10-1040841. City of Federal Way Building - Single Family
Community Development Services 2=121111111 Permit #: 10 -104084 -00 -SF
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE Inspection Request Line: (253) 835-3050
Project Name: EMMANUEL ADULT FAMILY HOME
Project Address: 942 S 293RD ST
Parcel Number: 515280 0080
Project Description: ALT - OCCUPANCY PERMIT ONLY FOR ADULT FAMILY HOME ****NO
CONSTRUCTION TO BE DONE UNDER THIS PERMIT****
Owner
Applicant
Contracto
Lender
JAMES & HAESUNG PARK
HAESIN PARK
942 S 293RD ST
942 S 293RD ST
EMMANUEL ADULT FAMILY
FEDERAL WAY WA 98003-3711
FEDERAL WAY WA 98003-3711
HOME
28707 11TH AVE S
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.) 1 0 1 0 1 0 1 0
New / Additional Sq. Feet - 3rd
Mechanical to be Included?..
New / Additional Sq. Feet - Basement ........ `' ......0
.................................NO Plumbing to be Included? ....................................... No
P it it 1-v�
PERMIT EXPIRES Saturday, March 26, 2011
Permit Issued on Monday, September 27, 2010
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: s Date: 11 -2-7
< , Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code Refwancem 2009 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER: I �� lu�
SECTIONS 1, 2 3 AND 4 MUST 13E COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
,J SECTION••iP' / INFORMATION
SITE ADDRESS: S Y�I FPI � WWei 2103 ASSEMR5 TAX/PAR(XL#: — — — — — — —
�`� SECTION•• •
PROPERTY OWNER NAME: " .f/ '-rAM.LOA*r— DAYTIME PHONE: 6 221- 3437
AFH LICENSEE NAME (tF DtFFm&M: N�NIM ��✓�� DAYTIME PHONE: 2-53?l �'%-S2�Ja
SECTION• •
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THUS FORM (ALL FLOORS). PLEASE INMWE ALL SLEEPING ROOMS (BWROOMS).
ON THIS DRAWING INDICATE WHICH BEDROOM ISA B C D.E.AND F LABEL ALL COMPONENTS FOR EXITING Le.: : STAIRS
RAMPS, PLATFORM LIFTS & ELEVATORS. L
5GD 7,00M
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I certify under penalty of perjury that the information furnished by me is true and correct to the best of my 66MI , 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 th r e to hold
harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses, and of r
investigation of such claim), which may be made by any person, including the undersigned, and Ned against the juris c ut only where h
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. gq1
NAME/TITLE: H,- &511-A Pr 'Z.E VOA ' DATE:
❑ PROPERTY OWNER Ltd APPLICANT ❑ LICENSEE
08101110
I
SECTION 5 MUST BE COMPLETED 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 OFA. B. C. D, E. AND F AND CLASSIFICATION CODE: S. NS1, OR NS2
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 constricted 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 constricted compliant with R325.9 are provided to evacuate residents to public area.
SLEEPING ROOMS
Sleeping Room A 1 ❑ Type S ❑ Type NSI 1 ❑ Type NS2
YES
NO
Closet doorls are readily openable from the inside IYEs ❑ 1 NO ❑ Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high: at least 20" wide)
*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
❑
❑
Sleeping Room 0 Type S' ❑ Type NS1- ❑ Type NS2
YES
NO
Closet doorls are readily openable from the inside YES ❑ -1 NO _ ❑ Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is.easily and. quickly openable from the outside when locked
❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least,24" high: at least 20" wide)
*EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF
13
Sleeping room window has a maximum sill height of 44' above floor, no steps under window pemniitted
❑
Sleeping Room C 1 ❑ Type S ❑ Type NS1
❑ Type NS2
YES
NO
Closet doorls are readily openable from the inside I YES ❑ 1 NO ❑ 1 Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high: at least 20" wide)
*EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MY HAVE NET CLEAR OPENING 5 SF
❑
❑
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
❑
1 ❑
Sleeping Room D 1 ❑ Type S ❑ Type NSI ❑ Type NS2
' YES
NO
Closet doorls are readily openable from the inside I YES ❑I NO ❑ I Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high: at least 20" wide)
*EXCEPr PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MY HAVE NET CLEAR OPENING 5 SF
❑
❑
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
❑
❑ ,
Sleeping Room E ❑ Type S ❑ Type NS1 ❑ Type NS2
YES
NO
Closet doorls are readily openable from the inside I YES ❑ I NO ❑ 1 Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high: at least 20" wide)
*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
❑
❑
Sleeping -Room f 1 ❑ Type S ❑ T' Oe NS1 1 ❑ Type NS2
YES
NO
Closet doorls are readily openable from the inside I Yes I No ❑ 1 Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" nigh: at least 20" wide)
*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
1 ❑
13
GENERAL YES NO
Bathroom doors are easily and quickly openable from the outside when locked
❑
❑
Smoke alarms are installed on all levels of the we in, In eachresident sleeping room, outside eachseparate sleeping
area in the immediate vicinityof sleeping rooms R,1
❑
❑
.
Smoke alarms are Installed in Sucha manner so that t e fire warning may be audible in all parts of the dwelling upon
activation of a single device.
❑
Access road and water supply meet local fire jurisdictional requirements
1 ❑
1 ❑
08101110
R311.8 Ramps
YES
j R
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
❑
❑
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.
❑
1 ❑
❑
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
11
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp
changes directions.
11
0
R325.9.1 Handrails required on both sides of ramp in accordance with 'R311.8.3._1_- R311.8.3.3
R325.8 Grab bars shall be installed for all water closets (toilets), bathtubs and showers.
*Guards below are depicted vertically as an example only. All Ramgs Must have Guards
Guard
36" min
Less than 4"
U—A-11 kMk eIA..
I - mm - I
ADULT FAMILY HOME RAMP
per 2009 IRC with WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
R311.2 Means of E ress
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.
❑
❑
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
shall have no additional locking devices.
❑
❑
R311.7 Stairwa s
YES
NO
R311.7.4.1 Riser Height Max riser height shall be r% inch s 8 inches in structures built prior to July 1, 2004
❑
❑
R311.7.4.2 Tread Depth: Min. tread depth shall beinches 9 inches in structures built priorto July 1, 2004
❑
❑
_10
R325.10.1Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to
multiple risers. Handrails shall be installed in accordance with 8311.7.7.1- R311.7.7.4
❑
❑
R 325.8 Grab Bars in Bathrooms —(May re uire "alternate" aggroval in accordance with IRC Sec. R104.10 and .11
YES
NO
R325.8 Grab bars shall be installed for all water closets (toilets), bathtubs and showers.
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
❑
❑
AG103 — AG, 105 Swimming Pool S a Hot Tub
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.
C1
171
AG105.5 EXCEP770N: Pools, Sas or hot tubs with a safety cover which complies with ASTM F 1346
11
C1
❑ PASSED ❑ CORRECTIONS REQUIRED ❑ PERMIT REQUIRED
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.
08101110
(Effective July 1, 2010)
WAC 51-51-0325
Section 8325 - Adult family homes.
SECTION 8325
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 family homes licensed by the state of Washington
department of social and health services prior to July 1, 2001.
R325.2 Submittal Standards. In addition to those requirements in Section 106. 1, the submittal shall identify the project as a Group
R-3 Adult Family Home Occupancy. A floor plan shall be submitted identifying the means of egress and the components in the means
of egress such as stairs, ramps, platform lifts and elevators. The plans shall indicate the rooms used for clients and the sleeping room
classification of each room.
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. All bedroom and bathroom doors shall be openable from the outside when 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. The force required to activate
operable parts shall be 5.0 pounds (22.2 N) maximum. Exit doors shall have no additional locking devices.
R325.5 Smoke Alarm Requirements. All adult family homes shall be equipped with smoke alarms installed as required in
Section k314. Alarms shall be installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon
activation of a single device.
R325.6 Escape Windows and Doors. Every sleeping room shall be provided with emergency escape and rescue windows 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 Supply for Fire Protection. Adult family homes shall be served by fire
apparatus access roads and water supplies meeting the requirements of the local jurisdiction.
R325.8 Grab Bars. Grab bars shall be installed for all water closets and bathtubs and showers. The grab bars effective WAC 51-51-
0325: Section R325 - Adult family homes. date 7/1/10 shall comply with ICC/ANSI Al 17.1 Sections 604.5 and 607.4 and 608.3.
EXCEPTION: Grab bars are not required for water closets and bathtubs and showers used exclusively by staff of the
adult family home.
R325.9 Ramps. All interior and exterior ramps, when provided, shall be constructed in accordance with Section 8311:8 with a
maximum slope of 1 vertical to 12 horizontal. The exception to k311.8.1 is not allowed for adult family homes. Handrails shall be
installed in accordance with R325.9. I.
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 i vertical and 20 horizontal in accordance with 8311.6.3.1 through R311.6.3.3.
R325.10 Stair Treads and Risers. Stair treads and risers shall be constructed in accordance with R31VA. 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 8311.7.1 through R301 t!r9
[Statutory Authority: RCW 19.27.190, 19.27.020, and chapters 19.27 and 34.05 RCW. 09-04-023, §51-51-0325, filed 1/27/09, effective 7/1/10. Statutory
Authority: RCW 19.27.074, 19.27.020, and chapters 19.27 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.]
08/01110
Building Davi*ion
CITY OF 33325 Eighth Avenue South -
*AIL Federal WayPO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 14Z Ssk PERMIT#: � O- I O 4 G ?A - S 1
-Z ) Cok*i%%1L1-e_ 3.
r l 1 r &,w S a vl� � v� i t. S /VS i(. O -r- V S Z.
IF YOU HAVE ANY QUESTIONS CALL
(253) 835 -
WHEN CORRECTIONS HAVE BEEN MADE, CALL53) 835-3050 F RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTION E REQUIRE O BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page I of I
Federal Way *PERMIT 0 MF CO ME PL DE EN FP
1M_8NITmNi3e.S
25; -R35 -2607 - FAX 253-R35-2609APPLICATION
ML1!_ai..
RECEIVED ECD
_.
SITE ADDRESS
SEP
SUITE/UNIT #
'1
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL # CITY OF
FEDERAL A_
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
/
(Tenarit Narne/Homeowner Last Name)
�i y''
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
i
PROPERTY OWNERa
NAME
(li'hl,1 s;1 �) �( �� y °,-
,'
PRIMARY PHONE
_
MAILING ADDRESS
E-MAIL
CITY
Fe -A
STATE ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
!-tae<�N• 1�� ✓lam
PHONE
_ ?,,*'1'- s3'2f` e
MAILING ADDRESS
E-MAIL
APPLICANT
CITY ,.,, -
�✓d',rilrTr�� �� jdr
STATE
ZIP
<
FAX
PROJECT CONTACT
(The individual to receive and
NAME
PIWN3
MAILING ADDRESS
l (4 11 Ate-
E-MAIL
respond to all correspondence
concerning this application)
CITY
{=eta e �•� �N�
STATE
ZIP
' a��
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
__7
PHONE
(RCW 19.27095)
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 ify my knowledge, the information submitted in support of this permit application is true and correct. I certthat 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 apart of this application.
SIGNATURE:DATE 4/---7/1` l
l �_�D/l.
PRINT NAME: (be`�'��—
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECZZANZCAL WORK $ (a copy of bid or esti a must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GommeAS PIPE OUTLETS OTHER (Describe) _
AIR CONDITIONER FIREPLACE INSERTS HOODS (Crcial)
BOILERS FURNACES HOT WATER TANKS (o.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type off-dure to a installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/show combo)
LAVS (H.dsinla)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (kitchen/utaity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
•"`'
WASHING MACHINES "> `E'1`!`AT':1?id33•'•.`3?;
CRITICAL AREAS ON PROPERTY? WATER PURVEY SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINIZER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes d No ❑ Yes ❑ No
{,
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\Handouts\Pernnit Application