17-104999 Building - Single Family
City of Federal Way Permit #:17-104999-00-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: CAROJONES 2 AFH LLC
Project Address: 2927 SW 323RD ST Parcel Number: 873190 1220
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
DANIEL S PARK CAROLINE
2927 SW 323RD ST MURIITHICAROJONES 2 AFH LLC
FEDERAL WAY WA 30138 36TH PL S
AUBURN WA 98001
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.) 0.00
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application9 Yes
Plumbing to be Included? No
NO Fixtures Associated�t11 Ttils Permit Il
PERMIT EXPIRES Sunday, 15 April,2018
Permit Issued on Tuesday, October 17,2017
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 an the City of Federal Way.
1-47Owner or agent: /1 v Oaf �2 , Date: /0—/7—/
Building — Single Family
CityCommunityofFedcrDevelopalmwaent yept. Permit #:17-104999-00—SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CAROJONES FAMILY LIVING II
Project Address: 2927 SW 323RD ST Parcel Number: 873190 1220
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
DANIEL S PARK CAROLINE
2927 SW 323RD ST MURIITHICAROJONES FAMILY
FEDERAL WAY WA LIVING II
30138 36TH PL S
AUBURN WA 98001
USA
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.) 0.00
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? Yes
Plumbing to be Included? No
rin - F q�:a 4j�` / ,; ;- - - 04114173:35:' ,:i--,
3.1833 3��1'J3' u. ✓
i�6/ 7��( i F•xt:ii Assoc-ted With ih'''S Pel rr!11
PERMIT EXPIRES Sunday, 15 April,2018
Permit Issued on Tuesday,October 17,2017
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: a P Date: /0//7/c20/5"
Building — Single Family
CityCommunityofFedcrDevelopalmwaent yept. Permit #:17-104999-00—SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CAROJONES FAMILY LIVING II
Project Address: 2927 SW 323RD ST Parcel Number: 873190 1220
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
DANIEL S PARK CAROLINE
2927 SW 323RD ST MURIITHICAROJONES FAMILY
FEDERAL WAY WA LIVING II
30138 36TH PL S
AUBURN WA 98001
USA
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.) 0.00
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? Yes
Plumbing to be Included? No
rin - F q�:a 4j�` / ,; ;- - - 04114173:35:' ,:i--,
3.1833 3��1'J3' u. ✓
i�6/ 7��( i F•xt:ii Assoc-ted With ih'''S Pel rr!11
PERMIT EXPIRES Sunday, 15 April,2018
Permit Issued on Tuesday,October 17,2017
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: a P Date: /0//7/c20/5"
,......._ .116, PERMIT APP ATION
CITY OF II
Ei',
Federal Way
�E
I 4 OCT 162017
(
PERMIT NUMBER 7_ 1 O \ C 9 9 _ ��
TARGET DATE OFTY COM FEDERAL
SITE ADDRESS SUITE/UNIT#
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,:)--(14 0 S a) ?) -5Ycl ShtPt- �PC/PY0JW J, t Y gg-0�.3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
$
3
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑cFIRE PREVENTION
NAME OF PROJECT ,4 J,I W I. Anyy. I.om/ C.AZ OJ1O1SW S ` '4c it I Ly
Am //( LI v'A)&1L
PROJECT DESCRIPTION ii, ,/�
Detailed description of work to Lti PI�Lj 1�1 S pt<�I)1'l
be included on this permit only v
NAME PRIMARY PHONE
7p ulti p, L(( 7irt- 7 _
PROPERTY OWNER MAILING ADDRESS E-MAIL
ag --1 s(k9-3 Yr) Sin I I-
CLTY STATE ZIP
edtial t b skim '7s-v,_3
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAM PRIMARY PHONE
Only t i f'k1nii-vi,
APPLICANT MAILING ADDRESS
3CITYSTATE P15V- �6f-il pi f' (bUt ' C lrioak ' c yadiwu-M�
ilbthif) rm. 11-00 1
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 19.27095)
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 cityas a part of this application.
j -e^ / 1 J
SIGNATURE: DATE (�// /
PRINT NAME: 0kb/7 1' Alumni
1
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST '' a
Code References:2015 IRC Section R325(WAC 51-51) - o,99
APPLICATION NUMBER:
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1— PROPERTY INFORMATION
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SITE ADDRESS: r)--9 a-1 S 1J 3'01 CP 1 �( I� r�f(IC�()r ��fi, SSESSOR'STAX/PARCEL#:
SECTION 2—APPLICANT INFORMATION
PROPERTYOWNERNAME: ....) ( C v C t"I tl�' L &T DAYTIME PHONE: .'-' , ~I �/rl— ' r
AFH LICENSEE NAME(IF DIFFERENT): ( 0 1 Ci ) 6 a fiI i y l(Il)k1 j £L( DAYTIME PHONE: �/3l.,1,2{;,' 7
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: (a it /1 r hi(U 1 II f 1 I DATE: JO/4)17
❑PROPERTY OWNER El APPLICANT 0 LICENSEE
(Effective July 1, 2013.)
Effective:2013 July 01
Updated:2017 February
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NAME OF AFH: CAYZ_JUN "rivel LI 1j G 1
SECTION 5 MUST BE COMPLETED BYTH E BUILDING DEPARTMENT!N THE JURISDI CTI ON 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 FAND 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 ❑Type S ❑Type NS1 0 Type NS2 YES NO
Closetdoor/s are readily openable from the i nside Cl Yes No Smoke alarm is installed in the bedroom ❑ D
Bedroom door opens easily and quickly 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) [ f ❑
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF
Sleep)ng roomwindow has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window allowed if ❑
SLEEPING ROOM B ❑Type S ❑Type NS1 ❑Type NS2 YES NO
Closetdoor/s are readily openable from the inside ]Yes 1:1 No Smoke alarm is installed in the bedroom ❑ ❑
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 R310.2.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum s ill height of 44"above floor to clear opening;no steps under window allowed ❑
SLEEPING ROOM C ❑Type S Ci Type NS1 ❑Type NS2 YES NO
Closet door/s are readily openable from the inside D'Yes CI No Smoke alarm is installed in the bedroom ❑ ❑
Bedroom door opens easily and quickly 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) 07- 0
EXCEPT per R310.2.1:at-grade escape windows—may have net clearance opening 5 SF
SI eepi ng room window has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window a Ilowec ❑' ❑
SLEEPING ROOM D ❑Type S ❑Type NS1 ❑Type NS2 YES NO
Closetdoor/s are readily openablefrom the inside GI Yes 0 No Smoke al arm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked le 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;atleast20"wide) ❑
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF
Sleep)ng room window has a maximum sill height of 44"above floor toclearopening;no steps under windowallowec Q (0
SLEEPING ROOM EType S ❑Type NS1 ❑Type NS2 YES NO
Closetdoor/s are readily openablefromthe inside 0 Yes 13 No Smoke a la rm is installed in the bedroom ❑ ❑
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 ❑
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net clearance opening 5 SF
SI eepi ng room window has a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec 0 0
SLEEPING ROOM F �❑Type S Ci Type NS1 CI Type NS2 YES NO
Closetdoor/s are readily openablefromthe inside 13 Yes No _ Smoke alarm is installed in the bedroom ❑ 0
Bedroom door opens easily and quickly 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 R310.2.1:at-grade escape wi ndows—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 a llowec ❑ 0
Effective:2013 July 01
Updated:2017 February
GENERAL YES'- NO
Bathroom doors are easily and quickly openable from the outside when locked W-_
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
Smoke alarms are i nstalled on all levels of the dwelling,i n each resident sleeping room,outside each separate
sleeping area i n the i mmediate vi cinity of sleeping rooms(R314). V
Smoke and Carbon Monoxide alarms areinstalledinsuch amanner sothatthe audiblewaming may beheard inall /®
parts of the dwelling upon activation of a single device. Imo''
Access road and water supply meet localfi re jurisdictional requirements. 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). /� 0"
Pocket doors shall have graspable hardwareavailablewhen in the closed or open position. i 0 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 attop/bottom,where doors open onto ramps,and where rampchanges
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[' 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 landingattop/bottom,where doors open onto ramps,and where rampchanges
directions. CI 0
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
—..-- -- Less than 4" / 34"-38"
1
Guard
36"min
3'x3'min
�..........MEM....... ...........
��..�....eon um ma ow an
landing
3'x3'min — --
Nlanding ......••11•M ��
— ---3' One unit vertical in twelve units horizontal -. 3' 1
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. El 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 0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry 0 C
without use of key,tool or special knowledge.
R311.7 Stairways N/A L7t YES NO
R311.7.5.1 Riser Height:Max riser height shall be 7% inches(8 inches in structures builtprior to July 1,2004)
R311.7.5.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior toJuly 1,2004) 8 pub
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser tom ultiple 0 0
risers.Handrails shall be installed in accordance with R311.7.8.1—R311.7.8.4
Effective:2013 July 01
Updated:2017 February
.
R325.8 Grab Bars in Bathrooms N/A 0 YES ' NO
Grab bars shall be installed foraH water closets(toilets),bathtubs howersR325.8. Er0
Water Closets(toilet)shall havegrabbars installed on both sides accorandsdingto R325.8—R325.8.3.accordingto 1 or R325.8.3.2. 0 0
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2 V 0
Shower stalls have two vertica I and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.5— D 0
R325.8.5.2.
Shower stalls must be minimum size of30 inches deep by48 inches long(R325.11) gr 0
AG103—AG105 Swimming Pool,Spa, Hot Tub 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 Ei 0
opened. )LA
AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 /G 44 0 0
jijek5SED a CORRECTIONS REQUIRED 0 PERMIT REQUIRED
INSPECTOR'S NAME(PRINT)
t
Ur
INSPECTOR'S SIGNATURE DATE:-
0--%V--k_
Vt- t �� �
INSPECTOR'S OFFPCE 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:2017 February