Loading...
20-104466 ` RECEIVED CITY OF --' ov o9 2?0ERMIT APPLICATION Federal Wa PERMIT CENTER+33325 8°'Avenue South + Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permitcenter@cityoffederaiway.com •PTY OF FEDERAL WAY C`:.MMUNfTY DEVELOPMENT C PERT NUMBER0 �� :.3__` - 5L TARGET DATE SITE ADDRESS sLJTEIUP T .3t(y S w 3-3\s' S r V=- Epz 2gz w/y wf-\ 9„2-432,:%, PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S $ 15 ` 000 - - - - TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL ❑DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT C SO LU ( I O 1\t S , 4�u L F F ArT I L I -o l`'( e_ L L C PROJECT DESCRIPTION �tO M �' C� (2__G Detailed description of work to be included on this permit only NAME ARY FDNC- VAftoS (553)3(1(4- -7olq lAaPROPERTY OWNER MMLADDRESS ,,,,� 3 b 1 q ser 33 ) sT si \jane?urI -zaca k CITTs)& -4 L W,41 STA a9 go23 mo �1-, LO 4A NAME PawE MA&aG ADDRESS EMA& CONTRACTOR CRY STATE D FAX r WA STATE CONTRACTOR'S UCENSE S EXPIRATION DATE um A / / NAME PRIMARY ONE ' �L,\Ljc �MoS 1 PH .ADDRESS E+w APPLICANT f\ je IF . A ©V i , �7y STATE zr FAX I NAME PRMAARY PHONE I PROJECT CONTACT I ADDRE(The individual to receive and "�"� � E+IAa respond to all correspondence concerning this application) OTT SATE D► FAX I PROJECT FINANCING L Q 2 g OWNER-FINANCED I When value is$5,000 or more MMLR4G ADDRESS,LITT,STATE,D► NIONE (RCW 19.27.095) SAI—&E"--- /36 1113'D\-/t- _(2-63)3 L(4 - -70t9 i I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.1 certlry that to the best of my knowledge, 1 the Information submitted In support of this permit application is true and correct I certify that 1 will comply with ail 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 parson,Including the undersigned,and flied against the city,but only wheresuch claim arises out of the reliance of the c 1- I,•/ officers and employees, upon the accuracy of the Information supplied to the city as a part of this I application. �r p p; i i DATE 1 // /l r / L 2 I SIGNATURE: ^ ((( I 1J 4 A MOS ' PRINT NAME: c- Page 1 of 2 Bulletin#100—February 19,2020k 1HandoutslPetmit Application ....AA:.S&ScT:Z1R.:"WZYST`'YCPE:1lJ rei'r>,T_w�ltrnc�TP_�.�.rawr.rwnM^a vrwsA-a w,J s.' T A Scanned with CamScanner � RECEIVED 'NOV 0 9 2020 CiTY O�FEDEi�Ml�tFamily Home (APNj LOCAL BUI�DING IN3PECTION GHECKLISt COMMUN!'TY pEyEl,ppMENf Cod�R�lrrsno�s:��IRC S�oNon R325(INAC 51�81) APPI.ICATION NUMBER:��� T�`„�s l� SEC110N3 1, 2. 3. ANQ4 MUSTBE COMALE7&D 6Y ApPLICAN7a6FORlm tNSPEC110N YNLL B�e�ltOC�SSaD • ; , � e } . � ' ( � t� r'"i l ' ... ', 31'T�ADClRESS �: \.�_! j �-, 1 �� !j 1 a . �.��1 r.�:� ti t-r AS�ESSof7STAX/f�A�2CEltt:..��.�.�.�.��3 y� � � � � r� . PROPERTYOWNH2NAME:`��`1!'.*-.�A_._.�_„��'�����J _ DAYTIMEPHQN ��`� " ��'�r. "� � ��J � y �M� ✓ t�ULi(; 1 AFH UCENSff NAhg pFolFr�t6�Ty- �.(l Y� ����.} 1 C,+�r��.$ �1.��' �t Vvt t�D�MME PHONE: Z.����`t i -- �O� � . . �n a separate sheet of paper(8 �lz x 11) draw a tioor plan (including all flaors)ot your prospective AFH. Include a!�sleeping rooms(bedrooms) indicating whiich bedroom is: A, B, C D, E and F. Label aU coinponerrtrtsforexiting i.e.,stairs, ramp,§,platforms, tifts and elevators. . I certify under pa�aky of per/ury tl�at f�e infarmatfon furn�hed by me is true and correctCo the best ofi my knowkdge �d that i am requrs�ng or i am autl�ori�c! by thm owner of the above prantses Co request inspatian for thc oprration of an Adu�t Family Warr�e at this locslion. �aqree M hold hdrmk� the jurisdiclfon canducting svch inspections, at rtyy requ� as Oo any ciairn(incG�ding costs, expens�, and a�0omcyr�fees Mcurred in the invr�igatlon of such ciaim), whichmay be made by my person,intluding the undersigneti and fded aNsinst the�ur�dktion, but ony where auch cfaim arisrs aut di the reUance of the jurisdicfion, inctud�g i�i officars ancfi anp�yexs, upon �4 curacy of ihe tnf n suppNed b� the�urisdkt)on e�a part of tl�is app6cation. NAMElTITLE:_ 1����1/\C`�l. ��V��� �N A-- DATE: �� �.��� ,�.t3 �Zi � �PROPER'tYOYiMER QAPPLICAM' �UCENSEE (Elfiective Juiy 1,2013.) Effective:2013 Juty 01 Updated:2Q17 February �, � � ` ,... Y � �s �"! f : 1 � `. . F �� �`� � NAM�OF AFH: �.:, `s�` `:1 .. 1 � '� ,� � ' �i •e . . . , � > 1 4._• , t;v�l SECTtON 5 P Y P�EASE GHECK Alt APPUCABLE ROXES;MATCH THE IfST BELOW TU THE APPlICANT5 FIUOR PLAN—USING jtj�PROSPECTtVE RfSIDENT BEDROQM DESIGNA710NS C1F AB CD FAND FAND CLASSIFICATION CQDE 5,NSi Uft N52. ' • • R325.3 SIeeR�B Room Classificatbn: Eath sleeping room in an Adult fam�y Home shaq be dassfied as: Type 5—where the means of egreu ca�tKaitu staics,elevatas w platfam lifts to evacuate residents to puaic area. Type NSS—where 1 means of egrcss at grade ievel(has no sblrs)a ramp aonsAucted compliant vuith R325.9 is prwided bo evaaate reside�s to publ'rc area. Yy N52—where 2 mear�s of r.g�ess at gtade level bolh have no it�&s}w ram{n mmlrutt¢d cqtlpki�nt with R325.9 are proaided to evan�ate►esidtnts to pul�area, SLEEPING ROOM A Type S yp.Nsi �rp�Nsz �s NO Closetdoar/sarereadilyopenablefromtheinside Yes No Smokealarmisinstalledinthebedroom Hedroomdoo�openseasilyandqutck romtheou idewhenlodced SI eepi ng room wi ndow has a net opentng of 5J SF(mi nimum dimensions at least 24"high;at 1 east 2M wi dej � EXCEPT per R310.2.1:at-grarle escdpewi ndows—may have net ci earanue opening 5 S� Slee in roomwirulowhasamaximumsillhel htof44"abovefloortoctearo enin •noste sunderwindowallowe SLEEPING ROOM B Type Type NSl Ty�e NS2 YES Nb Gosetdoor/sarerea�l o en fromtheins' Yss Smake rmisir�stalledinthebedroom Bedroomdooro en eas and 'ckl theautsi ocked Sieepingroomwind asanetopeningof5,7SF(minlmumdimensionsatleast24"high;atleast20"wide) � � �XCEPT per R310.2.1:at-grade escape wi ndcvus—may have net cl�ra nce apening 5 SF Siee in roomwindowhasamaximumsil)hei htof44"aboveflocxtoctearo enin ;noste su�derwindawa{lowe SLEEPING ROOM C Type 5 Type NSl Type N52 YFS No Closetdoor/sarereadi! o enable omthelnside Yes �fo �+nstaNedinthebedroom Hedroomdooro ens asN ui from eoutsi when ed Q Q Sieepingroomwtnd wh a netopen f5.75F(minlmumdlmensionsatteast24"high;atteast2ff wldej � � EXCEP7perR310.2.1, t-gradeescapewindaws—mayhavenetclearar�ceopeningSSF SI ee i n room w!ndow has a maximum sill hei ht of 48"a bove fl aor to clear o enln ;no ste s under windaw a liaw SIEEPlNG ROOM D Typ�a S 7ype N51 'fype NS2 YES NO Ciosetdoar/sarereadi{ o enabfefro heinside Y No 5mokeata aliedinthebedroom � � Bedroomdoo�o ens asd atid ck{ fr theou ' when ed Sleepingroomwindo has etapeningo (minim�andi atleast24"fiigh;atleast2tY'wide) � � EXCEPTperR310.2.1:a -gradeesCapewindows—mayhavenetclearanceopeningSSF 5leepingroomwinciowhasamanimumsiithei htof44"abovefloatoclearoqerdng;nostepsunderwindowalinw SLEEViNG RO(aM E Ty�s rype Nsi Type NS2 YES NO Closetdoor sarerea 't o enat�lef heinside ts No Smokeala talledinthebedroum Sedroomdooro ens sA a uick f om outsidewhen dced Sleepirtgroomwindv anetopenin .7S�(min�m�ndim atieast24"htgh;atteast20"wide} a � EXCfPT per R310.2.1:at-grade escape wi ndows—ma y ha ve n et Ct earance apeni ng 5 S� Stee in roomwindawhasamaximumsilthei htof44"abovefloortoclearo entn •noste sunderwindcswail�w SLfEPING ROOM F lypa S TypQ NS� Type NSx Y�.s �uo Closetdoor/sarereadily eneblefro ei side s o 5mokeatarmisinstalledinthebedroom BedraomdooropenseasN and lyfrom e idewhenio ed Sleepingroomwindowha a openingofS. SF(minimwndim higi►;at st20"'wide) EXCEP7 per R310.2.1:at-grade escape wl ndovus—may ha ve net cI earance open ing5 SF Slee in roomwindowhasarnaximumsiilhei tof44"abovefioorioclearo enfn •noste sunderwindawallowe Effective:20131u1y�1 Updated:2017 February . GENERAI YE5 NO 8ethroomdaonarceasl and uicM o enablefrnmtheoutsidewhenlocked CarbanMonoxidealarmsareinstall�dasrequired(nR315oneachlevetotthehome. ,0' Q Smoke a I a rms a re i nsxailed on a II 1 e�els of the dwe!I l�g,i n ea ch res Ident s leeping room,outside ea ch s ePa rate � s I eepi ng a rea f n tho i mmediate vi cinity of s leepir�rooms(R314j. � SmokeandCarbonMonoxtdealannsareinstaiiedinsuchamannersothattheaudiblewamingmaybeheardinall � � pa rts of tfie dwel ling upan aetivation of a single device. Access road a ndwater su�ly meet f ocaifl re J urist�ctiona!requlrements. R32S.d Qpesable parts a �taor hnndles,pulls,lacchss,�or.ks and otherdevites mstalteJ i�AFN sh�tibe npe�able with one ha�ui and shail not requl�e tightgrasping,pinch�ngorewlstingofthe w�ist(leuer-typej. � fl poc et aors s �t ave g�aspa lehardwareava'a lew en in the c osed arnpen position. R311.8 Ramps YES NO lrss6de Ramp NJA R311.8.1 Maximum Slape one unit verticaf in tweive units hbeizantal�8.3?5 siope).(Exceptian R311.81 Not ailoweci fn AFH) R311.8.2 La nding Requirements:min.3X3 foot Ianding attopJbottom,where doors ppen omo ramps,a nd where rampchanges directions. R325.9.1 Nandrails required on bath sides of ramp in accordancewith R311,8.3.1-R311.8.3.3. utr Ramp M q YES i11O Ft31Z.8.1 Maximum Sfo e ane unit verticai in t�v�A�e units horixantal 8.396slope).(Exception R311.8.�Not a{iow in AF R311.8.2LantiingRequirements:min.3X3footlandingattop/hnttom,wheredoorsopenontoramps,andwhererampchanges O a directians. R325.9.x Handra':Is requfred on both sides of rarnp in accordancewiih R311.8.3.1-R37.1.8.3.3. 0 � Guardsbelowarede ictedverttcallyasan�xam leonl .AIIRam smusthave6uerds -Mandrail both slde, �-1 '— less than 4" �� 3a"-38„ ,�.. �� _�_ _ __ � ' �� �} T�� -i 1--j-; � : � i�-�� � __ , -.f_ �L� Guzrd � � �_ � 3 i ( 1-� :"T ` - - 1 7' _�:� ♦:� 36"min� � � 4 � � �� � � � � � � �! � � ��� � r- �y-- {- � .� ` � ,� � � ��j � � � f � �; '� �� i i E � � � t t � �� rt t� +� , �i � >f. ' `: � ' �� i i � ( � �� j � f� �� � i i ' �, � �� 3'x3'min t �� � i� � . _ ' '�-- ��t r_��-a��� '�:�i=�'-..c� -��_' �� �� � � I�i � � � i� i � f 1M �� landing �* ..__." 'z;r.Y_1�:i-.�_ :. 3'x 3 min -^— ---.A: � I�rxtl�g ' �y' .__. L- � z. .r i i .� _�- _--_._ ._ � c` t'-a.r� . - -. ' ==_- ..._.� s �,__.._ _. , --:-,_� � • _ _ -- -_ ._ . . ____:-- : �--:_.—__ ._._ : � ' --- � -3'-----�-; ' ���-One unit vertical In twelve units horizontal _._ ; ._ _ mi�imum is an 8.3y.zlope a0 along surface of the ramp. ' mlNmum � (t31A.2 Means of Egrem YE (�t0 R311.2 Daor must be side-hioged with min.w(dth of 32 inches between face af door and stop.Hefght not less tha�78 inches. R3 5.4 flperah e parts oor an e�puils,letches,loc s a other evices nstalfed in AFH sha be operabt�wikh one harx! a nd shait not requl re tight gresping,pinthing or twisting of the wrist(lev@r-type�. � R325.�4 Requlredexitdoorhardwareshaflunfockinsideandoutsiden�echanhmswhenexttingthebuildingabwingre�ent►y without use of key,tooi or special knowiedge. 331.7 StAi�wa115 N YES IV�1 R311.7.5,1 Riser Height: x ttser height shall e 7!:(nches S inches in strudures builrprior toluly 1,2004) R�11.7.5.2 7read Oepth:Mln.tread de th shall be In 10 ioches(9 inchesln strudures built rio�to lu) 1,2004 R325.10.1HandrailsforTreadsandRiserssha(ibeinstalledonbothsidesoftreadsand�isersnumberiigfromonerisertomuitiple fl O risers.Ha ndrails shail be installed in actordance with R311.7.8.1-R311.7.8.4 Effective:2013 July 01 Updated:2017 February , ' R325.8 Grab Bars In Betfirooms N/A YES NO Grab bars shal)be inscailed ior ail waterclosets toileu,bathcubs andshowersaccoiclin to R?25.8. Water Cicrsets{tofiet)shall haYegrab bars instailed on both sides aaordingYo R325.8—R325,8.3.1 or R325.83.2. q�Nitubs shail have two verticai ar�J three h�ritpnta{grab bars instailed accardingto R°lJ5.8•R325.8,4�R325.8.n.2 Showerstails have two vertica land horimntal grab bats maunted o�al�sicfes af showera ccordi�g to fl325.8—R325.8.5— R325.8.5.2. Shower statls must be mloirrn�m size of 30 inches de b d8 inches lon R325.11 AG103—AG1055wImmingPool.Spa;WotTub YE5 NO Af105.2 Must be surrounded bq a Garrierthat is 48 inches high, h e daors and orgates that must haveaudlbie afartns whe n Q a o e�ed. AGSOS.S F,XCEPTION:Paois,Spas or HotTubs with a safety cover which complies with AS7M f 134fi �PASSED Q ODRRECTlQNS REQUIRED �PERMIT REQUIR£O P ►NSPECTO N (PRiH // � o i�svEcroa s s�c,N � : n .�332 s�"" ��°�� � �'��.P�- ��—y.�. �� ����- ,��� INSPECfOR'S OFfICF AfX�RE35 / Pi�ONE NUMBER: Apptit:�tion and inspaetien chsck.list deveioped by Washingtw�Association ot8uitding�cials(WABU),incooperatlon vdiN Qepartrnent of Socia!and Heaith Services(OSNS)fa use by both departmen�and Rcensou. 07/01/ZOi3 Effective:2013 July Ql Updated:2U27 February