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18-101582
e Building - Single Family Cunoy Development lopl Way P F I Permit #:18-101582-00-SF Com City Develo men[De t. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)635-2607 Fax:(253)635-2609 Project Name: GREEN PINE CARE SERVICE Project Address: 4461 SW 313TH ST Parcel Number: 211650 0070 Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** ***INSPECTION IS FOR BEDROOMS "D","E" AND BATHROOM ONLY*** Owner Applicant Contractor Lender ROBERT J BUDNICK QING XIU JI-BUDNICKGREEN 4461 SW 313TH ST PINE CARE SERVICE INC FEDERAL WAY WA 4461 SW 313TH ST 98023 FEDERAL WAY WA 98023 Census Category: 434-Residential alt/add-no change in number of units Includes: I #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq.ft.) Additional Permit Information Mechanical to be Included? No Is this an Online or O.T.C.application? No Plumbing to be Included? No 30 1 . k, ,PA,. L491,0A 1,0.,.6 ri; t ?;3r amu"1.' t�: , -- PERMIT EXPIRES Tuesday,9 October,2018 Permit Issued on Thursday,April 12,2018 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 Washington and the City of Federal Way. Owner or agent: Date: CV/ Z0427 Su/ Adult Family Home (AFH) LOCAL BVILDING INSPECTION CHECKLIST Code References: 2015 IRC Section R325 (WAC 51-51) I /� APPLICATION NUMBER: ` `� 1 O SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1 — PROPERTY INFORMATION SITE ADDRESS: 4413 I S of 313-4' Si- EeC/C W4' "• A ASSESSOR'S TAX/PARCEL#: - SECTION 2—APPLICANT INFORMATION l (� PROPERTY OWNERNAME: I Pt...--01:4512-4C-' l'. R46-1911"4:2----- DAYTIME PHONE: 2-C3�'IS (, G1 r) N Ca; - -VI c AFH LICENSEE NAME(IF DIFFERENT): DAYTIME PHONE: 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)acc7urac}x of the information supplied to the jurisdiction as a part of this application. 7 NAME/TITLE: ` .-0`�V /1 IGS/ ipeA ( DATE: !2. G.0 a PROPERTY OWNER 0 APPLICANT 0 LICENSEE r (Effective July 1, 2013.) Effective:2013 July 01 Updated:2017 February r Evacuationn .1 _ o 1 11111111111/Asi 111111111111 ammarit filmn fJ /6 'J I �..E _ lirir(?--\ i lialiklifsmi A Ai 4 to - ..oto„„„ • itavo • iromil l jf•l b-IG� g *. rd3t ,tom h ....e 1 Dff�, t 8 I e 0 mow 4,,, .if-e-irm,-,„„0,'4. . -' , *-, , * ' "v .Taa '11,=A-=',-=1- I., •,,,,,7 3,,,,,,,:,,,:reo,i,„.", w,,,,,,,,,,,,,,,•:,,,„.":41,:,,::,T::::w:::,...:i:iti:io:::o:•:4::::::::::ri;,t:,,,:v,h,r1::t4:npr.,j,:z4,r1",cit ,•,,'a,,y!,,,,, ,.. ,,,, ,,,t,..ttoix. „ ''41,:',..,,,r,-', 4,,,,,‘ -,W46-4*.t4- L 4t D .Y. °S h r�, l>-tt i-'' `tea ,.c !.. „TS' S '''''''''65.4.tof t�`� idgt s °x{Z,nr4ai k a� + M�tsy wa '�g ,,{ 15 kg: ' �b�4z�r ^a a�,,, v` w kekbtea t NAME OF AFH: SECTION 5 MUSTBE COMPLETED BY THE BUILDING DEPARTMENT I NTHEJURISDICTION THE HOME WI LL 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 CODE S, NS1 OR N52. 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 with R325.9 are provided to evacuate residents to public area. SLEEPING ROOM A 0 Type S • •- NS1 0 Type NS2 YES NO Closet door/s are readily openable from the i nside ❑Yes • • Smoke al arm is installed in the bedroom ❑ ❑ Bedroom door opens easily and quickly from the outs'., • en locked 0 0 Sleeping room window has a netopenin• . . (minimum dimensions at least 24"high;at least 20"wide) 0 0 EXCEPT per R310.2.1:at-grade•. -.pewindows—may have net clearanceopening 5SF Sleeping room as a maximum sill height of 44"abovefl clear opening;no steps under window a llowec 0 0 SLEEPING ROOM B Type 5 0 Type NS1 0 Type NS2 YES NO Closetdoor/s are readilyopenablefromthei • Yes CI No Smoke al arm is installed in the bedroom 0 0 Bedroom door opens easily and quic. om the outside when locked 0 0 Sleeping room window has. -- opening of 5.7SF(mi nimumdimensions atleast 24"high;atl east 20"wide) ❑ 0 EXCEPT per R310.2 .. -grade escape wi ndovs—may have net clearance opening 5SF Sleepingr=. window has a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec 0 ❑ SLEEPING ROOM C ❑�ype-S El Type NS1 ❑Type NS2 YES NO Closetdoor/s a re readily openable from the inside ❑No Smoke al arm is installed in the bedroom ❑ 0 Bedroom door opens easily and quickly from •- outside when locked 0 0 Sleeping room window has a netop-.' :of5.7SF(minimum dimensions atleast 24"high;atl east 20"wide) 0 0 EXCEPTper R310.2.1:at-: -scape windows—may have net cl earance opening 5 SF Sleepingro. . .ow has a maximum sill height of 44"abovefloortoclear openi ;no steps under window a llowec 0 0 SLEEPING ROOM D In Type S ype NS1 ❑Type NS2 YES NO Closetdoor/s are readily openable from the i nside es 0 No Smoke al arm is installed in the bedroom or 0 Bedroom door opens easily and quicklyfrom the outside when locked El 0 Sleeping room window has a net opening of 5.7SF(mi nimumdimensions atleast 24"high;at least 20"wide) al 0 EXCEPT per R310.2.1:at-grade escapewi ndows—may have netclearance opening 5 SF Sleeping room window has a maximum sill height of 44"abovefloor to clear openi g;no steps under window a llowec D ❑ SLEEPING ROOM E Type SType NS1 ❑Type NS2 YES NO Closetdoor/s a re readily openable from the inside Yes 0 No Smoke al arm is installed in the bedroom O' 0 Bedroom door opens easily and quickly from the outside when locked � , 0 Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;at least 20"wide) [( 0 EXCEPT per R310.2.1:at-grade escape windows—may havenetclearanceopening 5 SF Sleeping room window has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window a llowec ❑ SLEEPING ROOM F 10 T • ❑Type NS1 ❑Type NS2 Y NO Closetdoor/s are readily openable from the i nside ❑Y- • No Smoke al arm is installed in the bedroom 0 0 Bedroom door opens easily andquicklyfromth- :• ide when locked 0 0 Sleeping room window has anet ope :o 5.7SF(mi nimumdimensions atleast 24"high;at least 20"wide) 0 0 EXCEPT per R310.2.1:at-gra•- • ape windows—may have net clearanceopening 5SF Sleeping room ' ..w has a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec 0 0 Effective:2013 July 01 Updated:2017 February ti • GENERAL YES NO Bathroom doors are easily and quickly openablefrom the outside when locked - Dr 0 Carbon Monoxide alarms a re installed as required in R315 on each level of the home. Cr ❑ Smoke alarms are i nstalled on all levels of the dwel ling,i n each residentsleeping room,outside each separate —/ sleeping area inthe immediatevicinity ofsleeping rooms(R314). ©1 ❑ Smoke and Carbon Monoxide alarms are installed in such a manner sothattheaudible waming may beheard inall 1:1parts of the dwel ling upon activation of a single device. Access road and water supply meet localfirejurisdictionalrequirements. lir ❑ 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 ofthe wrist(lever-type). 5 0 Pocket doors shall have graspable hardwareavailablewhen in the closed or open position. ❑ R311.8 Ramps YES NO Inside Ramp N/A r4 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 rampchanges directions. 0 0 R325.9.1 Handrails required on both sides of ram in accordance with R311.8.3.1—R311.8.3.3. q P 0 0 Outside Ramp I N/A❑ 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) `1310 R311.8.2 Landing Requirements:min.3X3 foot la nding attop/bottom,where doors open onto ramps,and where rampchanges 1:1directions. Ur R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. Er 0 Guards bel ow a re depi cted vertically as an example only.All Ramps must have Guards Er 0 Handrail both sides — — Less than 4" 34"-38" 1 It Guard 36"min —,_-, 3'x3'min landing 3'x3'min landing --- �� o 3' - One unit vertical in twelve units horizontal I—3' minimum is an 8.3%slope all along surface of the ramp. minimum R311.2MeansofEgress YES NO R311.2 Door must be side-hinged with min.width of32 inches between face of door and stop.Height not less than 78 inches. '"T 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). & 0 R325.4 Required exit door hardware shall unlock inside and outside mechanisms whenexitingthebuildingallowingre-entry ❑ without use of key,tool or special knowledge. R311.7 Stairways N/A u YES NO R311.7.5.1 Riser Height:Max riser height shall be 7%inches(8 inches in structures built prior to July 1,2004) 8 8 R311.7.5.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior to July 1,2004) R325.10.1 Handrails for Treads and Risers shall be installed on both sides oftreads and risers numbering from one riser to multiple ❑ ❑ risers.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 0 YES NO Grab bars shall be installed for all water closets(toilets),bathtubs and sh',wersaccordingto R325.8. ❑ Water Closets(toilet)shall have grab bars installed on both sides accordingto R325.8—R325.8.3.1 or R325.8.3.2. 0 Bathtubs shall have two vertical and three horizontal grab bars installed accordingto R325.8-R325.8.4—R325.8.4.2 0 Shower stalls have twoverticaland horizontal grab bars mounted on allsides of shower accordingto R325.8—R325.8.5— 0 R325.8.5.2. Shower stalls must be minimum size of30 inches deep by48 inches long(R325.11) 0 AG103—AG105 Swimming Pool,Spa, Hot Tub h i YE NO AF105.2 Must be surrounded by a barrier that is 48 inches high,may have doors and or gates that sthaveaudiblealarmswhenr ❑ opened. AG105.5 EXCEPTION:.�,� Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 ❑ 0 PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED INSPECTOR'S NAME(PRINT) INSPECTOR'S SIGNATURE DATE: INSPECTOR'SOFFI 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 APPL rOF �^" �. -, MsegagN Federal Way APR 12 2018 PERMIT NUMBER 1 S _ ID ( 532 _ S CITY OF FEDERAL WAY TARGET DATE COMMUNIN DEVELOPMENT SITE ADDRESS SUITE/UNIT# 461 SW3131Sf /-6u,Cv►l1Y A gS0Z3 PROJECT VALUATION ZONING / ASSESSOR'S TAX/PARCEL# $ zc Co50 007 0 TYPE OF PERMIT (BUILDING D PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT N , alt, t PROJECT DESCRIPTION ( : e f'�i I D 1 Detailed description of work to cvtiil / Y O )1,a f tG L �'vh [' UJ//lll be included on this permit only aflat F NAME PRIMARY ONE Zs�PHZt gam-g PROPERTY OWNER MAILING ADDRESS E-MAIL 4114( s\✓ -4104, + CITY L Wa STATE ZIP tiJt R 8dZ 3 NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME .i PRIMARY PHO Imo,ii H c 253 2 440 APPLICANT MAILING ADDRESS / E-PL r-61 w 313th5 414naei336gmaliICarn- CITYSTATE ZIP FAX roleas vdal 'VVA 2? z5 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 0 OWNER-FINANCED When value is$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 applicatio . � l� Q SIGNATURE: 16 J `CiI- DATE ' J'( /z !f s PRINT NAME: .4( ,1 `J L Bulletin#100—February 22,2016 Page 1 of 2 k:U-landouts\Permit Application