10-100017<' « ilding - Single F ill
City Federal Way Permit #: 10-100017-00—S F
DevelopmentCommuniServices
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 1 L E Inspection Request Line: (253) 835-3050
Project Name: AFABLE CARING FAMILY HOME
Project Address: 33001 30TH AVE SW Parcel Number: 954280 0900
Project Description: NEW - Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
caner
Applicant
Contractor
Lender
ALICE ONGOM
ALIMAMY KAMARA
33001 30TH AVE SW
AFFABLE CARING FAMILY
FEDERAL WAY WA 98023
HOME
33001 30TH AVE SW
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 1 0
New / Additional Sq. Feet - I st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
BasicPlan?........................................................... No
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total ..........................
0
. I . 11 , . -y.. - .- . I VVI...................V
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck..........................0
Mechanical to be Included?....................................No
Plumbing to be Included?.......................................No
z' ¢ NO
v* #t1 g t
m
PERMIT EXPIRES Sunday, July 4, 2010
Permit Issued on Tuesday, January 5, 2010
I hereby certify that the above information is correct and that the construction on the above describer) 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.
,n r
Owner or agent: L c- Com- __1L "�- ` Date: 26/ C)
E`NP�EO
R311.6 Ram s
YES I NO
R311.4.2 Door Type and Size: Side -hinged not less than 3 feet in width and 6 feet 8 inches in height.
Inside Ramp t
- _..
R311.6.1 Maximum Slope one unit vertical in twelve units horizontal �8.3% slope).
;YES
❑
NO
❑
R311.6.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto
ramps, and where ramp changes directions.
❑
❑
R311.6.3 Handrails required (on both sides of ramp: per state licensing requirement WAC 388-76-10730)❑
❑
❑
Outside Ramp
I1rN#, m
YES
NO
R311.6.1 Maximum Slope one: unit vertical in twelve units horizontal (8.3% slope).
❑
❑
R311.6.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where do open onto
ramps, and where ramp changes directions.
❑
❑
R311.6.3 Handrails required (on both sides of ram er state licensing re uiremen WAC 388-76-10730)
❑
❑
**Guards below are depicted vertically as an example only.
111�11�ii� (# �II�I#I�`„`. t!I N�1�1h•• � •,,�
NIBI�#llil�• , i � �I%irG�l��ial�IAI��I■1
I
8�®MIB
���llllllll�l� ��II
i 1 3' x 3' min
3'x 3' min I landing
landing ir
1:12 max slope
(�8.3% 3'
3'
m
min
in
ADULT FAMI"-Y HOME RAMP
per 2406 IRC With WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
R311 Means of Egress
YES I NO
R311.4.2 Door Type and Size: Side -hinged not less than 3 feet in width and 6 feet 8 inches in height.
oo�❑
R311.4.4 Type of lock or latch: readily openable from the side from which egress is to be made without
the use of a keyorspecial knowledge or effort.
El
'
R311.5 Stairways
het
YES NO
R311.5.3.1 Riser Height: Max riser height shall be 73/4 inches 8 inches in structures built prior to July 1, 2004
❑
R311.5.3.2 Tread Depth: Min. tread depth shall be 10 inches. (9 inches in structures built prior to July 1, 2004)❑
R311.5.6 Handrails recluired on both sides of one riser or more per state licensing requirement WAC 388-76-10730)
Grab Bars in Bathrooms
YES N
WAC 388-76-10730 The AFH must install and securely fasten grab bars (not suction cup style) to meet the
needs of residents in:
Bathingfacilities such as tubs and showers; and
On both sides of the toiletif structurallynot feasible use e that affix to toilet seat
AG101 Swimming Pool Spa, Hot Tub If NIA;'®Tet '
I YES NO
AG105 Must be surrounded by a barrier that is 48 inches high, may have doors and or gates that
must have audible alarms when,opened.
j ❑
AG105.5 EXCEPTION: Spas or hot tpbs with a safety cover which complies with ASTM F 1346
❑ ❑
❑ PASSED'----- Iff -CORRECTIONS REQUIRED ElPERMIT REQUIRED
C _ _
PECTORIS SIGNATURE: L�� DATE -
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.
811109
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. PLEASE ALSO INDICATE ON THE FLOOR PLAN DRAWN BYAPPL/CAN7:
WHICH BEDROOM IS #1, 2, 3, 4, 5, OR 6 AND THE CLASSIFICATION CODE: S, NS1, OR NS2 (TO MATCH THE LIST BELOW)
R325.3 SLEEPING ROOM CLASSIFICATION. Each sleeping room in an adult family home shall be classified as:
Type S - where the only means of egress contains stairs to evacuate.
Type NS1- where one means of egress does not have stairs to evacuate.
Type NS2 - where two means of egress do not have stairs to evacuate.
SLEEPING ROOMS
_ Sleeping Room #1 ❑ Type S j2rType NS1
1 ❑ Type NS2
i YES
1 NO
Closet door/s are readily openable from the inside I YES �j NO ❑ 1 Smoke alarm is installed in the bedroom
0K
❑
Bedroom door is easily and quickly openable from the outside when locked
9�_
❑
Sleeping room window has minimum dimensions at least 24" high; at least 20" wide—(NET OPEN -ABLE AREA OF5.7SF")
"`EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS —(MAY HAVE NET CLEAR OPENING 5 SF
�'
❑ C�
Sleeping room window has a maximum sill height of 44" above floor, no steps under window permitted
Sleeping Room #2
9KType 8
1 ❑ Type NSi
1 ❑ Type NS2
YES
NO
_
Closet door/s are readily operable from the inside IYES NO ❑ I Smoke alarm is installed in the bedroom
Boo,
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
Sleeping room window has minimum dimensions at least 24" high; at least 20" wide —(NET OPEN -ABLE AREA OF 5.7SF**)
_ "EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS —(MAY HAVE NET CLEAR OPENING 5 sF)
Sleeping room window has amaximum sill height of 44" above floor, no steps under window permitted
PRO00,
❑
Sleeping Room # S ❑ TypeNSi TypeNS2
YES
107
Closet door/s are readily ope from the inside YE NO ❑ Smoke alarm ' ' stalled in the bedroom❑
/,
Bedroom door is eas nd quickly openable f the outside when locked
2o"IJ
%K
Sleeping roo ndow has minimum di sions at least 24" high; at least ' wide —(NET OPEN-ABLEAREA OF 5.7 SF
"EXCPT PER
310.1.1: AT-GRADFL�APE WINDOWS - MAY HAVE NET
CLEA
Rabove fl9ef noosteps under window permlROPdE 5sF
Sle g room window has a ximum sill heightEof 44"R
❑27
�a G,
Sleeping Room #4 ❑ Type S J ❑' Type NSI ❑ Type NS2
Closet door/s are readily openable from the inside LYES ❑ 1 NO El -Smoke alarm is installed in the bedroom
i YES
❑
NO �l
E] 5
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has minimum dimensions at least 24" high; at least 20" wide —(NET OPEN -ABLE AREA OF5.78F**)
"*EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS —(MAY HAVE NET CLEAR OPENING 5 SF)
El
❑
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
❑
❑
Sleeping Room #5
❑ Type S ❑ Type NSI 1
❑ Type NS2
! YES
NO
Closet door/s are readily openable from the inside LYES ❑ I NO ❑ Smoke alarm is installed in the bedroom
❑
❑
Bedroom door is easily and quickly openable from the outside when locked
❑
❑
Sleeping room window has minimum dimensions at least 24" high; at least 20" wide —(NET OPEN-ABLEAREA OF 5.7 SF")
"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 #6
❑ Type S
❑ Type NSi
❑ Type NS2 j
YES_
NO
Closet doors are readily openable from the inside YEs ❑ I NO ❑ Smoke alarm is installed in the bedroom❑
❑
Bedroom door is easily and quickly openable from the outside when locked I
❑
❑
Sleeping room window has minimum dimensions at least 24" high; at least 20" wide —(NET OPEN -ABLE AREA: OF 5.7SF") 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 �❑�
❑
❑
❑
T
i=
Bathroom doors are easily and quickly openable from the outside when locked ( '
Smoke alarms are installed on all levels of the dwelling, in each bedroom and common areas i v
Any smoke alarm must be audible throughout the home when activated. 1
Access road and water supply meet local fire jurisdictional requirements ❑
811109
• !r M '
CATION AND INSPECTION CHECKLIST - Adult Family Horne,
Code References: 2003 it d 310 (WAC 53-s0) and 4003 IRC 110 (WAC 5 -51)
APPLICATION 14UMBER: � —F L1� ' —DL—
Applicant
L—
Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed.
SECTION 1 - PROPERTY INFORMATION
SITE ADDRESS: UD/ 3Z9"*- / ,� i/V ASSESSOR'S TAWARCEL
SECTIONINFORMATION
PROPERTY OWNER NAME: c,� -. DAYTIME PHONE:
LICENSEE NAME (w orfaeM:, ;� /lc�,rtp i �l DAYTIME PHONE:
FLOOR PLAN
A complete floor -plan most include all sleeping rooms, identified by number (#1, #2, #3 etc.) and att components for �
exiting, i.e. stairs, ramps, platform lifts and elevators. (Attach additional sheets if necessary) 1 ,�
•
{ S�! i, r- v :, ,.in lw ,.c-sC t, r..r gJ E. i§ e c%tx•'t•^� '
i--�.+ V '�� ! xl.'� a...� •. t-'�C l 0 L . � r::Sr�y'�'.• ��IN i
ft•
Z
J � i
SECTION
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 further
certify that I am in the process of making an application to the Department of Social and Health Services for an adult family home license and that I
have also made application to the applicable jurisdiction for the appropriate license(s);to conduct such business at this location. I further agree to
hold harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses, and attomeys' fees incurred in
the investigation of'such daim), 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, inducting its;officers and employees, upon the accuracy of the information supplied to the
jurisdiction as a part o this application. !
� / i
NAME/TITLE: It, l ir!/Ct F i! :y';= `li, �•t••P/' DATE:
PROPERTY OWNER 0 APPLICANT 0 LICENSEE ;.
efe
Federal way OPERMIT ^'V
CO ME EL PL DE EN FP
CO253-835-2607V- !'AX 233-8 5-2609ES APPLICATION
uwm atuoffedemlwau. mm
Bulletin # 100 — 4/17/2009
Page 1 of 4
k:\Handouts\Permit Application
SITE ADDRESS-
-' 0__1
SUITE/UNI ii
n n y'
ZONING
ASSESSOR'S TAR/PARCEL M
-
PROJECT`_
NAME OF PROJECT R
Tenant or Homeowner N+,
L rIVA
I t
L_A M
TYPE OF PERMIT
Q BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
/ 0
/I/
S
PEOPLE
PROPERTY OWNER
NAME PRIMARY PHONE
! ' ry I ti(a (,26 6) L 12-- 6 i '
MAILING ADDRESS, CITY, STATE, ZIP — ^ - 1 E.MAU,
tom.. N � r , 1 �/ 4e /) ��
' ''��►`� K, /�Y' Y( '`-'fes
❑ CONTRACTOR APPLICANT ❑ PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PHONE
CONTRACTOR
MAILING ADDRESS, CITY, STATE, ZIP
FAX
(
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAME �
1
PRIMARY PHONE
( -
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
( -
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
/ PRIMARY PHONE
l
E-MAIL
PROJECT FINANCING
Required for projects with
NAME
OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5, 000 or more
(RCW 19.27095)
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.
1 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 apart of this application.
SIGNATURE: 4. ' O _ DATE L
PRINT NAME:
Bulletin # 100 — 4/17/2009
Page 1 of 4
k:\Handouts\Permit Application