11-102397Gity of Federal Way wilding - Single Family
•
ComPnunityDevelopment Services Permit #: 11 -102397 -00 -SF
P.O. Box 9718
Federal Way, WA 98063-9718FILE
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: PEARL QUALITY ADULT FAMILY HOME
Project Address: 33001 30TH AVE SW Parcel Number: 954280 0900
Project Description: ALT - Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Census Category: 434 - Residential alt/add - no change in number of units
Includes: # I #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.) 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - I st Floor .................... 0 New / Additional Sq. Feet - 2nd Floor......... 0
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Basic Plan?........................................................... No New / Additional Sq. Feet - Deck .......................... 0
New/ Additional Sq. Feet - Garage ....................... 0 Mechanical to be Included? .................................... No
New / Additional Sq. Feet - Other ..........................0 Plumbing to be Included? ....................................... No
New / Additional Sq. Feet - Total ....................:..... 0
y No fixtures Associated WI#Ir.ThiOP"ermit II
PERMIT EXPIRES Wednesday, December 14, 2011
Permit Issued on Friday, June 17, 2011
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.
r
Owner or agent: t CC_ Date:
WIAJ-E—D 612:700elll
Owner
Applicant
Contractor
Lender
ALICE ONGOM
PEARL QUALITY ADULT FAMILY
33001 30TH AVE SW
HOME
FEDERAL WAY WA 98023
33001 30TH AVE SW
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes: # I #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.) 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - I st Floor .................... 0 New / Additional Sq. Feet - 2nd Floor......... 0
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Basic Plan?........................................................... No New / Additional Sq. Feet - Deck .......................... 0
New/ Additional Sq. Feet - Garage ....................... 0 Mechanical to be Included? .................................... No
New / Additional Sq. Feet - Other ..........................0 Plumbing to be Included? ....................................... No
New / Additional Sq. Feet - Total ....................:..... 0
y No fixtures Associated WI#Ir.ThiOP"ermit II
PERMIT EXPIRES Wednesday, December 14, 2011
Permit Issued on Friday, June 17, 2011
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.
r
Owner or agent: t CC_ Date:
WIAJ-E—D 612:700elll
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: PEARL QUALITY ADULT FAMILY HOME Permit #: 11 -102397 -00 -SF
Address: 33001 30TH AVE SW
Includes: #1 #2 #3 94
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 1 0 1 0 0 1 0
Owner Name: ALICE ONGOM
ALICE ONGOM
Owner Name:
Owner Address: 33001 30TH AVE SW
FEDERAL WAY WA 98023
D�
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner /occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which itis situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
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BASEMENT FLOOR
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Laundry Room
Hallway
Front Yard
Bathroom r Be •
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Garage Door
•
•
NAME OF AFH:
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
PRnl;PFI^TIVF 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 ROOMS
Sleeping Room A ❑ Type S 1 ❑ Type NS1 NS2
YES
NO
Closet doorls are readily openable from the inside res NO 01 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 B L ❑ Ty e S ❑ Type NS1 ❑ Type NS2
YES
-
NO
—-
Closet doorls_are readily openable from the inside res ❑ 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 i ❑ Type S ❑Type NS1__J_ ❑ Type NS2
Closet door/s are readily openable from the inside res ❑ I NO ❑ Smoke 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" hioh: 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:
I ❑
❑
Sleeping Room D ❑_Type S ❑ Type_NS1 ❑ _Ty a NS2
YES
NO
Closet doorls are readily openable from the inside YES ❑ NO El Smoke alarm is installed ' the bedroom
I 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" h' at least 20" wide)❑
*EXCEPT PER R310.1.1: AT -GRADE ESCAPE Ows -MAY HAVE NET CLEAR OPENING 5 SF
❑
_
Sleeping room window has a maximum sill height of 44" above floor; no st under window permitted
❑
❑
Sleeping Room E ❑ Tyee ❑ Type NS1 ❑ Type NS2
YES '
NO
Closet doorls are readily openable from the inside YES ❑ ❑ Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the side when locked
❑
❑
Sleeping room window has a net opening of 5.7 (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 maximurry IIIheight of 44" above floor: no steps under window permitted
❑
❑
Sleeping Rooorf ❑ Type S _ ( ❑Type NSI ❑ Tyke NS2
Closet doorls are readily oppdle from the inside—t YES ❑ NO ❑ Smoke alarm is installed in the bedroom ;
YES
NO
❑
❑
Bedroom door is ea and quickly openable from the outside when locked __
❑
❑
Sleeping roorty. ndow 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
❑
❑
GENERAL YES NO
Bathroom doors are easily and quickly openable from the outside when locked ❑ ❑
Smoke a aT rmsare are on all levels e dwelling, in each resident sleeping room, outside each separate sleeping ❑
area in the immediate vicinity of sleeping rooms (R3 4)
Smoke alarms are instfled in such a manner so that the fire warning may a audible Ina parts o the dwelling upon ❑ ❑
activation of a single device.
Access road and water supply meet local fire jurisdictional requirements ❑ ❑
08/01110
l1
�1
R311.8 Ramps
YES I
Inside Ramp A
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
❑
i ❑
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.
❑
i ❑
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
Guard
36" min
Less than 4"
' ADULT FAM1_Y HOME RAMP
per 2009 IRC with WA. ST. AMENDMENTS
*.ALL RAMPS REQUIRE A BUILDING PERMIT
R311.2 Means of Egress
YES I
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 ,.`1
I YES
NO
R311.7.4.1 Riser Height: Max riser height shall be 71/4 inches (8 inches in structures built prior to July 1, 2004) _ _�
R311.7.4.2 Tread Depth: Min. tread depth shall be 10 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
❑ j
❑
❑ 1
❑
; ❑
❑
R 325.8 Grab Bars in Bathrooms (May require "alternate" approval in accordance with IRC Sec. R104.10 and .11)
YES
NO
R325.8 Grab bars shall be installed for all water closets (toilets), bathtubs and showers.
i
I El
❑
❑
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)
AG103 — AG 105 Swimming Pool, Spa, Hot Tub NMI
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 I
alarms when opened.
❑
❑
AG105-5 EXCEPTION- Pools- Snas or hot tubs with a safety cover which romnlies with ASTM F 1.146
rl
rl
❑ PASSED ❑ CORRECTIONS REQUIRED ❑ PERMIT REQUIRED
INSPECTOR'S SIGNATURE:
INSPECTOR'S ADDRESS:
DATE:
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
(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 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 shA be classified as:
1. Type S -where the means of egress contains stairs, elevators or platform lifts.
2. Type NSI -where one means of egress is at grade level or a ramp constructed itS accordance with R325.9 is provided
3. Type NS2 - where two means of egress are at grade level or ramps constructed in accordance with R325.9 are provided.
8325.4 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 o r devices installed in adult family homes shall be operable
with one hand and shall not require tight grasping, pin ing or twisting of the wrist. The force required to activate
operable parts shall be 5.0 pounds (22.2 N) maximum. t doors shall have no additional locking devices.
R325.5 Smoke Alarm Requirements. All adult famil mes shall be equipped with smoke alarms installed as required in
Section 8314. Alarms shall be installed in such a man s 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 slee in room shall be provided with emergency escape and rescue windows as
required by Section R310. No alternatives to the si 1 ight 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 Wat r Supply for Fire Protection. Adult family homes shall be served by fire
apparatus access roads and water supplies meeting a requirements of the local jurisdiction.
R325.8 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 ICC/ANSI 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. exception to R311.8.1 is not allowed for adult family homes. Handrails shall be
installed in accordance with R325.9A.
R325.9.1 Handrails for Ramps. Handrails shall be installed on both sides of ramps between the slope of 1 vertical to 12
horizon/RCW
vertical and ;horizontal in accordance with R311.6.3.1 through R311.6.3.3.
R325.1reads a Risers. Stair tre /ds and risers shall be constructed in accordance with R311.7.4. Handrails shall be
installerdance th 8325.10.1.
R325.1r ' for Treads and Ri rs. Handrails shall be installed on both sides of treads and risers numbering from one
riser to ' ers. Handrails shall installed in accordance with 8311.7.7 through R311.7.7.4
[Statutory.: RCW 19.27.190, 19. .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.27.074, 19.27.020, an chapters 19.27 and 34.05 RCW. 07-01-090, § 51-51-0325, filed 12/19/06, effective 7/1/07. Statutory Authority: RCW
19.27.031.074.04-01-109, § 5 -51-0325, filed 12/17/03, effective 7/1/04.1
08101110
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2009 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER: ( I `'1�/%
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION ) �PLICANT • •
PROPERTY OWNER NAME: f) NOEL m � �4lrl,G / DAYTIME PHONE: b—�I 2—!O/C�3�0
AFH LICENSEE NAME (IF DIFFERENT): *" C `.' C1 Dt � ' iD ct-(`; FrWLAYTIME PHONE:' tk7`
SECTION••• PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/5 ON THIS FORM (ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS).
ON THIS DRAWING INDICATE WHICH BEDROOM ISA B, C D E AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS,
RAMPS, PLATFORM LIFTS & ELEVATORS.
See Y�tia�l�a
SECTION.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
t of this application. n j
NAME/TITLE: l) ��CI(,k/ t� Li C, 4 V(J L-72 DATE:
El PROPERTY OWNER 0 APPLICANT D LICENSEE
08101110
CITY OF . *PERMIT _.:�
Federal a F
COMMUNNY DEVELOPMENT 5-2609 JN 17 � APT, I CATI O N
253-835-2607• FAX 253-835-2609
CITY OF FrnS
Ia-L-3 9-1
CO ME PL DE EN FP
SITE ADDRESS
c G c S
SUITE/UNIT #
PROJECT VALUATION
ZONING +
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING Cl PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
rFencuitNamelHOmeOwnerLLstNarne)
I 1
�- I— F ���
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
L
MAILING ADDRESS , s
LLIL�-.1
E-MAIL
a
CITY
STATEPA LA 14
ZIP 7�
V
NAME
PHONE
MAILING ADD!!�::...��
E-MAIL
CONTRACTOR
CITY --
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DA
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
MAILING ADD
E-MAIL
-
STATE
ZIP
FAX
PROJECT CONTACT
NAME
xoNE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY STATE
ZIP
FAX
ALTE ATZCONtACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value oj'$5,000 or more
(RCW 19.27.095)
_
MAAZING 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
information supplied to the city as a part of this application.
SIGNATURE: DATE��(
,A
PRINT NAME: _ @ Vyl J C 15
i
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Permit Application
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