19-101795 , r
a
Building - Single Family
City of Federal Way Permit #:19-101795-00-SF
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WAIRIMA
Project Address: 2008 S 372ND ST Parcel Number: 721265 1710
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
PERPETUA WAIRIMA PERPETUA WAIRIMA
2008 S 372ND ST 2008 S 372ND ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 434-Residential alt/add-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" No
Plumbing to be Included" No
;.�.No Fktures Aa �t�. ' 11 ,zr ". :
PERMIT EXPIRES Sunday, 13 October,2019
Permit Issued on Tuesday,April 16,2019
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
1 shington and the City of Federal Way.
'
Owner or agent: Date: 44(9 1. °1q '
7,
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
11100 " Code References:2015 IRC Section R325(WAC 51-51) C/ , ' ' '
a
APPLICATION NUMBER: / / -/0/7 / 5'_
' SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1-PROPERTY INFORMATION
CC (� 7A1 A (5- 1 7 1 0
SITE ADDRESS 0C'S 'S ?-a� \CI �A t e ek cQ t c voc 1%t,o, ASSESSOR'S TAX/PAR CEL#.
SECTION 2-APPLICANT INFORMATION
PROPERTY OWNER NAME-V: fi
e e v v0v +( , DAYTIME PHONE: 06-4-14-4-61/7
AFH LICENSEE NAME(IF DIFFERENT): -tV(I L \i \( DAYTIME PHONE:d o ,-*k ktt- 7 7
SECTION 3- FLOOR PLAN
On a separate sheet of paper (8 1/2 x 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, includi g its officers and
employees, upon MI; accuracy of the information supplied to the jurisdiction as a part of this application.
NAME/TITLE: f 1 t'1P.\"Uc, WIA 1 Y1 MFA DATE: It /5 2 q •
DPROPERTY OWNER DAPPLICANT D LICENSEE
(Effective July 1, 2013.)
Effective:2013 July 01
Updated:2017 February
NAME 9F,AFH: C Orvt e v ! o 1't*e A FILI I '
TION5MUSTBECOMPLETEDBYTHEBUILDINGDEPARTMENTINTHEJURISDICTIONTHEHOMEWILLBELOCATED.
MAK CHECK ALL APPLICABLE BOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN—USING THEIR PROSPECTIVE RESIDENT '
BEDROOM DESIGNATIONS OF A B CD E AND F AND CLASSIFICATION CODE S.NS1 OR NS2. I
SECTION 5-BUILDING INSPECTOR'S INSPECTION CHECKLIST
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 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.
,,„, 1`.1, s„: = ' '.SLEEPANGOQMA::' : 'D Type S � YPe NS1 D Type NS2 YES NO
Closet door/s a re readily openablefromthe inside Eyes CI No Smoke a la rm is i nstalled in the bedroom in 0
Bedroom door opens easily and quicklyfrom the outside when locked 0 0
Sleeping room wi ndow has a net opening of 5.7SF(minimum dimensions at least 24"high;at least 20"wide) la 0
EXCEPT per R310.2.1:at-grade escape windows—may have net clearance opening 5 SF
Sleepingroom window has a maximums ill height of 44”a bovefloor to clear opening;no steps under window a llowec 13 0
,t. .r„ ''SLEEPING!,ROOMS r ' • ' i 0 Type S la Type NS1 El Type NS2 YES NO
Closetdoor/s a re readily openable from the inside (a Yes [0 No Smoke a la rm is installed in the bedroom El 0
Bedroom door opens easily and quickly from the outside when locked ' ® 0
Sleepingroom window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) Pa 0
EXCEPT per R310.2.1:at-grade escape windows—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 a llowec M 0
.; v `n r ,;! ,tP''' :5E,ttl G# OOMv- ,-,,,::1:.,:,:,.: -/,,-;::0 Type S ,Type NS1 0 Type NS2 YES NO
Closetdoor/s are readily openable from the inside ~+ Yes -0 No Smoke a la rm is i nstalled in the bedroom 0
Bedroom door opens easily and quickly from the outs idewhen locked 0
Sleepingroom windowhas a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) U' 0
EXCEPT per R310.2.1:at-grade escape windows—may have net clearance opening 5 SF
Sleepingroomwindowhas a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec fa . 0
.,Zfj 4-ia 44X CEEP, , tQ,pM '`-:Az44 0 Type S MIType NS1 0 Type NS2 YES NO
Closetdoor/s are readily openable from the inside glifYes 0 No Smoke a la rm is installed in the bedroom 13 0
_Bedroom door opens easily a nd quickly from the outside when locked g 0
Sleepingroom windowhas a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) Al 0
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 a llowec Ilf 0
lit V' s .`S �.104$ 74,21 0 Type S arType NS1 0 Type NS2 YES NO
Closetdoor/s are readily openable from the inside 13Yes 0 No Smoke a la rm is installed in the bedroom ,E1 0
Bedroom door opens easily and quickly from the outside when locked a" 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) JP 0
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 a llowec ® 0
'� ., _� °v: :F ;, LEP, 11Ga.�tOM'=1r-`.�A° 0 Type S Type NS1 0 Type NS2 YES NO
:kt::-:''{,4+�51'N�.1 r,.: ,. ...US-.. : e4.r� 4�r. - . :.. i.'":;1
Closetdoor/s a re readily openable from the inside pEr Yes U No I Smoke a la rm is i nstalled in the bedroom N. 0
Bedroom door opens easily and quicklyfrom the outside when locked . ili 0
Sleepingroom window has a net opening of 5.7 SF(mi nimum dimensions at least 24"high;at least 20"wide) 0
EXCEPT per R310.2.1:at-grade es cape wi ndows—may have net clearance opening 5 SF
Sleepingroom windowhas a maximum sill height of 44"a bovefloor to clear opening;no steps under window a llowec RI 0
Effective:2013 July 01
Updated:2017 February
7 iERU ;' .' y• YES NO
,Bathraesmdtu sareeasily and quickly openablefrom the outside when locked ,0 0'
/arbonMonoxide alarmsareinstalledasrequired inR315oneach level ofthe home. D 0
moke a I a rms are i nstalled on all levels of the dwelling,i n ea ch residentsleeping room,outside each separate
sleeping area in the i mmed late vicinity of sleeping rooms(R314).
Smoke and Ca rbon Monoxide a larms a re installed i nsuch a manner sothat the audible wa ming may be heard i n a II or 0
parts of the dwel ling upon activation of a single device.
Access road and water supply meet I ocalfi re j urisdictional requirements. iii 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). di o
Pocket doors shall have graspable hardware available when in the closed or open position. p 0 0
x'B Raifi?s: YES NO
insxiie t: .: '/A • .. - 0 0
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 0 0
R311.8.2 Landing Requirements:min.3X3 foot landing attop/bottom,where doors open onto ramps,and where rampchanges
directions. Eir 0
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0 0
0o` kiela`Pr_l N/ ,. . - , -, .j` -. ." ' : ... -,. 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) git. 0
R311.8.2 Landing Requirements:min.3X3 foot landingattop/bottom,where doors open onto ramps,and where rampchanges 0
directions.
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0
Guards below a re depi cted vertically as a n example on ly.All Ramps must have Guards 0
/// Handrail both sides
-- -- Less than 4" / 34"-38"
1
Guard
36"min
13'_ x3'min=
.....ol. landing
3'x3'min
landing �,
3' — One unit vertical in twelve units horizontal 1" 3' i
minimum is an 8.3%slope all along surface of the ramp. minimum
OSig"f •,.,.::.' ' -,;,<: y '--,:,. z 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' 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
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry 0
without use of key,tool or special knowledge.
li ,r.' Y'.a:4.. :: y: .:a'.., ::.! , , _- .. .'` . ' `, .„r._ .. . : ,4' YES NO
R311.7.5.1 Riser Height:Max riser height shall be 7%inches(8 inches in structures built prior to 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) 0 0
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple 0 0
risers.Handrails shall be installed in accordance with R311.7.8.1—R311.7.8.4
Effective:2013 July 01
Updated:2017 February
litiVr441216.44Mitteitiiiit--,,1 WA 131 ' ' ` • ' , ,- ',',_,•-•,',., : ., ' .. YES NO
Grab'hars shall be installed for all waterclosets(toilets),bathtubs and showers according to R325.8. cg '
C] '
Water Closets(toilet)shall have grab bars installed on both sides according to R325.8–R325.8.3.1 or R325.83.2.
t Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4–R325.8.4.2 IL/V '''.8—
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8–R325.8.5– 14 0
R325.8.5.2.
Shower stalls must be minimum size of30 inches deep by 48 inches long(R325.11) A 0
.:: 10itg :001 .0,4 1 $01,09t7iub;: ,: .. ..: u:::'' ,•. ., YES NO
AF105.2 Must be surrounded by a barrier that is 48 inches high,may have doors and or gates that must have audible,arms when 0 0
opened. /Q_�
AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 , 0 0
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RECEIVED
,► PERMIT APPLICATION
CITY OF `�—� APR 16 2019
Federal Way CITY OF FEDERAL WAY
(� «r
COMMUNITY DEVELOPMENT
PERMIT NUMBER / -/ _ / % S _ 5 TARGET DATE
BITE ADDRESS / SUITE/UNIT#
aou8 d 37and cr4VTedex-4 83003 .
PROJECT VALUATION ZONING ASSESSOR'S T CEL#
Q - / 7 /
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Cor vie v- Pot' yt
-F
PROJECT DESCRIPTION ` C
Detailed description of work to k' 1`N `(\ Ps12i D 114d p t L`I I u tom.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER i" rj 'MA (� I rna a0 6 �5&- 44/7 7
MAILING,ADDRESS E-MAIL 1
good' J 37a�ct 0-(€e4 wgli 1m�1eir t ► 1)t conn
CITY STATE ZIP /
- ,fcferr-1 1,o/i 9003
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE#t EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
_ _ _ _
NAME - - PRIMARY PHONE
IPe' G V1/43q,'-lk rvtA.
APPLICANT LING ADD S t E-MAIL
Roof LC 37 Pn oi cii,yee4 lUq'r Y ic►'ION,�QIj t(4 erg,
CITY STATE ZIP FAX JIB ) L�...JJ
TeCkr k f\ �)?D Q3 A •
NAME PRIMARY PHONE --- - - -
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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: (j DATE 41/L40/1
y*PRINT NAME: ',14k U0(r1' 'Y rvlo-
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application