 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) ❑ ❑
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
*Guards below are depicted vertically as an example only. All Ramps must have Guards
Less than 4"
Handrail both sides
as 34" 38"
_�„
Guard 1—
36"min
•
3'x 3'min ..�rw��r�rw�r,��r����iw
landing n
landing 1:12 max slope
3 8.3% min
ADULT FAMILY HOME RAMP
per 2009 IRC with WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERM T*
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,emergency egress hardware). The Exit doors 0 0
shall have no additional locking devices. _
R311.7 Stairways N/A YES NO
R311.7.4.1 Riser Height: Max riser height shall be 73/4 inches (8 inches in structures built prior to July 1, 2004) 0 0
R311.7.4.2 Tread Depth: Min.tread depth shall be 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 risers.Handrails shall be installed in accordance with R311.7.7.1—R311.7.7.4
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 _ 0
On both sides of the toilet. (shall comply with ICC/ANSI A117.1 Sections 604.5,607.4&608.3) 0 0
AG103—AG 105 Swimming Pool,Spa,Hot Tub N/A 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 ❑ ❑
alarms when opened.
AG105.5 EXCEPTION:Pools,Spas or hot tubs with a safety cover which complies with ASTM F 1346 0 0
.❑ PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
INSPECTOR'S SIGNATURE: DATE:
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.
08/01/10
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-104942-00-SF Address: 29933 2ND PL SW
Project: ADMASSU & ALMA WOLDENHAW, FEDERAL WAY, WA 98023-3571
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 Final-Building(4050)
Approved
0r
Date(<—/7_ . ..,,.l
❑ Rough Electrical Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date