18-104438City of Federal Way
Commaoity Development Dept
33325 8th Ave S
Federal way, WA 98003
Ph: (253) 835-2607 Fa)c (253) 835-2609
Building - Single Family
Permit #:18 -104438 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: ACCLAIMED CARE AFH
Project Address: 34122 28TH AVE SW Parcel Number: 010921 0480
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner
Applicant
Contractor
Lender
ROBERT MASON
ROBERT MASONACCLAINIED
34122 28TH AVE SW
CARE AFH LLC
34122 28TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential altladd - 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
Owner or
PERMIT EXPIRES Monday, 18 March, 2019
Permit Issued on Wednesday, September 19, 2018
that a above information is correct and that the construction on the above described properly
span y and the use will be in agece with the laws, rules and regulations of the State of
Washin ofi and We City of Federal Way.
Date: 641-117- 0
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2015 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER: 6 0 �e V
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1— PROPERTY INFORMATION
AL
SITEADDRESS: t— �4 ^' "` W� e W & ` v b G` J
SECTION 2 — APPLICANT INFORMATION
PROPERTY OWNER NAME: RUb'P—V�— VI` so -k7
AFH LICENSEE NAME (IF DiFFERSM:
TAX/PARCEL#:
DAYTIME PHONE;? -!53"3 50-31 of f
DAYTIME PHONE:
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 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: PO M
b e -r'- 0'`50 hDATE:
lafrROPERTY OWNER
(Effective July 1, 2013.)
WAPPLICANT Ef LICENSEE
Effective: 2013 July 01
Updated: 2017 February
WAC 51'-5i-025
Section R325 —Adult family homes.
SECTION R325
ADULT FAMILY HOMES
R325.1 General. This section shall apply to all newly constructed adult family homes and all existing single family homes being
converted to adult family homes. This section shall not apply to those adult family homes licensed by the state of Washington
department of social and health services prior to July 1, 2001.
R325.2 Reserved.
8325.3 Sleeping room classification. Each sleeping room in an adult family home shall be classified as:
1. Type S - Where the means of egress contains stairs, elevators or platform lifts.
2. Type NS1 - Where one means of egress is at grade level or a ramp constructed in accordance w ith R325.9 is provided.
3. Type NS2 - Where two means of egress are at grade level or ramps constructed in accordance w ith R325.9 are provided.
8325.4 Types of locking devices and door activation. All bedroom and bathroom doors shall be openable from the outside w hen
locked.
Every closet shall be readily openable from the inside.
Operable parts of door handles, pulls, latches, locks and other devices installed in adult family homes shall be operable w ith one
hand and shall not require tight grasping, pinching or tw isting of the w rist. Pocket doors shall have graspable hardw are avai lable
when in the closed or open position.
The force required to activate operable parts shall be 5.0 pounds (22.2 " maximum Required exit doors shall have no additional
locking devices.
Required exit door hardw are shall unlock inside and outside mechanisms w hen exiting the building allowing reentry into the adult
family home w ithout the use of a key, tool or special knowledge.
R325.5 Smoke and carbon monoxidealarm requirements. All adult family homes shall be equipped withsmoke and carbon
monoxide alarms installed as required in Sections M14 and R315.1. Alarms shall be installed in such a manner so that the
detection device warning is audible from all areas of the dwelling upon activation of a single alarm
R325.6 Escape windows and doors. Every sleeping room shall be provided with emergency escape and rescue w indow s as
required by Section R310. No alternatives to the sill height such as steps, raised platforms or other devices placed by the openings
w ill be approved as meeting this requirement.
R325.7 Fre apparatus access roads and water supply for fire protection. Adult family homes shall be served by fire apparatus
access roads and water supplies meting the requirements of the local jurisdiction.
R325.8 Grab bar ge neral requirements. Where facilities are designated for use by adult family home clients, grab bars forwater
closets, bathtubs and shower stalls shall be installed according to this section.
R325.8.1 Grab bar cross section. Grab bars w ith a circular cross section shall have an outside diameter of 1 1/4 inches minimum
and 2 inches maximum Grab bars w ith noncircular cross section shall have a cross section dimension of 2 inches maximum and a
perimeter dimension of 4 inches minimum and 4 5/8 inches maximum
R325.8.2 Grab bar installation. Grab bars shall have a spacing of 1 1/2 inches betw een the w all and the bar. Projecting objects,
control valves and bathtub or show erstall enclosure features above, below and at the ends of the grab bar shall have a clear space
of 1 1/2 inches to the grab bar.
EXCEPTION: Swing -up grab barsshall not be required to meetthe 11/2 inch spacing requirement
Grabs bars shall have a structural strength of 250 pounds applied at any point on the grab bar, fastener, mounting device or
supporting structural member. Grab bars shall not be supported directly by any residential grade fiberglass bathing or showering
unit. Acrylic bars found in bathing units shall be removed.
Fixed position grab bars, w hen mounted, shall not rotate, spin or move and have a graspable surface finish.
R325.8.3 Grab bars at water closets. Water closets shall have grab bars mounted on both sides. Grab bars can be a combination
of fixed position and sw ing-up bars. Grab bars shall meet the requirements of R325.8. Grab bars shall mount betw een 33 inches
and 36 inches above floor grade. Centerline distance between grab bars, regardless of type used, shall be between 25 inches
Effective: 2013 July 01
Updated: 2017 February
minirrum and 36 inches maximum.
8325.8.3.1 Fixed position grab bars. Fixed position grab bars shall be a minimum of 36 inches in length and start 12 inches from
the rear wall.
R325.8.3.2 Swing -up grab bars. Swing -up grab bars shall be a minimum of 28 inches in length from the rear wall.
R325.8.4 Grab bars at bathtubs. Horizontal and vertical grab bars shall meet the requirements of 8325.8.
R325.8.4.1 Vertical grab bars. Vertical grab bars shall be a minimum of 18 inches long and installed at the control end wall and
head end w all. Grab bars shall mount w ithin 4 inches of the exterior of the bath tub edge or w ithin 4 inches w ithin the bath tub. The
bottom end of the bar shall start between 36 inches and 42 inches above floor grade.
EXCEPTION: The required vertical grab bar can be substituted with a floorto ceiling grab bar meeting the
requirements of R325.8 at the control end and head end entry points.
8325.8.4.2 Horizontal grab bars. Horizontal grab bars shall be provided at the control end, head end, and the back wall w ithin the
bathtub area. Grab bars shall be mounted between 33 inches and 36 inches above floor grade. Control end and head end grab bars
shall be 24 inches minimum in length. Back wall grab bar shall be 36 inches minimum in length.
R325.8.5 Grab bars at shower stalls. Where shower stalls are provided to meet the requirements for bathing facilities, grab bars
shall meet the requirements of R325.8.
EXCEPTION: Shower stalls with permanent built-in seats are not required to have vertical or horizontal grab
bars atthe seat end wall. Ave rtical floor to ceiling grab bar shall be installed within 4 inches of
the exterior of the shower aligned with the nose of the built-in seat.
R325.8.5.1 Vertical grab bars. Vertical grab bars shall be 18 inches m inimnam in length and installed at the control end wall and
head end wall. Vertical bars shall be mounted within 4 inches of the exterior of the shower stall or w ithin 4 inches inside the shower
stall. The bottom end of vertical bars mount between 36 inches and 42 inches above floor grade.
R325.8.5.2 Horizontal grab bars. Horizontal grab bars shall be installed on all sides of the show er stall mounted betw een 33
inches and 36 inches above the floor grade. Horizontal grab bars shall be a maximum of 6 inches from adjacent w ails. Horizontal
grab bars shall not interfere w ith shower control valves.
R325.9 Ram ps. All interior and exterior ramps, w hen provided, shall be constructed in accordance w ith Section R311.8 w ith a
maximum slope of 1 vertical to 12 horizontal. The exception to R311.8.1 is not allowed for adult farnily homes. Handrails shall be
installed in accordance w ith R325.9.1.
R325.9.1 Handrails for ramps. Handrails shall be installed on both sides of ramps between the slope of 1 vertical to 12 horizontal
and 1 vertical and 20 horizontal in accordance w ith R311.8.3.1 through R311.8.3.3.
R325.10 Stair treads and risers. Stair treads and risers shall be constructed in accordance w ith R311.7.5. Handrails shall be
installed in accordance w ith 8325.10.1.
R325.10.1 Handrails for treads and risers. Handrails shall be installed on both sides of treads and risers numbering from one riser
to multiple risers. Handrails shall be installed in accordance w ith R311.7.8.1 through R311.7.8.4
R325.11 Shower stalls. Where provided to meet the requirements for bathing facilities, the minimum size of shower stalls for an
adult family home shall be 30 inches deep by 48 inches long.
[Statutory Authority: RCW 19.27.031 and chapters 19.27 and 34.05 RCW. 13-04-068,§51-51-0325, filed 2/1/13, effective 7/1/13. Statutory
Authority: Chapter 19.27 RCW. 10-18-036, § 51-51-0325, filed 8/25/10, effective 9/25/10. Statutory Authority: RCW 19.27.190, 19.27.020, and
chapters 19.27 and 34.05 RCW. 09-04-023, § 51-51-0325, filed 1/27/09, effective 7/1/10. Statutory Authority: RCW 19.27.074, 19.27.020, and
chapters 19.27 and 34.05 RCW. 07-01-090, § 51-51-0325, filed 12/19/06, effective 7/1/07. Statutory Authority: RCW 19.27.031 and 19.27.074.04-
01-109, § 51-51-0325, filed 12/17103, effective 7/1/04.]
Effective: 2013 July 01
Updated: 2017 February
NAME OF AFH: l al m e�? AE H
SECTION MUSTBE COMPLETED BYTHE BUILDING DEPARTMENT INTHEJURISDICTIONTHE 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 8 CD E AND F AND CLASSIFICATION CODE S, NS1 OR NS2.
SECTION' •R'S INSPECTION
R32b.3 Sleeping Room Uassitication: Each sleeping room in an Adult tamily Home shall be classed as:
Type S —where the means of egress contains stairs, elevators or platform I'Ifts to evacuate residents to public area.
Type NS1— where 1 means of egress at grade level (has no stairs) or ramp constructed compliant with 8325.9 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 25.9 are provided to evacuate residents to public area
SLEEPING, 1❑ Type S jMlype NS1 113 Type NS2
YES NO
Closetdoor/s are readily openablefromthe inside es JE3No I Smoke alarm is installed in the bedroom
❑
Bedroom door opens easily and quicklyfrom the outside when locked
❑
Sleeping room wi ndow has a net opening of 5.7 SF (minimum dimensions at I east 24"high; at l east 20" wi d e)
EXCEPTper R310.2.1: at -grade escape windows—may have net clearance opening SF
❑
Sleeping roomwindowhas a maximum sill height of 44"abovefloortoclear opening; steps under window allowe
❑
SLEEPING"ROOM B E3 Type S 112type NS1 113 Type NS2
YES NO
Closetdoor/s are readily openablefromtheinsidees 1[3No I Smokealarm is installed in the bedroom
❑
Bedroom door opens easily and quicklyfromthe outside when locked
❑
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 wi ndows—may have net clearance opening 5 SF
❑
Sleeping room window has a maximums ill height of 44"a bovefloor to clear opening;Aosteps under window allowe
❑ ❑
SLEEPING ROOM'C""Type S ype NS1 Type NS2
YES NO
Closetdoor/s are readily openablefromthe inside es 1[3No I Smokealarm is installed in the bedroom
❑
Bedroom door opens easily and quicklyfromthe outside when locked
❑
SI eepi ng room wi ndow has a net opening of 5.7 SF (mi n imum dimensions at I east 24"high; at least 20" wi de)
EXCEPT per R310.2.1: at -grade es cape wi ndows — may have net cl earance opening 5 SF
❑
Sl eepi ng room windowhas amaximum sill height of44"abovefloortoclear opening; steps under window allowe
SLEEPING ROOM D "; ". Type S ILItType NS1 I U Type NS2
YES NO
Closetdoor/s are readily openablefromthe inside es 10No I Smokealarm is installed in the bedroom
❑
Bedroom door opens easily and qu icklyfrom the outside when locked
SI eepi ng room wi ndow has a net opening of 5.7 SF (mi n imum dimensions at I east 24"high; at I east 20" wi de)
EXCEPT per R310.2.1: at -grade es cape wi ndows—may have net clearance opening 5 SF
❑
Sleeping roomwindow has a maximums ill height of 44"abovefloortoclear opening; no steps under window allowe
iEfPING RpCtM,E,U Type S I Ll Type NS1 113 Type NS2
YES NO
Closetdoor/s are readily openablefromthe inside JOYes JE3No I Smokealarm is installed in the bedroom
❑ ❑
Bedroom door opens easily and quicklyfromthe outside when locked
❑ ❑
Sleeping roomwindowhas a net opening of 53SF (minimum dimensions at least24"high; at least20"wide)
EXCEPTper R310.2.1: at -grade escapewindows—may have net clearance opening SF
❑ ❑
Sleeping room window has a maximum sill height of 44" a bove fl oor to clear opening; no steps under window a Ilowe
""�SIEEPIMG "ROAM F =E3 Type S 113 Type NS1 JU Type NS2
YES NO
Closetdoor/s are readily openablefromthe inside JOYes JONci I Smokea larm is installed in the bedroom
Bedroom door opens easily and quicklyfromthe outside when locked
❑ ❑
Sleeping roornwinclow has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least20"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 bovefloor to clear opening; no steps under window allowe
❑ ❑
Effective: 2013 July 01
Updated: 2017 February
GERIERAL.r' '
YES NO
Bathroom doors are easily and quickly openablefromtheoutsidewhen locked
0
Carbon Monoxidealarms a re installed as required in R315 on each level of the home.
0
Smoke a I a rms are i nstalled on a II levels of the dwelling, i n ea ch resident sleeping room, outside each separate
sleeping area in the i mmed iate vi cinity of sleeping rooms (11314) .
0
Smokeand Carbon Monoxidea (arms are installed insuch a manner sothattheaudiblewaming may be heard inall
parts of the dwel ling upon activation of a single device.
0
Access road a nd water 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 available when in the closed or open position.
R311.7.5.1 Riser Height: Max riser height shall be 7 Y4 inches (8 inches in structures builtpriorto July 1, 2004)
YES I NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH)
YES
R311.8.2 Landing Requirements: min. 3X3 foot Iand ingattop/bottom, where doors open onto ramps, and where ramp changes
directions.
0 0
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 -R311.8.3.3.
0 Q
Outside Ramp NJAE3
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH )
YES NO
R311.8.2 Landing Requirements: min. 3X3 foot landingattop/bottom, where doors open onto ramps, and where rampchanges
directions.
11325.4 Required exit door hardware shall unlock inside and outside mechanisms when exitingthe building allowing re-entry
without use of key, tool orspocial knowledge.
R325.9.1 Handrails required on both sides of ramp in accordancewith R311.8.3.1 -R311.8.3.3.
1W Cl
Guards below are depicted vertically as an example only. All Ramps must have Guards
1 0
Handrail both sides
Less than 4" 34" - 38"
3' x 3' m i n --
landing - --
- 3' One unit vertical in twelve units horizontal
minimum is an 8.3% slope all along surface of the ramp.
3; x 3' min
landing
a 9
- 3'
minimum
#311,2 Means.of gess ., 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.
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).
0-11
D
11325.4 Required exit door hardware shall unlock inside and outside mechanisms when exitingthe building allowing re-entry
without use of key, tool orspocial knowledge.
0
R311 J Sta rways ", - INI:
YES
N O
R311.7.5.1 Riser Height: Max riser height shall be 7 Y4 inches (8 inches in structures builtpriorto July 1, 2004)
0
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 for Treads and Risersshall be installed on both sides of treads and risers numberingfrom one riserto m ultiple
risers. Handrails shall be installed in accordance with R311.7.8.1 -R311.7.8.4
0
0
Effective: 2013 July 01
Updated: 2017 February
Grab bars shall be installed for aII water closets (toilets), bathtubs and showers according to R325.8.
Water Closets (toilet) shall have grab bars installed on both sides according to R325.8—R325.8.3.1 or R325.8.3.2. a I�]
Bathtubs shall have two vertical and three horizontal grab bars installed accordingto R325.8-R325.8.4—R325.8.4.2 01
Showerstalls have two verticaland horizontal grab bars mounted on allsides of shower accordingto R325.8—R325.8.5— Q
R325.8.5.2.
Shower stalls must be minimum size of 30 inches deep by 48 inches lone (11325.11) 1 M-1 rim
Aza=atss.nmrr�rnc►r�u�.�t�otub ., ._ �q. IOU
.,,; YES NO
AF105.2 Must be surrounded by a barrierthat is 48 incheshigh, mayhave 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
Effective: 2013 July 01
Updated: 2017 February
1-7-� t ( Y, I (+ � 1,
ON
L --p � - " i ? i ,
I
F 06 YV
RECEIVED 4039
CITY OF A p 19 201 PERMIT APPLICATION
Federal Way sE
CRY OF FEDERAL WAY
OOMItJIUNaYQEyELOPM W
PERMIT NUMBER J 9— _ ! D (/ Y 3 F _ 5— E TARGET DATE
SITE ADDRESS377T
C%
—
PROJ2CT VALUATION
ZONING
ASSESSOR'S TAS/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
A CG h*�ad Clare
` SC41 t^^-)
PROJECT DESCRIPTION
Detailed description ofwork to
GCm4lG
be included on this permit only
PROPERTY OWNER
N% {� �S�
-^J �' // �.
PRIMARY PHONE3.5 3
S3 0 � o
MAILING DRESS 1L
2 8 _`/kvz v tiV
reIP
'W aT—
$10 ea -5
NAME
PRONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
R
i
PRIMARY PHONE
APPLICANT
MAILING ADDRESS At -3 A -k;- 4 _w�
-�G�
E -MAR,
CITY
STATE
ZIP
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 less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investtga and defen of such claim), which m le made by any person, including the undersigned, and filed against the city,
but only a ere such claim arisesout of the nce the city, including its officers and employees, upon the accuracy of the
info on supplied to t city as a part
SIGMA DATE
PRINT NAME. I (/ '—"� -2)
Bulletin # 100 -ebniary22, 2016 Page 1 of 2
k:\Handouts\Permit Application