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17-106007 Building - Single Family City of Federal way Permit #:17-106007-00-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: LOURDES LOVING CARE ADULT FAMILY HOME LLC Project Address: 30442 8TH AVE S Parcel Number: 091800 0030 Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender MARCELINO SAMPAYAN LOURDES SAMPAYAN 30442 8TH AVE S 30442 8TH AVE S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Census Category: 434-Residential alt/add - no change in number of units Includes: I #1 #2 #3 #4 Occupancy Class: R-3 _ Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 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 Included" No Plumbing Work Valuation? 0 Mechanical Work Valuation? 0 Is this an Online or O.T.C.application" No Plumbing to be Included" No Occupancy#1 -Use Residence(1 or 2 family) Comprehensive Plan Designation SF-High-Density Zoning Designation RS 7.2 Residential '` ''ii " '.; III - ,, r,i �,w a t' " 1 0 �tilih 1%6t Nfl, .—` teal With This Permit ll . ,1 • �4 PERMIT EXPIRES Saturday, 16 June,2018 Permit Issued on Monday,December 18,2017 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 /-,I ',, Washington and the City of Federal Way. Owner or agent: "'—' ` Date: 1 L— 1 — / 7 ' Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST ' Code References:2015 IRC Section R325(WAC 51-51) DEC 18 2011 APPLICATION NUMBER: 1 7 - I O,0 0 -7 SECTIONS 1. 2. 3. AND 4 MUStu�I MK�C,�NT BEFORE INSPECTION WILL BE PROCESSED SECTION 1— PROPERTYINFORMATION Q,v/ S i� �Gr-co y war 9foa3 e f 1800 0 '30 SITE ADDRESS: 3n��iZ 8 Ave-nue AS SESSOR'STAX/PARCEL#: SECTION 2—APPLICANT INFORMATION PROPERTY OWNER NAME:Letmeeit4 S6i9h DAYTIMEPHONE:LIC2J 313 --// / t c;LrOle-3 Lo✓I 05 c.ottk c-- IA F N (-cc- AFH -cGAFH LICENSEE NAME(IF DIFFERENT): _ DAYTIME PHONE: 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. L NAME/TITLE: Uu 240673 SOr/I1)/4V6" DATE: /2--16?— / -- DPROPERTY OWNER DAPPLICANT D LICENSEE (Efectiw July 1, 2013.) Effective:2013 July 01 Updated:2017 February Z`.• . . 4. . .. .) .. . k...1 t 0 '<, --1 –4s a 14- = LU .. cmlmezzl> IIcv ri a 4••••••111/ li DI .. 2 D cx u- CO , 4 --.; CC -------.- 1,, . , „..,8 t.j. E ?‹ g -u 1-: Z D a° ?I i < 11- .--J CL = oa 11 i 0 z - 0 1--- < ...- . t D lit 2 m (...) — .---- - --..... JI ffilie P 4 ' 3' 1-1.1 ..jj 1 2 VI 5 ,•.-4 _ tE 2 ea t— 2 i 6 E in- ic iv 0 g ...- _. ct . ...t. . E . Ta LU -.--, o -e. 2 .- . z t S L...., L iffill - --1,7—'" --• t 4.-- tr, 4, . WWII> .'iii0Fel? , 17,1 ___m• IA -4k7 N 2 ‘o ‘, , L3 PROCINIM 1 N .IA og V le' •n. z f V , ,�.-- ' NAME OF AFH: -- — SECTI ON 5 MUST BE COMPLETED BYTHE BUILDING DEPARTMENT I N THE JURISDI CTI ON THE HOME WI LL 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 ❑Type S ❑Type NS1 ❑Type NS2 YES NO Closetdoor/s are readily openable from the i nside QYes JNo Smoke al arm is installed in the bedroom Ea 0 Bedroom door opens easily and quickly from the outside when locked 0 Sleeping room wi ndow has a net opening of 5.7 SF(minimum dimensions at I east 24"high;at I east 20"wide) 0 EXCEPT per R310.2.1:at-grade escape wi ndows—may have netclearanceopening 5 SF Sleeping roomwi ndow has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window a llowec © 0 SLEEPING ROOM B ❑Type S DType NS1 ❑Type NS2 YES NO Closetdoor/s are readily openable from the i nside Q Yes 0 No Smoke al arm is installed in the bedroom 0 0 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;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 window has a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec 13 0 SLEEPING ROOM C ❑Type S O Type NS1 ❑Type NS2 YES NO Closetdoor/s are readily openable from the i nside 1;1 Yes 0 No Smoke alarm is installed in the bedroom (a 0 Bedroom door opens easily and quickly from the outside when locked ❑ Sleeping room wi ndow has a net opening of 5.7 SF(minimum dimensions at l east 24"high;at I east 20"wide) 0 EXCEPT per R310.2.1:at-gradeescapewindows—may have net clearance opening 5 SF Sleepi ng room wi ndow has a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec 0 0 SLEEPING ROOM D ❑Type S ❑Type NS1 ❑Type NS2 YES NO Closetdoor/s are readily openable from the i nside ❑Yes 0 No Smoke al arm is installed in the bedroom 0 Bedroom door opens easily and quickly from the outside when locked 0 Sleeping room wi ndow has a net opening of5.7SF(minimum dimensions atleast 24"high;at least 20"wide) ® 0 EXCEPT per R310.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF Sleepi 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 E 0 Type S 0 Type NS1 0 Type NS2 YES NO C etdoor/s are readily openablefrom the inside ❑Yes 0 No Smoke al arm is installed inthe.b Broom 0 ❑ Bedroo oor opens easily and quickly from the outside when locked 0 0 Sleeping room " ow has a net opening of 5.7 SF(minimum dimensionsatleast g ;at least 20"wide) 0 0 EXCEPT per R310.2.1:a - .adeescapewindows—may have net clearanceopening 5SF Sleeping room window has a maxi sill height of 44"a bove ft oor to clear opening;no steps under window a llowec 0 0 SLEEPING ROOIDPF-. ., .,------ ❑Type S ❑Type NS1 ❑Type NS2 YES NO Closetdoor/s are readily openablefrom t Ide 1131--Ye_Q❑No Smoke al arm is installed in the bedroom 0 0 Bedroom door opens easily and quicrifrom the outs idewhen locked 0 0 Sleeping room wind has a net opening of 5.7 SF(minimum dimensions at least 24"high;atleast 20"wide) 0 0 EXCEPT per .2.1:at-grade es cape wi ndows—may have net clearance opening 5SF Sleepi ng room wi ndow has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window- &Wec ❑ 0 Effective:2013 July 01 Updated:2017 February GENERAL YES NO ` Bathroom doors are easily and quickly openablefrom the outside when I ocked 0 0 Carbon Monoxide alarms a re installed as required)n R315 on eachievel of the home. 0 0 Smoke alarms are installed on all levels of the dwelling,I neach residentsleeping room,outside each separate 0 0 sleeping area in the i mmediatevicinity of sleeping rooms(R314). Smoke a nd Carbon Monoxide a larms a re i nstalled insuch a manner sothat the a udiblewarning may be heard i n a II © 0 parts of the dwel ling upon activation of a single device. Access road and water supply meet localfirejurisdictionalrequirements. 0 0 R325.4 Operable parts of door handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand 0 0 and shall not require tight grasping,pinching or twisting of the wrist(lever-type). Pocket doors shall have graspable hardware available when in the closed or open position. 0 0 R311.8 Ramps YES NO Inside Ramp N/A 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 landingattop/bottom,where doors open onto ramps,and where rampchanges 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 0 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 ramp changes directions. 0 13 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 a re depi cted vertically as an example only.All Ramps must have Guards 0 0 Handrail both sides —1 i less than 4" / 34"-38" 1 Mk Guard 36"min 3'x3'min „.........._ landing 3'x n 1��� ��.....�� landing " f unitm r p minimum 3' -- One vertical twelve units horizontal 3' —j minimum is an 8.3%slope all along surface of the ram 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 0 0 and shall not require tight grasping,pinching or twisting ofthe wrist(lever-type). R325.4 Required exit door hardware shall unlock inside and outside mechanismswhen exiting the building allowing re-entry 0 0 without use of key,tool or special knowledge. R311.7 Stairways N/A Q YES NO R311.7.5.1 Riser Height:Max riser height shall be 7% inches(8 inches in structures built prior to July 1,2004) Q R311.7.5.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior to July 1,2004) n R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple 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 ' FF325.8 Grab Bars in Bathrooms N/A ❑ 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 R325.8.3.2. a 0 Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4-8325.8.4.2 0 Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.5— 0 0 R325.8.5.2. Shower stalls must be minimum size of30 inches deep by48 inches long(R325.11) a a AG103—AG105 Swimming Pool,Spa, Hot Tub to/4, YES NO AF105.2 Must be surrounded by a barrier that is 48 ches high,may have doors and or gates that must have audible alarms when ❑ a opened. AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0 °PASSED ❑CORRECTIONS REQUIRED ❑PERMIT REQUIRED ., CP.� NocA-on INSPECT'R'S NAME(PRINT) 5PV INSPECTOR'S SIGNATURE DATE: 3332 6-)L ave.._ s. aal �a Z5 3 - 35-Wr,3`� INSPECTOR'S OFFICE ADDRESS PHONE NUMBER: `I� 3 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 �► RECEIVED PERMIT APPLICATION CITY OF Federal Way DEC 18 2017 CITY OF FEDERAL WAY PERMIT NUMBER _ I QMITYd( LE pprS TARGET DATE I SITE ADDRESS SUITE/UNIT# cD L 2 g 4—b A1)an u U S. Ferie ral w A y WDA 9 oGt3 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 0CI I _ dc) 37 TYPE OF PERMIT UILDING D PLUMBING D MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT L-O L4ar-a(,c,s Lc,Vi vIq CRiC.e- A H s�Or-'r''-1 i✓+q /�+P-t�t J�'1 cx Y) (.t{ tT1D PROJECT DESCRIPTION T J J Detailed description of work to be included on this permit only NAME PRIMARY PHONE we-c S A Y3 PA-YA N (_. -49(_,J,3 13- I. i a -7 PROPERTY OWNER MAILING ADDRESS E-MAIL 3o LkV 2 S • l.b u.--04r s gindms CITYj�j _ F ��J ���p.. STATE ZIP /] (7 •/ w r•v W� �l O y .ml I • Cie. NAME PHdNE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME11/-0 r'�'L Crvn ���� PRIMARY PHONE APPLICANT MAILING ADDRESS S PE-MAIL 3d c,kc,F 2 )S012-11 art- S - iOur LL-C aad -S• Q r %Te../0-aY 1 STATE ZIPqg O O 3 FAX aut• 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 19.27.095) 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 tt'oythhe/'— secci�tyy as a part of this application. SIGNATURE: Jf )( _ar DATE 1?i Ls) t ) PRINT NAME: L,Gt 00 6 13 M ve/9-ys-r Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application