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11-102842 uilding - Single'Family CommuCnitity oDfeFveedemeWntaSe rvicesI II Per It #: 11 -102842-00-SF P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p a Project Name: ACROSS AMERICA ADULT FAMILY HOME Project Address: 2628 S 310TH ST Parcel Number: 798440 0070 Project Description: ALT- Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender JEFF V DOWNING GEORGE MBUGUA 11411 32ND ST E ACROSS AMERICA ADULT IiDGIiWOOD WA 98372-2037 FAMILY HOME 5057 34TH ST NE TACOMA WA 98422 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 he Included? No Plumbing to be Included" No No Fixtures Associated With This Permit!! PERMIT EXPIRES Wednesday, January 11, 2012 Permit Issued on Friday, July 15, 2011 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. q‘---77—cl Owner or agent: J l Date: 1 1.5 1 I l Fftijb q/qffj City of Federal Way , IP Certificate of Occupancy 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: ACROSS AMERICA ADULT FAMILY HOME Permit#: 11-102842-00-SF Address: 2628 S 310TH ST Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Owner Name: JEFF V DOWNING JEFF V DOWNING Owner Name: Owner Address: 11411 32ND ST E EDGEWOOD WA 98372-2037 73"44 Buila�Ocial � Date T/ / diffi focus 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. l/ • . i ± • . •, N it J • r • , i - • • —1,. R311.8 Ramps — Inside 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) 0 0 R311.8.2 Landing Requirements: min.3X3 foot landing at top/bottom,where doors open onto ramps, and where ramp ❑ 0 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 Ramo ` ' 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) I $ 0 R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp I IV changes directions. i ❑ R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 -R311.8.3.3. : V 0 *Guards below are depicted vertically as an example only. All Ramps must have Guards Less than 4" Handrail both sides _ 34"-38" I Guard IIIIIIIHMIIIIMIMMIIMIIIII 36"min 1 i I I 3'x 3'min r_ rrrr'i'�+rwr,�,rrrrrr I rrrr3 r € 3'x 3'min i landing landing = = 1:12 max slope = -- 3 ` 8.3% I min ADULT FAMLY HOME RAMP per 2009 IRC with WA. ST. AMENDMENTS *ALL RAMPS REQUIRE A BUILDING PERMIT* R311.2 Means of Egress YES I 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. Eit 0 R325.4 Operable parts of door handles,pulls, latches,locks and other devices installed in AFH shall be operable with one hand 1 and shall not require tight grasping,pinching or twisting of the wrist(lever-type,emergency egress hardware). The Exit doors iiit 0 shall have no additional locking devices. R311.7 Stairways �,'>n=i YES NO R311.7.4.1 Riser Height: Max riser height shall be Ph inches (8 inches in structures built prior to July 1,2004) 0 1 0 R311.7.4.2 Tread Depth: Min.tread depth shall be 10 inches. (9 inches in structures built prior to July 1,2004) PC 0 R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to ,�{ 1:3multiple risers.Handrails shall be installed in accordance with R311.7.7.1 -R311.7.7.4 J� —> 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. Bathing facilities such as tubs and showers; and . 0 On both sides of the toilet. shall comp) with ICC/ANSI A117.1 Sections 604.5,607.4&608.3) _ . 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 ❑ I 0 4 PASSED ❑ CORRECTIONS REQUIRED ❑ PERMIT REQUIRED 9�-9- ��tei:://iv5 TRE: DATE: ve.At 40-# 3.5g2.5-, ,1+vc-Se frnfn.4..k.A j,tpv_ 2 3-83$ c2lo a3 INSPECTOR'S ADDRESS: / 9,1.003 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 • _• NAME OF AFH: C( �sS j�►� �.Q-► CA A1\ �,l-T f PsrY`I 11-1 1-1-1)).1-1 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 NS1-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 1 0 Type S 'Type NS1 0 Type NS2 I YES NO Closet door/s are readily openable from the inside YES EZ1 NO ❑ , Smoke alarm is installed in the bedroom 1 Ri 0 Bedroom door is easily and quickly openable from the outside when locked J' 0 Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24"nigh; 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 )a 0 Sleeping Room B j ❑ Type S j 'LI Type NS1 J 0 Type NS2 YES NO Closet door/s are readily openable from the inside YES El NO 0 Smoke alarm is installed in the bedroom 0 y Bedroom door is easily and quickly openable from the outside when locked X ❑ 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 I I 0 Sleeping Room C 0 Type S Et,Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside YES l NO 0 Smoke alarm is installed in the bedroom ®' 0 -y 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) ® 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 0 Sleeping Room D 0 Type S 0-Type NS1 ❑ Type NS2 YES NO Closet door/s are readily openable from the inside YES Et NO 0 . Smoke alarm is installed in the bedroom V ❑ -*Bedroom door is easily and quickly openable from the outside when locked 'At 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 0 10. Sleeping Room E ❑ Type S 0 Type NS1 0 Type NS2 YES NO Closet door/s are readily openable from the inside YES ❑ NO 0 Smoke alarm is installed in the bedroom ❑ ❑ 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) ❑ ❑ *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 0 ❑ I* Sleeping Room F 0 Type S j 0 Type NS1 ( 0 Type NS2 YES NO Closet doorls are readily openable from the inside YES 0 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) 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 , 0 0 - GENERAL YES NO Bathroom doors are easily and quickly openable from the outside when locked 0 Smoke alarms aari Installed on all levels of the dwelling, in eichresident sleeping room,outsideeach separate sleeping ® ❑ area in the immediate vicinity of sleeping 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 I5 ❑ activation of a single device. Access road and water supply meet local fire jurisdictional requirements 5 ❑ 08/01/10 . e w.• I I Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2009 IRC Section R325(WAC 51-51) / /1 �j APPLICATION NUMBER: C / /V? 0 /L SECTIONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED C' SECTION 1 - PROPERTY INFORMATIONj ,-(r�: Ott S r\ SITE ADDRESS: ` o S, ( -• C�V v'JC NVQ '1 VYL-1 ASSESSOR'S TAX/PARCEL#: - SECTION 2-APPLICANT INFORMATION PROPERTY OWNER NAME: \ -k'':;- .2_,),._,c. i`i t �l -( 5'2 opt-) DAYTIME PHONE: or.�• AFH LICENSEE NAME(IF DIFFERENT): ( 1-C% (`G j` NA 0)0 Ci,--'i\ DAYTIME PHONE: a c C 43.j_ ( CO 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. /3\cs v / IY1 -Aj CA AR oQ rn /..f fi j ,�Q�TO 27e-' � C1 V r W51 jib i.i 4 +--1 �....�....... . (• Is E �'4 \.,fit ' ot_______ j ,----T., r. • • ^ { 1 t Y� 1�1 tV A VI CC • I1.'"-----r--1—""-----1 . _ s �jt'c�vo is E^c's 3 . A 041 — t�'CA 1 vers - DDm• TD!/eft 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: ( j •{:L G'. ' L j, 1 t (r .. I C A DATE: I )- 1 I j ❑ PROPERTY OWNER 0 APPLICANT 0 LICENSEE \1w ►t 2-M J %rt,t, Pri I4LcD • Co 08101110 Mlot►RtxR► • CITY OF '%'' c E IV E[Sp E R M I T 4MF CO ME PL DE EN FP Feder CO MMUNYDEVELOPMENT SERVITES1 5 / APPLICATION RECEIVED 253-8355-2607•FAX 253-835M. Ci i Q Mi12:n[r u'ixlergiMS�.com ( (� ........ .._._.1.:11...._................1._. p1 Cr CITY OF FEDERAL WAY JUL 15 2.011 SITE ADDRESS CDS DS SUITE/UNIT# acls Scc;1 310 _CA +cerat v\ia`t q 91 " a CITY OF FEDERAL WAY PROJECT VALUATION ZONING ASSESS TAX/PARCEL# 4 zi- O - f`p�C 7 0 TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION C� pt :� NAME OF PROJECT /� , � �/ � PROJECT DESCRIPTION l‘ `k k.t k Ct hit 1`. Om-, it A- I s-t-1..,,..11c &l . 3 cduu i-�-5 Detailed description of work to i<J 11. aC+1%,‘1'Z C c ei a I I J --t V l k ' be included on this permit only ,_J I NAME P 444 PROPERTY OWNER '3 E_E F !�®�(tel i r c a 3 <SS7- 3000 MAILING ADDRESS E-MAIL —11CO u.ieo Mesa r s) S:kt+e 10 I CITY gWc1 q I "A- g l7 '2--. NAME - PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / _ NAME, PHONE ,.1t e oOtt E M $Litt uA ` APPLICANT MAILING ADDRESS E-MAIL� n� �1l f CITY J 1 c4. -Kr STATE ZIP '10-t. 5 i 1 �+usric 1"`��•CGT I l,C o f rte Cl W az .3-53 ci 5a Z-4-Cl 0 PROJECT CONTACT NAME PHONE (The individual to receive and respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME ❑ OWNER-FINANCED Required value of$5,000 or more (RCW 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 certifij 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. I SIGNATURE: ��j' )UI- DATE Z. � ) PRINT NAME: C1 0/tC?l: )Y7 6 c>q (-416) Bulletin#100—April 14,2010 Page 1 of 3 k:U-Iandouts\Permit Application