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14-106058 • •iilding - Single Family City of FederalWay Permit #: 14-106058-00-S F Community&Econ. Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: 253' Ph:(253)835-2607 Fax:(253)835-2609 p 835-3050 Project Name: EVERGREEN ADULT FAMILY HOME Project Address: 33132 41ST LN S Parcel Number: 618141 0210 Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender MIRA KWON ANNA HAN 33132 41ST LN S 1815 S 290TH ST FEDERAL WAY WA 98001-5174 FEDERAL WAY WA 98003 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 Included? No Plumbing to be Included? No No Fixtures Associated With This Permit !! PERMIT EXPIRES Saturday, May 23, 2015 Permit Issued on Monday, November 24, 2014 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: //Vry--O 177 ' Date: IVA-1/12 0/ Adult Family Hof (AFH) LOCAL BUILDING INSPETION CHECKLIST de References:2012 IRC Section R325(WAC 5 j y APPLICATION NUMBER: a a I 0!o 0 SECTIONS 1.2.3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1 — PROPERTY INFORMATION SITE ADDRESS: 33132- `1 I' L-- NI 3/ -r j(`I 1t Y V 0' Ivt age')ASSESSOR'S TAX/PARCEL#:42 3 J 7 I__O Z./0 SECTION 2 —APPLICANT INFORMATION PROPERTY OWNER NAME: I A. IAJ (I DAYTIME PHONE: P— ) V AFH LICENSEE NAME(IF DIFFERENT): / 1 r 1()t DAYTIME PHONE:(-)'C3) SECTION 3 — FLOOR PLAN On a separate sheet of paper (81/2 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. 11 \ i _ 0 a 7 •, IA g • : • 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 daim (including costs, expenses, and attorneys' fees incurred in the investigation of such daim), which may be made by any person, induding the undersigned, and filed against the jurisdiction, but only where such daim 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. f� NAME/TITLE: Pt n4i H CR n e DATE: /1/ DPROPERTY OWNER 0APPLICANT t LICENSEE Effective: 2013 July 01 Updated: 2013 June """"'""" W rommFatio Doo W Kitchen Living Room Dining Room Room C 80 14 0 Storage II 1-7f Storage W Room B Tyr: W1... > f10CI Room D 1 F Room A Bathrooms -'Y p-e Bathroom 2 n. W= Window Garage W EVERGREEN AFH EMERGENCY EVACUATION Safe meeting place FLOOR FLAN is in front of driveway cST FWD . NAME OF AFH: E/tit eArVilk i C (-4 • SECTION 5 MUST BE COMPLETEU 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 CD E AND F AND CLASSIFICATION CODES,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 ith R325.9 are provided to evacuate residents to public area. SLEEPING ROOM A 0 Type S 0 Type NS1 13 Type NS2 YES NO / it 4 Closet door/s are readily openable from the inside D Yes 0 No Smoke alarm is installed in the bedroom [i 0 Bedroom door opens easily and quickly from the outside when locked [f 0 Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) Q' 0 EXCEPT per R310.1.1:at-grade escape windows-may have net clearance opening 5 SF // Sleeping room window has a maximum sill height of 44"above floor; no steps under indow permitted Er1:1 SLEEPING ROOM B 0 Type S 1I Type NS1 0 Type NS2 YES NO Lyn Closet door/s are readily openable from the inside 0 Yes 0 No Smoke alarm 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;at least 20"wide) D" 0 EXCEPT per R310.1.1:at-grade escape windows-may have net clearance opening 5 SF —f Sleeping room window has a maximum sill height of 44"above floor;no steps under indow permitted LT 0 SLEEPING ROOM C O Type S Type NS1 0 Type NS2 YES NO /U/J¢ Closet door/s are readily openable from the inside 0 Yes 0 No Smoke alarm is installed in the bedroom ar 0 Bedroom door opens easily and quickly from the outside when locked 13' 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 clearance opening 5 SF ...,/ Sleeping room window has a maximum sill height of 44"above floor;no steps under indow permitted Er' 0 SLEEPING ROOM D CI Type S LIlType NS1 OType NS2 YES NO Ai f' Closet door/s are readily openable from the inside 0 Yes 0 No Smoke alarm is installed in the bedroom 0/' 0 ,,�Bedroom door opens easily and quickly from the outside when locked 1.� 0 Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) [r 0 EXCEPT per R310.1.1:at-grade escape windows-may have net clearance opening 5 SF �/ Sleeping room window has a maximum sill height of 44"above floor;no steps under window permitted 1 0 SLEEPING ROOM E 0 Type S 0 Type NS1 0 TTTTTTTTe NS2 YES NO Closet door/s are readily openable from the inside 0 Yes 0 No Smoke alarm 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 2 " •gh;at least 20"wide) 0 0 EXCEPT per R310.1.1:at-grade escape windows-may have ne/\elearance op • g 5 SF Sleeping room window has a maximum sill height of 44"above floor; teps under window permitted 0 0 SLEEPING ROOM F ype Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside 0 0 No a 0Smoke alarm is installed in the bedroom 0 0 Bedroom door opens easily and quickly from the side when locked 0 0 Sleeping room window has a net opening of-5: 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 clearance opening 5 SF Sleeping room window has a maximum sill height of 44"above floor;no steps under window permitted 0 0 Effective: 2013 July 01 Updated: 2013 June GENERAL • YES NO Bathroom doors are easily and quickly penable from the outside when locked [ Q Carbon Monoxide alarms are installed as required in R315.1 on each level of the home. [ 0 Smoke alarms are installed on all levels of the dwelling,in each resident sleeping room,outside each separate sleeping area in the immediate vicinity of sleeping rooms(R314). )0 Smoke and Carbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in all —/ parts of the dwelling upon activation of a single device. Illlll Access road and water supply meet local fire jurisdictional requirements. 0 R325.4 Operable parts of door handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand 12("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. Q R311.8 Ramps YES NO Inside Ramp N/A m 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 at top/bottom,where doors open onto ramps,and where ramp changes directions. CI 0 R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. Q Q Outside Ramp N/A D YES NO D R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp changes w„/ D directions. L:� R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0 Guards below are depicted vertically as an example only.All Ramps must have Guards •L.J• 0 Handrail both sides -- i— Less than 4" 34"-38" i 1 Guard 36"min —.--r-r,— , , —. 3'x 3'min landing 3'x 3'min .....—_— landing �' 3' One unit vertical in twelve units horizontal I a 3' I 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. cr 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). 07 0 R325.4 Required exit door ha ware shall unlock inside and outside mechanisms when exiting the building allowing re-entry E O without use of key,tool or s cial knowledge. Required exit door shall have no additional locking devices. R311.7 Stairways N/A YES NO R311.7.4.1 Riser Height:Max riser height shall be 7% inches(8 inches in structures built prior to July 1,2004) 0 0 R311.7.4.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior to July 1,2004) 0 0 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 R311.7.7.1—R311.7.7.4 Effective: 2013 July 01 Updated: 2013 June R325.8,Grab Bars in Bathrooms N/ YES NO Grab bars shall be installed for all water c ets(toilets),bathtubs and showers according to R32 . . F' ' 0 Water Closets(toilet)shall have grab bars installed on both sides according to R325.8—R325.8.3.2. Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8—R325.8.2&R325.8.4—R325.8.4.20 Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.2& [ 0 R325.8.5—R325.8.5.2. Shower stalls must be minimum size of 30 inches deep by 48 inches long(R325.11) 0 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 0 a opened. AG105.5 EXCEPTION: ols,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0 PASSED 000RRECTIONS REQUIRED 0 PERMIT REQUIRED { " r INSP R'S NA� � J L44w (Z�n �L INSPECTOR'S SIGNATURE DATE: 3 � 3 ZS llJt- SFT,cLu l.,s�:h f1s, As n- Sr33-2Lo INSPECTOR'S OFFICE 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: 2013 June Receb ��oF m.�.,.,. PERMIT�PPLICATION Federal Way NOV 24 2014 PERMIT NUMBER / 9FT' 7151cD,ZALOA -8,,_ 5(( TARGET DATE SITEADDRESS SUITE/UNIT# 33/ 32 44 St L-t 3 lei,:& fA'r4 (7s6'O)3 PROJECT VALUATION ZONING ASSESSOR'S TA/Li/PARCEL# (0 LK' L L - o z / TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT //I C ,e v. yety\ A FH PROJECT DESCRIPTION n Detailed description of work to / (4 Q - t .__ /er✓ 64- i be included on this permit only NAME ,,,/� PRIMARY PHONE PROPERTY OWNER VAN\`YOB. � I I \ Cab(,) (p59— 1 N)8 MAILING ADDRESS ` S v‘,/ 311 TE f t E-MAIL CITY STATE ZIP rai v�G VJ A- 603 0:1_3 NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME A PRIMARY PHONE /AYIn t o• Zbb --4 APPLICANT MAILING ADDRESS I E-MAIL (815 S o-1"4" 6-VerlireettAPtC, f jik'` to CITY4_,etre0Vo\ S v\rpr- FAX /c3— 93(Pf NAME PRIMARY PHONE ,loev 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 0 OWNER-FINANCED Required value of$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. SIGNATURE: DATE PRINT NAME: ((( Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 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. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT 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 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ # OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories � NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of in Square Feet Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application