20-104792 Building - Single Family
City of Federal way Permit #:20-104792-00-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: AAA PENDO AFH
Project Address: 3232 SW 326TH ST Parcel Number:873195 0700
Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under
this permit.***
•
Owner Applicant Contractor Lender
LUCY NGAREAAA PENDO
ADULT FAMILY HOME •
32335 29TH AVE S
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? Yes
Plumbing to be Included? No
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•
PERMIT EXPIRES Tuesday,8 June,2021
Permit Issued on Thursday,December 10,2020
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
Washin ton and the City of Federal Way.
Owner or agent: I I...E Date:
. Rauh I-amity Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References:2015 IRC Section R325(WAC 51-51)
APPLICATION NUMBER: Ain /O7 792
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1— PROPERTY INFORMATION
q,,aj't 2 y�y� ' 7 195 O7dd
SITE ADDRESS: 3232 6Vj 3 I N C1Q-e IbI ,,c,.4,y ' - �3O3ASSESSOR'STAX/PAR CEL#: -
SECTION 2—APPLICANT INFORMATION
PROPERTY OWNER NAME: .t 141Ii K.(K► DAYTIME PHONE: 25.3 roti? .9q21
`.�.1
AFH LICENSEE NAME(IF DIFFERENT): PettibpP441 DAYTIME PHONE:2b& e) 3 Lg9g
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 the accuracy of the information supplied to the jurisdiction as a part of this application.
NAME/TITLE: LLA 04 046 DATE:
0 PROPERTY OWNER 151APPUCANT Q LICENSEE
(Effective July 1, 2013.)
Effective:2013 July 01
Updated:2017 February
, 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 Reserved.
R325.3 Sleeping room classification.Each sleeping room in an adult family home shall be classified 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 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.
R325.4 Types of locking devices and door activation_ All bedroom and bathroom doors shall be openable from the outside w hen
locked.
Every closet shall be readily openable from the inside.
Operable parts of door handles, pulls, latches, locks and other devices installed in adult family homes shall be operable with one
hand and shall not require tight grasping, pinching or twisting of the wrist.Pocket doors shall have graspable hardware available
w hen in the closed or open position.
The force required to activate operable parts shall be 5.0 pounds (22.2 N) maximum Required exit doors shall have no additional
locking devices.
Required exit door hardware shall unlock inside and outside mechanisms w hen exiting the building allowing reentry into the adult
family home without the use of a key, tool or special know ledge.
R325.5 Smoke and carbon monoxide alarm requirements.All adult family homes shall be equipped with smoke and carbon
monoxide alarms installed as required in Sections R314 and R315.1. Alarms shall be installed in such a manner so that the
detection device warning is audible from all areas of the dwelling upon activation of a single alarm
R325.6 Escape windows and doors.Every sleeping room shall be provided with emergency escape and rescue windows as
required by Section R310. No alternatives to the sill height such as steps,raised platforms or other devices placed by the openings
w ill be approved as meeting this requirement.
R325.7 Fire apparatus access roads and water supply for fire protection.Adultfamily homes shall be served by fire apparatus
access roads and water supplies meeting the requirements of the local jurisdiction.
R325.8 Grab bar general requirements.Where facilities are designated for use by adult family home clients, grab bars for water
closets,bathtubs and show er stalls shall be installed according to this section.
R325.8.1 Grab bar cross section.Grab bars with a circular cross section shall have an outside diameter of 1 1/4 inches minimum
and 2 inches maximum. Grab bars with noncircular cross section shall have a cross section dimension of 2 inches maximum and a
perimeter dimension of 4 inches minimum and 4 5/8 inches maximum
R325.8.2 Grab bar installation.Grab bars shall have a spacing of 1 1/2 inches between the w all and the bar.Projecting objects,
control valves and bathtub or show er stall enclosure features above, below and at the ends of the grab bar shall have a clear space
of 1 1/2 inches to the grab bar.
EXCEPTION:Swing-up grab bars shall not be required to meet the 1 1/2 inch spacing requirement
Grabs bars shall have a structural strength of 250 pounds applied at any point on the grab bar, fastener,mounting device or
supporting structural mernber. Grab bars shall not be supported directly by any residential grade fiberglass bathing or showering
unit. Acrylic bars found in bathing units shall be removed.
Fixed position grab bars,w hen mounted, shall not rotate, spin or move and have a graspable surface finish.
R325.8.3 Grab bars at water closets.Water closets shall have grab bars mounted on both sides. Grab bars can be a combination
of fixed position and swing-up bars.Grab bars shall meet the requirements of R325.8. Grab bars shall mount between 33 inches
and 36 inches above floor grade. Centerline distance between grab bars,regardless of type used, shall be between 25 inches
Effective:2013 July 01
Updated:2017 February
minimum and 30 Innes maximum
R325.8.3.1 Fixed position grab bars.Fixed position grab bars shall be a minimum of 36 inches in length and start 12 inches from
the rear w all.
R325.8.3.2 Swing-up grab bars.Swing-up grab bars shall be a minimum of 28 inches in length from the rear wall
8325.8.4 Grab bars at bathtubs.Horizontal and vertical grab bars shall meet the requirements of 8325.8.
R325.8.4.1 Vertical grab bars.Vertical grab bars shall be a minimum of 18 inches long and installed at the control end w all and
head end w all.Grab bars shall mount within 4 inches of the exterior of the bath tub edge or within 4 inches within the bath tub.;The
bottom end of the bar shall start betw een 36 inches and 42 inches above floor grade.
EXCEPTION:The required vertical grab bar can be substituted with a floorto ceiling grab bar meeting the
requirements of R325.8 at the control end and head end entry points.
R325.84.2 Horizontal grab bars.Horizontal grab bars shall be provided at the control end, head end, and the back wall within the
bathtub area.Grab bars shall be mounted between 33 inches and 36 inches above floor grade. Control end and head end grab bars
shall be 24 inches minimum in length. Back wall grab bar shall be 36 inches minimum in length.
R325.8.5 Grab bars at shower stalls.Where show er stalls are provided to meet the requirements for bathing facilities, grab bars
shall meet the requirements of R325.8.
EXCEPTION:Shower stalls with permanent built-in seats are not required to have vertical or horizontal grab
bars at the seat end wall.A vertical floor to ceiling grab bar shall be installed within 4 inches of
the exterior of the shower aligned with the nose of the built-in seat.
R325.8.5.1 Vertical grab bars.Vertical grab bars shall be 18 inches minimum in length and installed at the control end w all and
head end w all.Vertical bars shall be mounted within 4 inches of the exterior of the shower stall or within 4 inches inside the shower
stall. The bottom end of vertical bars mount between 36 inches and 42 inches above floor grade.
R325.8.5.2 Horizontal grab bars.Horizontal grab bars shall be installed on all sides of the shower stall mounted between 33
inches and 36 inches above the floor grade. Horizontal grab bars shall be a maximum of 6 inches from adjacent walls.Horizontal
grab bars shall not interfere with shower control valves.
R325.9 Ramps.All interior and exterior ramps,w hen provided, shall be constructed in accordance with Section R311.8 with a
maximum slope of 1 vertical to 12 horizontal. The exception to R311.8.1 is not allowed for adult family homes. Handrails shall be
installed in accordance with 8325.9.1.
R325.9.1 Handrails for ramps.Handrails shall be installed on both sides of ramps betw een the slope of 1 vertical to 12 horizontal
and 1 vertical and 20 horizontal in accordance with R311.8.3.1 through R311.8.3.3.
R325.10 Stair treads and risers.Stair treads and risers shall be constructed in accordance with R311.7.5. Handrails shall be
installed in accordance with R325.10.1.
R325.10.1 Handrails for treads and risers.Handrails shall be installed on both sides of treads and risers numbering from one riser
to multiple risers.Handrails shall be installed in accordance with R311.7.8.1 through R311.7.8.4
R325.11 Shower stalls.Where provided to meet the requirements for bathing facilities, the minimum size of shower stalls for an
adult family home shall be 30 inches deep by 48 inches long.
[Statutory Authority:RCW 19.27.031 and chapters 19.27 and 34.05 RCW.13-04-068,§51-51-0325,filed 2/1/13,effective 7/1/13.Statutory
Authority:Chapter 19.27 RCW.10-18-036,§51-51-0325,filed8/25/10,effective9/25!10.Statutory Authority:RCW 19.27.190,19.27.020,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 19.27.074,19.27.020,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 19.27.074.04-
01-109,§51-51-0325,filed 12/17/03,effective 7/1/04.]
Effective:2013 July 01
Updated:2017 February
NAME OF AFH: ,/ A SECTION 5 MUSTBE COMPLETED BYTHE BUILDING DEPARTMENT INTHEJURISDICTIONTHE 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 SAND FAND CLASSIFICATION CODES,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 El Type S 0 Type NS1 0 Type N52 YES NO
Ciosetdoor/s are readily openablefrom the inside DYes' No Smokealarm is installed in the bedroom El 0
Bedroom door opens easily and quicklyfrom the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0 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"above floor to clear opening;no steps under window allowec` 0 0
SLEEPING ROOM B ;; Type S 10-Type NS1 0 Type NS2 YES NO
Ciosetdoor/s are readily openable from the inside O;Yes No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of5.7SF(mi nimumdimensions at least 24"high;atleast 20"wide) 0 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 bow floor to clear opening;no steps under window a llowec 0 0
SLEEPING ROOM C 0 Type S 113 Type NS1 0 Type NS2 YES NO
Closetdoor/s are readily openablefromthe inside E1 Yes 13 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at l east 20"wide) 0 0
EXCEPT per R310.2.1:at-grade es cape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor to clear opening;no steps under window a llowec 0 0
SLEEPING ROOM D 0 Type S 0-Type NS1 0 Type NS2 YES NO
Ciosetdoor/s a re readily openable from the inside 0 Yes 13 No Smoke a la rm is installed in the bedroom 0 0
Bedroom door opens easily a nd quicklyfrom the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0 0
EXCEPT per R310.2.1:at-grade escapewindows—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 a llowec 0 0
SLEEPING ROOM E 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/5 are readily openable from the inside 0 Yes 0 No Smoke al arm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions atleast 24"high;atleast 20"wide) 0 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"above floor to clear opening;no steps under window a llowec 0 0
SLEEPING ROOM F 0 Type S 0 Type NS1 0 Type NS2 YES NO
Ciosetdoor/s are readily openablefrom the inside 0 Yes 13 No Smoke al arm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0 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 bow floor to clear opening;no steps under window a llowec 0 0
Effective:2013 July 01
Updated:2017 February
,,GENERAL . YES NO,
Bathroom doors a re ea sily and quickly openable from the outside when locked 0 0
Carbon Monoxide alarms a re installed as required i n R315 on each level of the home. 0 0
' Smoke alarms are installed on all levels of the dwelling,i n ea ch resident sleeping room,outside each separate
sleeping area in the immediate vicinity of sleeping rooms(R314). 0 0
Smoke and Carbon Monoxide alarms areinstallod insuch a manner sothattheaudiblawarning may be heard in all
parts of the dwel ling upon activation of a single device. 0 CI
Access road and water supply meet I ocalfi re jurisdictional requirements. 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 0
Pocket doors shall have graspable hardware ava ilablewhen in the closed or open position. 0 0
831.1.8 Ramp's YES NO
f
Inside Ramp /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) 1:30
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 accordancewith R311.8.3.1—R311.8.3.3. 0 0
Outside Ramp N/A E3: 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 0
R311.8.2 Landing Requirements:min.3X3 foot landing attop/bottom,where doors open onto ramps,and where ra mpcha nges 0 0
directions.
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0 0
Guards below are depicted vertically as an example only.All Ramps must have Guards 0 0
—Handrail both sides
— j-- Less than 4" / 34"-38"
j—- '1 111 L---_
Guard ;I 1 I i I I I ' iI ' .`� gm �,
36"imin
I i i t I I i III
�
1f 1 'i I I 1 1� 1 4 i 1
i MO ,
{_� ! ! i 1 II j{ i ! i I 3'x3'min
��� 11 I I; landing
- 3'x3'min 1 I1 I !I
1 landing ! 1 . "� .7----
I 3' - One unit vertical in twelve units horizontal I 3' 1
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 of32 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 0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry 0 0
without use of key,tool or special knowledge.
8311,7 Stairways N/A 0 YES NO
R311.7.5.1 Riser Height:Max riser height shall be 7 i4 inches(8 inches in structures builtprior to July 1,2004) 13 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
R325.10.1HandrailsforTreadsandRisersshallbeinstalledonbothsidesoftreadsandrisersnumberirgfromonerisertomultiple 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 rlBathrooms .:1:N/A;,Q" . YES NO
Grab bars shall be installed for all water closets(toilets),bathtubs a ndshowers according to R325.8. 0 0
Water Closets(toilet)shall have grab bars installed on both sides accordingto R325.8—R325.8.3.1 or R325.83.2. 0 0
Bathtubs shall have two vertical and three horizontal grab bars installed accordingto R325.8-R325.8.4—R325.8.4.2 0 0
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.5— 0 0
R325.8.5.2.
Shower stalls must be minimum size of30 inches deep by 48 incheslong(R325.11) 0 0
�a � AG los ',Povt,Sita,Hottub <K w ,x 7 P . , 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 alarms when 0 0
opened.
AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0
PASSED O0ORREC1ION5REQUI1RED Q RMi1 REQtJlRED
INSPECTOR'S NAME(PRINT)
INSPECrOR'SSIGNATURE
INSPECTOR'S OFFICE ADDRESS 4 PHONE NUMBER
Application and inspection checklist developed by wrashington.Association of Building Officials(WA80),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
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RECEIVED
ERMIT APPLICATION
CITY OFDEC�EO •i CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal ay CITY OF FEDEf 8 2607 + FAX 253-835-2609 +permitcenter{u>cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER..‘2?
f 7 _ O V 'F� ',_ F TARGET DATE
SITE ADDRESS 7 SUITE/UNIT#
3232 SW 326TH ST FEDERAL WAY 98023
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$5 200 —
TYPE OF PERMIT X❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT AAA PENDO ADULT FAMILY HOME
Removed carpets all through the e and replace with laminate
floor and tiles, installed 1 oors, repaint, install grab bars in
PROJECT DESCRIPTION the bathrooms and. ars at the main entrance
Detailed description of work to
be included on this permit only IA)A
n `A 15D I Lk C' - ? c ' 1 \'
NAME DAE KYU KIM PRIMARY PHONE
253 508 8921
MAILING ADDRESS E-MAIL
PROPERTY OWNER
3232 SW 326TH STREET
CITY STATE ZIP
FEDERAL WAY WA 98023
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION USI#
SELF DATE
NAME PRIMARY PHONE
LUCY W NGARE 206 653 4698
MAILING ADDRESS E-MAIL
APPLICANT 3232 SW 326TH STREET pendoadultfamilyhome Jmail.
corn
CITY FEDERAL WAY STATE ZIP FAX
WA 98023
NAME PRIMARY PHONE
LUCY NGARE 206 653 4698
MAILING ADDRESS E-
PROJECT CONTACT
3232 SW 326TH STREET MAILpendoadultfamilyhome@g
(The individual to receive and
respond to all correspondence mait.eom
concerning this application) CITY STATE ZIP FAX
FEDRAL WAY WA 98023
PROJECT FINANCING NAME X OWNER-FINANCED
Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application
W1 n.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: ►4'.1.6551 DATE 10/27/20
PRINT NAME:LUCY W NGARE
Bulletin#100—February 19.2020 Page 2 of 2 k:\Handouts\Pennit Application
� adult ramiiy riome (Ai=N) LOCAL BUILDING INSPECTION CHECKLIST
� • Code References:2015 IRC Section R325(WAC 51�1)
� APPLICA710N NUMBER: +e�� ������
SEC710NS 1. 2. 3. AND 4 MUSTBE COMPLE7ED BY APPLICANTBEFORE INSPEC710N WILL 8E PROCESSED
� " • •� ' • ' + i
2�/ �+/L. ��� i�''� � 7L��
SITEADDRESS: ���� �� V"`�7� N O1KCFI � 1�'►!L"� '���pSSESSOR'STAX/PARCEL#�
� � • ► � i ' + •
PROPERTYOWNERNAME:� 1'�l� !'`.IM DAYTIMEPHONE:dS3 J�O6 11�.LI
AFH LICENSEE NAME(1F��t�7tevr): �'A'k 17G�I�D Dri N DAYTIME PHONE:oZ.C� � 9g
• •� ' • +
On a separate sheet of paper (8 i/z x 11) draw a floor pian (including all
floors) of your prospective AFH. Inciude ail sleeping rooms (bedrooms�
indicating which bedroom is: A, B, C D, E and F.
L.abel al! componentsforexiting i.e., stairs, ramps, platforms, lifts and
elevators.
• i � � � : �
I certify under penatty of perjury that the informati4n furnished by me is true and correct to tt�e best of my knowledge,and that I am
requesting or I am authorized by tfie owner of tf�e above premises to request in�ection for ti�e operation of an Adult Family Home
at this {ocation. I ag�ee to hold harmless the jurisdict�n conduCting suth inspec6ons, at my request, as� any claim (including costs,
expenses, and atiorneys' fees incurred in the inveshgation of such claim), which may be made by any person,including the undersigned,
and filed against tfie jurisdiction, but only where such claim arises out of tt�e reliance of tf�e jurisdlction, including its officers arxf
employees, upon the accuracy of tt�e information suppl'�ed to tfie jurisdiction as a part ofti�is application.
NAMElTITLE: �,.UC�`F � ��Fi DATE:
QPROPERlY OWNER �APPLICANT Q LICENSEE
(Effecti� July 1,2013.)
Effective:2Q13 Jufy 01
Updated: 2017 February
, WVAC 51-51-0325
� SeEtion R325—Adult family homes.
SECTION R325
�. ADULT FAMILY HOMES
R325.1 General.This secfion shall apply to aii newlyconstructed adutt family homes and aA existing singie faRily homes being
converted to aduR famity homes. This section shall�ot apply to those adult family homes licensed by the state of Washington
department of social and heatth ServiCes prlor to July 1,2001.
R325.2 I�e s e rve d.
R325.3 Sleeping room classification.Each sleeping room in an aduft famly home shail be classified 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 accordance w ith R325.9 is provided.
3.Type NS2 -Where tw o means of egress are at grade levei or rar�s canstructed in accordance w ith R325.9 are provided.
R325.d Types of locking devicas and door activation_ All bedroom and bathroom doors shall be openable from the outsido w hen
locked.
Every closet shali be read�y apenable from the inside.
Operable parts of door handles, puns, latches, locks and other devices instatled in adutt farn'hr homes shall be operable w ith one
hand and shall not require tight grasp�g, pinching or tw isting of the w rist.Fbcket doors shalf have graspable hardware available
w hen in the closed or open posit�n.
The force required to acGvate operable parts shaN be 5.0 pounds (22.2 N) maximum Required exit doors shall have no additional
locking devices.
Required exit door hardw are shaN unlock inside and outside mechanisms w hen exiting the building a►low ing reentry snto the ad uft
family home w ithout the use of a key, tool or special know ledge.
R325.5 Smokeand carbonmonoxidealarm requirements.Auaduft farrity homes shall be equipped withsmoke and carbon
monoxide alarms installed as required in Sections R314 and R315.1. Alarrrs shalt be installed in such a rrnnner so that the
detection device w arning is audible from aU areas of the dw el1�g upon activation of a single alarm
R325.6 Es cape windows and doors.Every sleeping room shatl be provided w ith emergency escape and rescue w indow s as
required by Section R310. No atternatives to the sill height such as steps,raised platforms or other devices placed by the o penings
w�I be approved as meeting this requ�ement.
R325.7 Fire apparatus access roads and watersupplyforfire protection.Aduftfamily homes shall be servedby fire apparatus
access roads and watersupplies meeting the requirements of the bcal jurisdiction.
R325.8 Grab bargeneralrequirements.Wherefac�lities are designated foruse by adult family home clients, grab bars forwater
closets, bathtubs and show er staNs shall be instafled according to this secf�n.
R325.8.4 Grab bar cross section.Grab bars w ith a circular cross section shall have an outside diameter of 1 1/4 inches minimum
and 2 inches maximum Grab bars w ith noncircular cross section shall have a cross section dimension of 2 inches rreximum and a
perimeter dimension of 4�ches minirrum and 4 5/8 inches maximum.
R325.8.2 Grab bar installation.Grab bars shalf have a spacing of 1 112 inches befween the wall and the bar.I�ojecting objects,
control valves and bathtub or show er stafl enclosure features abo�e, below and at the ends of the grab bar shall have a clear space
of 1 1/2 inches to the grab bar.
EXCEPTION: Swing-up grab bars shall nat be requir�ed to meet the 1 1/2 inch spacing requiremerrt.
Grabs bars shall have a structural strength of 250 pounds applied at any point on the grab bar, fastener, mounting device or
supporting structural member. Grab bars shall not be supported directly by any residential grade fiberglass bathing or showering
unit. Acrylic bars found in bathing units shaN be removed.
Fixed position grab bars,w hen mounted, shall not rotate, spin or move and have a graspable surfacefinish.
R325.8,3 Grab bars at water closets.Water closets shall have grab bars+n�unted on both sides. Grab bars can be a combination
of fixed position and sw ing-upbars.Grab bars shall meet the requirements of i�i25.8. Grab bars shall mount between 33 inches
and 36 inches above floor grade. Centerline distance betw een grab bars, regardless of type used, shall be betw een 25 inches
Effective:20131u1y 01
Updated:2017 February
� rrrnimum ana su mcnes maximum
� R3Z�.8.3.1 Flxed position grab bars.Foced posiiti�on grab bars shall be a minimum of 36 inches in length and start 12 inches from
� the rear w aN.
R325.8.3.2 Swing-up grab bars.Sw ing-up grab bars shaU be a minimum of 28 inches in length fromthe rear w ail.
R�25_8.4 drab bars at batF�tubs.Horizonhal and vartical yrab bara shaN meet the raquirements of R325.8.
R325.8,4.1 Ve�tical grab bars.Vertical grab ba►s shall be a minimu m of 18 inches long and installed at the control end w all and
head end w aM.Grab bars shall rrount w ithin 4 inches of the exterior of the bath tub edge or w ithin 4(nches w fthin the bath tub.,The
bottom end of the bar shall start betw een 36 inches and 42 inches above floor grade.
IXCEPTION:The required vertical grab barcan be substituted with a floorto ceiling grab bar meeting the
requirer�nts of R325.8 at the control end and head end entry pants.
R325.8.4.2 Horizontai grab bars.Horizontal grab bars shall be provided at the control end, head end, and the back w all w ithin the
bathtub area.Grab bars sha� be mounted betw een 33 inches and 36 inches above fbor grade. Control end and head end grab bars
shatl be 24 inches minimum in length. Back wapgrab bar shall be 36 inches minimum in length.
R325.8.5 Grab bars at shower stails.Where show er stal�are pravided to meet the requirements for bathing facilities, grab bars
shal! meet the requirements of R325.8.
DCCEPTION: Shower stalis with permaner�t built-in seats are not required to have verticai or horizontal grab
barsat the seat endwall.Avertical floor to ceiling grab bar shall be installed within 4 inches of
the exterior of the shower aligned with the noee of the built-in seat.
R325.8.5.1 Vertical grab bars.Ve�tical grab bars shaN be 18 inches minimu m in length and instaNed at the control end w all and
head end w all.Vertical bars shaH be rr�unted w ithin 4 inches of the exterior of the show er stall or w ithin 4 inches inside the show er
stall. The bottom end of vertical bars mount betw een 36 inches and 42 inches above floor grade.
R325.8.5.2 Horizontal grab bars.I-brizontal grab bars shal!be instaAed on all sides of the show er staB mounted betw een 33
inches and 36 inches above the floor grade. Horizontal grab bars sha� be a maximum of 6 inches fromadjacent walls_Horizontal
grab bars shall not inte�fere withshowercontrol valves.
R325.9 Ram ps.AI{ interior and exterior ramps, w hen provided, sha11 be constructed in accordance w ith Section R311.8 w ith a
maximum siope of 1 vertical to 12 horizontal. The exception to R311.8.1 is not allowed foradult family homes. Handrails shall be '
installed 'm accordance w ith R325.9.1.
R325.9.1 Handrails for ramps.Handrails shall be installed on both sides of ramps between the slope of 1 vertical to 12 hor"�zontal
and 1 vertical and 2Q horizontal in accordance w ith R311.8.3.1 through R311.8.3.3.
R325.10 Stair treads and risers.Stai�treads and risers shall be constructed in accnrdance w ith R311.7.5. Handrails shall be
instalted in accordance with ft325.'f0.1.
0 1 Handraits for treads and risers.Handra�s shall be installed on both sides of treads and risers numbering from one riser
to multiple risers.Handrails shall be installed in accordance w ith R311.7.8.1 through R311.7.8.4
R325.11 Shower stalls.Where provided to meet the requirements for bathing facilities, the minimum size of show er stalls for an
adult family home shall be 30 inches deep by 48 inches long.
[StatutoryAuthority:RCW 19.27.034 and chapUers19.27 and 34.05RCW.13-04-068,§51�1-0325,filed2/1/13,ef�eective 7/1/'13.Statutory
Authority:Chapter 19.27RCW.10-18-036,§51-51-0325,filed8/25/10,effective9/25110.StatutoryAuthority:RCW 18.27.190,19.2T.020,and
chapters19.27 and 34.05RCW.09-04-023,§51-51-0325,filed1/27/09,effective7/1110.StatutoryAuthority:RCW 19.27.074,19.27.020,and
chapters 1927 and�4.05 RCW.07-01-090,§51-51-0325,filed 12/19/O6,effective 7/1/07.Statutory Authority:RCW 19,2 7.031 and 19.27.07A.04-
01-109,§51-51-0325,filed 12/17/03,efiective 7/1/04.J
Effective:2013 July Ol
Updated:2017 February
NI�cME OF AFH: t' � = �' '
� SEC`f10N5MUSTBECOMPLETEDBYTHEBUILDINGDEPAR7MENTINTHEJURISDICTIONTHEHOMEWILLBEI�CATED.
� PLEASE CFiKK ALLAPPLICABIEBOXES; MATCH THE IIST BELOW TO iHE APPLICANTS FLOOR PLAN—USING THEIR PROSPEGTIVE RESIDENT
BEDROOM OESIGNATIONS OF A 8 CD E AND F AND CLASSIFICATION CODE S.NS1 OR N52.
• C i • • • ' �
R325.3 Sleeping Room Uassffication: Each sleepinB room in an AduR family Home shall he ciassified as:
Type S—where the means of egress contains staiCs,elevatas or platform lifts to evacuate residents to public area.
Type N51—where 1 means of egress at giade level(has no stairs)or ramp constnxYed compliant with R325.9 is provided to evacuate residents to public area.
T pe NS2—wl►ere 2 means of e ress at rade level both have no stairsj or ramps constructed compiiant with R325.9 are provided to evacuate residerrts to publk area.
SLEEPING ROOM A Type S Type N51 Type N52 YES NO
Closetdo�r/sarereadilyopenablefromtheinside Yes No Smokealarmisinstalledinthebedroom �
Bedroom door opens easily and quicklyfrom theoutside when lodced �
SI eepi ng room wi ndow has a net opening of 5.7 SF(mi nimum dimensions at least 24"high;at least 20"wide) Q
EXCEPT per R310.2.1:a t-grade es cape wi ndows—may have net cl earance opening 5 SF
Sleepin roomwindowhasamaximumsillhei htof44"abovefloortoclearopenin ;noste sunderwindowallowe 0
SLEEPING ROOM 8 Type S Type NSi Type NS2 YES NO
Closetdoor/sarereadil o enablefromtheinside Yes No Smokealarmisir�talledinthebedroom
Bedroomdooro enseasil and uickl fromtheoutsidewhenlocked �
SI eepi ng room wi ndow has a net opening of 5.7 SF(mi nimum dimensions at I east 24"high;at I east 20"wi de) Q
EXCEPT per R310.2.1:at-grade escape wi ndows—ma y have net cl earance opening 5 SF
Slee in roomwindowhasamaximumsillhei htof44"abov�efloortoclearo enin ;nostepsunderwindowallowe
5lEEPING ROOM C Type S Type NSi Type N52 YES NO
Ctosetdoor/sarereadil o enablefromtheinside Yes �No Smokealarmisirrstalledinthebedroom � Q
Bedroomdooropenseasil andquickl fromtheautsidewhenlodced �
Sleepingroomwindowhasanetopeningof5.7SF(minimumdimensionsatleast24"high;atleast20"wide) � Q
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net clearance opening 5 SF
Slee in roomwindowhasamaximumsillheightof44"abovefloortoclearopening;nostepsunderwindowallowe
SLEEPING ROOM D Type S Type N51 Type NS2 YES NO
Closetdoor/sarereadil openablefromtheinside �,Yes �No Smokealarmisinstalfedinthebedroom �
Bedroomdooropenseasil andquicklyfromtheoutsidewhenlocked 0
Sleepingroomwindowhasa netopeningof5.7SF(minimumdimensionsatleast24"high;atleast20"wide) � Q
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF
Sl eepi ng room wi ndow has a maximum sil)height of 44"a bove fl oor to clear opening;no s teps under window a Ilowe
SLEEPING ROOM E Type 5 Type N51 Type N52 YES NO
Closetdoor/sarereadilyopenablefromtheinside Yes No Smokealarmisinstalledinthebedroom 0
Bedroomdooro enseasilyandquicklyfromtheoutsidewhenlocked j�
SI eepi ng room wi ndow has a net open i ng of 5.7 SF(mi n imum d imensions a t I east 24"high;at I east 2d'wi de) �
EXCEPT per R310.2.1:at-grade es cape wi ndows—may have net clearance opening 5 SF
Sleepingroomwindowhasamaximumsillhei htof44"abovefloortoclearopenin ;noste sunderwindowallowe
5lEEPlNG ROOM F Type 5 Type NSi Type N52 YES NO
Closetdoor/sarereadlyopenablefromtheinside Yes No Smokealarmisinstalledinthebedroom
Bedroom door opens easily a nd quicklyfrom the outs ide when I ocked 0
Sleepingroomwindowhasanetopeningof5.7SF(minimumdimensionsatleast24"high;atleast20"wide} � �
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF
Sleepin roomwindowhasa maximumsillhei htof44"abovefloortoclearo enin ;noste sunderwindowallow
Effective:2013 July 01
Updated:2017 February
� GENERAL YES NO
Ba'throomdoorsa�eeasi) and t,acld openablefromtheoutsidewhenlocked
• CaTbonMonoxidealarmsareinstalledasrequiredinR315oneachievelofthehome. �
• Smokeaiarmsareinstalledonalllevelsofthedwelling,ineachresidentsleepingroom,outsideeachseparate p� O
s I eep i rig a rea i n the i mmediate vi ci nity of s leeping roorrg(R314). �+�1
SmokeandCarbonMonoxidealarmsareinsYalledinsuchamannersothattheaudiblewamingmaybeheardinall � �
pa rts of the dwel ling upon activation of a single device.
Accessroadandwatersupplymeetlocalfirejurisdicfionalrequirements. � 0
R325.4 Operable parts ofdoor handles,pulis,latches,locks and other devic�installed in AfH shall be operable with one hand
and shall not require tight g�asping,pinchingortwistingofthe wrist(lever type). �
Pocketdoors shall have graspa6{ehardwareavaAablewhen in the closed oropen position,
R311.S Ramps YES NO
Inside Ramp N�A 0 �
R311.$.1 Maximum Slope one unitvertical in twelve units horizontal(8.3%slop�).{Exception R321.81 Not allowed in AFH}
R311.8.2 Landing Requirements:min.3X3 foot landingattop/bottom,where doorsopenonto ramps,and where rampchanges
directions. 0 �
R325.9.1 Handrailstequ�ed on both sides of ramp i�accordancewith R311.83_3-R311.83.3.
Oucside Ramp N/A YES NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.396 s(ope).(Exception R311.8.1 Not allowed in AFH)
R311.8.2 Landing Requirements:min.3X3 foot landingattop/bottom,where doors open onto ramps,and where rampchanges w �
directions. ��
R325.9.1 Handrails required on both sides oframp in accordancewiih R311.8.3.1-R312.8.3.3. 0
Gua rds bel ow a re de i cted verticall as a n exam 1e on1y.A!I Ram s must have Guards �
�Handrail both sides
--� Less than 4" 34"-38"
__ __�_..v,..�.,
� � ` � - _ _ _- - --------____.______---„ _ -
1
Gu a rd ` �-'--
36"'min �j � I
� _.� ? 3'x 3'min
_ --..
_ landing
. .__�_ -
3'x 3'm i n --• - -
g � _._ ------_ ; . ._._.�
_ landin _ - __r_ . -�- __._. --- .`_'__----�-��-----��- . • .
��►—:3' --- -`� One unit verticaf in twelve units horizontal �- 3' - ----I
minimum is an 8.39'o 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 of32 inches between face ofdoor and stop.Height not less than 78 inches. Q
R325.4 Operable parts ofdoor hdndles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand
and shall not requiretightgrasping,pinchingortwistingofthe wrist(lever type). 0
R32S.4 Requiredexitdoorhardwareshalluniockinsideandoutsidemechanismswhenexitingthebuildingalbwingre-entry
without use of key,tool orspecial knowledge.
R311.7 Stairways N A YES NO
R311.7.5.1 Riser Heighi:Max riser height shall be 7'/.inches($inches in structures buiii prior to luly 1,2004)
R311.7.5,2 Tread De Th:Min.tread depth shall be in 10 inches(9 inches in structures builtpriorto July 1,2004)
R325.10.1 Handrails forTreads and Risersshall be installed on both sides oftreadsand risers numberingfrom one riser to m ultiple O �
risers.Handrailsshall be installed in accordance with R311.7.8.1-R311.7.8.4
Effective:20131u1y Ol
Updated:2017 February
i R325.8 Gr�Bars in Bathrooms N/A � YES NO
GYab bars shall be instailedforall watertlosets(iutlets,bathtubs andshowersaccordingtoR325.8.
Water Closets(toilet)shall havegrab bars instal�d on both sides axordingto R325.8—R325_8.3.1 or R325.83_2.
Bathtubs shail have two verticai and three horizontal grab bars installed accordingto R325.8-R325.8.4—R325.8.4.2
Shower stalls have twoverticaland horizontal grab bars mounted on alf sides ofshoweraccordingto R325.8—R325.8.5—
R325.8.5.2.
Showerstallsmustbemintmumsizeof30inchesde b 48incheslon (R325.11j
AGiD3—AG1059wimmingPoal,'Spa,,Hot7ub YES NO
AF105.2 Must be surrounded by a ba rrierthat is 48 in es h gh,may have doors and orgates that must have audible alarms when � O
o}�ened_
AG105.5 D(CEPTION: Pools,5pas or Hot Tubs with a safety coverwhich complies with ASTM F 1346
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Appfication and inspection fiecktlst developed by Washington Assaciatia►o1`&�Idf�g Offi�tals(WABO),incooperation with Departanent af�v�ial and
Heaith Senrkes(DSHS)for use by both departmenrs snd litertsors. 07102/2013
Effective:20131u1y Ol
Updated:2017 February
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