18-101817 E;7 Building - Single Family
City of Federal Way Permit #:18-101817-00-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: CAROJONES 2 AFH LLC
Project Address: 2927 SW 323RD ST Parcel Number: 873190 1220
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
**INSPECTION IS FOR BEDROOM E AND RAMP ONLY***
Owner Applicant Contractor Lender
DANIEL S PARK CAROLINE
2927 SW 323RD ST MURIITHICAROJONES 2 AFH LLC
FEDERAL WAY WA 30138 36TH PL S
AUBURN WA 98001
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.)
Additional Permit Information
Mechanical to be hicluded9 No Is this an Online or O.T.C.application9 Yes
i
Plumb ng to be Included9 No
PERMIT EXPIRES Wednesday,24 October,2018
Permit Issued on Friday,April 27,2018
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
�yy Washington and the City of Federal Way. /J
Owner or agent: VL��l � �' Date: "I ic72- r
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References:2015 IRC Section R325(WAC 51-51) `
APPLICATION NUMBER:
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1—PROPERTY INFORMATION
SITE ADDRESS: ei+ S tA) Jd- c) 5 .fec/lo"ai j ASSESSOR'STAX/PARCEL#: O f 912.:_ 22J)
SECTION 2—APPLICANT INFORMATION
PROPERTY OWNER NAME: ( b J �`� L.0 DAYTIME PHONE: 2J ' 'Tv c Th) 03-j
AFH LICENSEE NAME(IF DIFFERENT): (bk 6.)pot13 farz'i,,3 G Vi n� _11- DAYTIME PHONE: �v 6 L1 vY
t9 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.
,n t 1^,q � ,
NAME/TITLE: CA ii)1.1 t ►I/I L I gI I I DATE: M la-1-1 I�
QPROPER TY OWNER QAPPLICANT 0 LICENSEE
(Effective July 1, 2013.)
Effective:2013 July 01
Updated:2017 February
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' NAME OF AFH:
SECTION 5 MUST BE COMPLETED BYTHE BUILDING DEPARTMENT IN THEJURISDICTIONTHE 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 EAND FAND CLASSIFICATION CODE 5, N51 OR NS2.
SECTION 5-BUILDING INSPECTOR'S INSPECTION CHECKLIST
8325.3 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 N52—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 Io Type S I❑Type NS1 I❑Type NS2 YES NO
Closetdoor/s are readily openablefrom the inside ID Yes jE3 No I Smoke alarm is installed in the bedroom 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of5.7SF(minimum dimensions atleast 24"high;at least 20"wid- 0 0
EXCEPT per R310.2.1:at-grade escape windows–may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"a bove floor to clear opening;no steps - :er window a llowec 0 0
SLEEPING ROOM B ID Type 5 Io Type N (®Type NS2 YES NO
Closetdoor/s a re readily openable from the inside JD Yes ID No I Smoke al. is installed in the bedroom ❑ 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions a ast24"high;atleast 20"wide) 0 0
EXCEPT per R310.2.1:at-grade escapewindows–mayhavenetclear.• eopening 5SF
Sleeping room window has a maximum sill height of 44"a bovef :.r to clear opening;no steps under window a llowec 0
SLEEPING ROOM C • Type S 10 Type NS1 JO Type N52 YES NO
Closetdoor/s are readily openable from the inside es ❑No I Smoke al arm is installed in the bedroom 0 0
Bedroom door opens easily and quicklyfromth ts ide when locked 0 0
Sleeping room window has a net opening o . SF(minimum dimensions atleast 24"high;atl east 20"wide) ❑ 0
EXCEPT per R310.2.1:at-grade escape . ndows–may have net clearance opening 5 SF
Sleeping room window has a m. ' urn sill height of 44"above floor to clear opening;no steps under windowallowec 0 0
SL • NG ROOM D I❑Type S ID Type NS1 I❑Type NS2 YES NO
Closetdoor/s are rea.' openable from the inside I❑Yes ❑No I Smoke alarm is installed in the bedroom ❑ 0
Bedroom door o• - s easily a nd quickly from the outside when locked 0 0
Sleeping ro• window has a net opening of5.7SF(minimum dimensions atleast 24"high;atleast 20"wide) 0 0
EXCEP :er R310.2.1:at-grade escape wi ndows–may have net clearance opening 5 SF
S --ping room window has a maximum sill height of 44"a bove floor to clear opening;no steps under window a llowec 0 0
SLEEPING ROOM E 10 Type 5 J Type NS1 10 Type NS2 YES NO
Closetdoor/s a re rea dily openable from the inside I(,kYes 10 No I Smoke al arm is installed in the bedroom0
Bedroom door opens easily and quickly from the outside when locked ❑
Sleeping room window has a net opening of 5.7SF(minimum dimensions atleast 24"high;at least 20"wide)
Eci EXCEPT per R310.2.1:at-grade escape windows–may have net clearance openings SF 0
Sleeping room window has a maximum sill height of 44"above floor to clear opening;no steps under wind.. _ •'yec ❑❑
SLEEPING ROOM F • Type S • Type • Type NS2 YDS NO
Closetdoor/s are readily openable from the inside 10 Yes ■ Nom • ealarm is installed in the bedroom 0
Bedroom door opens easily andquicklyfromtheoutsi.- - ocked 0 0
Sleeping room window has anet o.-a'•- . . SF(minimum dimensions at least 24"high;at least 20"wide)
EXCEPT per R310.2. _ .e escape windos–may have netclearance opening 5SF
S - room window has a maximum sill height of 44"above floor to clear opening;no steps under window a llowec 0 0
Effective:2013 July 01
Updated:2017 February
'GENERAL '
O
Bathroom doors a re easily and quickly openablefrom the outs idewhen lockedQ 0
Carbon Monoxide alarms a re installed as required i n R315 on each I evel of the home.
0 0
Smoke alarms are installed on all levels of the dwelling,i n ea ch res ident s leeping roo side each separate
sleeping area in the immediate vi cinity of sleeping rooms(R314). 0
Smoke and Carbon Monoxide alarms are installed in such nersothattheaudiblewaming may beheard inall 0
parts of the dwelling upon activation of a singtce.
Access road and water supply me afire jurisdictional requirements. 0
R325.4 Operable parts of andles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand
and shall not rem' a tight grasping,pinching or twisting of the wrist(lever-type). 0
Pocket-ch56rs shall have graspable hardware available when in the closed or open position. ❑
R311.8 Ramps YES NO
Inside Ramp NJA 0
R311.8.1 Maximum Slone unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 0
R311.8.2 Landing Requirements:min.3X3 foot landingattop/bottom,where doors open onto ramps,and where rampchanges
directions. 0 0
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 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) Lk
R311.8.2 Landing Requirements:min.3X3 foot landingattop/bottom,where doors open onto ramps,and where rampchanges
directions. Er
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. S., 0
Guards bel ow a re depicted vertically as an example only.All Ramps must have Guards
Handrail both sides
I-- Less than 4" 34"-38"
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Guard �� �I��I��IA�
36"min I I I I I ���I��r��l\I/
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I--I—S I I —I I 1 I I i l ' ' Iii ' I I III ' I I 1 I I I III I; I
—I i I ' I I i I I II l II I 3'x3'min
I landing
3'x 3'minI ---- I I c.Ly I
j_, landing
—3' ; One unit vertical in twelve units horizontal I3' ___
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 of32 inches between face of door and stop.Height not less inches. 0
R325.4 Operable parts of door handles,pulls,latches,locks and other devices installed in AFH shall erable with one hand
and shall not require tight grasping,pinching or twisting of the wrist(lever-type). 0 0
R325.4 Required exit door hardware shall unlock inside and outside mec ats-MS-when exiting the building allowing re-entry 0
without use of key,tool or special knowledge.
R311.7 Stairways N/A 0 _,---------- YES NO
R311.7.5.1 Riser Height:Max riser s allbe 7% inches(8 inches in structures built prior toluly 1,2004)
8 0
R311.7.5.2 Tread Defib.'Mf tread depth shall be in 10 inches(9 inches in structures builtprior to July 1,2004) 0
R325.10. rails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser tom ultiple a
Y!4sors.Handrails shall be installed in accordance with R311.7.8.1—R311.7.8.4
Effective:2013 July 01
Updated:2017 February
•
R325.8 Grab Bars in Bathrooms N/A 1:11 YES NO
Grab bars shall be installed for all water closets(toilets),bathtubs and showers according to R325.8. 0 0
Water Closets(toilet)shall have grab bars installed on both sides according to R325.8—R325.8.3.1 or R325.83.2. 0
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2 § ,
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.5—
R325.8.5.2.
Shower stalls must be minimum size of30 inches deep by48 inches long(R325.11) 0 0
AG103—AG105Swimming 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 0
opened.
AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0
PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
INSPECTOR'S NAME(PRINT)
j -z- ,cater-) 9
INSPECTOR'S SIGNATURE DATE:
INSPECTOR'S OFFIui 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:2017 February
•
•
PERMIT APPLICAT\IRT
CITY OF
Federal Way
` APR 2 8 2018
PERMIT NUMBER I _ V \/ I 'F sr
— — - TARGET DATE _ tai T Y OF FEDERAL WAY
::',OMMUNf?Y DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
S -5 rct 'tn tft /c/t rai axm IA) 43 E-0.13
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL# ^ O - t Z & Q
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Arf,�j I��i/ h mi C4 OJ ORES FA
I v1u+ !I!y LI v IN&-11
PROJECT DESCRIPTION
Detailed description of work to IX) 160 I iispe(h O
be included on this permit only
NAME PRIMARY PHONE
Si 1en p‘ Lee 3- X09- ��s5
PROPERTY OWNER MAILING ADDRESS E-MAIL
a.9a-' su) 3rcd .1179!1'
Tdtial (.(kt� swig `ivx
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N PRIMARY PHONE
w 114' fl'ld nl t-I'i,
APPLICANT MAILING ADDRESS E-MAIL
30 13 r 361-11 S' STATE u i� ZIP C rh cor e yu/1"v-6,1-4
CITY 1�a hU r ✓► W(t le-a)
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,ZD' 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.-0 /
SIGNATURE: ''d DATE ./ I l e
PRINT NAME: (a+V F11n e nni pi
Bulletin#100—February 22,2016 Page 1 of 2 k:U-Iandouts\Permit Application