13-104963 r f
ilding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-104963-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: GOLDEN DAYS ADULT FAMILY HOME
Project Address: 2715 SW 322ND ST Parcel Number: 873190 0210
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
PIOTR RAITER PIOTR RAITER
2715 SW 322ND ST 2715 SW 322ND ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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 Included9 No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, May 4, 2014
Permit Issued on Tuesday, November 5, 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
r i
—and the City of Federal Way.
Owner or agent: y Date: /7 -(
THIS CARD IS TO r AIN ON-SITE
CITY OF Akt.._ Construction Ins ection Record
.Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-104963-00-SF Address: 2715 SW 322ND ST
Project: PIOTR RAITER FEDERAL WAY, WA 98023-2211
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
By Date ` 1,_1 a-.\.-b
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
• I
• Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2009 IRC Section R325(WAC 51-51)
APPLICATION NUMBER: 3 - 1 0 `c 3
I SECTIONS 1,2,3,AND4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1- PROPERTY INFORMATION
SITE ADC S:i3-15 �_,)V0./ � L p ASSESSORS TAX/PARCEL:.''Zi—.3_190- l 2IJ
SECTION 2-APPLICANT INFORMATION
PROPERTY OWNER NAME: i,-t4i`� - ?
__--- -----`__- DAYTIME PHONE: ,�(S-b �(-49 ?)7,02
AFH LICENSEE NAtwtE([F DIFFatErlr• -- ••• ��2. .C-/ e /10 OV DAYTIME RHONE:07 C5 a-4R
` R ",'7
SECTION 3 —FLOOR PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN,/s ON THIS FORM(Au FLOORS). PLEASE INCLUDE AU SLEEPING ROOMS(BEDROOMS).
Chi 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.
SECTION 4—DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of penury 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 it pection for the operation of an Adult Family Home at this location. I agree to hofri
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
.juriscfction as a part of this application ��(( �
NA/Akan-LE: ?r74 Li%( ;7a' DATE: //r`5_13
0 PROPERTY OWNER 0 APPLICANT LICENSEE
08(01/10
•
_ . -
-- NAME OF AFH:_ —
1 SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED! .
I PLEASE CHECK ALL APPLICABLE BOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN—USING THEIR
PROSPECTIVE RESIDENT BEDROOM DESIGNATIONS OF ' B C D E AND F AND CLASSIFICATION CODE: NS's 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 I means of egress at grade level(has no stairs),or a ramp constructed compliant with 8325.9 is provided to evacuate residents to public area.
Type ilS2 where 2 means of tress at ade level both have no stairs or ra s constructed c. .leant with 8325.9 are provided to evacu a residents to public area.
S, EPING ROOMS
Sleeping Room A 0 Type S l Type NSI 0 Type NS2 YES I NO
Closet door/s are readily openable from the inside YES NO 0 ! Smoke alarm is installed in the bedroom .2 0
Bedroom door is easily and quickly operable from the outside when locked a ❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24' high; at least 20' wide) IIE 0
*EXCEPT PER 8310.1.1:AT-GLADE ESCAPE WINWWS-MIY HAVE NET CLEAR OPENING 58F
Sleeping room window has a maximum silt height of 44'above floor;no steps under window peimitted c 0
Sleeping Room B '4� 0__Type S. ... Ty .NSI __a 0 Type NS2.. YES NO
Closet dooris are readily openable from the inside WS .,Me. NO ❑ ' Smoke alarm is installed in the bedroom 1 g0
Bedroom door is easily and quickly openable from the outside when locked GT 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" hick; at least 20'wide) ; O' El
*EXCEPT PER 8310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPENING 5SF
Sleeping room window has a maximum sill height of 44.*above floor;no steps Crider wendow permitted ( ❑
Sleeping Room C 0 Type S fa Type NS1 ❑ Type NS2 YES , NO
.
Closet door/s are readily openable from the inside YES gli : NO ❑ Smoke alarm is installed in the bedroom EtI ❑
Bedroom door is easily and quickly openabte from the outside when locked ,ice ❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24' filch, at least 20' wide) Ei 0
*EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-NAY HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44'iabove floor;no steps under window permitted ($L 0
Sleeping Room D 0 Type S IR Type NS1 ❑ Type NS2 YES , NO
Closet door/s are readily openable from the inside YES g. NO 0 Smoke alarm is installed in the bedroom rX 0
Bedroom door is easily and quickly openable from the outside when locked i ®.' 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24'rich; at least 20' wide) 1a ❑
*Deer PER 8310.1..1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPE NNc 5 SF
Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted Q' 0
Sleeping Room E 0 Type S._._ ( Type NS1 'L ❑ Type NS2 YES NO
Closet door's are readily openable from the inside YES Cg( . NO 0 ` Smoke alarm is installed in the bedroom K 0
Bedroom door is easily and quickly openable from the outside when locked 0
Steeping room window has a net opening of 5.7 se (minimum dimensions at least 24' hick; at least 20" wide) J 0
*EXCEPT PER 8310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE PET CLEAR 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 Ty S , 0 Type NS1 0 T NS2 YES NO
Closet doorls are readily openable from the inside ,' N '* 0 i Smoke alarm is installed in the bedroom 0 0
IpiBedroom door is easily and quickly openable fri. t.'.utside when locked 0 0
Sleeping room window has a net opening of SF* (minimum dimensions at least 24' hiuh; at least 20'wide) 0 0
!` "EXCEPT PER 8310.1.1:AT-GRADE ESCAPE WINDOW S-NAY HAVE NET CLEAR OPENING 5 SF
i a maximum sill height of above no steps under window permitted 0 I0
GENERAL
Sleeping room window has44' floor;
— _ _ .
_ ---- .
YES NO
Bathroom doors are easily and quickly openable from the outside when locked [S
Sinoke alarms areinstalled on all levels ofthe dwelling,in each resident sleeping room,oufside each separate sleeping—— '-- 0
area in the immediate vicinity of sleeping rooms(8314)
Smoke alarms are installed in suCh a manner so that the fire warning may audible in ail parts of the dwelling upon 43.
activation of a sirule device
Access road and water supply meet local fire lunsdictional requirements 04
08/01110
•
R311.8 Ramps
Inside Ramp iNIA.t YES NO
R311 81 Maximum Slope one unit vertical in twelve units he ontaft8.3% slope).{Exception R311.8_1 Not allowed xi AFH)
R311 8 2 Landing Requirements:rrn. 3X3 foot 4: top/bottom,where doors open onto ramps,and where ramp CI El
changes directions
R325.9.1 Handrails required on both sides o : • in accordance with R311.8.3.1 -R311.8.3.3. CR 0
altSide Rdf77D INAFTYES NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3% stop!).(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. 14
*Guards below are depicted vertically as an example only. All Ramps must have Guards
r----
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11 I I *II
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,=):2
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ADULT FAML.i HOME RAMP
per 2009 1RC with WA. ST. AMEVMENT',
*ALL RAMPS REIJIRE A 3...)1LDINC, PEP':
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 76 inches
R325.4 Operable parts of door handles, pulls,latches,locks and other devices installed in AFH shall be operable with one hanc
and shall not require tight grasping,pinching or twisting of the wrist(lever-type,emergency egress hardware) The Exit doors 2 0
shall have no additional lockini devices
R311.7 Stairways N/A YES NO
R311 7.4 1 Riser Height Max riser height shall be 72,4 inches (8 inches in structures bult prior to July 1, 2004) 0 0
R311.7 4.2 Tread Depth* Mn tread depth shall be 10 inches (9 inches in structures but prior to July 1,2004) 0 0
R326 10.1 Handrails for Treads aiaRisers shall be installed on both sides of treads and risers numbering from one riser to 1-1
multiple risers Handrails snail 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 R'04.10 areYES NO
R325.8 Grab bars shall be instailea for all water closets(toilets),bathtubs and showers
Bathing facilities such as tubs and showers,and IC
On both sides of the toilet (shall comply with ICC/ANSI A117 1 Sections 604.5,607.4&608.3)
AG103-AG 105 Swimmin! Pool„Sma.Fot Tub
NIA 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 0 0
alarms when opened
: I ill' Pools, Spas or not tubs with a safety cover which corn llies witn ASTM F '346
g PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
— 1—NM
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
• •
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CITY OFy OPERMIT
Federal Wa ` MF CO ME PL DE EN FP
COMMUNDY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835 2609
:na;�c.ritrn.,liedenliai=g,a-m
NOV 0 5 2013
SITE ADDRESS C ITVItteRferaDERAL WAY
c a SI- Fed cif ( :.;; C�.�g �>E 0-Z--%-0-Z--% CDS
(9)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
19 0 - O 2 o
TYPE OF PERMIT BUILDING ElPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /° ,--�/ >6\
A �( F H-
(Tenant Name/Homeowner last Name) C�t�L � C /�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER `
MAILING ADDRESS E-MAIL
017-1c. eq,o
CITY
Fe Cl2A0A) U0 0'39 (J Qse
NAME PHONE
(j
{ ; 1
v 4
MAILING ADDRESS(.
E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME v,
PHONE
[Al i\ILYZ
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME/� -y
PHONE
( I
(The individual to receive and
respond to all correspondence MAILING ADDRESS EMAIL
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 cpplication.
SIGNATURE: \ ` - *..- _--
DATE 1/— -�
PRINT NAME: P i f
Bulletin#100—April 14,2010 Page 1 of 3 k:AHandouts\Pern it Application