13-101046 f
t
• • wilding - Single Family
City of FederalWay Permit #: 13-101046-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 i
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EQUALITY CARE OF LIFE ADULT FAMILY HOME
Project Address: 2224 S 284TH ST Parcel Number: 422220 0350
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
BIN LIU CHRIS CORDERO
2827 S 368TH ST EQUALITY CARE OF LIFE INC
FEDERAL WAY WA 98003 2224 S 284TH ST
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 Monday, September 2, 2013
Permit Issued on Wednesday, March 6, 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
/
and the City of Federal Way.
Owner or agent: /si', /1i Date: 6'/
Puma) 4/ /ii
Adult Family HAP(AFH) LOCAL BUILDING INSPIION CHECKLIST
Code References: 2009 IRC Section R325(WAC 51-51)
•COM APPLICATION NUMBER: / /�' /
COP-3(2)(-40-59@e MI.
SECTIONS 1,2,3, AND 4 MUST BE COMPLETEDLICANT BEFORE INSPECTION WILL BE PROCESSED
"� SECTION 1 - PROPERTY INFORMATION
SITE ADDRESS:�iy`��/jJ S 0-74 14 '1,I <RAW VilA I • c710(1 j ASSESSOR'S TAX/PARCEL#: -
SECTION 2 -APPLICANT INFORMATION
PROPERTY OWNER NAME: 4k4o�K �i � /\ („,4� "j'"iDAYTIME PHONE: 94..916-en-37-62---?i
AFH LICENSEE NAME(IF DIFFERENT): C S4 O(t. 4_ c fl - 4I� DAYTIME PHONE:
t SECTION 3—FLOOR PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THIS FORM(ALL 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 &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 application. /�
NAME/TITLE: , � �/ DATE: 6 /3
❑ PROPERTY OWNER R. APPLICANT 0 LICENSEE
08/01/10
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NAME of AFH: 0
,
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 A, B,C, D, E,AND F AND CLASSIFICATION CODE: S, NSI,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 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.
_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 ROOMS
Sleeping Room A ►_ T •e S ❑ Type NS1 ❑ Type NS2 YES ' NO
Closet door/s are readily openable from the inside YES FP, NO 0 Smoke alarm is installed in the bedroom n 0
Bedroom door is easily and quickly openable from the outside when lockedlial 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) , 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 115111 ❑
Sleepin• Room B r T •e S 0 T •e NS1 ❑ Type NS2 YES NO
Closet door/s are readily openable from the inside YES ,Mild NO 0 Smoke alarm is installed in the bedroom
❑ ..._.
Bedroom door is easily and quickly openable from the outside when locked nill 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" hien; at least 20" wide) .g 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 Urill 0
Sleepin• Room C 111F T •e S 0 T •e NS1 0 T •e NS2 leall NO
Closet door/s are readily openable from the inside NO 0 Smoke alarm is installed in the bedroom WI 0
Bedroom door is easily and quickly openable from the outside when locked1111111 0
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) ci
❑
*EXCEPT PER 8310.1.1: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
Sleeping Room D .T T -..e S ❑ Type NS1 ❑ T e NS2 . YES NO
Closet door/s are readily openable from the inside i YES =
R311.8 Ramps •
Inside Ram
YES NO
• R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3%slope). (Exception_R31118.1 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 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 ' '''''''t 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. ❑ ❑
*Guards below are depicted vertically as an example only. All Ramps must have Guards
Less than 4"
Handrail both sides
..
iii \ 34"-38"
Guard - -
36"min - -"---"-- _`r .--- ��.
11ar r, I
awrwage ft rw
3'x3'min
3'x 3'min I „"-----_. landing
landing --. ___,_ -� _.""- --.
0 = 1:12 max slope r.. -___r_ -^ -ia"
3 8.3%
< min
min
ADULT FAMLY HOME RAMP
per 2009 IRO with WA. ST. ANE'JDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
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. mil ❑ _
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 , 71 0
shall have no additional lockin• devices.
R311.7 Stairways NIA YES NO
R311.7.4.1 Riser Height: Max riser height shall be 73/4 inches (8 inches in structures built prior to July 1, 2004 imp 0
R311.7.4.2 Tread Depth: Min.tread depth shall be 10 inches. (9 inches in structures built prior to July 1, 2004) Mill 0
—> R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to i211 ❑
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) I YES , NO
R325.8 Grab bars shall be installed for all water closets(toilets), bathtubs and showers.
--mss Bathing facilities such as tubs and showers; and ' ❑
—>On both sides of the toilet. shall comply with ICC/ANSI A117.1 Sections 604.5,607.4& 608.3) bk 0 0
AG103–AG 105 Swimming Pool,Spa, Hot Tub NIA x 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 ❑ ❑
alarms when opened.
AG105.5 EXCEPTION: Pools, Spas or hot tubs with a safety cover which complies with ASTM F 1346 ❑ 0
❑ PASSED ❑ CORRECTIONS REQUIRED 0 PERMIT REQUIRED
i
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INSPECTO SIGNATURE: DATE:
ci77 0.1 -4/->ti ft. /G 1 z -3 - ,',3S-_ 2'6 ?3
INSPECTOR'S ADDRESS: 1 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.
*tie b Pin- ' 'gyp gal"'1 P-' 08/01/10
CFS Yyl3)
CITY OF ERMIT
1 Federal Way�Ece�vE� r�S / MF CO ME PL DE EN FP
CO253-835} 07.FA 253 8 5 2609 6 ZO�A p p LI CAT I O Nc:ric...., ,�o �
253 835 2607 FAX 254 8352609 �i
�/OF FEDERAOW
SITE ADDRESS Cl l I CDS SUITE/UNIT#
2i L 5-2 7 VII •q- -e ,1 W - WA (77OD"3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#/
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
4PP
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT a -
111111
(Tenant Name/Homeowner Last Name) G(A�-i< �7)rj Jy0 f. V ad 1 •
PROJECT DESCRIPTION 1
Detailed description of work to �� { Ob Mt. (�/ LA._0.0-1,-
be
included on this permit only (/
NAME PRIMARY PHONE
PROPERTY OWNER M A Z I i?ll^ ( +' e i1 i! J 2 O 67 )
MAILING! ` S) V o V b`
STATE
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
elLA"-1 S �"�(e '3--o6-?53-C�'2
APPLICANT MAILING ADDRESS E- L
�-J-)-� S 3 g(f f til,►*-/',c....0 tti.( p�o3 r��► u I -cohi
rfTY STATE ZIP FAX
eidoau.,l wl,fy Wt' 47 q00 ? -
PROJECT CONTACT NAME / PHONE <
(The individual to receive and
Ct.. t �-{�� '° tJ ‘0> )J
respond to all correspondence 2 MAILING ADDRESS E-MAIL 5
concerning this application) )-:):144 ')Q1-t''
CITY STATE ZIP /� FAX
1e J buil INA C170 0-75
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME111 OWNER-FINANCED
Required value of$5.000 or more
fRCW 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 application.
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SIGNATURE: %// ��;�� //.�f� DATE Q'/
PRINT NAME:L�-;�4z/< (..7",r--04112-s0
Bulletin#100-April 14,2010 Pare 1 of 3 k:AHandouts\Pennit Application
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