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11-101360 • r ` ilding - Single Family. City of Federal Way Per t #: 11 -101360-00-S F Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 w Ph:(253)835-2607 Fax:(253)835-2609 wor Inspection Request Line: (253) 835-3050 Project Name: LORD'S JOY ADULT FAMILY HOME Project Address: 30440 11TH AVE S Parcel Number: 091900 0215 Project Description: NEW-Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender BEVERLY ANN FIGUERAS MARIA LOURDES F RIOS 30440 11TH AVE S LORD'S JOY ADULT FAMILY FEDERAL WAY WA 98003-4120 HOME 3242 S 296TH PL 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 0 0 0 F 1� Additional P rmit tl f a att !lel New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Basic Plan? No New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No New/Additional Sq.Feet-Other 0 Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Zoning Designation RS 7.2 Fixtures Associated$WithyT'his Permit ll "`� PERMIT EXPIRES Saturday, October 8, 2011 Permit Issued on Monday, April 11, 2011 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: �1 et, - N{1 11' Date: Cr)?/11/61 /1 41 rip 4/15(1! City of Federal Way • • Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: LORD'S JOY ADULT FAMILY HOME Permit#: 11-101360-00-SF Address: 30440 11TH AVE S Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: . Occupancy Load: Floor Area(sq.ft.) 0 0 0 0 BEVERLY ANN FIGUERAS Owner Name: BEVERLY ANN FIGUERAS Owner Name: Owner Address: 30440 11TH AVE S FEDERAL WAY WA 98003-4120 Building\.„)42<-42? h 7• JZ 4-( Of cial Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which itis situated. Such compliance is the responsibility of the owner and/or occupant of the premises. J 3 ,� • FILE, • . . - Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2009 IRC Section R325(WAC 51-51) APPLICATION NUMBER: 1 1- 70 (3/o — OD SECTIONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL ooc Prsvt.ca=u 2 �A /��rr SECTION�` 1 - PROPERTY INFORMATION� �R SITE ADDRESS: 3�4t) 1 1 1'`AVt.. '• E" ,AY `7goa ASSESSORS TAX/PARCEL#: - r1j�7 SECTIONT � 2-APPLICANT INFORMATION / p PROPERTY OWNER NAME: oG><AERLy f� (c�tt,F�A5r -p^ c DAYTIME PHONE: az) 6,v-W90 AFH LICENSEE NAME(IF DIFFERENT): NIA-n2I A tectao,1 r. Rios DAYTIME PHONE: (Cr[z)c4.2�pL7,2 SECTION 3 — FLOOR PLAN APPLICANT MUST DRAW COMPLETE FLOOR PLAN'S ON THIS FORM(ALI.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 Ft ELEVATORS. C Ate Patio 3Acicow_ s:xi Shower • wj T Nook j D a. a Family Room , _` 8edmocn c .—A Z Bath i U Bag' 4 Kitchen t1,Q Room f F Wa�Ciii ( — �._ Closet •6 ' � i��� �f,_�.' 1 �LiPPLY I E 'FIA ir,t0M j Dining Room ROOM - C `d`�i =—4 {tf I f I '- I 1 I m ( ,;, Bedroom L t o� �c IlIl11 ?! I)1I — ROOk _ .._ ; , 1 .'�-----ate- STOCt< ; .:_ _ -- r Oj Living . 1 Closet _ �ZX7M _l Cioscs -Room Closet - 3. _.: I T1 - e>�Ro� u j "p_7 f3R • D ��1 . f: A°� ' A. 1 ► - - [5 EXIT j=fc: - . I/ 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 y �ii—t ura y'-ef the information supplied to the jurisdiction as a this apRlicati n. 1lt / �y� I NAME/TITLE: eCX1412 DATE: !/ _Inn G(/�F 0 PROPERTY OWNER 0 APPLICANT 12'LICENSEE APR 1 1 7:;'," CITY OF FEDERALCDS WAY 08/01/10 «rw� III NAME OF AFH: 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,0,E,AND F AND CLASSIFICATION CODE:S,NS'I,OR NS2 S€C ION-5--BUILDINC-INSP€CTOR'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 a ramp constructed compliant with R325.9 is provided to evacuate residents to public area. T A.e NS2-where 2 means of egress at.rade level(both have no stairs),or ramps constructed compliant with R325.9 are provided to evacuate residents to public area. SLEEPING ROOMS Sleeping Room A 0 Type S = D Type NS1 j Ei Type NS2 YES NO Closet door/s are readily openable from the inside YES❑ NO 0 Smoke alarm is installed in the bedroom 0 1 0 Bedroom door is easily and quickly openable from the outside when locked 0 i 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"high; at least 20"wide) I 0 ! 0 *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPENING 5 SF 1 Sleeping mom window has a maximum sill height of 44"above floor,no steps under window permitted • 0 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 ❑ NO 0 Smoke alarm is installed in the bedroom 0 i 0 Bedroom door is easily and quickly openable from the outside when locked • 0 I 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"high; at least 20"wide) 0 i 0 *EXCEPT PER 8310.1.1: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 0 0 Sleeping Room C 0 Type S ❑ Type NS1 Ei Type NS2 YES NO Closet door/s are readily openable from the inside Yrs❑ S NO 0 Smoke alarm is installed in the bedroom 0 1 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"high, at least 20"wide) 0 ! 0 *FJ(CEPT 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 D 0 Type S i ❑ Type NSI ®'Type NS2 YES NO Closet door's are readily openable from the inside j yEs❑ NO ❑ j Smoke alarm is installed in the bedroom j ❑ 0 Bedroom door is easily and quickly openable from the outside when locked I 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 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 ❑ Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside YES 0 NO 0 j 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"high; at least 20"wide) 0 0 *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPERA 5 SF Sleeping room window has a maximum sill height of 44'above floor;no steps under window permitted 0 0 Sleeping Room F 0 Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside YES 0 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"mail; 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 GENERAL YES NO Bathroom doors are easily and quickly openable from the outside when locked ❑ 0 Smoke alarms are installed on all levels of the dwelling,in each resident sleeping room,outside each separate sleeping ❑ 0 area in the immediate viciniy of sleeping rooms(8314 _ mole alarms are installed in such a manner so that the fire warning may ie audib a in aif parts of the"dwelling upon 0 0 activation of a single device. ,.-Access road and water supply meet local fire jurisdictional requirements 0 i 0 08101110 R311.8 Ramps _ Inside 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 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 Outside Ramp N/A,n 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 ❑ R311.8.2 Landing Requirements:min. 3X3 foot landing at top/bottom,where doors open onto ramps, and where ramp j ❑ ❑ 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 — - 7 34"-38„ Guard a - 36"min -'; - w.rr, �.rs�a���+r+� � 3'x 3'min 3'x3'mm landing landing - - 0 1:12 max slope c� -.0( 3. 3' 8.3% min min ADULT FAMI_Y HOME RAVD per 2009 IRC with WA. ST. AME\DMENTS *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 shall have no additional locking devices. _ R311.7 Stairways N/A YES NO R311.7.41 Riser Height Max riser height shall be 7%inches (8 inches hi 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 Handralls for Treads and Risers shall be installed on both sides of treads and risers numbering hum 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 comp) 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 AG 105.2 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 EX P.T/ON::Pools,Spas or hot tubs with a safet cover which complies with ASTM F 1346 0 ❑ El CORRECTIONS REQUIRED El PERMIT REQUIRED �SPECTO S SIG TORE: ATE: NISIEt OR'S,. 'KESS: PHONE: Applic.''on and Inspection Checklist develo d 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 • / v X3 (3 CITY OFA HERMIT Federal Way:Ge. S MF CO ME PL DE EN FP COMMUNITYP-t DEVELOPMENT t�S Q�1 APP K A T I O N g g 253-835-2607.FAX 253-835-2609 www.cityoftederalwau.com A ��y .� ^ SITE ADDRESS _ SUITE/UNIT# t 44D C,Z9 ‹ FET 9/-L WAY 6114- 1,0L3 PROJE VALUAT ZONING ASSESS TPARCEL#� 0 0 _ 0 W if l_IX $ 0/111 TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION y_ NAME OF PROJECT • r _ (Tenant Name/Homeowner Last Name) /L k� S 'JO' Ao/�L- I FA,1/L v .�-10M PROJECT DESCRIPTION /1 r7`6)1/4-- C-S /( c t sf ' ' y r Detailed description of work to be included on this permit only INJ b ��-�lJ �'�/✓ � _ _ NAMEPRIMARY RHONE (�� Y PROPERTY OWNER �/EwLy FIG-1.1E-RA--- ( 29 ) (0- 9(90 MAILING ADDRESS E-MAIL CITY STATE ZIP ipI NAME PHONE MAILING ADDRESS E-MAIL —^ CONTRACTOR ^� CITY TATE ZIP FAX WA STATE CONTRACTOR'S NSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# + �y,/� /{ L / / NAM l f-P i( A L�9 T . COS PHO wv(C'/0 'v / +712 APPLICANT MAILING ADDRESS E-MAIL x „240 <S . ©'1 g,i/i 101A- c---- ov'cts.�Dyi° all rcunl(y CITY ,^ttat 40) LTS TE ZIP ^R)© / FAX e I co‘... PROJECT CONTACT ,‘A.174:9 rJ7 E 9p/jj_ ^/7/�G/) ` / [� F��y pm/cr.-2) l:- . p�'- ZLC Ii/( •PHONE / �IF) /�� � 1 (The individual to receive and (\ respond to all correspondence MAILING ADDRESS s �J E-MAIL concerning this application) ��lb) °t ' Pt ' redly_ rt 1 .t�A CITY e STATEu�� ZIP „ � FAX i+tt .p? 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 arty 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 apart of this application. ,1./// j,� J SIGNATURE //1% ( iad� g''' 16(71- DATE `f /1I G. �/ PRINT NAME:yy l"rr)✓�/ 'e C" D i�` S P Bulletin#100—April 14, 2010 Page 1 of 3 k:AHandouts\Permit Application