18-103119E3
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (263) 835-2607 Fax: (253) 835-2609
Project Name: RUBY MATTI CARING PROFESSIONALS
Project Address: 30042 14TH AVE S
Building - Single Family
Permit #:18 -103119 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 025300 0040
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner
Applicant
Contractor
Lender
ERIC & CAROLINE PRICE
ERIC & CAROLINE PRICE
30042 14TH AVE S
30042 14TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA
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.)
AdditionalPermit Information
Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No
PERMIT EXPIRES Saturday, 12 January, 2019
Permit Issued on Monday, July 16, 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: [
FINALLzD
-0 , , N
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2015 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER: /L 10,3 / / 2
F—SEC11ONS 1. 2. 3. AND 4 MUSTBE COMPLETED By APPLICANTBEFORE INSPECTION WILL BE PROCESSED
SECTION• ' • ' •
SITEADDRESS: �ddL�� �� „vC ` �] J\'A Wki oa53�o' a�`1a
i AGSESSOR'S TAX/PARCEL#:
SECTION• •
PROPERTY OWNER NAME: Eel i". hNJ c \..tV' 3 PR[CeDAYTIMEPHONE: 2S3V"���
AFH LICENSEE NAME (IF DIFFERENT):kU6`4 P-1V1-Tk pR�"Ft:& IME HONE:g53�&6`-'16
SECTION 3 - FLOOR PLAN
On a separate sheet of paper (8 1/2x 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 BLOCK71
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 accurac pWd to thejurisdictionT#is app{ieati ��
NAME/TITLE: C9 LAO 6 C DATE:
la"OPERTh'6WNER APPLICANT CENSEE
(Effective July 1, 2013.)
Effective: 2013 July 01
Updated: 2017 February
NAME OF AFH:
SECTION 5 MUSTBE COMPUTED BYTHE BUILDING DEPARTMtNT IN THE JURI SDI CTI ON 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 AB CD SAND FAND CLASSIFICATION CODE 5, N51 OR NS2.
SECTION 5 —BUILDING INSPECTOR'S INSPECTION CHECKLIST
R32S.3 Sleeping Room Classitication: 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 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 5325.9 are provided to evacuate residents to nuhlic area
SLEEPING ROOM A'. .:, ❑ Type S ype NS3 ❑ Type NS2
YES NO
Closet door/s a re readily openablefromtheins❑No Smoke alarm is installed in the bedroom
❑ ❑
Bedroom door opens easily and quickly from the outside when locked
Erl❑
Sleeping room wi ndow has a net opening of 5.7 SF (minimum dimensions at least 24"high; at I east 20" wide)
EXCEPT per R310.2.1: at -grade escape wi ndows –may have net clearance opening 5 SF
❑
Sleeping room window has a maximum sill height of 44"abovefloortoclear openin • ostep sunder window allowe
❑
SLEEPING ROOM B ❑ Type S 11atype NSI ❑ Type NS2
YES NO
Closet door/s are readily openable from the inside es [3No I Smoke alarm is installed in the bedroom
W ❑
Bedroom door opens easily and quickly from the outside when Iocked
13" ❑
Sl eepi ng room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at I east 20" wide)
EXCEPT per R310.2.1: at -grade escape wi ndows —may have net clearance opening 5 SF
91 ❑
Sleeping room window has a maximum sill height of 44"abovefloortoclear openin ,no steps under window allowec
❑
SLEEPING ROOM CType 5 I CIType NSI 113Type NS2
YES NO
Closet door/s are readily openablefrom the inside es [3No I Smoke alarm is installed in the bedroom
Or ❑
Bedroom door opens easily and quickly from the outsidewhen locked
❑
Sleepingroomwindowhas a net opening of 5.7 SF (minimum dimensions at I east 24"high; at I east 20" wide)
EXCEPT per R310.2.1: at -grade escape wi ndows —may have net clearance opening SF
EY' ❑
Sleepingroomwindowhasamaximumsillheightof44"abovefloortoclearopening steps under window allowec
SLEEPINCw` LOOM D� Type S ype NSi Type NS2
YES NO
Closet door/s are readily openablefrom the i nside es [3No Smoke alarm is installed in the bedroom
❑
Bedroom door opens easily and quickly from the outside when I ocked
❑
SI eepi ng room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at I east 20" wi de)
EXCEPT per R310.2.1: at -grade escape windows –may have net clearance opening 5 SF
Er ❑
Sleeping room window has a maximum sill height of 44" a bove fl oor to clear opening; no steps under window a Ilowe
SLEEPING ROOM EType
S Type NS1 Type NS2
YES NO
Closet door/s are readily openablefrom the inside 113yes
10No I Smokealarm is installed in the bedroom
❑ ❑
Bedroom door opens easily and quickly from the outside when Iocked
❑ ❑
Sleeping room window has a netopening of 5.7SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape wi ndows –may have net clearance opening 5 SF
❑ ❑
Sleeping room window has a maximum sill height of 44" a bove fl oor to clear opening; no steps under window a Ilowe
SLEEPING ROOM F
J0 Type S E3 Type NS1 113 Type NS2
YES NO
Closet door/s are readily openablefromthe inside Yes
No I Smokealarm is installed in the bedroom
E3 0
Bedroom door opens easily and quickly from the outside when Iocked
❑ ❑
Sl eepi ng room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; atIeast 20"wide)
EXCEPT per R310.2.1: at -grade escape wi ndows –may have net clearance opening 5 SF
❑ ❑
Sleeping room window has a maximum sill height of 44"abovefloortoclear opening; no steps under window alloweg
❑ ❑
Effective: 2013 July 01
Updated: 2017 February
0
GENERA!
YES
NO
Bathroom doors are easily and quickly openablefrom the outside when locked
CV
0
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
Smoke a la rms are installed on all levels of the dwel I ing, in each resident sleeping room, outside each separate
sleeping area in the i mmediate vi cinity of sleeping rooms (11314).
13
Smoke and Carbon Monoxide alarms are installed insuchamanner sothattheaudiblewarningmaybe heard inail
ofthedwelling upon activation of single device.
13parts
Access road and water supply meet localfirejurisdictional requirements.
13
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).
E3
Pocket doors shall have graspable hardware available when in the closed or open position.
Hem
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3%slope). (Exception R311.8.1 Not allowed in AFH)
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp changes
directions. 0 ❑
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. ❑ ❑
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH) Q
R311.8.2 Landing Requirements: min. 3X3 foot landingattop/bottom, where doors open onto ramps, and where rampchanges
directions.
R325.9.1 Handraifs required on both sides oframp in accordance with R311.8.3.1—R311.8.3.3. ® ❑
Guards below are depicted vertically as an example only. All Ramps must have Guards E3
R325.4 Operable parts ofdoor 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). arf Q
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the buildingallowingre -entry Erl Q
without use of key, tool orspe/ial knowledge.
R311.7.5.1 Riser Heigit: Max riser height shall be 7 % inches (8 inches in structures built prior to July 1, 2004) 0 ❑
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 fDr Treads and Risers shall be installed on both sides oftreads and risers numbering from one riser to multiple
risers. Handrailsshall be installed in accordance with R311.7.8.1—R311.7.8.4 1:1 113
Effective: 2013 July 01
Updated: 2017 February
Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R325.8.
11.1'
V
Water Closets (toilet)shall havegrab bars installed on both sides accordingto R325.8—R325.8.3.1 or 8325.8.3.2.
12r
[]
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2
Q'
Q
Shower sta I Is have two vertica I and horizontal grab bars mounted on a I I sides of shower according to R325.8—R325.8.5 —
EY
Q
R325.8.5.2.
Shower staIIs must be minimum size of 30 inches deep bv48 inches IonR (R325.11)
❑
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 I 13 I Q
opened. AV�/,
AG105.5 EXCEPTION: Pools, Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 1,13 1 13 1
Effective: 2013 July 01
Updated: 2017 February
f
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Vr
CITY OF
Federal Way
PERMIT NUMBER 1 y
PERMIT APPLICATION
1 S F TARGET DATE 1-6 c
SITE "DRESS
3061 4 ' `1'� "t. �e S CEJ `+�I �� �1�{
SUITE/UNIT #
PROJECT
ZONING
ASSESSOR'S TAX/PARCEL #
FALION
$
0CAS3 a 6- 00 L/ 0
TY#E OF PERMITUILDING
❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
ULi Knua4 C-�C( Y1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
L "b C ` 1 P AC
PRIMARY PHONE tt r
7g-2 /
MAILING ADDRESS
oo('
L
CITY
STATE
ZIP^
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
APPLICANT
MAILING ADDRESS
d 6 VrZ , �t 1 �► e'er
E-MAIL
CITY
STATE
ZIP /� `u0-3FAX
(„r\
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
infaranati— su: pliedto the citaJ-as-c+- at# this mon -
SIGNATURE: DATE
PRINT NAME: V' �Q
Bulletin #100 - February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application