20-102876 Building - Single Family
City of Federal Way Permit #:20-102876-00-SF
Commonly 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: ABBA HOME CARE LLC
Project Address: 32907 42ND AVE S Parcel Number:618141 0062
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work allowed
under this permit.***
Owner Applicant Contractor Lender
GRACE CHOIABBA HOME CARE GRACE CHOIABBA HOME CARE
LLC LLC
32907 42ND AVE S 32907 42ND AVE S
FEDERAL WAY WA 98001 FEDERAL WAY WA 98001
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
io ° +"1r ��,:'.mr s ..fir, 3- _ E Y.u".r5'm
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PERMIT EXPIRES Monday,25 January,2021
Permit Issued on Wednesday,July 29,2020
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
fiit an City of Federal Way.
Owner or agent: Date:
Second Floor
Bedroom
Famity Room
Closet Master
^ Bedroom
\ i 1
1
Storage \ <- -
^
\ t
\ 1 0
\ 1
Id a ...) ,
\ 1
I 0 1
\ I cia
FU li Bath
a.) D EMIIMINNIMIRR
\-1 \ V)
0
'N. \ i C.; a)
M 0
".* ''''''' ''''''' —5 — — — 1
i le 1 Famity
Pantry r Room 0
1 1 _
o
fs,
1 2)
Closet 1 i Closet
--...\\j.....
a 1 ---\\S"--1
Bedroom Bedroom
** Emergency Meeting Area: End of driveway **
rtakitl V tU
I f .. JUL 2 8 2020 PERMIT APPLICATION
Federal Way PERMIT C +:3332 s`=:; ::c-South + Fe is al Way,S6 .k3ft.3 6325
53-335-2601 + FAX 253 -_ 2609 d-prfnIIT.f t x.t x tftc l, I,,. { .,•a'i
CITY OF FEDERAL WAY
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TYPE OF FERIAIT 3;y1.T-i.m.a . Li Atroi' E2Erliv«"st;,c':. . .D...,.;..4. ,';[ i * „- i,.;r.,., „moi "s a F'),i'.4.): 8.+..*.a,i•d
NAME OF PROJECT E 4 '^'T5 oJ e(:,--V,,,-(1 ....T ( it.N 1k I!1 a k, 'tA,)A e
1€ t lc '-14, -L,+a t rt 4t'• R-,�l t t "c, `�``.L 1-(,.- 11 °
;`.er„a / deser_p_inn of work to A C. -1F_ .tC.dkaa
b`•include-1j aetc, r,alor;1
74141011
PROPERTY OWNER .0.ALm. ozemrscs 3,741
32, c:r ,,21\J, A- t
crrr STATE VT
MAME MOAT
t ;i4FICr `3--2£.S."-_-_2 (;0
CONTRACTOR 941
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TVA.STATE F =maiiiTtow EATS test
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APPLICANT opturna ADDRESSSTEAM
:32-.,c ' y� ! -3 �,ai ' Ore, Cow
ttIrt a STATS t r�r FAx
gl`F * r i * Yt .
PROJECT CONTACT '
ice ihritoulual to recea °owl
resprttt Ea t)r; pettxa�c
a ..,,° ui
TTLx(J east..appdat`a`ltion) crrr SIP FAx ,
; f I WA' 1 0
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PROJECT FINANCING ae9ts 0 OWNER-FINANCED
Who-,4 2.1thte'ax m ,&OO or arreM RAILING C3ET..STAYS.ZIP •,�.,,., -... .• _..... - a
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t
I certify tender penalty of perjury that I eon the property ty air ne authorised agent of the ellrOptiTtly omaresrr:I arerAfyi that to tho bat
of say knowledge, of thin peewit applieettiate is tree Nast:t,,.r.t.I certify that I will croweply with
all applicable City of Federal Wag regulationa pertaining to the meek east o,t by the issuance of a permit-I understand that the
hartaner of this permit :does net rewneee the a resporaillatity for cootaihavice tatth lewd, state, or federal lamas revokably
canstruetten Or ensdratuetental lawn.
I fir agree to hold harmless the City mf reethenti Wag ss to any claim fiewhidlogamaze, andIn
the Investigation and defense of such&Strata,which may be made by ang peemea,,isichultsly the undersigned, Ned against the
bat oarg where such claim arts** cad of the rehouses, of the city tnehatiny its officers and entplagrez, ams the of the
infermation supplied to the city as a part of this appbeation.
/ j
STOMA euxt:
PRINT NAME: Y ..._ "� `
Rusk in.4,.-too._Febtuatr 14.2020 P .e t oft k-2,14andouts,Parill Application
•
Adult Family Home (ding WOW W m BISPECTION CHECKLIST
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Ar Menem )43— !l4,
SIMMONS 1.2.3 MEI 4 ourn E mem!BY APPLICAIMIEFOREMISPE01101111111LLOE telOCESSED
: 340/ 1n1 APe S paletia wAy, R 98-00 tISSESDOWS DDIPARCEM_Ilia4/006•
PROPEJUYOWNO(NMW:�tal 13 na-ceo# ¢' Clra& P4eeSeo CIAO I DAYIDEnone 153-3-4 9-3L68.
AFH LICENSEE NAW(woureimir 4ate Meesoo C Lo 1 DAYTDME pHOI E) J-4 -30
On a separate sheet of paper(8 V2 x 11) thaw a floor plan ("atciudI gan
floors)of your prospective AFH.Indude an sleeping rooms(bedrooms)
indicating which bedroom is: A, B,C D, E and F.
Label all components for exiling i.e.,stats, ramps,platforms, hits and
elevators.
I certify under penalty of perjury that the irfoneaion ftsniehed by ares true and correct b the best of my knosrledge,and that I an
requesting or I an authorized by the owner of the above premises b request "snspectioe for the operation of an Adult Fan* Home
at this bcation. I agree to hold harries the jurisdiction conducting such iupection% at my request, as to any clam(inclrfng ate,,
expenses,
and tiled against jurisdiction, only whereclam arsessoo Rt of the relianwhich may be ce stction, its (Ohms adade by any person,indirdrig the d
e apbye_s, upon the accuracy of information supplied b the jurisdiction as a pat of this appi[aaon.
NAMEPTr1IE: r�--� DATE: 8.1 fq l `.3-c=%)
'ROPERIT°WER EVAPPLIGANT
(Effective July 1,2013.)
Effective:2013 July 01
Updated:2017 February
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Ai 1 ctt ts ttic g . 8litli a 0 a
YES NO
room doors are easily and gticldyopenable from the outs idewhen todced• 0
'
rbonMono idealarmsareinstailedasrequiredinR315oneachlevelofthehome. 0
k"` Smoke a farms areinstaledonall teals ofthe dwelli ineachresidents room,oarrfi outside each separate
} sleeping area inthe invnediaterndnityofsleeping rooms(R314). P 0
Smoke and Carbon Monoxide alarrrtsareinstalledinsudiamannersothattheauddriewamitgmaybeheardinafl
parts of the dwelling upon activation ofa single device. N- 0
Access road andwatersupply meet localfirejurisdictional requirements. Et 0
R325.4 Operable parts of door handles,pulls,ladies.locks and other devices installed in NH shalbe operable with one hand
and shall not require tight grasping,(*ndringortwisting ofthewrist fever type). - 0
Pocket doors shall have graspable hardware avalablewhen'lithe closed or open pos*ion. /[t
QN11.A Ramps YES NO
Wide Ramp I wA 0
8311.8.1 Maximum Slope one unit vertical in bombe wrens horiaont i(8.3%slopek(Exception 8311.81 Not allowed in AFH) 13 Q
8311.8.2 landing Regiarements:min.3X3 foot lander where doorsopen onto ramps,,and where rampdanges
directions.
R325.9.1 Handrails required on bath sides of ramp in accordancewith 831113.1-8311.833_
°itak'amp I WA 01 Yes NO
8311.8.1 Maximum Slope one unit vertical in twelve units horizontal(83%slope).!Exception 8311.81 Not allowed in NH) Et 0
8311.8.2 Landing Requirements mire.3X3 foot landing attop/bottom,where doorsopen onto ramps,and where rampchaag DI O
directions.
8325.9.1 Handrails requred on both sides of ramp in accordancewith 8311.8.3.1-8311.83.3. t 0
Guards below are depicted vas anecwnpleonly.AR Ramps must hare Guards 13 0
-Handrail both sides
Less than 4- 34'-38'
t
Guard =
36'min" - -
r t 3'x 3'renin.
�--
lasurmg
I3 : _;_ I'
landing - --
- 3' - -- -One unit vertical in twelve units horizontal 3
minimum is an 83%slope all along surface of the ramp. minimum
68112 Means of Evess y13 NO
R311.2 Door must be side-hinged with min.width of 32 inches between face ofdaarand stop.Htiet not less than 78 inches. 0 0
R325.4 Operable parts of door handles,pulls,ladies,locks and other devices installed in AFH shallbe operable with one bawl
and shall not require tight grasping,pinching Or twisting ofthe wrist(lever-type). 0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exitiigthe building albwing re-entry 0
without use of key,toot or special knowledge.
831LT Steinways I N(A WIYES I NO
83117 5.1 Riser Height: x riser height shallbe 7 X inches(8 inches in structures built prior to July 1,2004)
8311.7.5.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures buittpriortoluly 1,2004)
8325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to m uhiple 0
risers_Handrais shall be installed in accordance with 8311.7.81-R311.7.8.4
Effective:2013 July 01
Updated:2017 February
- Gni gars is dtlmooms I NM 01
YES NO
' • .'bbars shall beinstalledfor all wraterdosds(toilets)bathtubs andsbowersaccoadingto8325$ i ;.
Water Closets(toilet)shall havegrab bars installed on both sides
aceto R325B-8325$31 or E1325B32
Bathtubs shall have two vertical and three horizontal grab baa installedN
40,
aaoordi�t+o 8325.8-1325B 4–R32S$42 ;,
Shower stalls have two verticaland horizontal grab bars mounted an asides of shooter
8325.85:2. eta R325B–Er325B5–
ir Shower stalls must be minimum size of 30 Indies deep by48 iedtestong(ft325.11) n II
A6103–A6103 _Pool, al Hot Tab r " 0 3 t
AF1O52 Must be surrounded by a barrierthat is 48 indeesbigh„may have doors and or that auddle alarms when
0 CI
opened.
A6105.5 EXCEPTION_Pools,Spas or Hot Tubs with a safety cower wbicb complies with A51M F1346 0 0
FIPONSED OCOWIECTIONSOWAININD U PISISIITINISOISIO
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mespeaors - f
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MsPIc1ors OFRa MOMS > 011110MIE tam:
Application and:spebo„checklist developed by Washigion Associable*alEluldigg Offals(lam)ink with flepadsneet al Social cad
Health Services( SHS)lar use by both departments and kineois. W/01/2013
Effective:2013 July 01
Updated:2017 February
RECEIVED Adult Family Home (NH) LOCAL BUILDING INSPECTION CHECKLIST
. • •
Code ReloilttloceS:2015 IRC Secton R325(WAC.S1-51)
Jul 28 2020
APPUCATION gER: 2 0—1 0 2 8 7 6
tilT.Or FEDERAL WO'
0.7,1MUNI,DEVRO.VIEMT
SECTIONS 1. 2.. 3_AM34 hi UST BE COMPLETED BY APPLICANT BEFORE INSPECTION%%RILL BE PROCESSED
SECTION 1—PROPERTY INFORMATION
( .1. c;C-
SlTE 91: 0.1 )
SECTION 2—APPUCANT INFORMATION
, )
PROPERTY OWNER NAME; Pa1/441 DAYTDos,--F44ONF 0
A F H LICENSFE UAW -Pei; ("1(-Ale tie DAYT:Mf P14:XtE; c(-S*
SECTION 3—FLOOR PLAN
On a separate sheet of paper(8 ½ x11) draw a t r plan (including all
• tors) of your prospective AFH. Include all - ping rooms(1 t rooms)
indicating which bedroom is: A, 1$1 C D, E and F.
Label all components for exiting i.e.,stairs, ramps, platforms, lifts and
elevators.
SECTION 4 DISCLAIMER/SIGNATURE BLOCK
catty under pe aity of pa-jury that the MformatIon furniE$Ied by rre tnfe orvi crorrt to the best of my knowledge &NJ eta I am
rung or I om yolthortbEd by the owe of the above preetemotorequtst rwlyeamo for the operator) of an Adut Pam4y Horne
Ye this bcaDort. I agree to hold hornless the lowdiction conducting such inspections,. et r alexie:0. as to any claim (ricks:dog c
expertof , and owneys'fet.N corral m the mveshdabon of such clear), whth may be mole by atty DeYson,including It -onda--4gneci,
and Nod ag*tst the juriscItctiono but on where ibch claert wises out of the retance of the ito&itaton, includeto s off en
esnoloyeds, upon the accuracy of the aforrnotion woD0a1 to the juriNiktkin as a part of Ofb app4-on.
NAME/TITLE: DATE,
Cj PRO PE NW Oflt&R DAPPUCANT 0 LICENSEE
(EffecIne July i,2013.)
Effective:2013 July 01
Updated:2017 February
NAME OF AFH: A bila /-k me (aye
SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURI SDI CTI 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 N52—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 D Type S O Type NS1 O Type NS2 YES NO
Closet door/s are readily openablefromthe inside D Yes 1:1 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 5.7SF(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"a bovefloor to clear opening;no steps under window allowec 0 0
SLEEPING ROOM B O Type S O Type NS1 0 Type NS2 YES NO
Closet door/s are readily openablefrom the inside 0 Yes D 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 5.7SF(minimum dimensions atleast 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"a bovefloor to clear opening;no steps under window allowec 0 0
SLEEPING ROOM C 0 Type S OType NS1 0 Type NS2 YES NO
Closet door/s are readily openablefrom 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 of5.7SF(minimum dimensions atleast 24"high;atleast 20"wide) 0 0
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net clearance opening 5 SF
Sleeping room wi ndow has a maximum sill height of 44"abovefloor to clear opening;no steps under window allowec 0 0
SLEEPING ROOM D 0 Type S 0 Type NS1 0 Type N52 YES NO
Closet door/s are readily openable from the inside 0 Yes 0 No Smoke al arm is installed in the bedroom 0 0
Bedroom door opens easily a nd qu icklyfrom the outs ide when locked 0 0
Sleeping room windowhas a net opening of 5.7SF(minimum dimensions atleast 24"high;atleast 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"a bove fl oor to clear opening;no steps under window a llowec 0 0
SLEEPING ROOM E 0 Type S D Type N51 D Type NS2 YES NO
Closetdoor/s are readily openablefrom the inside 0 Yes 0 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quicklyfrom the outs ide when locked 0 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions atleast 24"high;at least 20"wi de) 0 0
EXCEPT per R310.2.1:at-grade escape wi ndows—may have net cl earance 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 0
SLEEPING ROOM F 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/s a re readily openablefromthe inside 0 Yes 0 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quicklyfrom the outside when locked 0 0
Sleeping room window has a net opening of 5.7SF(minimum dimensions atleast 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 bove fl oor 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 easily and quickly openablefrom the outsidewhen locked 0 0
Carbon Monoxide alarms a re installed asrequired inR315oneachlevelofthe 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 i mmediatevicinity of sleeping rooms(R314). 0 0
Smoke and Carbon Monoxide alarms are installed insuchamanner sothattheaudiblewarning may beheardinall 0
parts ofthe dwel ling upon activation of a single device.
Access road and water supply meet localfirejurisdictional 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 availablewhen in the closed or open position. 0 0
R311.8 Ramps YES NO
Inside Ramp N/A 0 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 at top/bottom,where doors open onto ramps,and where ramp changes
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 0
R311.8.2 Landing Requirements:min.3X3 foot landing attop/bottom,where doors open onto ramps,and where rampchanges 0 0
directions.
R325.9.1 Handrails required on both sides of ramp in accordancewith 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
— — Less than 4" 34"-38"
---
- - r -
Guard
36"min
3'x3 m
landing
3'x3'min —
-- Tom-
landing z
3' - - One unit vertical in twelve units horizontal __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 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 whenexitingthebuildingallowingre-entry 0 0
without use of key,tool or special knowledge.
R311.7 Stairways N/A 0 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
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. Q 0
Water Closets(toilet)shall havegrab bars installed on both sides according to R325.8—R325.8.3.1 or R325.83.2. 0 0
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2 0 0
Shower stalls have two vertical and horizontal grab bars mounted onallsidesofshower accordingtoR325.8—R325.8.5— 0 0
R325.8.5.2.
Shower stalls must be minimum size of30 inches deep by48 inches long(R325.11) 0 0
AG103—AG105 Swimming Pool,Spa, Hot Tub YES NO
AF105.2 Must be surrounded bya barrier that is 48 inches high,may have doors and or gates that must have audible alarms when o o
opened.
AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0
0 PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
INSPECTOR'S NAME(PRINT)
INSPECTOR'S SIGNATURE DATE:
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