11-103012City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
�juilding - Single Family
Permit #: 11 -103012 -00 -SF
I E
Inspection Request Line: (253) 835-3050
Project Name: PINNACLE ADULT FAMILY HOME
Project Address: 33006 28TH AVE SW
Parcel Number: 894520 0880
Project Description: ALT -Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner
Applicant
Contractor
Lender
NORMA & NORI BALI
NORMA & NORI BALI
31614 12TH PL SW
31614 12TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 93 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. 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
a Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, January 22, 2012
Permit Issued on Tuesday, July 26, 2011
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: 1 Date: ��///
PIN*UXb 1/t/((
1.8
Inside Ramo NIA YESNO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH)❑ 13R311.8.2 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 _ - NIA 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. �2
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
Guard
36' min
Less than 4"
3'x3'min
landing
' 3, 8.3%
h— min
j
ADULT FAMI-Y HOME RAMP
per 2009 IRC with WA. ST. AMENDMENTS
"ALL RAMPS REQUIRE A BUILDING PERMIT*
Kb11.t means or i;ress
Ytb
NU
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 NI
YES
NO
R311.7.4.1 Riser Height Max riser height shall be 7Y4 inches (8 inches in structures built prior to July 1, 2004) _ _
R311.7.4.2 Tread Depth: Min. tread depth shall be 1 Q inches. (9 inches in structures built prior to July 1, 2004)
❑
❑
❑
❑
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to
multiple risers. Handrails shall be installed in accordance with R311.7.7.1- R311.7.7.4
11
❑
R 325.8 Grab Bars in Bathrooms (May reg uire "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.
Bathing facilities such as tubs and showers; and
On both sides of the toilet. shall comply with ICC/ANSI All 17.1 Sections 604.5,607.4 & 608.3
❑
❑
AG103 - AG 105 Svrimming Pool, Spa, Hot Tub NIA I -4
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.
❑
❑
AG105.5 EXCEPTION: Pools, Spas or hot tubs with a safety cover which complies with ASTM F 1346 ❑ ❑
❑ PASSED ❑ CORRECTIONS REQUIRED ❑ PERMIT REQUIRED
INSPECTOR'S GNATURE: DATE:
3 P34` 26.23
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
•
NAME OF AFH:
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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 OF A, 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 Room A _❑ Type S ;R Type NSI ❑ T e NS2 YES
Ye
Closet doorls are readily openable from the inside slg i No ❑ 1 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) ,`g(
*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 B MIA Type S Type NS1 ❑ Type NS2 YES
Closet door/s are readily openab a de I Y NO ❑ Smoke alarm is installedjp.tkw-�i m ,�
Bedroom door is easily and quickly openable from the ZUT AK
Sleeping room window has a net opening of S. * Imum dimensions at least st 20"wide
*EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS 41AY HAVE NET CLEAR OPE-1N i1G S9F► _
Sle ow has a maximum sill height of 44" above floor, no steps under Wndovj permitted
Sleeping Room C ❑ Type ST e NSI ❑ Type NS2
Closet doorls are readily openable from the inside I Y NO ❑ 1 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) I
*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 ❑ pe S __ Q Type NS1 ❑ Type NS2
Closet doorls 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 TypeS Te NSI ❑ Ta NS2
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 F �❑ Type S ❑ T a NS1 1 ❑ Type NS2
Closet do Is 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
Bathroom doors are easily and quickly openable from the outside when locked
Smoke alarms are installed on al levels 1 vhf the dwe in g,, In eachresident sleeping room, outsi
area in the immediate vicinity of sleeping rooms (R314�_
Smoke alarms are installed in such a manner so that the fire warning may be audibfi�in al pa
activation of a single device.
Access road and water supply meet local fire jurisdictional requirements
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(Effective July 1, 2010)
WAC 51-51-0325
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 Submittal Standards. In addition to those requirements in Section 106. 1, the submittal sh identify the project as a Group
R-3 Adult Family Home Occupancy. A floor plan shall be submitted identifying the means of egres and the components in the means
of egress such as stairs, ramps, platform lifts and elevators. The plans shall indicate the rooms use 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 assified 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 accor nce with R325.9 is provided.
3. Type NS2 - where two means of egress are at grade level or ramps constructed in a dance with R325.9 are provided.
R325.4 Types of Locking Devices. All bedroom and bathroom doors shall be opena a 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 ins led in adult family homes shall be operable
with one hand and shall not require tight grasping, pinching or twistin of the wrist. The force required to activate
operable parts shall be 5.0 pounds (22.2 N) maximum. Exit doors shall h e 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 arning 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 provided with emergency escape and rescue windows as
required by Section R310. No alternatives to the sill height such as ps, 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
apparatus access roads and water supplies meeting the requirer
R325.8 Grab Bars. Grab bars shall be installed for all water c
0325: Section 8325 - Adult family homes. date 7/1/10 shall n
'Fire Protection. Adult family homes shall be served by fire
:s of the local jurisdiction.
s and bathtubs and showers. The grab bars effective WAC 51 -51 -
with ICC/ANSI Al 17.1 Sections 604.5 and 607.4 and 608.3.
EXCEPTION: Grab bars are not required for water �elosets and bathtubs and showers used exclusively by staff of the
adult family home.
R325.9 Ramps. All interior and exterior ramps, w n provided, shall be constructed in accordance with Section R311.8 with a
maximum slope of 1 vertical to 12 horizontal. Th xception to R311.8.1 is not allowed for adult family homes. Handrails shall be
installed in accordance with R325.9.L
R325.9.1 Handrails for Ramps. Handrail shall be installed on both sides of ramps between the slope of 1 vertical to 12
horizontal and 1 vertical and 20 horizontal 'n accordance with R311.6.3.1 through R311.6.3.3.
R325.10 Stair Treads and Risers. S tr treads and risers shall be constructed in accordance with R311.7.4. Handrails shall be
installed in accordance with R325.1 .1.
R325.10.1 Handrails for Trea and Risers. Handrails shall be installed on both sides of treads and risers numbering from one
riser to multiple risers. Han ils shall be installed in accordance with R311.7.7 through R311.7.7.4
[Statutory Authority: RCW 9.27.190, 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. 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.V4.04-01-109, § 51-51-0325, filed 12/17/03, effective 7/1/04.1
08101/10
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2009 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER:
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SITE ADDRESS: 5 �) L'✓ CG �! ) ASSESSORS TAX/PARCEL#: Y
PROPERTY OWNER NAME: / t'VK zl ��A A41-1 DAYTIME PHONE: �!/�(f�" /1�(/J� -4 <)Ie
AFH LICENSEE NAME (IF DIFFERENT): /(/C' / t AfA %?41- Z DAYTIME PHONE:
SECTION••R PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THIS FORM (ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS).
ON THIS DRAWING, INDICATE WHICH BEDROOM IS A, B, C, D, E, AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS,
RAMPS, PLATFORM LIFTS & ELEVATORS.
1N 4 — DISCLAIMER/SIGNATURE BLC
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 thiisj application.
NAME/TITLE: �1-51— / DATE:
Q., -PROPERTY OWNER ❑ APPLICANT ❑ LICENSEE
08/01/10
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
www. d' o ederalwau.com
*PERMIT ME PL DE EN FP
APPLICATION -i
S..e. n 1
SITE ADDRESS tc
3 3 o o 1;k R — UIC) "_-t-fv of FEo ec,
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PA i1
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Nae)
, ( r
y� 1 F 1
vv
I �1 `/—�L(/ ALL
PROJECT DESCRIPTION
i f
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
Cr1%__
STAT$.
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STA TRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
AME
HONE II
APPLICANT
MAILING ADDRESS
E-MAIL
re44;eea'
CLQ
STATE ZIP
FAX
PROJECT CONTACT.
NAME
PHONE
(The individual to receive and
MAILING ADD RE _
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
FAX
ALTERNATE CONTACT NAME: PHONE
77t��
PROJECTFINANCING
NAME
E] OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: �� r'`1I 7,,,,)<:V DATE
PRINT NAME:
Bulletin #100 —January 1, 2011 Page I of 3 k:\Handouts\Permit Application
(1)07
r�
a
Indicate how many of each typE
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
PL UM13tNG Ft
`.ure to be installed or relocated as
LAVS (Hand Sinks) _
— RAINWATER SYSTEMS _
— SHOWERS _
SINKS (Kitchen/utility) _
SUMPS
LES
'this proiect. Do not include existi
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES
ng fixtures to remain.
WATER PIPING
OTHER (Describe)
TOTAL FIXTURES
GENERAL INFORMATION
-- 1` ECIIANK'At, F[1TURES
VALUE OF MECHANICAL WORK .$
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Commercial)
BOILERS
FURNACES HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
Indicate how many of each typE
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
PL UM13tNG Ft
`.ure to be installed or relocated as
LAVS (Hand Sinks) _
— RAINWATER SYSTEMS _
— SHOWERS _
SINKS (Kitchen/utility) _
SUMPS
LES
'this proiect. Do not include existi
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES
ng fixtures to remain.
WATER PIPING
OTHER (Describe)
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Occupancy Group(s) Construction
a
f
NEW BUIL ING
EXISTING/ PREVIOUS USE
LOT SIZE (Ia Square Feet)
EXISTING FIRE SP ER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
SECOND FLOOR
s7 ❑ No
❑
❑ Yes ❑ No
RESIDENTIAL-
N OR r �Di t i0`r ,� "` ��
PR SED I TOTAL FOR OFFICE USE
AREA DESCRIPTION (in square feet)
EXISTING
BASEMENT
Occupancy Group(s) Construction
a
f
NEW BUIL ING
FIRST FLOOR (or Mobile Home)
I
SECOND FLOOR
CONIMEizCIAL — REmODEL/TF ANT I1I-PROVENIE TS
AREA DESCRIPTION
COVERED ENTRY
! Occupancy Group(s)
Construction
Typa
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
E.USTIYG
PROPOSED
TOTAL
"* Ar H011RF.S ONLY*"
ESTIMATED SELLING PRICE $ z
I # OF BEDROOMS
FA
— Co. imE.RciAL — NE'4�'1:�.DDITION _w
s �r
# of
Stories
� '
e,
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s) Construction
a
Additional Information
NEW BUIL ING
ADDI ON
I
CONIMEizCIAL — REmODEL/TF ANT I1I-PROVENIE TS
AREA DESCRIPTION
Area
in Square Feet
! Occupancy Group(s)
Construction
Typa
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Pcrmit Application