19-104261 Building - Single Family
City of Federal Way Permit #:19-104261-00-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: CAROJONES 3 ADULT FAMILY HOME
Project Address: 32309 29TH AVE SW Parcel Number: 873190 1250
Project Description: ALT-Verification of Occupancy for Adult Family Home.***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
JOHN KABIRU JOHN KABIRU
32309 29TH AVE SW 32309 29TH AVE SW
FEDERAL WAY WA 98023 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 Area(sq.ft.)
Additional Permit Information
Mechanical to be Included9 No Is this an Online or O.T.C.application? No
Plumbing to be Included') No
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PERMIT EXPIRES Tuesday,3 March,2020
Permit Issued on Thursday,September 5,2019
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
Washington and the City of Federal Way. I
Owner or agent: Date: 0 / S
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Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References:2015 IRC Section R325(WAC 5151)
♦ APPLICATION NUMBER:
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1 - PROPERTY INFORMATION
q
L Z9-13,010 )250 Li
SITE ADDRESS: 3 V -i all j Uj f&�L nom' / !" ASSESSORSTAX/PARCEL#:
SECTION 2 -APPLICANT INFORMATION
PROPERTY OWNER NAME: C()[LVbiI)& YVI(J IG Ii 11H DAYTIME PHONE: Uu61434.2 b3�
AFH LICENSEE NAME(IF DIFFERENT): Ct 'I UI V LI DAYTIME PHONE: 1)( H3` 2.`�T
SECTION 3 - FLOOR PLAN
On a separate sheet of paper (81/2 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, including its officers and
employees, upon th accuracy of the information supplied to the jurisdiction as a part of this application.
A��I t7II 1u ' 31 5
NAME/TITLE: �ll�-Ini'
DATE:
0PROPERTY OWNER grAppLICANT 0 LICENSEE
(Effective July 1, 2013.)
Effective:2013 July 01
Updated:2017 February
NAME OF AFH: CA-P-0—'10 L S 3 Pry1t L L C_
SECTION 5 MUST BE COMPLETED BY THE BUI LDI NG DEPARTMENT IN THEJURISDICTI ON 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 CD E AND F AND CLASSIFICATION CODE S, NS1 OR NS2
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.
SLEEPING ROOM A O Type S O Type NS1 Type NS2 YES NO
Closet door/s a re readily openable from the inside ®Yes 1:1 No Smoke al arm is installed in the bedroom D 0
Bedroom door opens easily and quickly from the outside when locked 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) fl 0
EXCEPT per R310.2.1:at-grade escape windows—may have net clearance openings SF
Sleeping room window has a maximum sill height of 44"above floor to clear opening;no steps under window allowec E 0
SLEEPING ROOM B O Type S O Type NS1 ElType NS2 YES NO
Closetdoor/s a re readily openable from the inside DYes 0 No Smoke al arm is installed in the bedroom G. 0
Bedroom door opens easily and quickly from the outside when locked 13 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;at least 20"wide) D 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 bove fl oor to clear opening;no steps under window a llowec Q 0
SLEEPING ROOM C O Type S O Type NS1 XI Type NS2 YES NO
Closetdoor/s are readily openable from the inside 0 Yes No Smoke alarm is installed in the bedroom SI" 0
Bedroom door opens easily and quickly from the outside when locked 111D
Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;at least20"wide) 0
EXCEPT per R310.2.1:at-grade escapewi ndows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"abovefloor to clear opening;no steps under window allowec D O
SLEEPING ROOM D 0 Type S 0 Type NS1 J Type NS2 YES NO
Closet door/s a re readily openable from the inside 0 Yes El No Smoke al arm is installed in the bedroom Er 0
Bedroom door opens easily and quickly from the outside when locked 13 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;at least 20"wide) El 0
EXCEPT per R310.2.1:at-grade escapewi 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 la 0
SLEEPINGROOME OTypeS 0Type NS1 OType NS2 YES NO
Closetdoor/s are readily openablefromthe inside 0 Yes 0 No Smoke alarm is installed in the bedroom ,® 0
Bedroom door opens easily and quickly from the outside when locked El 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;at least 20"wide) P- 0
EXCEPT per R310.2.1:at-grade escapewi ndows—may have netclearanceopening 5 SF
Sleeping room window has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window a llowec ,D 0
SLEEPING ROOM F 0 Type S 0 Type NS1 Fa Type NS2 YES NO
Closet door/s a re readily openablefromthe inside 0 Yes 0 No Smoke al arm is installed in the bedroom , O
Bedroom door opens easily and quickly from the outside when locked .0 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions at least 24"high;atl east 20"wide) , 0
EXCEPT per R310.2.1:at-grade escapewi ndows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"a bove fl oor to clear opening;no steps under window a llowec .O 0
Effective:2013 July 01
Updated:2017 February
GENERAL YES NO
Bathroom doors are easily and quickly openable from the outside when locked Ist 0
'Ca rbon Monoxide alarms a re installed as required i n R315 on each level of the home. JR 0
Smoke alarms are installed on a II levels of the dwelling,in each resident sleeping room,outside each separate
sleeping area in the immediate vicinity of sleeping rooms(R314). 0
Smoke and Carbon Monoxide alarms are installed insuch a manner sothattheaudiblewarning may be heard mall
parts of the dwelling upon activation of a single device.
Access road a ndwater supply meet l ocalfi re urisdictional requirements. ,, 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). El 0
Pocket doors shall have graspable hardwareavailablewhen in the closed or open position. ET 0
R311.8 Ramps YES NO
Inside Ramp N/A 0 0
R311.8.1 Maximum SI pe 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. 0 0
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1-R311.8.3.3. 0 0
Outside Ramp N/A 0 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) 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. Z 0
Guards bel ow a re depi cted vertically as an example only.All Ramps must have Guards .' 0
Handrail both sides
— - Less than 4" 34"-38"
u
Guard
36"minI -
- - - -- __ - - I 3'x3'min
landing
3'x3'min
landing _
3' - -One unit vertical in twelve units horizontal 7. 3' _
minimum is an 8.3%slope all along surface of the ramp. minimum
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. 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). .F:1 0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry J 0
without use of key,tool or special knowledge.
R311.7 Stairways N/A sk YES NO
R311.7.5.1 Riser Height:Max riser height shall be 7Y4 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
R325.8 Grab Bars in Bathrooms N/A Q YES NO
Grab bars shall be installed for all water closets(toilets),bathtubs and showers according to R325.8. 0
Water Closets(toilet)shall havegrab bars installed on both sides according to R325.8—R325.8.3.1 or R325 8.3.2. la `Q
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2 AEI 0
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.5— .® 0
R325.8.5.2.
Shower stalls must be minimum size of30 inches deep by48inches long(R325.11) a0
AG103—AG105 Swimming Pool,Spa, Hot Tub ,�fJ YES NO
AF105.2 Must be surrounded by a barrier that is 48 i ches high,may have doors and or gates that must have audible alarms when o
opened.
AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0
0PASSED 0 CORRECTIONS REQUIRED Q PERMIT REQUIRED
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INSPECTOR'S NA E(P•
INSPECT R'S SI ATUR 'ATE:
3 332 /41 $ Ate-r A /G7.,, re --
INSPECTOR'S OFFICE ADDRESS / PHONE NUMBER:
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. 07/01/2013
Effective:2013 July 01
Updated:2017 February
RECEIVED PERMIT APPLICATION
CITY OF
Federal Way SEP 05 2019
CITY OF FEDERAL WAY
COMMUNITY pg E OPMEr (S P N/a
PERMIT NUMBER 1 9 _ V _
V TARGET DATE �J
SITE ADDRESS SUITE/UNIT#
323 oel 29 Pry 5 w fOuro-L- (pr 8023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
TYPE OF PERMIT y BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION D ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ,y e.
. uA S L
PROJECT DESCRIPTION
Detailed description of work to A—D(-3'L IF /11) I L 'V
be included on this permit only
NAME PRIMARY PHONE
0A-10 MouRti i(fii /3 01-4-1J
PROPERTY OWNER MAILING ADDRESS E-MAIL
323o 5 21 fi'' PN Sw
CITY STATE ZIP
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
- - - - - NAME PRIMARY PHONE -- - -- --
CAA 1 nrt,s , /Lt I'f t4-
APPLICANT
4APPLICANT MAILING ADDRESS E-MAIL
3 2 3u 5 2-' P S +�
CITY STATE ZIP FAX
i/V0 fl u f lu1 (N °i 3 02 3
- -
NAME PRIMARY PHONEPROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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: DATE C) 1 S I
PRINT NAME: J O I 1 Ru ( CA-Ito Li L A'-}a-17 I►{I
Bulletin#100–February 22,2016 Page 1 of 2 k:\Handouts\Permit Application