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18-100768 r , Building - Single Family City of Federal Way Permit #:18-100768-00-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: K'S KINDEST CARE ADULT FAMILY HOME Project Address: 35530 6TH AVE SW Parcel Number:302104 9002 Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender ` JOHN DUNCAN K'S KINDEST CARE ADULT 35530 6TH AVE S FAMILY HOME FEDERAL WAY WA 98023-8110 35530 6TH AVE SW FEDERAL WAY WA 98023-8110 USA Census Category: 434-Residential alt/add-no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq.It) 0.00 0.00 Additional Permit Information New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 0 New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B Mechanical to be Included9 No Plumbing Work Valuation? 0 Mechanical Work Valuation9 0 Is this an Online or O.T.C.application9 No Plumbing to be Included', No Occupancy#1-Use Residence(1 or 2 family) Comprehensive Plan Designation SF-High-Density Zoning Designation RS 9.6 Residential v „� I 33:;. `� i j� yam .{.. �Gc y/r , .:: �p�'�s ,� rri / I f # re 4Ciatedt11 i _ r �..,x ,,': 3 �.ofd ,rot '4,...., i 11 .,a: 14,M z .t�'3 , _� J It v . A3 1x € -:., .,., _ '...3.r7 ,�. ._.� /,.. _. ,.,=$i�.s, ,3, _, ......�.3..�a� .a ., ....���:� .,, .. ......�,. .. moi„�/d,',, _ALA... .> PERMIT EXPIRES Sunday, 19 August,2018 Permit Issued on Tuesday,February 20,2018 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: c%` Date: 1 8 � 8 ZOIS Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST • Code References:2015 IRC Section R325(WAC 51.61) APPLICATION NUMBER: I VU Automated version of SF513 SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANTBEFORE INSPECTION WILL BE PROCESSED SECTION 1 - PROPERTY INFORMATION SITE ADDRESS: 3'56;--21.0 lQ ili A-Vf 1 tt IDEt/?-t, � '23 ASSESSOR'S TAwPARCEL#: SECTION 2 -APPLICANT INFORMATION PROPERTYOWNERNAME: J 1N Cl _►�VNCAN ---- 2.CW'77C (0243--- DAYTIME PHONE: AFH LICENSEE NAME(IF DIFFFRFIVT): l�'S K rN'D E C14-Ke A F rf DAYTIME PHONE: 294 '30(0•612.04 SECTION 3- FLOOR PLAN On a4Aparate sheet of paper (8 1/2 x 11) draw a floor plan (including all floors) (if-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 of my knowledge,and that I am requesting or I am authorized by the owner of the above premises to request inspection a operation of an Adult Family Home at this location. I agree to hold harmless the jurisdiction conducting such inspections, y request, as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation of such claim), which may made by any person,including the undersigned, and filed against the jurisdiction, but.-dnly where such claim arises out of the - .nce of the jurisdiction, including its officers and employees, upon the a uracy of the informatio •supplied to the jurisdicti• as a part of this application. NAME/TITLE: 4111. : � DATE: le f"Cei• QPROPE"TY OWNER / 0,APPLICA Q LICENSEE (Effective July 1,2013.y- Effective:2013 July 01 / Updated:2017 February 40 A • WAC 51-51-0325 Section R325—Adult family homes. SECTION R325 ADULT FAMILY HOMES R325.1 General.This section shall apply to all newly constructed adult family homes and all existing single family homes being converted to adult family homes. This section shall not apply to those adult fanny homes licensed by the state of Washington department of social and health services prior to July 1, 2001. R325.2 Reserved. R325.3 Sleeping room classification.Each sleeping room in an adult family home shall be classified as: 1.Type S-Where the means of egress contains stairs, elevators or platform lifts. 2.Type NS1 -Where one means of egress is at grade level or a ramp constructed in accordance with R325.9 is provided. 3.Type NS2 -Where two means of egress are at grade level or ramps constructed in accordance with R325.9 are provided. R325.4 Types of locking devices and door activation. All bedroom and bathroom doors shall be openable from the outside w hen locked. Every closet shall be readily openable from the inside. Operable parts of door handles, pulls, latches, locks and other devices installed in adult family homes shall be operable with one hand and shall not require tight grasping, pinching or twisting of the wrist.Pocket doors shall have graspable hardw are available w hen in the closed or open position. The force required to activate operable parts shall be 5.0 pounds (22.2 N) maximum. Required exit doors shall have no additional locking devices. Required exit door hardwareshall unlock inside and outside mechanisms when exiting the building allowing reentry into the adult family home without the use of a key, tool or special knowledge. R325.5 Smoke and carbon monoxide alarm requirements.All adult family homes shall be equipped with smoke and carbon monoxide alarms installed as required in Sections R314 and R315.1. Alarms shall be installed in such a manner so that the detection device warning is audible from all areas of the dwelling upon activation of a single alarm R325.6 Escape windows and doors.Every sleeping room shall be provided with emergency escape and rescue w in dow s as required by Section R310. No alternatives to the sill height such as steps, raised platforms or other devices placed by the openings will be approved as meeting this requirement. R325.7 Fire apparatus access roads and water supplyfor fire protection.Adultfarrily homes shall be served by fire apparatus access roads and water supplies meeting the requirements of the local jurisdiction. R325.8 Grab bar general requirements.Where facilities are designated for use by adult family home clients, grab bars for water closets, bathtubs and shower stalls shall be installed according to this section. R325.8.1 Grab bar cross section.Grab bars with a circular cross section shall have an outside diameter of 1 1/4 inches minimum and 2 inches maximum Grab bars with noncircular cross section shall have a cross section dimension of 2 inches maximum and a perimeter dimension of 4 inches minimum and 4 5/8 inches maximum. R325.8.2 Grab bar installation.Grab bars shall have a spacing of 1 1/2 inches between the wall and the bar. Projecting objects, control valves and bathtub or shower stall enclosure features above, below and at the ends of the grab bar shall have a clear space of 1 1/2 inches to the grab bar. EXCEPTION: Swing-up grab bars shall not be requited to meet the 1 1/2 inch spacing requirement Grabs bars shall have a structural strength of 250 pounds applied at any point on the grab bar, fastener, mounting device or supporting structural member. Grab bars shall not be supported directly by any residential grade fiberglass bathing or showering unit. Acrylic bars found in bathing units shall be removed. Fixed position grab bars,when mounted, shall not rotate, spin or move and have a graspable surf ace finish. 8325.8.3 Grab bars at water closets.Water closets shall have grab bars mounted on both sides. Grab bars can be a combination of fixed position and swing-up bars. Grab bars shall meet the requirements of R325.8. Grab bars shall mount between 33 inches and 36 inches above floor grade. Centerline distance between grab bars, regardless of type used, 4hall be between 25 inches Effective:2013 July 01 Updated:2017 February J r It m ()' il {Ft ii V ; '[ t+ y II i 3 n )4+ 1 i !I 70 al II Pei H b -A rrl gl NN r H Na © w � IL ir$ r 76 HA-+.t..WiY m r rn ZI. .� Orn Z Cli 2) 0 0 co -.c r 3 W 00N AwaNnbn 2 0 G r s ro1 rce -.< r z Class r 4 3.1..i Zo z °Z H czz72. �acn� c' - II\ 3 �rn 1 0 4U^ H-I-Ir* r 0 YO Z .C-.0 m z + E Z �' � ��3740" Z 4 1-/ H Z 14 N z S'i tn • 8 z n Z. can cl 9 IN 0014 LAN=TS 1 C 0 H D A p A A 1 3 H \< lb I 9 Z .n 7 H al O n 3 m z z D A a .r . 7 anc=r • NAME OF AFH: i<?_,) KIND-e<irl Crrkt AFH SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT INTHEJURISDICTION 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 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 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 DType S OType NS1 0 Type NS2 YES NO Closet door's are readily openable from the i nside =Yes 0 No Smoke alarm is installed in the bedroom a, 0 Bedroom door opens easily and quicklyfrom the outs ide when locked CI- 0 Sleeping room window has a net opening of 5.7SF(minimum dimensions atleast24"high;atleast 20"wide) c 0 EXCEPT per R310.2.1:at-grade escape windows—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 allowed or 0 SLEEPING ROOM B J°Type S CI Type NS1 D Type NS2 YES NO Closetdoor/s are readily openable from the i nside IR Yes No Smoke alarm is installed in the bedroom 0 Bedroom door opens easily and quickly from the outs ide when locked 0 Sleeping room window has a net opening of5.7SF(minimum dimensions atleast 24"high;atleast 20"wide) gkr0 EXCEPT per R310.2.1:at-grade escape windows—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 allowed pr 0 SLEEPING ROOM C ErTypeS CI Type NS1 0 Type NS2 YES NO Closet door/s are readily openabie from the i nside [ "Yes 0 No Smoke alarm is installed in the bedroom 0 Bedroom door opens easily and quicklyfrom the outs ilidewhen locked 0 Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;at least 20"wi de) IT 0 EXCEPT per R310.2.1:at-grade escape windows—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 allowed Ei[ 0 SLEEPING ROOM D Ciriype S CI Type NS1 0 Type NS2 YES NO Closetdoor/s are readily openable from the inside l,®Yes 0 No Smoke al arm is installed in the bedroom or 0 Bedroom door opens easily and quickly from the outside when locked 0 Sleeping room wi ndow has a net opening of 5.7SF(minimum dimensions at I east 24"high;at least 20"wide) 0 EXCEPT per R310.2.1:at-grade escape windows—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 allowed q 0 SLEEPING ROOM E O Type S OType.NS1 0 Type NS2 YES NO Closetdoor/s are readily open able from the inside ID Yes 0 No I Smoke al arm is installed in the bedroom 0 0 Bedroom door opens easily and quicklyfrom.the outs idewhen locked !----- 0 0 Sleeping room window has a net opening of 5.7SF(minimum dimensions atleast 24"high;atleast 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 sill height of 44"abovefloortoclear opening.nostepsunderwindowallowed 0 0 SLEEPING ROOM F- JDType S OType NSI DType NS2 YES NO Closet door/s are readily openable from the i nside ID Yes No Smoke alarm is installed in the bedroom 0 0 Bedroom door opens easily and quickly from the outside whenlocked 0 0 Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;atl east 20"wide) 0 0 EXCEPT per R310.2.1:at-grade escape windows—may have net cl earance opening 5 SF Sleeping room wi ndow has a maximum sill height of 44"abovefloor to clear opening;no steps under window allowed 0 0 Effective:2013 July 01 Updated:2017 February C � C minimum and 30 inches maximum. R325.8.3.1 Fixed position grab bars.Fixed position grab bars shall be a minimum of 36 inches in length and start 12 inches from the rear wall. R325.8.3.2 Swing-up grab bars.Swing-up grab bars shall be a minimum of 28 inches in length from the rear wall. R325.8.4 Grab bars at bathtubs.Horizontal and vertical grab bars shall meet the requirements of R325.8. R325.8.4.1 Vertical grab bars.Vertical grab bars shall be a minimum of 18 inches long and installed at the control end wall and head end w all. Grab bars shall mount within 4 inches of the exterior of the bath tub edge or within 4 inches within the bath tub. The bottom end of the bar shall start between 36 inches and 42 inches above floor grade. EXCEPTION: The required vertical grab barcan be substituted with a floorto ceiling grab bar meeting the requirements of R325.8 at the control end and head end entry points. R325.8.4.2 Horizontal grab bars.Horizontal grab bars shall be provided at the control end, head end, and the back wall within the bathtub area. Grab bars shall be mounted betw eer n 33 inches and 36 inches above floor grade. Control end and head end grab bars shall be 24 inches minimum in length. Back w all grab bar shall be 36 inches minimum in length. R325.8.5 Grab bars at shower stalls.Where shower stalls are provided to meet the requirements for bathing facilities, grab bars shall meet the requirements of R325.8. EXCEPTION: Shower stalls with permanent built-in seatsare not required to have vertical or horizontal grab bars at the seat end wall.A vertical floor to ceiling grab bar shall be installed within 4 inches of the exterior of the sho ligg5c� ai�sp 04,44 lt�-in seat. R325.8.5.1 Vertical grab bars.Vertical grab bars shall be 18 inches minimum in length and installed at the control end w all and head end wall Vertical bars shall be mounted within 4 inches of the exterior of the shower stall or within 4 inches inside the shower stall. The bottom end of vertical bars mount between 36 inches and 42 inches above floor grade. 8325.8.5.2 Horizontal grab bars.Horizontal grab bars shall be installed on all sides of the show er stall mounted between 33 inches and 36 inches above the floor grade. Horizontal grab bars shall be a maximum of 6 inches from adjacent walls.Horizontal grab bars shall not interfere with shower control valves. R325.9 Ramps.All interior and exterior ramps, w hen provided, shall be constructed in accordance with Section R311.8 with a maximum slope of 1 vertical to 12 horizontal. The exception to R311 8 1 is not allowed for adult family homes. Handrails shall be installed in accordance with R325 9 1. R325.9.1 Handrails for ramps.Handrails shall be installed on both sides of ramps between the slope of 1 vertical to 12 horizontal and 1 vertical and 20 horizontal in accordance with R311.8.3.1 through R311.8.3.3. R325.10 Stair treads and risers.Stair treads and risers shall be constructed in accordance with R311 7 5. Handrails shall be installed in accordance with R325.10.1. R325.10.1 Handrails for treads and risers.Handrails shall be installed on both sides of treads and risers numbering from one riser to multiple risers. Handrails shall be installed in accordance with R311.7.8.1 through R311.7.8.4 R325.11 Shower stalls.Where provided to meet the requirements for bathing facilities, the minimum size of shower stalls for an adult family home shall be 30 inches deep by 48 inches long. [Statutory Authority:RCW 19.27.031 and chapters19.27 and 34.05 RCW.13-04-068,§51-51-0325,filed 2/1/13,effective 7/1/13.Statutory Authority:Chapter 19.27 RCW.10-18-036,§51-51-0325,filed8/25/10,effective 9/25/10.Statutory Authority:RCW 19.27.190,19.27.020,and chapters 19.2 i and 34.05 RCW.09-04-023,§51-51-0325,tiled 1/27/09,effective 7/1/10.Statutory Authority:RCW 19.27.074,19.27.020,and chapters19.27 and 34.05 RCW.07-01-090,§51-51-0325,filed 12/19/06,effective 7/1/07.Statutory Authority:RCW 19.27.031 and 19.27.074.04- 01-109,§51-51-0325,filed 12/17/03,effective 7/1/04.] Effective:2013 July 01 Updated:2017 February N __—_, GENERAL YES • NO i Bathroom doors a re easily and quicklyopenablefrom the outs idewhen locked & 0 Carbon Monoxide alarms are installed as required in R315 on ea chlevel of the home. 0 Smoke a I a rms are i n stalled on all levels of the dwelling,in each res ident s leeping room,outside ea ch separate sleeping area in the immediate vicinity of sleeping rooms(R314). 0 0 Smoke and Carbon Monoxide alarms are installed in such a manner sothatthe audible waming may beheard inall, cif 0 parts of the dwelling upon activation of a single device. Access road and water supply meet localfirejurisdictional requirements. ' 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 ortwisting of the wrist(lever-type). 0 Pocket doors shall have graspable hardware availablewhen in the closed or open position. {,� 0 R311.8 Ramps YES NO Inside Ramp I N/A ER1 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 nboth sides oframp inaccordancewithR311.8.3.1-8311.8.3.3. 0 0 Outside Ramp I N/A I 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 attop/bottom,where doors open onto ramps,and where rampchanges 0 0 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 0 0 r. Handrail both sides —..-. •t Less than 4" 34"-38" * 4I Guard `��� `u '_ 36"min 1 3'x 3'min _ landing 3'x3'min _ landing 3' - One unit vertical in twelve units horizontal 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 of32 inches between face of door and stop.Height not less than 78 inches. )�` 0 R325.4 Operable parts of door handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand , —1 and shall not require tight grasping,pinching ortwisting ofthe wrist(lever-type). la 0 R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry 0" 0 without use of key,tool or special knowledge. R311.7 Stairways I N/A Q I YES NO R311.7.5.1 Riser Height:Max riser height shall be 7 3A inches(8 inches in structures built priorto July 1,2004) 4 B R311.7.5.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built priorto July 1,2004) .i R325.10.1 Handrails for Treads a nd Risers shall be installed on both sides of treads and risers numbering from one riser to m ultiple 0 I risers.Handrails shall be installed in accordance with R311.7.8.1—R311.7.8.4 Ea Effective:2013 July 01 Updated:2017 February R325.8Grab Bars in Bathrooms N/A Q I YES NO Grab bars shall be installed for all water closets(toilets),bathtubs and showers according to R325.8. 0 Water Closets(toilet)shall have grab bars installed on both sides according to R325.8—R325.8.3.1 or R325.83.2. I 0 Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2 Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.5— R325.8.5.2. Showerstalls must be minimum size of30 inches deep by48 inches long(R325.11) ar 0 AG103—AG105Swimming Pool,Spa, Hot Tub N... \Q, 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 ® 0 opened. AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0 rkASSED 13 CORRECTIONS REQUIRED Q PERMIT REQUIRED INSPECTOR'S NAME(PRINT) 'a 7 7 — INSPECTOR'S SIGNATURE DATE: INSPECTOR'S OF F‘1.4 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 y. - PERMIT APPLI 98 N CITY OF Federal Way 1 �`` MIT CENTER+ 33325 8th Avenue South + Fed 6325 253-835-2607 + FAX 253-835-2609 +Del,uitcenterc�icityoffederalway.com FEB 2 0 2018 PERMIT NUMBER 4 CITY OF FEDERAL WAY TARGET DATE " M1M1;�. -TY-DEVELOPMENT SITE ADDRESS SUITE/UNIT# 35530 (J2t?-t vE SW PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# O $ to 2 TYPE OF PERMIT 14 BUILDING ❑ PLUMBING ❑ MECHANICAL D DEMOLITION D ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT K S KPER=N DE ST CI i✓ A.F H PROJECT DESCRIPTION Ver, 1 c .�y^ Ct , ' -j v � `f Detailed description of work to T w/ I 'POW �/T ( vL.Eit/ I �/ be included on this permit only POW/ 1 NAME PRIMARY PHONE J°1-1N Cl • iDUNCAN 20th -17q •1o2.43 PROPERTY OWNER MAILING ADDRESS E-MAIL '214 cw 44 m cef ssocorL@YI-trta-C-0714 CITY STATE ZIP t -t x'6023 NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE jcYMDeKWE J . DUNC/r-N 2s3. Soto.et 24(1 APPLICANT- MAILING ADDRESS E-MAIL 21+. (ON 34itrri -r»i9eYt��un nC, CITY STATE ZIP FAX w0 .(Pr Pee , WO/ (NR-- '8023 (J NAME - PRIMARY PHONE PROJECT CONTACT TYIV1t,E12,05 J• bu WAIN 253•30u, •Raid (The individual to receive and MAILING ADDRESS ' � respond to all correspondence 3214 Mi 3ti�nt Froti/ usin /� concerning this application) CITY -y��] ) { STATE ZIP_ M FAX t�f u"( t' F-t Vne V in-Y (k/i- Ir 02 NAME PROJECT FINANCING ❑ OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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. sr Id SIGNATURE: 1 DATE Ce F 201 PRINT NAME: niOtie J• D•WY1 Cc c.r1 Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type of fcc ur e to be installed or relocated as part of this project.Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe). AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gan) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES I A n.U V`'NG PLUMBING PERMIT OFI $ �.aI,�., Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR - SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes ❑ No I RESIDENTIAL - 1VTE W OR ADDI T ION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ri FIRST FLOOR(or Mobile Home) COVERED ENTRY 4i s&' m„�w�3wk,e'se1 GARAGE ❑ CARPORT 0 ` ,e ,xt •t z"' s -'' '"d• o- .c s --- -----.._..--.----' ---- --- 5144,Wari..* 4, .Z' ' P :"rt' .4:z..',,.... "y„•)..s , .. .'I:'.. . `° .w ' 'to S t,' 4 — ____. EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION Area inConstruction # of AREA DESCRIPTION Occupancy Group(s) I I Additional Information Smiare FPPt ,pe Stories ar. • SW tl;NGm' }.,r «fes' a air S,E-.: �` ^f '. ° "?F 3 r~t xl 'M„ ; � ztrat $ rr<r"�. .., x��. fix ADDITION L. COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information Square Feet Type Stories s�«+r ,�, .uNx s 4$ '� h ter' +.x � . '�°°c rx '� w -,r r �• i TENANT AREA ONLY -7;c4-45%.40;:#4'0,,7,.: PROJEC'T'AREA ONLY .z e 4 �, ,£ Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application