18-102446City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax. (253) 835-2609
Project Name: AMI ADULT FAMILY HOME
Project Address: 29733 4TH AVE S
Building - Single Family
Permit #:18 -102446 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 692860 0540
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner
Applicant
Contractor
Lender
CATHERINE KAMAUAMI ADULT
CATHERINE KAMAUAMI ADULT
FAMILY HOME LLC
FAMILY HOME LLC
29733 4TH AVE S
29733 4TH AVE S
FEDERAL WAY WA 98003
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.)
Additional Permit Information
Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No
PERMIT EXPIRES Sunday, 2 December, 2018
Permit Issued on Tuesday, June 5, 2018
1 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. p
Owner or agent: Date:
NAME OF AFH: cl . ( t c kj r10 VIA .
SECTION 5 MUSTBE COMPLETED BYTHE BUILDI NG DEPARTMENT llqtHEJURISDICTIONTHEHOMEWILLBELOCATED.
PLEASE CHECK ALL APPLICABLE BOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN —USING THEIR PROSPECTIVE RESIDENT
BEDROOM DESIGNATIONS OF AB CD EAND FAND CLASSIFICATION CODES, NS1 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 ramp constructed compliant with R325.9 is provided to evacuate residents to public area.
NS2— where 2 means of egress at grade level (both have no stairs) or ramps constructeo compliant with K345.9 are proviaeo to evacuate resiaents to puDuc area.
SLEEPING ROOM A 0 Type S ype NSi 10 Type NS2 YES NO
Closetdoor/s are readily openablefrom the i rli Yes 'ONo I Smokealarm is installed in the bedroom
13
Bedroom door opens easily and quickly from the outsi ewhenIocked
SI eepi ng room window has a net opening of 5.7 SF (minimum dimensions at I east 24"high; at I east 20" wi de)
EXCEPT per R310.2.1: at -grade escape windows —may have net clearance opening 5 SF
13
13
Sleeping room window has a maximum sill height of 44"abovefloorto clear openi g; no steps under window allowec
0
SLEEPING R00JI11B Type S Type NSi Type NS2
Closetdoor/s are readily o enablefromtheinside IgYes 1E3No I Smoke alarm is installed in the bedroom
YE NO
W 0
Bedroom door opens easily and quickly from the outside when locked
43" 13
SI eepi ng room window has a net opening of 5.7 SF (minimum dimensions at I east 24"high; at I east 20" wi de)
EXCEPT per R310.2.1: at -grade escape windows —may have net clearance opening 5 SF
0
Sl eepi ng room window has a maximum sill height of 44"abovefloor to clear opening;nostepsunderwindowallowe
0
SLEEPING RCIOM;C Type S Ty a NSi Type NS2
YES NO
Closetdoor/s are readily openable from the inside W3Yes 1[3No Smokealarmisinstalled inthe bedroom
0
Bedroom door opens easily and quickly from the outside when locked
9-13
Sl eepi ng room window has a net opening of 5.7SF (minimum dimensions at I east 24"high; atIeast 20"wide)
EXCEPT per R310.2.1: at -grade escape wi ndows —may have net clearance opening 5 SF
Jq- E3
Sleeping room window has a maximum sill height of 44"abovefloortoclear opening; noste sunderwindowallowe
SLEEPING ROOM D U Type S Wype NSi JU Type NS2
Y NO
Closetdoor/s a re readily openablefromthe inside es 113 No I Smoke alarm is installed in the bedroom
JP13
Bedroom door opens easil and quicklyfrom the outsidewhenlocked
0
Sleeping room window has a net opening of5.7SF(minimum dimensions atleast 24"high; at least20"wide)
EXCEPT per R310.2.1: at -grade escape windows—may have net clearance opening 5 SF
0
SI eepi ng room window has a maximum sill height of 44" above floor to clear opening; no steps under window a Ilowe
SLEEPING ROOM E Type S E3 Type NSI U Type NS2
YES NO
Closetdoor/s are readily o enablefromtheinside Dyes JUNo I Smokealarm is installed in the bedroom
[:1
Bedroom door opens easil and quicklyfrom the outside when Iocke
Q 13
Sleeping room window has a net opening of5.7SF(minimumdi nsionsatleast24"high; at least20"wide)
EXCEPT per R310.2.1: at -grade escape windows—may ha etclearanceopening5SF
13 13
Sleepi ng room windowhas amaximum sill height of abovefloortoclearopening;nostepsunderwindowallowe`
SLEEPING ROOM F' Type S Type NSi E3 Type NS2
YES NO
Closetdoor/sare readily openablefrom tWinside Yes No Smokealarm is installed in the bedroom
Bedroom door opens easily and quit from the outside when Iocked 13
Sleeping room window has ane ening of 5.7SF (minimum dimensions at I east 24"high; at I east 20"wide) [3 13
EXCEPT per R310.2.1: at -grade bs cape wi ndows —may have net clearance opening 5 SF
Sleeping room window has a maximum sill hei htof44"abovefloortoclearo ening; no stesunderwindowallowe
Effective: 2013 July 01
Updated: 2017 February
GENERAL
NO
Bathroom doors are easily and quickly openable from the outside when locked
0
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
f'13
13
Smoke alarms are installed on all I evels of the dwelling, i n ea ch res ident s leeping room, outside ea ch separate
sleeping area in the i mmediate vi cinity of sleeping rooms (R314).
(l
Smoke and Carbon Monoxide alarms are installed insuchamanner sothattheaudiblewamingmaybe heard inall
parts of the dwelling upon activation of a single device.
J,�(
13
Access road a ndwater supply meet I ocalfi re j urisdictional requirements.
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
Pocket doors shall have graspable hardware availablewhen in the closed or open position.
R311.8.1 Maximum Slope one unit vertical in twelve units horizonta 1 (8.3% slope). (Exception R311.8.1 Not allowed in AFH) 011
R311.8.2 Landing Requirements: min. 3X3 foot I a riding at top/bottom,where doors open onto ramps, and where ramp changes
directions. 0
R325.9.1 HandraiIsrequired on both sides of ramp in accordance with R331.8.3.1—R311.8.3.3. Q
R311.8.1 Maximum Slope one unit vertical in twelve units horizontaI(8.3%slope). (Exception R311.8.1 Not allowed in AFH) id, 0
R311.8.2 Landing Requirements: min. 3X3 foot I a riding at top/bottom,where doors open onto ramps, and where ramp changes
directions. W 13
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. jr 0
Guards be[ aware depicted vertically as an example only, AllRampsmusthaveGuards M 13
Guard
36" min
rru;ltimi;0
Handrail both sides
34" - 38"
One unit vertical in twelve units horizontal
is an 8.3% slope all along surface of the ramp.
minimum
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. 0 Q
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 ortwistingofthe wrist (lever -type). W 0
R325.4 Required exit door hardware shall unlock inside and outside mechanismswhen exitingthe buildingallowingre -entry PT Q
without use of key, tool or special knowledge.
NO I
R311.7.5.1 Riser Height: Max riser height shall be 7 % inches (8 inches in structures built priortoJuly 1, 2004) E3 1 E3
R311.7.5.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built priorto July 1, 2004) 13 13
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple 13 C3
risers. Handrails shall be installed in accordance with R311.7.8.1—R311.7.8.4
Effective: 2013 July 01
Updated: 2017 February
Effective: 2013 July 01
Updated: 2017 February
"MMO,
3
I
I
t�L
Adult Falrnily Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2015 IRC Section R325 (WAC 51-551)
APPLICATION NUMBER: "Zoa? d' V&
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANTBEFORE INSPECTION WILL BE PROCESSED
SECTION 1 — PROPERTY INFORMATION
+� h r
('7;,940 05LIO
SITEADDRESS: )Lci 133 4� f-�,�i2 1 -ac% Wf -� ��O ASSESSORSTAX/PARCEL#:_______-____
SECTION 2 — APPLICANT INFORMATION
PROPERTY OWNEa-7j'&- .4,'NE
AFH LICENSEE NAME (IF DIFFesevr):
DAYTIME PHONE:�C>� 3-515-151,15-
DAYTIMEPHONE:�-3�,s-�StS
On a separate sheet of paper (81/2 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.
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 aw
employees, upon the accuracy of the information supplied to the jurisdiction as a part of this application.
NAM E/TITLE:
0 PROPERTY OWNER
(Effective July 1, 2013.)
DAPPLICANT Q LICENSEE
DATE:
Effective: 2013 July 01
Updated: 2017 February
CITY OF;.�
Federal Way
PERMIT NUMBER /7
RECEIVED
JUN 0 5 2018
PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
—L 0 a—? y 4 - 4L TARGET DATE
l�J
SITE ADDRESS
SUITE/UNIT #
a- 17, 3 N6 -wt u P w do
PROJECT VALUATION
ZONING
ASSESSOR'S T
$
G//PARCEL
( — 4✓
TYPE OF PERMIT
*BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
L T r A._.T'� C ti -6 4 c
PROJECT DESCRIPTION
LM
Detailed description of work to
be included on this permit only
NAME
C � �
PRIMARY PHONE
2In 10 - � -- zs s
i
PROPERTY OWNER
MAILING ADDRESS
r7 _ fti, 1� N t_- S
E-MAIL
ts*O- Co
CITY ( J .. .�TE ZIP
A aco_
-
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
I
MAILING ADDRESS
CITY STA:ZIP
RIAS W W
E-MAIL
APPLICANT
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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 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
q*4z--Uto the—ty--as-part-f-this-application
SIGNATURE: DATE,
PRINT NAME: ��KA M N
Bulletin #100 - February 22, 2016 Page I of 2 k:\I-Iandouts\Permit Application