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21-100105 � Aasult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References:2015 IRC Section R325(WAC 51-51) '' � �/`ao �c�s o�f r'� APPLICA710N NUMBER: SEC71dNS 1. 2. 3. AND 4 MUSTBE COMPLETED BY APPLICANTBEFORE INSPEC710N WILL BE PROCESSED � " � ' � ' � • SITEADDRESS: �`D� � S�• ��-n`� 5�, f��r�""�Y �`� � / D�—> ASSESSOR'STAX/PARCEL#: � � . . � � . � � PROPERTYOWNERf�AME:�� n _ DAYTIMEPHONE:"Z��,"`'' ��/�� }C�e Gc�1^e l� �I� ?�3,�-s�, �� AFH LICENSEE NAM?"(iFoiFFERErvr): DAYTIME PHONE: • • • ' ' � On a separate sheet of paper (81/z x 11) draw a floor plan (including all floors) of �our prospective AFH. Include all sleeping rooms (bedrooms) indicating ,�vhich bedroom is: A, B, C D, E and F. Label all cc�mponentsforexiting i.e., stairs, ramps, platforms, lifts and elevators. • � � � • • I cerdfy under pen�rty 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 a tree to hold harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses, and attor� eys' fees incurred in the investigation of such claim), which may be made by any person,including the undersigned, and filed against th� jurisdiction, but only where such claim arises out of the reliance of the jurisdiction, including its officers and employees, upon tF e accuracy of the information supplied to the jurisdiction as part of t�is application. NAME/TITLE: _ I�`/e- 'T �O✓1 � �iroV( �eV ^� DATE: I/��-� �F ROPERTY OWNER �APPLICANT �LICENSEE (Effective July 1, 2013.) , Effective:2013 July 01 Updated:2017 February Wl�C 51-51-0325 Section R325—Adult family homes. � � SECTION R325 ' ADULT FAMILY HOMES R325.1 General.This section shall apply to all new ly 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 w ith R325.9 is provided. 3.Type NS2 -Where tw o means of egress are at grade level or ramps constructed in accordance w ith 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 w ith one hand and shall not require tight grasping, pinching or tw isting of the w rist.Fbcket doors shall have graspable hardw are 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 hardw are shall unlock inside and outside mechanisms w hen exiting the building allow ing reentry into the ad ult family home w ithout the use of a key, tool or special know ledge. R325.5 Smoke and carbon monoxide alarm requirements.Alladult family homes shall be equipped withsmoke and carbon monoxide alarms iristalled as required in Sections R314 and R315.1. Alarms shall be installed in such a manner so that the detection device w arning is audible from all areas of the dw elling upon activation of a single alarm R325.6 Escape w endows and doors.Every sleeping room shall be provided w ith emergency escape and rescue w indow s 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 Fre apparatus access roads and water supplyforfire protection.Adultfamily homes shall be served by fire apparatus access roads and 4v ater supplies meeting the requirements of the local jurisdiction. R325.8 Grab bar general requirements.Wherefacilities are designated foruse by adult family home clients, grab bars forwater closets, bathtubs and show er stalls shall be installed according to this section. R325.8.1 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 maxirrum Grab bars w ith 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 betw een the w all and the bar. Projecting objects, control valves and bathtub or showerstall 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-upgrab barsshall not be requir+ed to meetthe 1 1/2 inch spacing requiremer�t 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 shall be removed. Fixed position grab bars,when mounted, shall not rotate, spin or move and have a graspable surfacefinish. R325.8.3 Grab ba�•s at water alosets.Water closets shall have grab bars mounted on both sides. Grab bars can be a combination of fixed position and sw ing-up bars. Grab bars shall meet the requirements of R325.8. Grab bars shall mount betw een 33 inches and 36 inches above floor grade. Centerline distance betw een grab bars, regardless of type used, shall be between 25 inches Effective:2013 July 01 Updated:2017 February minimum and 30 inches 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.Sw ing-up grab bars shall be a minimu m of 28 inches in length from the rear w all. R325.8.4 Grab bars at bathtubs.Horizontal and vertical grab bars shall meet the requirements of R325.8. R325.8.4.1 Vertical grab bars.Vertical grab bars shall be a minimu m of 18 inches long and installed at the control end w all and head end w all. Grab bars shall mount w ithin 4 inches of the exterior of the bath tub edge or w ithin 4 inches w ithin the bath tub. The bottom end of the bar shall start between 36 inches and 42 inches above floor grade. EXCEPTION:The required vertical grab barcan be substituted with a floorto ceiling grab bar meeting the requirements of R325.8 at the contrd end and head end entry points. R325.8.4.2 Horizontal 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 shall be mounted betw een 33 inches and 36 inches above floor grade. Control end and head end grab bars shall be 24 inches minimum in length. Back wallgrab 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 stallswith permanerrt built-in seatsare not required to have vertical or horizontal grab barsatthe seatendwall.Avertical floorto ceilinggrab barshall be installed within 4 inchesof the exterior of the shower aligned with the nose of the built-in seat. R325.8.5.1 Ve rtical grab bars.Vertical grab bars shall be 18 inches minimu m in length and installed at the control end w all and head end w all.Vertical bars shall be mounted w ithin 4 inches of the exterior of the show er stall or w ithin 4 inches inside t he show er 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 show er stall mounted betw een 33 inches and 36 inches above the floor grade. Horizontal grab bars shall be a maximum of 6 inches from adjacent w alls.Horizontal grab bars shall not interfere w ith show er control valves. R325.9 Ram ps.AI� interior and exterior ramps, w hen provided, shall be constructed in accordance w ith Section R311.8 w ith a maximum slope of 1 vertical to 12 horizontal. The exception to R311.8.1 is not allowed foradult farr�ly homes. Handrails shall be installed in 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 horizontal and 1 vertical and 20 horizontal in accordance w ith R311.8.3.1 through R311.8.3.3. R325.10 Stair trerds and risers.Stair treads and risers shall be constructed in accordance w ith R311.7.5. Handrails shall be installed in accord�nce w ith R325.10.1. R325.10.1 Handra�ls for treads and risers.Handrails shall be installed on both sides of treads and risers numbering from one riser to rrnaltiple risers. hiandrails 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 19.27.031 and chapters 19.27 and 34.d5 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.StatutoryAuthority:RCW 19.27.1�,19.27.020,and chapters 19.27 and 34.05 RCW.09-04-023,§51-51-0325,filed 1/27/09,effective7/1/10.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: � SECTIONSMUSTBECOMPLETEDBYTHEBUILDINGDEPARTMENTINTHEJURISDICTIONTHEHOMEWILLBELOCATED. PLEASE CHECK ALLAPPLICABLEBOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN—USING THEIR PROSPECTIVE RESIDENT BEDROOM DESIGNATIONS OF A8 CD EAND FAND CLASSIFICATION CODE 5.N51 OR N52. • � • • ' ' • 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 ofegress 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. SL�EPING R��t#,A 0 Type 5 Type NS1 �Type NS2 YES NO Closetdoor/sarereadilyopenablefromtheinside Yes �No Smokealarmisinstalledinthebedroom � Bedroom door opens easily and quicklyfromthe outsidewhen l ocked 0 Sleepingroomwindowhasanetopeningof5.75F(minimumdimensionsatleast24"high;atleast20"wide) � � EXCEPT per R310.2.1:a t-grade es cape wi ndows—may have net cl earance opening 5 SF Sleepingroomwindowhasamaximumsillheightof44"abovefloortoclearopening;noste sunderwindowallowe 0 � "�SLE��NG ROOM B Type S Type NS1 Type N52 YES NO Closetdoor/sarereadilyopenablefromtheinside Yes �No Smokealarmisinstalledinthebedroom 0 Bedroomdooropenseasilyand uicklyfromtheoutsidewhenlocked 0 SI eepi ng room wi ndow has a net opening of 5.7 SF(mi n i mum dimensions a t I east 24"high;at I east 20"wi de) 0 EXCEPT per R31�.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF Sleepingroomwindowhasamaximumsillheightof44"abovefloortoclearopening;nostepsunderwindowallowe � � � �� .EEP��G R�A C�"� � �� Type S Type NS1 Type NS2 YES NO Closetdoor/sarereadilyopenablefromtheinside Yes ONo Smokealarmisinstalledinthebedroom 0 Bedroom door opens easily a nd quicklyfrom the outside when I ocked � Sleepingroomwindowhasanetopeningof5.7SF(minimumdimensionsatleast24"high;atleast20"wide) � 0 EXCEPT per R31('.2.1:at-grade escape wi ndows—may have net cl earance opening S SF Sleepingroomwindowhasamaximumsillheightof44"abovefloortoclearopening;nostepsunderwindowallowe � -- SL�EPING ROOM D „ Type S Type N51 Type NS2 YES NO Closetdoor/sar�readilyopenablefromtheinside �Yes Smokealarm' ' ' thebedroom � � Bedroomdooropen sil a y r theoutsi enlocked � � Sleepingroomwindowhasa netopeningo minimumdimensio atleast24"high;atleast20"wide � � EXCEPT per R31G.2.1:at-grade escape wi ndows—may have net cl earance opening 5 SF SI eepi ng room�n�i ndow has a maximum s ill height of 44"a bove fl oor to clear opening;no steps under window a Ilowe � � �� L� ,,;�IC'i��3N��`�� Type S Type NS1 Type N52 YES NO Closetdoor/sar��readilyopenablefromtheinside �Ye Smokealarmisinstalledinthebedroom � � Bedroomdooro silyandquic ro theou ' ewhenlock d � � Sleepingroomwindow asa n pening f5. (minimumdimen ' nsatlea ' g ;atleast20"wide) � � EXCEPTperR310.2.1:at- adeescapewi ows—mayhavenetclearanceopeningSSF SI eepi ng room wi ndow has a maximum s ill height of 44"a bove fl oor to c lear opening;no steps u nder window a Ilowe �' � �� LEfPII�G ROOM F ��. Type S Type NS1 Type NS2 YES NO Closetdoor/sar�readil openabl einside Yes Smokealarmisinstalledinthebedroom Bedroomdooropensea ilya quicklyf mtheoutsi henlocked � 0 Sleepingroomwindow a netopenin of5.7 minimumdimensionsatleast24"high;atleast20"wide) � � EXCEPTperR310.2.1:at-gradeescapewi —mayhavenetclearanceopeningSSF Sleepingroomwindowhasamaximumsillheightof44"abovefloortoclearopening;nostepsunderwindowallowe � 0 Effective:2013 July 01 Updated:2017 February G�ENERQL YES NO Bathroom doors a re easily and quickly openablefrom the outside when locked � ' ,, C`arbonMonoxidealarmsareinstalledasrequiredinR315oneachlevelofthehome. � Smoke a I a rms a re i nstalled on a II I evels of the dwel I ing,i n ea ch res ident s leeping room,outside ea ch s eparate sleepingareaintheimmediatevicinityofsleepingroorr�s(R314). � 0 SmokeandCarbonMonoxidealarmsareinstalledinsuchamannersothattheaudiblewarningmaybeheardinall � � pa rts of the dwel ling upon a ctivation of a single device. Access roadandwatersupplymeetlocalfirejurisdictional requirements. � R325.4 Operable parts ofdoor handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand and shall not require tightgrasping,pinchingortwistingofthe wrist(lever-type). -� 0 Pocket doors shall have graspable hardware availablewhen in the closed or open position. � Q R3��,8�� ' '..... .,..., � �� YES NO �„s�Ra�„Q ��, � 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) R311.8.2 Landing R.equirements:min.3X3 foot landingattop/bottom,where doorsopen onto ramps,and where rampchanges directions. � Q R325.9.1 Handrailsrequired on both sides oframp in accordancewith R311.8.3.1—R311.8.3.3. Q Q Outs� Ramp N/A 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) R311.8.2 Landing Requirements:min.3X3 foot landingattop/bottom,where doorsopen onto ramps,and where rampchanges � � directions. R325.9.1 Handrailsrequired on both sides oframp in accordancewith R311.8.3.1—R311.8.3.3. Q Guards below are depicted vertically as an example only.All Ramps must have Guards 0 Handrail both sides � ',-- Less than 4" 34"-38" _ � �_ � �ir—T r � �II �- il � � i .._ I -- I 4 � Guard �I , il I i i } � } � -- _ _ 36"min �I , � �I ', � � ; I i I I i ----- , , 3'x 3'm i n I I I 'u '' -- — , _` ---� --- --- -- sl I I, I, ' landing � -__ ._. - -- - � 3'x 3`min --_ . , _ _ __— --- ---- � IanNing � ' --- - — , -- -- --�-,� — 3' — One unit vertical in twelve units horizontal �-- _ 3� � minimum is an 8.3%slope all along surface of the ramp. minimum R32i3 Me�s of F�ess 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 handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand and shall not require tight grasping,pinchingortwistingofthe wrist(lever-type). Q R325.4 Requiredexitdoorhardwareshallunlockinsideandoutsidemechanismswhenexitingthebuildingallowingre-entry � Q without use of key,tool or special knowledge. R311.7 s�ry�s ,;�/A Y ES N O R311.7.5.1 Riser'ieight:Max riser height shall be 7 3/< inches(8 inches in structures builtprior to July 1,2004) Q R311.7.5.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in strudures builtpriorto July 1,2004) R325.10.1 Handrails forTreads and Risersshall be installed on both sides oftreadsand risersnumberingfrom one riserto m ultiple � � risers.Handrailsshall be installed in accordance with R311.7.8.1—R311.7.8.4 Effective:2013 July 01 Updated:2017 February �;��BaFs �r��rw�►►�s N/A YES N O Grab bars shall be installed forall waterclosets(toilets),bathtubs andshowersaccordingto R325.8. � � �WaterClosets(toilet)shall havegrab bars installed on both sides accordingto R325.8—R325.8.3.1 or R325.8.3.2. Q Bathtubs shall have two vertical and three horizontal grab bars installed accordingto R325.8-R325.8.4—R325.8.4.2 Q ShowerstallshavetwoverticalandhorizontalgrabbarsmountedonallsidesofshoweraccordingtoR325.8—R325.8.5— � � R325.8.5.2. Shower stalls must be minimum size of30 inches deep by 48 inches I ng(R 25.11) AG3f13--AGi0�5v�€r»mingPoot,Spa, HotTub YES NO AF105.2 Must be surrounded by a barrier that is 48 inches high,may ave oors and orgates that must have audible alarms when � � opened. AG105.5 EXCEPTION: Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 PASSED �CORRECTit?NS REQUIRED Q PERMIT REQUtRE'�t �; , �SF''�C'[flR'S N �� `�PRfNT) � „'.� / tPFSPEGTOR'S SI E ' D E: . ,�;�,z�� g�``' ,�v� .S �.��, �� .�3--8'�..s�,��'o � ,�, � � It�P��flR'S�FFl�ADDR£SS�� PHONE NUMBER,� � Applicatiorr and inspection check�st%�}��?elaped by Washing�orr Association of Building O�ieials(WABO),iC�c�ties�t with Department of Social and Health S�ry�s-(DSH5�finr use by b��partmenis and licensors. 07/O1J2t�3;3 � � Effective:2013 July 01 Updated:2017 February /�b/�I 7/1� )� �U 0 � P M w � 6 �- �S ��u�� t � � � � r � 10 � t f� r �, �� ° �� c� � t° 7 I ^' �- �t� .� r � � r�s s o � ;: Kye Yoon!Acecare AFH 205 SW 332nd St. Federai Way, WA. 98023 ParCel#7298fl0-0430 ftamp Grc�und Floor Page 1 of 2 C3�:�K IlValk � � � 70x.g s6�c39 a�'> Bedraorn B Drning Raom 14& N5� Kitchen Living Room � ___� ��\,�.�„�..__r""• �,� �� ';8x�;, laundry Bedroorn A F 2sa-r�s� WH tNC Bedroom C tiss-n�s� """tl0'" Parch ssxss Garage Vitafk � Cy�iveway