18400 90TH AVE WF
.D
IVE (J
FIRE PREVENTION
Serving Br.
_bnd�
12425 Meridian Ave S
INSPECTION REPO RT
Mountlake Terraceand
Everett, WA 98208
0 EDMONDS
0 BRIER
the Tbwn�qf� Woodway
Phone (425) 551-1200
E]WOODWAY
www.FireDistrictl.org
Fax (425) 551-1272
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
LOCATION:
18400 901h Avenue
BUSINESS NAME:
Real Care AFH
MAILING
18400 90Th Ave W
ADDRESS:
Edmonds
BUSINESS OWNER:
Yaranon, Maria/Mario
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
MY
PHONE: 4257755247
98026
HOMEPHONE: 2068510465
HOME PHONE:
HOME PHONE:
FREQUENCY
365
1'§TATION&SHIFF-I
HQ FP
SCHEDULED
DATE DUE � 06/01/13
L
IUFIR � 411 3116355
ACTIVE
CURRENT �
CITY YES NO
BUSINESS F-1
LICENSE 01
INITIAL INSPECTION(DATE
7 -,�, Y - 13
F '1 4
E
A
�NNUAL
,HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
&J
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLAT16—N(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES El NO
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
city of edmonds
Aevelopment information
Adult Family Home
Permit Submittal Requirements
PERMIT REQUIRED: Compliance Permit
CODES: State of Washington Amendments to the Uniform Building Code
WAC Section 313 Licensed Care Facilities
WAC 388-76 & WAC 51-20-1124
FEE:
$90
ADULT FAMILY HOMES:
Adult Family Homes are private residential homes licensed by the Department of Social and
Health Services (DSHS) to provide care to functionally disabled adults and the frail elderly. This
alternative long-term care is in a family setting for people who can no longer stay at home
unattended. Adult family homes are typically licensed to care for up to four residents however,
WAC 398-76-160#1 states a maximum of six adults may be permitted by DSHS.. The successful
applicant receives a state licensed certificate stating the maximum number of residents permitted.
LOCAL ZONING REOUIIIEMENTS:
In terms of location and zoning purposes within local jurisdictions, WAC 388-76-190#2 states,
"An adult family home shall be considered a residential use of property for zoning purposes.
Adult family homes shall be a permitted use in all areas, zoned for residential or commercial
purposes, including areas zoned for single family dwellings."
LOCAL SIGN REGULATIONS:
Signs for licensed adult family homes in single family dwellings.may only contain the name and
address of the resident of the building (3 square feet maximum, no permit required). For
information on signs for adult family homes that are located in comm ercial zones contact the
Planning Division for sign area limitations and other design criteria including permitting
requirements.
STATE BUILDING & FIRE CODE REOUIREMENTS:
WAC 388-76490#1 States, "Each adult family home shall meet applicable local licensing,
building, and housing codes and state and local fire safety regulations. The applicant shall be
responsible for checking with local authorities to ensure all local codes are met." The 1994
amended edition of the Washington State Building C ode includes the new occupancy designation
for Licensed Care Facilities of which Adult Family Homes are included.
adu1tho.docj1g6/95
J. BUILDING & FIRE CODE REOUIREMENTS:
State licensed Adult Family Homes containing living facilities (including provisions for sleeping, eating,
cooking and sanitation) for six (6) or fewer residents are designated as an LC/R3 occupancy and are
subject'to the following requirements:
1. A Compliance permit is required (fee $90.00) to ensure building and fire codes are met. The
applicant must provide complete floor plans (scaled 1/4"-1') showing all rooms, areas, doors,
smoke detectors, and dimensions of all sleeping room windows specifically, noted.
a. All sleeping rooms must meet emergency egress requirements by providing a door that
leads directly to the outside or a window with a minimum net clear openable area of 5.7 square
feet, a minimum clear openable height of 24 inches and minimum clear openable width of 20
inches. The sill height cannot be more than 44 inches above the finished floor. Minimum
sleeping room area of 70 square feet is required with a headroom clearance of not less than 7'6"
in all habitable rooms.
b. Smoke detectors are required to be hard wired and interconnected within each -sleeping.
room and one placed in the outside hallway of sleeping rooms. Smoke detectors shall receive
their primary power from the building wiring and be provided with a battery backup. Yiring
shall be permanent and without a disconnecting switch, Detectors shall sound an ala-r'm audible
in all sleeping areas of the dwelling unit in which they are located.
C. In new construction (regardless of the number of residents) the home must comply to,the
State Barrier Free Code for accessibility (see LJBC 313). When an adult family home is
established in an existing building any barrier free alteration required by DSHS shall be installed
per code with a building permit.
2. A copy of the state adult family home license shall be submitted with the compliance permit.
3. A notification Covenant (attached) with notarized owner signature shall be submitted with the
compliance permit.
4. Address numbers shall be placed in a conspicuous place on the exterior of the building to be
plainly visible and legible from the street or road fronting the property. Minimum size 6 inch
letters of 3/4 inch stroke in contrasting color of the building.,
5. A Fire Exit plan shall be developed for emergency evacuation of residents and be posted in a
conspicuous place. A minimum of 2A:IOB:C fire extinguisher shall be provided at an approved
location and� be easily accessible. (See State Licensing requirements)
6. A City Busines's License is required prior to receiving residents. Adult family homes are exempt
from zoning home occupation permit requirements. (Chapter 4.72 Edmonds City Code)
NOTE: Site inspections may reveal additional requirements and/or violations unrelated to the Adult
Family Home which must be resolved before occupancy is granted and the business license
issued.
ADULTHO.DOCJLG/6/95
Sep- 9-97 MON 14:51 HW FIRE & SECURITY P.01
ALARMS NORTHWESrr, INC.
16417 7TH PLACE WEST - LYNNWOOD- WA 98017 (206) 743-9516
rhX MESSA GE COVER SHEUT
TO FAX PHONE
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SE6P- 19-97 MON 14:53 HW FXRE SECURXTY P.8�2
Dele.rmine the Purpose of the System
Mamch, M. Pwpea (OV �ha SyMem
U& security systm = be used as a fue warningsystmrk, an inhwion &I&rm systcz�,
= merSency notificaflon systM or any combination of the three. If the system is to
comply with UL household requftan=ts, there an specific guidelines you must
foHow. This section demilm the minimum system cordigurations for UL listed
Requlvomenft gor UL Usbad OnSWOOns
ne minim= system configuraftns Mr the applicable UL listed systems are as
follows;
(Basoc
AU UL IiSW systgM.,Mqu ire the JoUowiag basic components. The basic system does
not include any serisom
0 Control Panel (60-437),(60437-$Z), ("7-17z), oT ("7-SEC, Security Pro
2000) or (60-672-M Conunander 3000), or (60-672-SEC, Security Pro 3000)
0 Line Carder Power Transformer (60-34&SOO)
or— Cl"s H Transforsner (60-515) Bader,9 DE23419401
D Wireless Interior Siren (WIS) (60-353-2A; requires Line Cafrier Transformer
or— Haxdwire Exterior Sirm (13-N6)
or— sum une mardwire, interior Siren (60-483)
Note: Any refererm to pait number 60-437 also applies to the Security Pro 2000 Control Panel and
part nunftr W437-SEC,
Hwahold Fove Wavnft Sys% ' m (UL 985)
o Basic sy�tem described above
D Smoke Sens" (60-506)
HouseWd sup9laF Akirm System (UL 1023)
0 Basic systam described above
o DoorlWmdow Sensors (W%362)
H@ms m@&jn cavo sigmung Equipment VJL 1637)
• Basic system described above
• Wata-Aesbtant Panic Semr (60-573-10-95)
Canaft LgWangs I
11 ULC (UL Canada) approval pendin$
o CSA Certified Accessories
0 Roidential Fire Warning SyStem COr&Ql UWt (ULC-S545-M89)
0 Reddential Burglary Ala= System Unit (ULC-S309)
caflvarflk swe F6T@ MarshaM UsUng
[i Buic Ustem described above (I
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PP--t&,0—trj ',-A-L-A�
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ALARMS NORTHWEST INC.
FIRE & SECURITY SYSTEMS
If 16417 7th Mace West
Lynffwood, Washington 98037-8199
(206) 743-9516
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�G-6FATION
NORTHWEST FIRE & SECURITY SYSTEMS
MONITORING
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ALTHOUGH NEWS REPORI OF CRIME AND VIOLEINIM 04AVE MOST
PEOPLE ALARMED, 80 DONS TI-M COST OF MOST SECURITY SYSTRINAS.
FOPMJNATELY, THOM'S AN ECONOMIC-49 SOIAJTION AND VIJS BETTER THAN
EWE-'% ONE OF THE vvORm*s'moST PopuLAR wMELOSS secuRffy sysTems
-IS NOW EVEN MORE ADVANCED. Y&-r IT'S sTiLL vERY AFFORDAJIM
Tm CbmK4m=z000* is so sophisticated it acmally talks.
Arm the systein and a digitized voice reassuresvou when
yotive done it correctly. It also -tells you. if a door or %%indow has been
opened and indicates which one. Plus it warns of any trouble conditions.
To operate, simply enter your four --digit secret code and press the appropri-
am buttons. Ifs emy and reliable� And the Command Butwn makes it even
Tiny. wireless sensors blanket
yow hom4e vvidh top sectirity. Door and window sensors
detect intrudem ittirttediately. Motion sensors provide a
strong second line of defense.%-%ftile smoke and heat detec-
tais %arn .ou at t he firsi sign ol fire Controlling thm all is
the !-,%vent's Central Processing Unit —it uses the same Type
of dig"I Titicroprocessm nWn% COT"Puters Me.
The Commander _-000 -ealh �tands tvi ir an ememvenc%
W-hen there's an alarin it sounds- a siren. turn4 on the litits
and -%ends aii electrottic cignai to itte Central %lonaorine
Staitori Thr, end proper atahcwritiv,�, i. eedtiw fc- %<mr aid
rive Cvis"vzjndei _%jvo ah-v
tht- -tirtergc-;-xv .,u pol:-ur or p) --&I rhe% 1-
nee4ed This saves precious little and it could savit Ines
Whenever there's a break—in. the lights in your home flash
to hel I p scare the intnider a*-ay. In a fire. the lights stay on
to help your Undly Wt am safely.
If you want peace of ndnd. ft Conirmitider2o tio gives it w
you. With its reliable detection and qukk Tesponse. help is
an the way in any emer9mcy-
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