REVIEWED BLD2022-0946 AFH FORMRECEIVED BLD2022-0946
Jul 18 2
CITY OF DM
uit Family Home (AFH) LOCAL 8U1LDIN IN PE ON CHE KL157
E
DEVELOPMENT SERVICES ...............REVIEWED a References: 201%1KC StCbfln R330 (WAC 51-51)
DEPARTMENT BY
CITY OFEDMONDS c APPLICATION NI}MEMER:
BUILDING DEPARTMENT:
SEonoN5 1, 2. 3. ANu 4 MUST eE COMPLMD BY APPUCRNT BUOFM IHSPECTlON WILL s E PRCCESSE9
SECTION I - PROPERTY INFORMATION
SITE AGGRO 5r V p 1 � F� f� C ya11 l A 1� 12 cp 10A 9 If a 4 A85ESSOR-5 TAMPARGELII._-
SECTI01Y 2�APPLICANT INFORMACTT()N
KOPEK—fY OJJNE;t NAME ,�y 4— 46'k,4r1L / rt IMC A,4S-'V 4 _ DAYTIME PIS
fiF•f LICENSEE NAME rm T,' if M. � � �' �T`�� CC— 1DAYiIME PHONE:
SECTION 3 - FLOOR: PLAN
4f 7 Yf-- 3!�A 4
s 4w,16-
on a separate sheet of paper (B 1 z 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. iffi-Y 1-5 A4.14ewl V Y +At
t � M ail coy' i yen $ r e �r�g Le��stairs, �arr�ps� �pla�rrn lilts �r c�
I
elevators.
DISCLAIMER/SIGNATURE5ECTJON 4—
I twnfy Under penalty of pejjury that the lrrforcroUDn FuMeItWd by RkE! is true and coTact to dse best 0 my knOwledge, and that I am
Teque�r� or I am auttron by the ownEr of am aMvd ptemises to request irspecnon for the Operation of an Adtdt Family Home
�t thl5 ]�Ce�Gon. I agree to hoW hwmless tm jurMiMan cafafucdrEj se+Ck' irspacto s, at my request, as to." dailm WUding cOsts,
eWrFA- a,, al-0 an -GC e 4 fps irwam d hi Ire irtvrs kpWn of such dalmi, Mich may t<e made by any person, including the uoldlg'sSgned,
and filed agaLrkst the junsdicbunr but toly vdwe stich claim apses OdA of the rekiance of khe ju isdidion, Includlna Its afftffS and
eVoyees, report t" auurary Of tkte Infarumbon wppled to #ha j>;�i®dlton asma part of l#,is aPPRcabon.
I m plem 0 ntatfun Dale' 2D21 February 01
upd.p red: 2021 Fehfuary
SECTION 5 MUST 13E COMPl. ETED VF I#i.II U1146 V134RTN,ENT i� TFtI<JURISDICFION THE HOME WILL $FUChCATED
PLEASE CHECK ALL APPLICABLE BOXES, MATCH THE LIST BELOW TO THE APPLICANT'S FLCf[}R PLAN - US ING THEIR PRO5ff&IVE
RES1DENT BEDROOM D€StGIaATIONS OF A 8 CD EAND FAND CLASSIFICATION CODE S, NIS1 OR N52.
R330.3 Sleeping Room a IRcation: Each sleeping morn In an Adult fa-mily Fiore shall be clauffied as:
Type S - where the mearis ct egress contains stalrs, elevators or platform lift to eviacMe residentri to pulallo area.
Type NS1- where I means of egress at grade le.veJ (has no stairs) or ramp constructed-rnrnpliant with R330.9 Is provilded
to evacuate Te.sldentr, to puhlk arua.
Type N52-wvhere 2 means of egress at grade level (both haveoo stairs) or ramps cortstructed compliant with R330.9 are
provided t6:6acuate re�idents'to public area. le
_ SLEEPING ROOM Type s ] -Type NS1
atype N52
YFS
NO
Closet foot s.are readlly caperiable from the Inside JCI Yes l0 ND [3N/J4 I 5rnoke alarm is installad Fn the bedroom
Bedroom door opens easlky.and quickly from the outside When locked
Sleeping room window has a rtet opening of 5.7 SF (ritinimum dimensions at least 24'h1gh; at least 2U' wJde)
[3
EXCEPT per R3ID. Z.1: at-gt-ade escape windows- may have stet clearance apernng T5f
Sleeping room window has a maximum sill height cf444' pbove floor to clear up$ning, no. steps Under win Qw allowed
.EIEPiNG ROOM R - Type S 10 Type NS1 pe Ns2
YES
NO
Closet door/s are readily openable from the insides 113 Vra 13No /A I Smoke alarm jr instafird in the bedroom
Bad mom dear opens easily and quickly frorn the outside vuhen locked
13
Sleeping roam vArpdow hers a net opening of 5.7 SF (mJnimum dirm nsiwris at lust 24"hio; at least 20' wide)
�
EXCEPT per It310.2.1:at-grade escape windows -may have net clearance opening S 5F
Steeping room window has a maximum sill height of 44" above floor to clear oper+in ; no steps under wi dog+ allow d
0
SLEEPING RCK)M Type S Type NS1 pe N52
YES
PLO
Closet door{: are readily openable I om the inside JE3Ves 13Ho I CWJA smiake alarm is Installed Fn the bedro#rn
Bedraum door operas eaM and qutcMy from the outside when lacked I
W,
d
Sleep-ing roam window has a net open[na.of 5.75F (mininmurn dimems.ions at least 24'high{ at least20' wide)
0
EXCEPT per 8310,2.1: at -grads escape windows - may have net dearanee opening 5 SF
Slaapin& roam mndaw has a maximum sill herghtof+44" above Nor to clear opening; no ste s under wJ aw-allowJed
SLEEPING ROOM D Ll -type § Type 14S1 Type N52
YES
NO
Ckos& doarjT, are readily o Irable from the Inside 13 Yes f A Smoke alarm Is installed In the bedroom
Bedroom doi>r opens easily and quickty from the outside when locked
Sleeping room window has a net opening QF5,75F iminirnurn dimensions at leastWhigh; at Jeast 20" widitl
Q
EXCEPT per, R3 J-.1: at -grade escape windows -may haven --A dearanrei3periing5 SF
Sleeping room window has a maximum sill height cif 44" above floor to eiear openin { no step•t under w1pdow allowed
SLEEPING ROOM E IDTysies E3 Type N51 uyvpeNSA
YES
No
Clv et daorf s are readily ogenabli► from the irasJ�Je Yes E3 N []N/A Smoke alarm tsinstalled in`the hedroom
13
Bedroom door opens easily and quickly front the outside when locked
M
13
Sleeping morn window has a net opening of 5.7 SF (rninlmum dimensions aL least 24" hlg'$r; a4 Ie138t 20.' wide)
U
13
EKCEPT per R31ii2.1- at -grade escape windows -may have net dearal,re opening 5 SF
5let ing rmm window #gas a maximum aril hdlght of 44" atrave floor to Clear openin no steps under wl dow allowed
Q
-= SLERINIG ROM F Typa 5 10 Type N51 Type N52
YES
No
Closet door{s are readily,openable Ir m the inside Yas [3No f A I smak4t n _taiIt.,-j in the bedroom
fedfaam door opens easily+ and qu kitty+ from MR outside when I acked _
Sleeping room window ha>! a neL opening of S.7 SF (minimum dimensions At fe8mt 24"high; at least 24" wide)M
13
EXCEPT per R31.0.2,1, at-"digescapewindows-may have net desTjRce opening 55F
-ffll
Sir oinu room window has a maximum sill height *f 44" above floor to near op@q#ng, no steps under window allowed
(�arairnued Qn next page.
Implerntntation DatE 2021 February 01
Updated: 2021 February
SUEPING ROOM Ca Typo S Fype NS1
pe III '
YES
F40
Closet doorls are Feadfly openable i'rorn the Inslie 13 Yes
Q fA I Smoke alarm is invwle-d MIMMOrolim
II
FL-drijom door opens.easiiy and quickly from the auWide whiEn lock
Sleeping rooril window has net opening ofS.7 SF {minimum dimensions at least Whigh; at least 20' wider
M pef R310.2.1: at -grade 05ca pe wlndisurs — may have net aeatance opening 5 5 F
13
Sleeping roe window has a maximum Sill he' ht of 44" above floor to clear opening, no steps under window allowed
SLEEPING ROOM H Type s 10 Tvpg Hs1
10TYpe P62
y
Closet dooms are readily apenable from the lri ai
Yes
Q No fA Smoke alarm Is 4nstalleti Ln Fhe bedroom
i
Bedroom door opens easily and quickly from the outside when lockEd
13,
Steeping room Wi nduw has a net opening of 5.7 SF Iminimurn dimertsionsat least 24"hlgl'r; at least 211" wide)
EXCEPT per l}310.2.1'. at -grade escape windaws - may have net deaxante opening 5 5 F
0
1:3
Sleeping room wlHow has in maximum all height of 4e above poor to clear open] n no steps under vv ndow allowed
13
E]
GENERAL
YES
NO
Bathroom doors arm ra5ily and pulch IV opinable frum the uut ide when tacked
Q
Carbon Moms tde alarms are fnstalled as required In 1131� on each level of the horrie.
13
Smoke alarms -are inst8lled on, all 1eveh of the dwelling, in each rf!5Went steeping room, outside each wpQrate
sfeeping area in the ImmL-diate vicinity of s€eeping roums (R3f4).
Smoke and Carson Matruxide Aarmsarc' installed in such a rnannef-so that the audible warning may be heard in all
13
parts of the dwelWig upon acfkvatIan OF a sinfje device.
Access ruad and water supply meet local fire )laid-gdlct.ional cequirernents.
R330.4 Operable put3 of do*r handles, puB, latdi s, locks and ather devices installed ttt AFH shall be aperahiv
13
with one hand anti snail not mg uire tight grasping, pinching or twisting pf the wrist jlevat-type ,
Pocketdocrs 5ha€1 hsyegrsspableihardtrrare availahlawhen In the cased or ape pvsitivn.
13
R311.11- am
1
YE5 _
NO
inside [tamp►
D
R311AI Maximum Slope one unit vertical in twelve unit,. horizontal (8.3"A slnplt), (ExceA on €L311.9,1 Not allowed In
0 f
E3
AF14 R330,9)
R311.&2 larding Requirements; miry. 3X3 footlanding at top/hottorn, where boors open orrh3 r�irEps, and where
ram cha es d irections.
13
R334.9.1 Handrails requimd ors both sides of ramp-
E a
�
Oun]deft NIA Ayj
YES
NO
11311r13A Maximum hope arse unit vertical in twelve units horizontal (83% slope). (Exception R31LS.1 Not allowed in
Q
E3
AFH 113303)
R31L8.2 Wnding Pequirernerr[s= min 3K_jfos)t land rng at top/bottom, where doors open onto ramps, and where
13
1 13
ramp ,.flan � dlfectiora.
R330.9.1 Handrails required on bath sides of ramp.
D
1 13
'R,3.12.1.1 Guards shall be located along open -sided walking surfam.s, that are Iacated more than 30 Enclkes measured
Q
13
vertical IV to the floor ar grade below at any point wltrlln 35 inches # orizornta]f to the edge. of the open side:
Guards below are depicted v8rtin�Il .as an example Only.
JGUfffd
3b" mirk
Handfail 6c+1: had-►
— LLkM than #" {r; _�" _ 30,
II !
IanjIn(1 -
- 3' — one Linrt vemd al in twvr " UPIM hnF1xxrta4
rnlMiMUM fs 11Y B 3% sIaPe a H BiODS 4u Flare Of th8 rRrrrp.
X' x T a1121
1.9"Irig
ImOrnontatlon mate: 2021 FebruAry 01
updated- 2,021 February
L� lYtaaru at
YES
I+l'r�
01t7 ncpar musk be sidv— hinged with man. wWth of 32 inches between }ace of door and stop, Height not 1es3-than 78Inch es,
R33D_4 Otreradte parts otdaar hantdies, puMy, latrho!sr lucis:and othaf devices irtstsMed in AW "I be operable with one hand
and shall nat requlre tt ht gri ln& pinchfngor twisting of the wrist lever-
13
R330.4 Requir%d exlt char hardware shall unlock Insi4e and oumida mechanisms when euiTi4g the 1wliding aEt6wirig m-ontry
9V
13
wItflout use aRkey, toot or vial knowledge.
R311.7 SuOwxys I ry f A U I
YES
NO
ft311.7.51 Fuser tier itit; Max rfser Wet shall tm 7 W inO&s j$,achesto structures built Drier to July 1. 4)
rl
ft321.7.5.2 Tread Depth: Min, tread �epth shall be in M inches 49 inches in structures brailt briar #o ]uly t? 2OD41
:9—
#t330M,I Marldralk fcrr Treads and Rlsers -halt be intatled on berth sides of treads pnd rism nramhering from on-c rFj�er to multiple
[3
13
rlsRrs_ Vandrails shall be Irtis:arfed In etcardamce wltiry OMJ.8-i—R311,7.8.4
R330.0 Grab &ra to Sothrc-oms I N/A Ej I
YE5
NO
Grab trays !,hall be installed forali• water close q tolletsi, NKhtubf and OxwmFsaccording to 9330.8
Wator Closets (tolleQ stall have grab bars installed on bolt, !Ides accord, ng is R33 Aa
Sathlub5 shall have two vertical and three horkontal grab bars rrratalled agord lqj to R330 A,4
Si,crwv sts I I i #rave two verbeai and harlxontal grah bars mou nted on all 5�de5 of Shower acccrdin to RM.8.5
Shower sea l l =_ must be minimum sire of 30ipichesdeep b 4g inches lon 6�33�,11
Pn car
NAME Of AFH'
—
Advis Family Rurnm Pn*wlAddMN
BU LLDIN'S pEpT, mspECTini95 rwMsLI IPAINT I
r!U I LMIS- DEPT INSPELTDIi`S51ICTNA-FlIBE DAM
8UIWING DEFT. OFFILEA91"10 (WRCE PHONE NUMBER:
ApjAE-atIcm end trKpwi ion HimOicl dsvm4Wed by Wauliingtun A�is ticw of krll rhng C#Ickds- JWAWS j Ism eobjiri atJ jn with ftapartroom Of Soelal And
He1Ithiw." Itus JIDSHSI COP useh t)Utl+dP.ariruemsandlieemntrELinaecuidanrevith%IOAC-3NE7&-107M.
Implernentatfort Date; - 662 Febmary01
Upclate4. 2021 February