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12-104664 * k `+'• • •uulding - Single Family City of Federal Way Community&Econ.Dev.Services Permit #: 12-104664-00-SF 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) 835-3050(253)835-2607 Fax:(253)835-2609 Project Name: EVERGREEN AFH Project Address: 1815 S 290TH ST Parcel Number: 422300 0070 Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender KYU KIM DAE ANNA HAN 1815 S 290TH ST 1815 S 290TH ST FEDERAL WAY WA FEDERAL WAY WA 98003 98003 Census Category: 999 -Unknown • 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, April 8, 2013 Permit Issued on Wednesday, October 10, 2012 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: IsapAL Date: /o//c7//. A.-- L Sii I /(4/(Z City of Federal Way • Certificate of Occupancy 3 f l This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: EVERGREEN AFH Permit#: 12-104664-00-SF Address: 1815 S 290TH ST Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq.ft.) 0 0 0 0 Owner Name: KYU KIM DAE KYU KIM DAE Owner Name: Owner Address: 1815 S 290TH ST FEDERAL WAY WA 98003 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. s • Adurt Fzm6Uy HomOtAFH) LOCAL BUILDING INSPEOON CHECKLIST Code References: 2009 IRC Section R325(WAC 51-51) APPLICATION NUMBER: /2—,0TC4'41-0,0' Sr L SECTIONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1 - PROPERTY INFORMATION SITE ADDRESS: O ( `�/L 5 " l ct F--eAr &J Lv4 , /ASSESSOR'S TAX/PARCEL#:d )A 3 O 0 -D0 7 0 SECTION 2 APPLICANT INFORMATION 1 q PROPERTY OWNER NAME: `.LLk. r' DAYTIME PHONE: 2S3) t 7 AFH LICENSEE NAME(IF DIFFERENT): " A H A DAYTIME PHONE: 2021 0O 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 this application. NAME/TITLE: frj6kti 0 Wink ✓ DATE: ( /tO/1.o 17 ❑ PROPERTY OWNER 0 APPLICANT LICENSEE 08/01/10 —NAME OF AFH: ver uL. lA-&'e:- / to 11- f."dtj [fit 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 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. T ripe 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 1 0 Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside YEs'S- I NO Elj Smoke alarm is installed in the bedroom jSr ; 0 " Bedroom door is easily and quickly openable from the outside when locked ! Ig. E 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) j W r 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 N- ; 0 Sleeping Room B 0 Type S $Type NSI � 0 Type NS2 _ YES ' NO Closet door/s are readily openable from the inside YES5 NO 0 ; Smoke alarm is installed in the bedroom ; ,0] ' ❑ Bedroom door is easily and quickly openable from the outside when locked 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) .1K 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 f" 0 Sleeping Room C i 0 Type S j a Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside 'YES'5& NO 0 Smoke alarm is installed in the bedroom [4 0 Bedroom door is easily and quickly openable from the outside when locked r ❑ Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) IRI ❑ *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 JRI l- ❑ Sleeping Room D 0 Type S 14 Type NS1 0 Type NS2 YES NO ittp Closet door/s are readily openable from the inside ;YES M. NO 0 i Smoke alarm is installed in the bedroom g 0 . Bedroom door Is easily and quickly openable from the outside when locked tj, 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" nigh: at least 20" widel i 'R ❑ *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 I A 0 Sleeping Room E j ja T pe S 0 Type NS1 J 0 Type NS2 YES ' NO Closet door/s are readily openable from the inside ,YES r' NO ❑ Sirioke alarm is installed in the bedroom S( 0 Bedroom door is easily and quickly openable fr.Ahe o ide when locked 0 Sleeping room window has a net opening of 5. SF m.nimum dimen Ins at least 24" high; at least 20" wide) 0 *EXCE` PER R310.1.1:AT-. ADE ESC'`E 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 0 Type S 0 Type NS1 ❑ Type NS2 i YES NO Closet door/s are readily openable from the sid:I YES 01. N0 0 Smoke alarm is installed in the bedroom h 0 Bedroom door is easily and quickly oloadle f om 'e outside when locked ;! 0 Sleeping room window has a net ope ing" 5 7 inimum dimensions at least 24" high; at least 20" wide) MI 0 *EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS-MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a maximum sill h:ght of 44" above floor; no steps under window permitted 0 0 GENERAL YES NO --). Bathroom doors are easily and quickly openable from the outside when locked _________A ' ❑ Smoke alarms are installed on all levers of the dwelling, in each resident sleeping room, outside each separate sleeping -� i 111area in the immediate vicine of slee_ping_rooms (R314) Smoke alarms are installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon Xi ❑ activation of a single device. Access road and water supply meet local fire jurisdictional requirements 0, I ❑ 08101/10 R311`.0 Ramps • Inside Ramp SNI '' YE ' NO R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3%slope).(Exception R311.8.1 Not allowed in AFH) rti 0 R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp changes directions. q ' ❑ R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 –R311.8.3.3 , 0 ; ❑ --> Outside Ramp NIA 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) PK ❑ R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp Es ❑ changes directions. R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 –R311.8.3.3. I aj ❑ *Guards below are depicted vertically as an example only. All Ramps must have Guards Less than 4" �. Handrail both sides V 34"-38" INN Guard —,.,..° 36"min '——_ ~'m ____ """r.�• irar+r .rr landing l 3'x 3'min ` 3'x 3'nmg landing —__-.y o = 1:12 max slope 3, I` 3, ` 8.3% min f` min ADULT FAMI`_Y HOME RAMP = per 2009 IRC with WA. ST. AMENDMENTS ,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 sogy. Hei9ht not less than 78 inches. X j 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, emergency egress hardware). The Exit doors l j 0 shall have no additional locking devices. I R311.7 StairwaysNIAYES NO R311.7.4.1 Riser Height: Max riser height shall be 7%inches (8 inches in structures built prior to July 1, 2004) . V 0 R311.7.4.2 Tread Depth: Min_tread depth shall be 10 inches. (9 inches in structures built prior to July 1, 2004) 0 —>R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to ❑ e 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) YES NO R325.8 Grab bars shall be installed for all water closets(toilets), bathtubs and showers. Bathingfacilities such as tubs and showers; and �. 111 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, Spa, Hot Tub N/A 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 ❑ 0 alarms when opened. AG105.5 EXCEPTION:Pools, Spas or hot tubs with a safety cover which complies with ASTM F 1346 0 ❑ PASSED a CORRECTIONS REQUIRED PERMIT REQUIRED ..`Yver -S ,. .S.-.40,--- t \ - \ 5 1.1 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. 08/01/10 12 - ( 04 63. 61- IP CEIVEDERMIT Federal W dop,_A MF CO ME PL DE EN FP COMMUNITY DEVELOP 1ENTSEIfyr 10 2O1%/�PPLI CATI ON 491)253-835 2607 FAX 253-835 2 (((���iii CITY OF FEDERAL WAY SITE ADDRESS CDS .-- SUITE/UNIT# I g 113 c DA()--c-. 1 s de w oty \,vA q 8 o a,3 PROJECT VALUATION ZONING ASSESSOR'S TAR/PAIj EL# $ - 22 .9. 00 - 00 70 TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT • (Tenant Name/Homeowner Last Name) le ver jr. ,.ell A (---H - ____iU ' t7 4 I ' FcYL h0�(,.. PROJECT DESCRIPTION "j Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ! ) kyyMAILING ADDRESS + 1 E-MAIL CITY STATE ZIP NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY •TE ZIP FAX WA STATE CONTRACTOR'S •- SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and A fly)L‘ H An c,21 -.3.) .2t)t I n© C respond to all correspondence MAILING ADDRESS EMAIL concerning this application( CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAMEEl OWNER-FINANCED Required value of$5.000 or more IRCW 19.27.0951 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 certifid 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: "/ t\----'(---)-17-•..",________ DATE /0 / j C.? / PRINT NAME: nn q H an Bulletin#100—April 14.2010 Page 1 of 3 k_AHandouts\Permit Application