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21-101751City or Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: RUBY MATTI CARING PROFESSIONALS 2 AFH Project Address: 30017 13TH AVE S Building - Single Family Permit #:21-101 / 51-00-SF Inspection Request Line: (253) 835-3050 Parcel Number, 025300 0335 Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.' Owner Applicant Contractor Lender CAROLINE PRICE CAROLINE PRICE 30042 14TH AVE S 30042 14TFI AVE S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Census Category: 434 - Residential alt/add - no change in number of units Includes; # 1 #2 #3 44 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft.) Additional Permit Information Mechanical to be Included? .................................... No Is this an Online or O.T.C. application?.................. Yes Plumbing to be Included?........ No No Fixtures Associated With This Permit!! PERMIT EXPIRES Saturday, 30 October, 2021 Permit Issued on Monday, May 3, 2021 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: I. I Date: 7— O O k� V z J V V U n C- l r i w W A V z z Q NAME OF AFH: V,Vk I NA iV ! 1 ! C ,f\- i'4\ k3 C'1 SECTION 5 MUSTBE_COMPLETED BYTHE BUI LDING DEPARTMENTINTHE JURiSDI CTION THE HOME W I LL 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 S CD FAND FAND CLASSIFICATION CODE S, NS1 OR NS2. SECTION' •INSPECTION R325.3 Sleeping Room Classification: Each sleeping room in an Adult family Home shall be classirred 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. fvne NS2— where 7 mpanc of rgrnxs at vradp Ipvpl Ihnth havp nn ctairci nr mmeK--tr—t—i rnmrdthnt —ith RQ_); O n vWpri to A .r....A Gia.,+� +-..Allr — SLEEPING ROOM A Type S ype NS1 Type NS2 YES NO Cl oset door/s a re readily openablefrom the i nside es ❑No Smokealarmisinstalled inthe bedroo ❑ Bedroom door opens easily and quickly from the outside when locked UP ❑ Sl eepi ng room window has a net opening of 5.7SF (minimum dimensions at least 24"high; atleast20"wide) EXCEPT per R310.2.1: at -grade escape windows —may have net clearance opening 5 SF E( ❑ Sl eepi ng room window has a maximums ill height of 44"a bove floor to clear opening; no steps under window a llowec❑ SLEEPING ROOM B 113 Type S Ill Type NS1 113 Type NS2 YES NO Closet door/s are readily openablefromthe inside AYes 1.13No I Smokealarm is installed in the bedroom ❑ Bedroom door opens easily and quickly from the outside when locked ❑ Sl eepi ng room window has a net opening of5.7SF (minimum dimensions atleast 24"high; atIeast 2(Y"wide) EXCEPT per R310.2.1: at -grade escape wi ndows—may have net clearance opening 5 SF 96 ❑ Sleeping room window has a maximum sill height of 44" a bovefl oor to clear opening; no steps under window a Ilowe 13 ❑ SLEEPING ROOM C I E3 Type S JiM Type NS1 Type NS2 YES NO Closet door/s are readily openablefrom the inside 11PYes JE3No I Smokealarmis installed in thebedroom ® ❑ Bedroom door opens easily and quicklyfrom the outside when I ocked 0I ❑ Sl eepi ng room window has a net opening of5.7SF (minimum dimensions atleast 24"high; atIeast 2(Y"wide) EXCEPT per R310.2.1: at -grade escape wi ndows —may have net clearance opening 5 SF 19❑ Sleeping room window has a maximums ill height of44"abovefloortoclearopening;nostepsunderwindowallowe ❑ SLEEPING ROOM D I E3 Type S MType N51 Type NS2 YES NO Closet door/s are readily openable from the inside layes ❑No Smokealarmisinstalled inthe bedroom. ® ❑ Bedroom door opens easily and quickly from the outside when locked ® ❑ Sl eepi ng room window has a net opening of5.7SF (minimum dimensions atleast 24"high; atIeast 20"wide) EXCEPT per R310.2.1: at -grade escape wi ndows—may have net clearance opening 5 SF ❑ 51 eepi ng room window has a maximum sill height of 44" a bovefl oor to clear opening; no steps under window a Ilowe SLEEPING ROOM E Type S lRiType NS1 113 Type NS2 YES NO Closet door/s are readily openable from the inside JRYes j0No Smokealarm isinstalled in the bedroom IS ❑ Bedroom door opens easily and quickly from the outside when locked 11 ❑ Sleeping roomwindowhas anetopeningof5.7SF(minimum dimensions atIeast24"high; at least 20" wide) EXCEPT per R310.2.1: at -grade escape wi ndows—may have net clearance opening 5 SF ® ❑ 51 eepi ng room window has a maximum sill height of 44"a bove floor to clear opening; no steps under window a llowec SLEEPING ROOM F 113 Type S jE3TypeNS1 Type NS2 YES NO Closetdoor/sare readily openablefrom thei nside ❑Yes IE3No Smoke alarm is installed in the bedroom Bedroom door opens easily and quicklyfrom the outside when locked ❑ ❑ Sl eepi ng room window has a net opening of 5.7SF (minimum dimensions at I east 24"high; at least 20"wide) EXCEPT per R310.2.1: at -grade escape windows —may have net clearance opening 5 SF ❑ ❑ Sl eepi ng room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed❑ Effective: 2013 July 01 Updated: 2017 February GENERAL I YES NO Bathroom doors are easily and quicklyopenablefrom the outside when locked ❑ Carbon Monoxide a larms are installed as required in R315 on each level of the home. ❑ Smokea I arms are installed on all levels of the dwelling, ineach residentsleeping room, outsideeach separate sleeping area in the immediatevicinityofsleeping rooms(R314). y /Qj 13 Smoke and Carbon Monoxide alarms areinstalled i nsuch a manner sothattheaudible warning maybe heard inall parts of the dwelling upon activation of a single device. ❑ Access road andwater supply meet l ocalfi re jurisdictional requirements, ❑ 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). 1P ❑ Pocket doors shall have graspable hardware available when in the closed or open position. P ❑ R311.8 Ramps YES NO Inside Ramp N/A ❑ ❑ R311.8.1 Maximum Slop one unitverticai 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 Handrails required on both sides of ramp in accordancewith R311.8.3.1-R311.8.3.3. ❑ ❑ Outside Ramp I N/A 0 1 YES NO R311.8.1 Maximum Slope one unitverticai 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 doors open onto ramps, and where rampchanges directions. ❑ R325.9.1 Handrails required on both sides of ramp in accordancewith R311.8.3,1-13311.8.3.3. ❑ Guards below are depicted vertically as a n exam le onl . All Ramps must have Guards ❑ Less than 4" Guard 36" min .f Handrail both sides 34" - 38" 3'x3'min - {{ landing 3'x3'min ` I landing — — 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. ❑ 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, pinching or twisting of the wrist (lever -type). ❑ R325.4 Required exit door hardware shall unlock inside and outside mechanisms whenexitingthebuildingallowingre -entry without use of key, tool orspecial knowledge. ❑ 11311.7 Stairways N/A YES NO R311.7.5.1 Riserlleight: Max riser height shall be 7 Y inches (8 inches in structures built prior to July 1, 2004) ❑ R311.7.5.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004) R325.10.1 Handrails for Treads and Risers shall be installed on both sides oftreads and risers numbering from one riser to multiple risers. Handrailsshall 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 I N/A YES NO G ra b ba rs s.ha ll be installed for all water closets [toilets); bathtubs and showers according to R325.8. ❑ Water Closets (toilet) shall have grab bars installed on both sides according to R325.8—R325.8.3.1 or R325.83.2. Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8-R325.8.4—R325.8.4.2 ❑ Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower accordingto R325.8-13325.8.5— ❑ 13325.8.5.2. Shower stalls must be minimum size of 30 inches deep by 48 inches long (13325.11) AG103 —AG105 Swimming Pool, Spa, Hot Tub YES NO AF105.2 Must be surrounded by a barrierthat is 48 inches high, may have doors and or gates that must have audible a larms when ❑ ❑ opened. AG105.5 EXCEPTION: Pools, Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 APASSED Q CORRECTIONS REQUIRED ❑ PERMIT REQUIRED anliz- INSPECTOR'S NAME (PRINT) CL4.,)T�' — INSPECTOR'S SIGNATURE INSP CTOWS OFFICE ADDRESS PHONENUMBER: 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 Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2015 IRC Section R325 (WAC 51-51) APPLICATION NUMBER:' _10/ 5'1 SECTIONS 1. 2, 3. AND 4 MUST BE COMPLETED By APPLICANT BEFORE INSPECTION WILL BE PROCESSED SECTION 1— PROPERTY INFORMATION � t� � >� t-fit � U• � SITE ADDRESS: . )` t�d_ ��cry� ASSESSOR'S7A ARCEL#_�__�_�-__�_ PROPERTY OWNER NAME: AFH LICENSEE NAME (IF DIFFERENT): � DAYTIME PHONE: � � � �L -� r " I i r IIl►L tiJ IME PHONE:. On a separate sheet of paper (8 1/2 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 componentsfor exiting i.e., stairs, ramps, platforms, lifts and elevators. 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 gold 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 reilance of the jurisdiction, including its ❑fficers rxi employees, upon the accuracy, of( the inform(abon supplied to the jurisdiction as aytpart of this application. NAME/TITLE: ke IC•',��'i`�' N�i�i��i=`� DATE: OPROPERTY OWNER (Effective July 1, 2013.) APPLICANT Q LICENSEE Effective: 2013 July 01 Updated: 2017 February �ECE�VEPERMIT APPLICATION Federal W�is'�AY 0 3 2021 PERMIT CENTER + 33325 8"Avenue South +Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenterCcityofFederalWay.com CITY OF WAY COMMUNITY DEVELOP ENT llI ,� .� j/ PERMIT NUMBER _.J_- - �' _" �i ( - -5- C TARGET DATE SITE AODRESS SUITEIUNIT9 PROJECT VALUATION ZONING ASSESSOR'S TAWPARCEL TYPE OF ERMIT U BUILDING L P_UMBING 1:1 MECHANICAL ❑ DENOLITIOr� C ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 6 S-4 M I Cay�, )a a R� 16fu i L))&a i I AF PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAFI>R PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS CITY STATE ZIP NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UDI # NAM! (( ,_ PRIMARY PHONE MAILING ADDRESS E-MAIL APPLICANT CITY .. i'. - , IN STATE ZIP -s y- // - g FAX \ - NAME PRIMARY PHONE PROJECT CONTACT MAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence CITY STATE LP FAX concerning this application) PROJECTFINANCING NAME OWNER -FINANCED When value is $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) 1 cerdfy under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that f will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. 1 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 dofonse of such claim), which may be mado by any person, including the undorsignad, and pled 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. I ,�, .� SIGNATURE: � - DATE PRINT NAME: Bulletin 4100 — Febnrary, 19. 2020 Pagc l of 2 k:\1landouts\PermiI Application vai eec°. o.-ree:'r!..ruc.ar µP]Iin MECHANICAL PERMIT $ Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS H000sr- e_ BOILERS FURNACES HOT WATER TANKS,,,., COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES 1 PERMIT .... =*ic� Y:ORICPLUMBING Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS , - •. r, x LAVS TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTFMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS WATER HEATERS HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES C;F.NF_R AL INFORMATION CRITICAL AREAS ON PROPF_RTY7 WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING;PP,EVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes No Yes No IMF:SIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Nome) SECOND FLOOR COVERED ENTRY gq DECK GARAGE G' CARPORT J OTHER (describe) Area Totals EXISTING PROPOSED TOTAL "NEW HOMES ONLY"" ESTIMATED SELLING PRICE S # OF BEDROOMS CCl�fIM FRO A[,-- NI<:W/,iDDITION AREA DESCRIPTION Area Feet Square F Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION CONINIERCI:AL— IdI IIOIIEI.,!`I'ENAN"I' IMPROVI?MEN`I'S AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY