21-104855Building - Single Family
City of Federal Way Permit #:21-104855-00-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: EQUAL-LUV-N-CARE ADULT FAMILY HOME
Project Address: 3013 SW 316TH ST Parcel Number: 438800 0410
Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under
this permit. ***
Owner
Applicant
Contractor .
Lender
DERON P FOSTER
JOHN DUNCANEQUAL-LUV-N-
3013 SW 316TH ST
CARE ADULT FAMILY HOME
FEDERAL WAY, WA 98023
2428 SW 317TH ST
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 1#2
#3
#4
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?.................. No
Plumbing to be Included? .............. No
No Fixtures Associated With This Permit 1!
PERMIT EXPIRES Monday,16 May, 2022
Permit Issued on Wednesday, November 17, 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 acient: Date: l` l l /2(-.
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Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2018 IRC Section R330 (WAC 51-51)
APPLICATION NUMBER:
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1— PROPERTY INFORMATION_-
PROPERTY OWNER NAME: ]��—� DAYTIME PHONE:��
AFH LICENSEE NAME (IF DIFFERENT): _ �jy� DAYTIME PHONE: � _:D
1
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 components for exiting i.e., stairs, ramps, platforms, lifts and
elevators.
RECEIVED
NOV 17 2021
CRY
COM UNITY D y OPM NT
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 a information supplied to the jurisdiction as a part of this application.
NAItIIsfi'i'SLE: a 1 S DATE: tI I 0 1 11
CIPROPERTY OWER M�PLICANT It LICENSEE
Implementation Date: 2021 February 01
Updated: 2021 February
SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURISDICTION 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 C D E AND F AND CLASSIFICATION CODE S, NS1 OR NS2.
SECTION 5 — BUILDING INSPECTOR'S INSPECTION CHECKLIST
R330.3 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 R330.9 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 R330.9 are provided to
evacuate residents to public area
SLEEPING ROOM A 0 Type S CIType NS1
0 Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes 0 No I ON/A I Smoke alarm is installed in the bedroom
0
Bedroom door opens easily and quickly from the outside when locked
IR
O
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
®
O
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
M
0
SLEEPING ROOM B 10
Type S I gType NS1
O Type NS2
YES
NO
Closet door/s are readily openable from the inside IN Yes 0 No ON/A I Smoke alarm is installed in the bedroom
®
0
Bedroom door opens easily and quickly from the outside when locked
0
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
0
O
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
0
SLEEPING ROOM C 10
Type S 10 Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside I MYes 10 No I ON/A I Smoke alarm is installed in the bedroom
0
0
Bedroom door:opens easily and quickly from the outside when locked
®
0
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
0
0
Slee ing room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
03
0
SLEEPING ROOM D 10 Type S Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside 113 Yes 0 No ON/A Smoke alarm is installed in the bedroom
0
j]
Bedroom door opens easily and quickly from the outside when locked
to
0
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
0
Slee ing room window has a maximum sill height of 44" above floor to clear opening; no steps under window. allowed'
®
0
SLEEPING ROOM E
113 Type S O Type NS1
IIE33Type NS2
YES
NO
Closet door/s are readily openable from the inside 0 Yes 113No ON/A Smoke alarm is installed in the bedroom
0
O
Bedroom door opens easily and quickly from the outside when locked
O
0
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
0
0
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
O
SLEEPING ROOM F 10 Type S I O Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside 0 Yes 0 No ON/A I Smoke alarm is installed in the bedroom
0
0
Bedroom door opens easily and quickly from the outside when locked
0
O
Sleeping room window has a net opening of 5.7 SF (minimum dimensions at least 24"high; at least 20" wide)
EXCEPT per R310.2.1: at -grade escape windows — may have net clearance opening 5 SF
0
0
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
0
J0
Implementation Date: 2021 February 01
Updated: 2021 February
GENERAL
YES
NO
Bathroom doors are easily and quickly ❑ enable from the outside when locked
0
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
E3
Smoke alarms are installed on all levels of the dwelling, in each resident sleeping room, outside each separate
sleeping area in the immediate vicinity of sleeping rooms (R314).
V
13
Smoke and Carbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in all
parts of the dwelling upon activation of a single device.
91
E3
Access road and water supply meet local fire jurisdictional requirements.
0
R330.4 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).
RE
13
Pocket doors shall have graspable hardware available when in the closed or open position.
M,1:1
R311.8 Ramp
YES
NO
Inside Ram
N/A
❑
13
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in
[3
0
R330.9)
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
ramp changes directions.
0
1:1
R330.9.1 Handrails required on both sides of ramp.
0
0
Outside Ram N/AJ3 I
YES
NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in
R330.9)_
0
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
ramp changes directions.
0
R330.9.1 Handrails required on both sides of ramp.
R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 30 inches measured
Q
0
vertically to the floor or grade below at any point within 36 inches horizontally to the edge of the open side.
Guards below are depicted vertically as an example only.
Guard
36" min
r Handrail both sides
Less than 4" f 34" - 38"
Tx3'min
landing
Tx3'min
landing
— 3' �� �- One unit vertical in twelve units horizontal �--- 3'
minimum is an 8.3% slope all along surface of the ramp. minimum
Implementation Date: 2021 February 01
Updated: 2021 February
R311.2 Means of Egress
YES
NO
R311.2 Door must be side -hinged with min. width of 32 inches between face of door and stop. Height not less than 78 inches.
ri
R330.4 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
the building allowing re-entry
0
R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting
without use of key, tool or special knowled a.
R311.7 Stairways
N/A
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)
R311.7.5.2 Tread Depth: Min. tread depth shall be in 10 inches (9 inches in structures built prior to July 1, 2004
R330.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple
13
risers. Handrails shall be installed in accordance with R311.7.8.1— R311.7.8.4
YES
NO
R330.8 Grab Bars in Bathrooms I /A
Grab bars shall be installed for all water closets toilets), bathtubs and showers according to R330.8.
Water Closets (toilet) shall have grab bars installed on both sides according.to R330.8.3
13
Bathtubs shall have two vertical and three horizontal grab bars installed according to R330.8.4
13
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R330.8.5
13
Shower stalls must be minimum size of 30 inches deep 48 inches long (11330.11)
13
1p'PASSED
NAME OF AFH:
Adult Family Home Project Address
BUILDING DEPT. INSPECTOR'S NAME (PRINT)
�
BUILDING DEPT. INSPECTOR'SSIGNATURE DATE:
BUILDING DEPT. OFFICE ADDRESS OFFICE 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 in accordance with wAc sm-.6 u)ivu.
Implementation Date: 2021 February 01
Updated: 2021 February
THIS CARD IS TO REMAIN ON -SITE
CITY OF - 'T Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 104855 00 Address: 3013 SW 316TH ST
Project: DERON P FOSTER FEDERAL WAY WA 98023-2216
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
Q Final - Building (4050)
Approved
By CMG Date
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
�IYr = �._. PERMIT APPLICATION
17 2021
Fedi� y �a y'��'" NOV PERMIT CENTER + 33325 8� Avenue South +Federal Way, WA 98003-6325
e! ai �f idy CITY OF FEDERAL war 253-835-2607 + FAX 253-835-2609 + permitcentenra)cityoftederalway.com
[j j C OMMUNf1Y DEVELOPMEW
PERMIT NUMBS _/ j _ 1 0 q � 5— _ S
i� rr T � V � T_- TARGET DATE
SITE ADDRESS SUITE/UNIT S
kk
PROJECT VALUATION
ZONIN
ASSESS 78 TAX/PARCEL /
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
Tv
PRIMARY PHONE
20 �q
ADDR889
E_MAM
C
STATE
NAME
PHONE
NAMING ADDRESS
E_MAM
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIPATION DATE
UBI 8
NAME
v v�
P YPHONE
-jy�
MAILING ADDRESS
19-lq S -1v" S�
E-MAIL
APPLICANT
CITY
I STATE
yt\\
ZIP
FAX
PROJECT CONTACT
NAME
[�
(The individual to receive and
MAILING ADDRESS
E-NiAIL
respond to all correspondence
CITY
STATE ZIP
FAX
—
❑ OWNER -FINANCED
concerning this application)
PROJECT FINANCING
NAME
When value is $5,000 or more
(RCW I9.27.095)
NAMING ADDRESS, CITY, STATE, ZIP
PHONE
I ceri j fij under penalty of perjury that I am the property owner or authorized agent of the property owner. I certj fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certgy 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
Ir{/'ormation supplied to the city as apart of this application.
SIGNATURE: � DATE I I l
PRINT NAME: 1 ,, l " _
Bulletin # 100 —February 19, 2020 Page 1 of 2 Uliandouts\Pennit Application