12-105514Wilding - Single Family
City of Federal Way Permit #: 12 -105514 -00 -SP
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MM INFINITY CARE ADULT FAMILY HOME
Project Address: 32318 29TH AVE SW
Parcel Number: 873190 1500
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner
Applicant
Contractor
Lender
ELEANOR ROMERO
MYLENE RIVERA
30137 16TH AVE SW
MM INFINITY CARE ADULT
FEDERAL WAY WA 98023
FAMILY HOME
32318 29TH AVE SW
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
oadFloor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?.......................................No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, June 8, 2013
Permit Issued on Monday, December 10, 2012
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: `� I L `�
SITE
•
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2009 IRC Section R325 (WAC 51-51) ,Q
APPLICATION NUMBER: Iy 5-54 r
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
71,
PROPERTY OWNER NAME:f%l GI /f
AFH LICENSEE NAME (IF DIFFERENT): #?/)-/
,p ti X1 W alf_ V u ASSESSOR'S TAX/PARCEL#:
-? -----------
DAYTIME PHONE: G5^�j
���/-� /�i l / f6lfN �U i ^
(-d�, DAYTIME PHONE: G-D(t�67- 3gO9
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/S ON TFIIS FORM (ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS).
ON THIS ORA WING INDICATE WHICH BEDROOM ISA B C D E AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS
RAMPS, PLATFORM LIFTS & ELEVATORS
M 4 - DISCLAIMER/SiGNATukE RLC,
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
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/tthhi�s�apyplica�ttii n_
NAME/TITLE: 3 7/ — �/' 'f'I ti/ /` l(l T` ' 2 1 U Z
DATE:
❑ PROPERTY OWNER APPLICANT ❑ LICENSEE
08/01110
(Effective July 1, 2010)
WAC 51-51-0325
Section R325 - Adult family homes.
SECTION R325
ADULT FAMILY HOMES
8325.1 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 Submittal Standards. In addition to those requirements in Section 106. 1, the submittal shall identify the project as a Group
R-3 Adult Family Home Occupancy. A floor plan shall be submitted identifying the means of egress and the components in the means
of egress such as stairs, ramps, platform lifts and elevators. The plans shall indicate the rooms used for clients and the sleeping room
classification of each room. -
R325.3 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 with R325.9 is provided.
3. Type NS2 - where two means of egress are at grade level or ramps constructed in accordance with 8325.9 are provided.
R325.4 Types of Locking Devices. All bedroom and bathroom doors shall be openable from the outside when 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
with one hand and shall not require tight grasping, pinching or twisting of the wrist. The force required to activate
operable parts shall be 5.0 pounds (22.2 N) maximum. Exit doors shall have no additional locking devices.
R325.5 Smoke Alarm Requirements. All adult family homes shall be equipped with smoke alarms installed as required in
Section R314. Alarms shall be installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon
activation of a single device.
R325.6 Escape Windows and Doors. Every sleeping room shall be provided with emergency escape and rescue windows as
required by Section R310. No alternatives to the sill height such as steps, raised platforms or other devices placed by the openings
will be approved as meeting this requirement.
R325.7 Fire Apparatus Access Roads and Water Supply for Fire Protection. Adult family homes shall be served by fire
apparatus access roads and water supplies meeting the requirements of the local jurisdiction.
R325.$ Grab Bars. Grab bars shall be installed for all water closets and bathtubs and showers. The grab bars effective WAC 51-51-
0325: Section R325 - Adult family homes. date 7/1/10 shall comply with ICGANSI Al 17.1 Sections 604.5 and 607.4 and 608.3.
EXCEPTION: Grab bars are not required for water closets and bathtubs and showers used exclusively by staff of the
adult family home.
R325.9 Ramps. All interior and exterior ramps, when provided, shall be constructed in accordance with Section R311.8 with a
maximum slope of 1 vertical to 12 horizontal. The exception to R311.8.1 is not allowed for adult family homes. Handrails shall be
installed in accordance with R325.9. I.
R325.9.1 Handrails for Ramps. Handrails shall be installed on both sides of ramps between the slope of I vertical to 12
horizontal and 1 vertical and 20 horizontal in accordance with R311.6.3.1 through R311.6.3.3.
8325.10 Stair Treads and Risers. Stair treads and risers shall be constructed in accordance with R311.7.4. Handrails shall be
installed in accordance with R325.10.1.
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 with R311.7.7 through R311.7.7.4
[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/I/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 12/17/03, effective 7/1/04.1
08101/10
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NAME OF AFH: -1
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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 OFA, B, C D E, AND F AND CLASSIFICATION CODE-. S, NS1, OR NS2
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 �! ❑ T S ; [� e NS1 ❑ T e NS2
-------- y.p ___ 1 _yP_ _
Closet door/s are readily openable from the inside j Yes ❑ NO ❑ Smoke alarm is installed in the bedroom
YES
❑
NO
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
El
Sleeping
Seeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high: at least 20" wide)I
*EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF
❑
-
❑
Seeping room window has a maximum sill height of 44" above floor, no steps under window permitted
❑
j 0
Sleeping Room B ❑ Te S ❑ T a NSI ❑ Type NS2
YES
NO
Closet door/s are readily openable from the inside I YES ❑ NO ❑ Smoke alarm 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 -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
❑
❑
Sleeping Room C ❑
TypeNS2
❑ T a NSI �Zt
YES
NO
Closet door/s are readily openable from the inside ;Yes ❑ NSmoke alarm is insedroom
�[]
❑
❑
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 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
❑
❑
Sleeping Room D ❑ T e S ❑ Type NS1 ❑ Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes ❑ NO ❑ Smoke alarm 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 -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
❑
❑
Sleeping Room E❑Type S ❑ Type NS1 ❑Type NS2
Closet door/s are readily openable from the inside 1 YEs ❑ NO 11Smoke alarm is installed in the bedroom
YES
❑
NO
❑
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 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
❑
❑
- ------ _Sleeping Room F— ---------J — -- ❑ T e S -_D T pe NS1 - ❑ Type NS2 -
Closet door/s are readily openable from the inside YES ❑ NO ❑ -- Smoke alarm is installed in the bedroom
YES
❑
NO
El
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 11310.1.1: 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
❑ 1
❑
""`Ur"'" _ YES NO
Bathroom doors are easily and quickly openable from the outside when locked ❑ ❑
Smoke alarms are insti ed on a I eve sof the dwe ing, in each resident sleeping room, outside each separate s eeping ❑ p
area in the immediate vicinitv of sleeoina rooms IR3141
Smoke alarms are installed in such a manner so that the fire warning may be audible in all parts of the dwe ing upon ❑ p
activation of a single device.
Access road and water supply meet local fire jurisdictional requirements ❑ 1 ❑
08/01/10
R311.8 Ramps
YES
Inside &mo
YES
NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal8.30%slope . Exception R311.8.1 Not allowed in AFH)
El
1:1
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 — R311.8.3.3.
❑
❑
Outside Rama
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 — R311.8.3.3.
❑
❑
*Guards below are depicted vertically as an example only. All Ramps must have Guards
Less than 4"
Guard
36" min
I ADULT FAMI_Y HOME RAMP
per 2009 IRC With WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
R311.2 Means of Egress
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.
❑
❑
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, emergency egress hardware). The Exit doors ;
shall have no additional locking devices.
❑
❑
R311.7 Stairways N/
YES
NO
R311.7.4.1 Riser Height Max riser height shall be 7'/. inches_ (8 inches in structures built prior to July 1, 2004)I
R311.7.4.2 Tread Depth: Min. tread depth shall be 10 inches. (9 inches in structures built prior to July 1, 2004) I
❑
❑
❑
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to I
multiple risers. Handrails shall be installed in accordance with R311.7.7.1— R311.7.7.4 I
❑
❑
R 325.8 Grab Bars in Bathrooms (May require "alternate" approval in accordance with IRC Sec. R104.10 and_. 111
YES
NO
R325.8 Grab bars shall be installed for all water closets (toilets), bathtubs and showers.
I
Bathing facilities such as tubs and showers; and
❑
! ❑
On both sides of the toilet. (shall comply with ICC/ANSI Al 17.1 Sections 604.5,607.4 & 608.3) I
❑
I ❑
AG103 — AG 105 Swimming Pool, Spa, Hot Tub I NIA1 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.
❑
❑
AG 105.5 EXCEPTION: Pools, Spas or hot tubs with a safety cover which complies with ASTM F 1346
❑
❑
❑ PASSE CORRECTIONS REQUIRED ❑ PERMIT REQUIRED
S E O S GNATM DAT .
INSPECTOR'S ADDRESS: 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.
08101110
r
�ECEIVED *PERMIT
f=ederal Wa
C253 835 DEVELOPMENT 23 3t RVlC�S C 10 201AP P LI CAT I O N
253-8,35-2607• FAX 253.835 26
CITY OF FEDERAL WAY
*-110
SMF CO ME
5571+
PL DE EN FP
SITE ADDRESS
SUITE/UNIT p
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PAL N Q
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
M M N N t AUL,-r 1 Wk
PROJECT DESCRIPTION
Al r, %3
Detailed description of work to
'} l
3 Z,,3 1 " � �tl
be included on this permit only
Ff,4 q
PROPERTY OWNER
xAME ,^ _`y L6/ r , /
PiA) HONE -7'MAILING
��_ /
3;3 /3 ADDRESS 77 � 15 �vr-06E-MAIL,�i
�5 X000 a
CITY A�-L
STA
ZIP ^
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE„j,6 iiACTOR-S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PHONE
APPLICANT
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
EMAM
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
(RCW 19.27.095)
MAILING SS. 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
information supplied to the city as a part of this application.
SIGNATURE: -�� DATE
, /
PRINT NAME: ( V rk
Bulletin #100 - April 14, 2010 Page ] of 3 01-landouts\Permit Application
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