REVIEWED BLD-BLD2021-0367+Adult_Family_Home_Checklist+3.12.2021_8.58.10_AM+2089460RECEIVED REVIEWE
BY
Mar 25 2021 Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST CITY OF EDMONDS]
Code References: �,S IRC Section R330 (WAC 51-51) BUILDING DEPARTMENT
CITY OF EDMONDS................................................
DEVELOPMENT SERVICES
DEPARTMENT APPLICATION NUMBER: BLD2021-0367
SECTIONS i. Z. $. ANp 4 ML]sT BE COMPLETEQ BY APPLECANT BEFORE INSPECTION WILL BE PRpCEsSEQ
SITE ADDRI`SS I -t b ll� Z
SECTION I- PROPERTY INFORMATION
ASSESSOR'S TAXIPARCEL#:
SECTION 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME: Ze%& A, tDAYTIME PHONE: QL 63 T 05 0P
AFH LICENSEE NAME (IF DIFFERtNT): s5 e °tor ca e, AM6 L DAYTIME PHONE: 2-,o C] LAW&D
SECTION 3 - FLOOR PLAN
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. Br C D,, E and F.
Label all components for exiting i.e.. stairs, ramps, platforms, lifts and
elevators.
SECTION■ •/SIGNATURE BLOCK+
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 Adutt 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 a ' es out of the reliance of the jurisdiction, including its officers and
employees, upon the accuracy of the information plied t� I 'sdiction as a part of this application.
NAME/TITLE: , �4f DATE: e� 1
,Q9'ROPERTY OWNER FLI ANT ZZLCENSEE
Implementation Date: 2021 February 01
Updated_ 2021 February
{Effective Feb. 1, 2021
WAC 51-51-0330
Section R330 — Adult family homes.
SECTION R330
ADULT FAMILY HOMES
R330.1 General. This section shall apply to all newly 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.
R330.2 Reserved.
R330.3 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 N51 - Where one means of egress is at grade level or a ramp constructed in accordance with R330.9 is provided.
3. Type NS2 - Where two means of egress are at grade level or ramps constructed in accordance with R330.9 are provided.
R330.4 Types of lacking devices and door activation. All bedroom and bathroom doors shall be openable from the outside when
locked,
Every closet shalt 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 with one
hand and shall not require tight grasping, pinching or twisting of the wrist. Packet doors shall have graspable hardware available
when 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 hardware shall unlock inside and outside mechanisms when exiting the building allowing reentry into the adult
family home without the use of a key, tool or special knowledge.
R330.5 Smoke and carbon monoxide alarm requirements. All adult family homes shall be equipped with smoke and carbon
monoxide alarms installed as required in Sections R314 and R315.1. Alarms shall be installed in such a manner so that the
detection device warning is audible from all areas of the dwelling upon activation of a single alarm.
R330.6 Escape windows and doors. Every sleeping room shall be provided with emergency escape and rescue windows as
required by Section R310. No alternatives to the sill height such as steps, raised platforms or other devices placed by the openings
will be approved as meeting this requirement.
R330.7 Fire apparatus access roads and water supply for fire protection. Adult family homes shall be served by fire apparatus
access roads and water supplies meeting the requirements of the local jurisdiction.
R330.8 Grab bar general requirements. Where facilities are designated for use by adult family home clients, grab bars for water
closets, bathtubs and shower stalls shall be installed according to this section.
R330.8.1 Grab bar cross section. Grab bars with a circular cross section shall have an outside diameter of 1 114 inches minimum
and 2 inches maximum. Grab bars with noncircular cross section shall have a cross section dimension of 2 inches maximum and a
perimeter dimension of 4 inches minimum and 4 518 inches maximum.
R330.8.2 Grab bar installation- Grab bars shall have a spacing of 1 112 inches between the wall and the bar. Projecting objects,
control valves and bathtub or shower stall enclosure features above, below and at the ends of the grab bar shall have a clear space
of 1 112 inches to the grab bar.
EXCEPTION: Swing -up grab bars shall not be required to meet the 1 112 inch spacing requirement.
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 surface finish
R330.8.3 Gram bars at water closets. Water closets shall have grab bars mounted on both sides. Grab bars can be a combination
of fixed position and swing -up bars. Grab bars shall meet the requirements of R330.8. Grab bars shall mount between 33 inches
and 35 inches above floor grade. Centerline distance between grab bars, regardless of type used, shall be between 25 inches
minimum and 30 inches maximum.
Implementation Date: 2021 February 01
Updated: 2021 February
R330.8.3.1 Fixed position grab bars. Fixed position grab bars shall be a minimum of 36 inches in length and start 12 inches from
the rear wail.
R330.8.3.2 Swing -up grab bars. Swing -up grab bars shall be a minimum of 28 inches in length from the rear wall.
R330.8.4 Grab bars at bathtubs. Horizontal and vertical grab bars shall meet the requirements of R330.8.
R330.8A.1 Vertical grab bars. Vertical grab bars shall be a minimum of 18 inches long and installed at the control end wall and
head end wall_ Grab bars shall mount within 4 inches of the exterior of the bath tub edge or within 4 inches within 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 bar can be substituted with a floor to ceiling grab bar meeting the
requirements of R330.8 at the control end and head end entry points.
R330.8.4.2 Horizontal grab bars. Horizontal grab bars shall be provided at the control and, head end, and the back wall within the
bathtub area. Grab bars shall be mounted between 33 inches and 36 inches above floor grade. Control end and head end grab bars
shall be 24 inches minimum in fength. Back wall grab bar shall be 36 inches minimum in length.
R330.8.5 Grab bars at shower stalls. Where shower stalls are provided to meet the requirements for bathing facilities, grab bars
shall meet the requirements of R330.8.
EXCEPTION: Shower stalls with permanent built-in seats are not required to have vertical or horizontal grab
bars at the seat end wall. A vertical floor to ceiling grab bar shall be installed within 4 inches of
the exterior of the shower aligned with the nose of the built-in seat.
R330.8.5.1 Vertical grab bars. Vertical grab bars shall be 18 inches minimum in length and installed at the control end wail and
head end wall. Vertical bars shall be mounted within 4 inches of the exterior of the shower stall or within 4 inches inside the shower
stall. The bottom end of vertical bars mount between 36 inches and 42 inches above floor grade.
R330.8.5.2 Horizontal grab bars. Horizontal grab bars shall be installed on all sides of the shower stall mounted between 33
inches and 36 inches above the floor grade. Horizontal grab bars shall be a maximum of 6 inches from adjacent walls. Horizontal
grab bars shall not interfere with shower control valves.
R330.9 Ramps. All interior and exterior ramps, when provided, shall be constructed in accordance with Section R311.8 with a
maximum slope of 1 vertical to 12 horizontal. The exception to R311.8.1 is not allowed for adult family homes. Handrails shall be
Installed in accordance with R330.9.1.
R330.9.1 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 with R311.8.3.1 through R311.8.3.3.
R330.10 Stair treads and risers. Stair treads and risers shall be constructed in accordance with R311.7.5. Handrails shall be
installed in accordance with R330.10.1.
R330.10.1 Handrails for treads and risers. Handrails shall be installed on both sides of treads and risers numbering from one riser
to multiple risers. Handrails shall be installed in accordance with R311.7.8.1 through R311.7.8.4
R330.11 Shower stalls. Where provided to meet the requirements for battling facilities, the minimum size of shower stalls for an
adult family home shall be 30 inches deep by 48 inches long.
[Statutory Authority: RCW 19.27.031 and chapters 19.27 and 34.65 RCW. 13-04-068, § 51-51-0325, fled 211113, effective 711113. Statutory
Authority: Chapter 19.27 RCW. 10-18-036, § 51 51-0325, fled 8125110, effective 9125110. Statutory Authority: RCW 19.27.190, 19.27,020and
chapters 19.27 and 34.05 RCW. 09-04-023, § 51-51-0325, filed 1127109, effective 71111 D. Statutory Authority: RCW 19.27A74, 19.27.020, and
chapters 19.27 and 34.05 RCW. 07-01-090, § 51-51-0325, fited 12119106, effective 711107. Statutory Authority: RCW 19,27.031 and 19,27,074. 04-
01-109, § 51-51-0325, filed 12117103, effective 711104.][Statutary Authority: RCW 19.27.031 and 19.27.074. WSR 20-63--Z3, § 51-51-0330, filed
t16120, effective 711120.]
Implementation Date: 2021 February 01
Updated: 2021 February
SECTIONS 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 BCD S AND F AND CLASSIFICATION CODES, NS1 OR NS2.
SECTION 5 -- BUILDING INSPECTOR'S INSPECTION CHECKLIST
R330.3 Sleeping Room Classification: Each sleeping roam 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 N5Z —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 D u b I i c area.
SLEEPING ROOM A MIpe S Qiype NSl
CLjVPe NS2
YES
NO
Closet door/s are readily openable from the inside [3&s I D,blo I [3WA I Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
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
171
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM B I
Ellype S 113Mvpe NSi
pe NS2
YES
NO
Closet doorls are readily openable from the inside IE3LXps CUP IOWA I Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
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
Sleeping room window has a maximum silt height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM C I Qlvpe S Mpe :Ype NS2
YES
NO
Closet door,ts are readily openable from the inside 113.Us [].pip I 13WA Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
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
U.
13L
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM ❑ l ElType 5 LLUpeN51 pe NS2
YES
NO
Closet doors are readily openable from the inside [� Y_es [3.Up I [3WA I Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
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
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM E I Qiype 5 I Mvpe N51 I [,aype NS2
YES
NO
Closet doorls are readily openable from the inside ayes 0.W I MA I Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
Steeping 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 5F
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM 1= I E3 vpe 5 I O.Tvpe NS1 I ElUpe N52
YES
NO
Closet doorls are readily openable from the inside JE3.yps Ff],pl,n IMA I Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
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
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
Implementation Date: 2021 February 01
Updated: 2021 February
GENERAL
YES
NO
Bathroom doors are easily and quickly operable from the outside when locked
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
13-
EL
Smoke alarms are installed on al{ levels of the dwelling, in each resident seeping room, outside each separate
sleeping area in the immediate vicinity of sleeping rooms (11314).
Smoke and Carbon Monoxide alarms are installed in such a manner so that the audib€e warning may be heard in all
parts of the dwelling upon activation of a single device.
Access roan and water supply meet local fire jurisdictional requirements.
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).
CL
Pocket doors shall have graspable hardware available when in the closed or open position.
CL
EL
R311.8 Ramp
YES
NO
Inside Ramp
I NIA
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in
R330.9)
R311.8.2 Landing Requirements. min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
ramp changes directions.
R330.9.1 Handrails required an both sides of ramp.
M
Outside lump NIA M
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)
R311.9.2 Landing Requirements-. min_ 3X3 foot [anding at top/bottom, where doors open onto ramps, and where
ramp changes directions.
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
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
as" mir
rHandrail both sides
Less than 4" 1 34" - 38"
3' x 3' ruin
landing
x 3' min
— 3' 1� One unit vertical in twelve units horizontal l� 3 I
minimum is an 8.3% slope all along surface of the ramp. ° msnlmum
Implementation late: 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.
R330.4 Operable parts of door handles, pulls, latches, locks and other devices installed in AFH sha11 be operable with one hand
and shall not require tight grasping, pinching or twisting of the wrist (lever -type).
R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry
without use of key, tool or special knowledge.
ii311.7 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)_
j
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
risers. Handrails shall be installed in accordance with R311.7.8.1— R311.7.8.4
R330.8 Grab Bars in Bathrooms I N/A
YES
NO
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
Bathtubs shalt have two vertical and three horizontal grain bars installed according to R330.8.4
Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R330.8.5
M
0-
-shower stalls must be minimum size of 30 inches deep by 48 inches long (R330.11)
[ lIMSED
NAME aF A€H:
Adult Family Home Project Address
BUILDING DEPT. INSPECTOR'S NAME (PRINT)
BUILDING DE PT. INSPECTOR'S SIGNATURE DATE-.
8UrLDING 0EPT. OFFICE ADDRESS OFFICE PHONE NUMBER:
i
i
i
Application and inspection checklist developed by Washington Association of Building OfFidaIs (WABO), in cooperation with Department of Social and
Health Services (DSHS) for use by both departments and licensors in accordance with WAC 389-76.10700.
Implementation Date: 2021 February 01
Updated: 2021 February