13-100701City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
0 FILE
Project Name: PARKLANE ADULT FAMILY HOME
Project Address: 34628 14TH PL SW
Gilding - Single Family
Permit #: 13-100701-00-S F•
Inspection Request Line: (253) 8353050
Parcel Number: 666490 0480
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner
lic n
Contractor
Lender
JININIIE N STONE
JEMM N STONE
3462814TH PL SW
3462814TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 999 - Unknown
Includes. #1 #2 #3 #4
Occupancy Class.
Construction e:
Occupancy Load.
Floor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Mechanical to be Included?...................................No Plumbing to be Included? ...................................... No
No Fixtures Associated With This Permit II
PERMIT EXPIRES Monday, August 12, 2013
Permit Issued on Wednesday, February 13, 2013
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
ity of Federal Way.
Owner or agent: Date:
Adult Family HAL (AFH) LOCAL BUILDING IK ON CHECKLIST
~ Code Refammew 2M IRC SwOm RM (WAC 51-51) i-�F'
APPLICATION NUMBER: V
SECTIONS 1 AND 4 musT BE COMB&= Y &OEM BEFORE INSPECTWN WILL BE PROCESSED
PROPERTY OWNER NAME:
«a ,a <, L�IIir'.''A►E�i'rTlLy=C3':�
DAYTIME PHONE: .25 ,5'-*-jL aVz
DAYTIME PHONE: 253-31.-0`112—
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/S ON THIS FORM (ALL ROM). PLEASE INCLUDE ALL SLAG ROOMS (SWROOMs).
ON THIS_DRAWDVG. INDICATE WHICH eEDROOM Is A. B, C, D. E. AND F, WEL ALL COMPONENTS FOR EXMNG Le.: STAIRS,
RAMPS, PLATFORM LIFTS & ELEVATORS,
j47ft4 c 4 &1 # re o t; n
Kt TG it e N U 3, 5- St a 5 u se UO 7r 64rt N) j- pfe 'q' 0-I J-GOcG S
�.Gv+ornGn /Z-ovm a,Sb•S 52� — U�� &or �%sltr••� �- Go,f�e.-��,�
0 titA roam
13e 4* r a aw,
Bedroom A151Be room
Na
13 -edraa t1
N5_1
�eJraowt
(qS1
7.1 r Y ct f* - 1ASevC -&or 191-1"") a- fir lefla-7
A f7t4ita4le- SvfF•,^ S)051e• p•ccve-nej 64eee"'3 Gr enf6 trc4h
03 61SFIi LO Sq,tr. — Oew6lC 01ccjpftKe7 C44ren11 Llee
1 •l o — SiH* l4 Gccu�N�y S1eP�o, �+J .rCxrrlr�sfl7 tie,
li j 3v V uSR8LF SRq F,t - poyblt e3eoap•►wcj Slt'�plh�
SECTION•BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the beat of my tvrowledg% 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 Hone 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 fled against the jurisdiction, n, but only whore such
claim arises out of the mance of the Jurisdiction, inducting its officers and employees, upon the accwracy of the information supplied to the
jur�on as a part of this application.
YRE
NAME/T.eK'. r eata cJ7G7 e- DATE: 2-%3 /__/ /I
V PROPERTY OWNER P1 APPLICANT LICENSEE
il8M/10
w
Q
3y��8
R - -- I -cam• -►1' ' L�✓��;� �l�,z
C
� 1
NAME OF AFH: rc r K11We +t," tf ffa,+i ll H" e_ 1W
SECTION 5 MUST BE couin ErED BY THE BwLDiNgARTMDEPMEENT IN THE.FURtSDICTION THE HOME INILL BE LOCATED,
PLEASE CHECK ALL APPLICABLE BOXES; MATCH THE UST BELOW TO THE APPUCANrS FLOOR PLAN- USING THEIR
PROSPECTIVE RESIDENT BEDROOM DESIGNATIONS OFA. B. C. D. E. AND F AND CLASSIFICATION CODE: S. NSI. OR NSZ
R325.3 SLEEPING ROOM CLASSIFICATION. Each sleeping room In an adult family home shall be classified as:
Type S -where the means of egress contairus stairs, elevators or platform lifts to evacuate residents to public area
Type NSI -where 1 means of egress at grade level (has no stair;), 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 stalml or ramps coral c 2SLN rd with 8325.9 are provided to evacuate residents to public area
SLEEPING RQOMS
Shing Room A I ❑ Type S 14 Type NSI 1 ❑ Type NS2
YES NO
Closet door/s are readily openable from the inside j Yves ❑ I NO ❑ Smoke alar is instafled in the bedroom
❑ ❑
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)
*EXCEPT PER R310.1.1: AT -GRADE ESCAPE wmxms- my HAvE NEr CLEAR a3mG 5 SF
❑ ❑
i
Sleeping room window has a maximum sill height of 44' above floor, no steps under window permitted
Sleeping Room B13Type S Type NSI ❑ Type NS2
❑
YES
❑
NO
Closet doorls are readily openable from the inside I yu ❑ I NO ❑ I Smoke alar is installed in the bedroom
I ❑
❑
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)
*EXCEPT PER R310.m: AT -GRADE ESCAPEwP=&-mAY HAVE NEr BEAR GPENWG 5 SF
❑
❑
Sleeping room window has a maximum sill height of 44' above floor, no steps under window permitted
Sleeping Room C I ❑ Type S Type NSI ❑ Type NS2 _
Closet door/s are readily openable from the inside I Yas ❑ ! NO ❑ Smoke alar is instafled in the bedroom
❑
YES
I�
❑
1 NO
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
I ❑
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 EscwEwmows-my HAVE NEr GEAR 011DMG 5 sF
❑
❑
Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted
❑
❑
Sleeping Room D 1 ❑ Type S a Type NSI ❑ Type NS2
YES
NO
Closet doorls are readily openable from the inside -FY-Es ❑ I NO ❑ I Smoke alar is installed in the bedroom
IT
❑
Bedroom door is easily and quickly openable from the outside when locked
I
❑
Sleeping room window, has a net opening of 5.7 sF* (minimum dimensions at least 24' high: at least 20' wide
*EXCEPT PER 8310.1.1: AT -GRADE ESCAPE wmaws-IAY HAVE NEr a Em OPE_m 5 SF
❑
Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted
Sleeping Room E ❑ T S ❑ TM NSI 1 ❑ Type NS2
I
YES I
❑
NO
Closet doorls are readily openable from the inside Yves ❑ NO ❑ Smoke alar is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room wrindow 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 ESCAmwNwws-my HAVE NET CLEAR ENING 5 sF
❑
Sleeping room window has a maximum sill height of 44' above floor, no steps under window permitted
Sleeping Room F 1 ❑ Type S ❑ Type NSI � ❑ Type NS2
❑
YES
_
❑
NO
Closet door/s are readily openable from the inside I YES ❑I NO ❑ 1 Smoke alar is installed in the bedroom
❑
❑
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)
*EXCEPT PER R310.1.1: AT -MADE ESCAPE WPmows-MAY HAVE NET CLEAR ovmG 5 SF
❑
❑
Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted
❑
❑
GENEm_ YES NO
Bathroom doors are easily and quickly openable from the outside when locked ❑ ❑
activation of a single device. - - -
Access road and water supply meet local fire jurisdictional requirements ❑ ❑
08/01/10
9311.8 &M NOW
YES
Inside Ramo 1 N/A
YES
NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3°/a slope). (Exception R111 1.8.1 Not Mowed in AFH)
❑
❑
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ram
changes directionp
❑
11s.
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1— R311.8.3.3.
j ❑
❑
Outside Raw—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)
❑
❑
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp
changes directions.
❑
❑
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1— 8311.8.3.3.
❑
`Guards below are depicted vertically as an example only. All Ramtl must have Guards
Guard
36' min
Less than 4'
Handrail both sides
11■I■I Bimini
■■II■I■IA��i■i ISI■I■I�IrII1�lAl�ll�lj Ai�,�l■'�"" I � ,,,��
■I 11#I■I■I�i�l■I■(■I■I 1>♦■ ■II■
W1401. , s 0INOR
R311.2 Means of EOr�s YES 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. ❑ ElR325.4 Operable parts of door handles, pulls, latches, lacks and other devices installed in AFH shag be operable with one hand �—
and shag not require tight grasping, pinching or twisting of the wrist (lever -type, emergency hardware). The Eidt doors ❑ ❑
shall have no additional loddno devices.
K7411.1 N/
YES
I NO
R311.7.4.1 Riser Height: Max riser height shall be 7%a i (8 inches in structures bunt prior to July 1, 2004)
11!
❑
R311.7.4.2 Tread Depth: Min. tread depth shag be 10 in� (9 irk in structures built prior to Jul 1, 2004)
❑
❑
R325.10.1 Handrails forTreads and Risers shag be imaged on both sides of treads and risers numbering from one ricer to
multi risers. Handrails shag be installed in accordance with R311.7.7.1– 8311.7.7.4
R 325.8 GMh Bars In Bathrgms Mar uire °alternate° approval in accord@M with IRC Sec. 9104.10 Ed .111
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
Q
On both sides of the toilet shag cornwith ICC/ANSI Al 17.1 Sections 604.5,607.4 $ 608.3
AG103 – AG 105 SgAmming Pool SRI Hot Tu N/A
1 ❑
YES
❑
NO
AGI 05.2 Must be surrounded by a barrier that is 48 inches high, may have doors and or gates that must have audible 11� El
when
AG105 CEPTION.- Pools, Spas or hot tubs with a saf cover which comm ies with ASTM F 1346 ❑ ❑
PASSED ❑ CORRECTIONS REQUIRED C1 PERMIT REQUIRED
t--lL z -
INSPECTORS 6NA TE:
.'f UUK�: PHONE:
Ati
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.
08/01110
AL
Crn'
Federal Way
COMMUMIY DEVELOPMENT SERVICES
253.835-2607• FAX 253-835 2609
PERMIT
APPLICATION
(3 - t 0 0 X 0 1
AMF CO ME PL DE EN FP
RECEIVED
-EB 13 2013
SITE ADDRESS SUITE/UNIT #
M OF FEDERAL WAIF
6 r Pi— S C"./ 2 J, a,.-)-3 CDs
PROJECT VALUATION
$
ZONING
ASSESS � /PA� L # 1(� -
TYPE OF PERMIT
B DING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeoumer Last Name)
I
®t. P (� � �; ifi / F Gi c,o+ {�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
wi itG_
yo
cy✓I
PROPERTY OWNER
NAME
PRIMARY PHONE
.2
MAILING ADDRESS ,y� /
E-MAIL
/�
2-15' .O (JG� 1. l
CITY w
ecn
STATE
&V14
ZIP O 21-3
NAME
PHONE
MAILING ADDRESS
EMAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMEpp
PHONE
G-
APPLICANT
MAIUNG ADDRESS
same
EMAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
EMAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $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 truq and correct. I certify, that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by, ft issyance 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 topartof th' 'on.
45
SIGNATURE:DATE
PRINT NAME:
Bulletin #100 -April 14, 2010 Page 1 of 3 Uliandouis\Pennit Application