BLD2023-1013+Adult_Family_Home_Checklist+8.9.2023_8.32.31_PM+3717590TBIJA03HO 140IT33geWl rowlaJIUS JA30J (HIA) 9moH ylims:1 t1ubA
(fa-M OAW) arCq nOiI398 OAI aUS :893n9i94eA eboa
:A38MUVI V101TAOIJggA
a3223OOSlg 38 JJIW NOff03g2N1 3AOg38 TVIAOIJggA Ya a3T3JgMO3 38TBUM A aMA X .S 1 UOFM38
AJ3039AWAT 2'9022322A 2GPOML-AU 2j2 -.A R � :283S140A 3TI2
m
:3MOHq 3MITYA4
-A00 �—`)O.S:WOM VITYAa
3MAW,g3MWOYTA3gOAq
:(1M3A3araal) 3MAW 332M3:)IJ H3A
Its pnibulani) nslq %looll s wsib (it x c\l 8) iegsq to 199da 9fsisg92 s nO
(amombsd) amool pnigssla Its 9bul:)nI .H:IA 9vifasgao1q iuoy to (a-looll
.l bns 3 ,a :),,a ,A mi mooibsd d:)idw pnifsAbni
bns eltil ,amidlislg,agmsi ,a1irJa,.9.i pnifixsioteinsnogmm Its IWO
.a'I016V919
ADOM
3BUTAVIDIMIMIAD210
— A
VIOITJ32
m6 I Isrb bns ,egbg1woml ym Io iagd grtt of io9-noo bns su-d 2i 9m Yd b9rianim norismio7rn giu Jblu Y IUL'wq lu VIQ"�4 "'- , — '-- -
gmoH ylim6a JIubA n6 Io noif6i9go 9rtt 101 noifo9g2ni i29up9i o3 29aim9iq 9vod5 srii Io 7snwo grit yd bgsi7orliu6 ms I �io pn'daeups,
�2iaon eni6ubni) mist vns of 26 j?_9upSI ym Is ,2noiJ3gg2ni rlou2 entloubnoo nodoib2hut srtf easlmisd Nod o3 9g7g6 I .noif6nol airli i6
,b9npi279bnu 9rii gnibubd �no279q yn6 yd ebsm ed ysm rloirlw ,(m1610 rloUa10 nOil6ei?29vnI efts ni bgiiu�ni aobl `aysrno:Us bns 'asanegxs
bn6 mofflo 2i gnibuloni noibib2hui 9rtt Io 9on6i191 9ftt Io Juo 29ai76 mielo H:)u2 9iedw ylno iud ,noibibahut gr%t iani6g6 b91ii bn6
.n0i76:)1Igg6 2irblo Ji6q 6 26 nod:Aba-huterb of beilgque noif6miolni erli 40 yo6luoo6 9rb noqu ,29syolgmg
:3TA0 �e � �_Cj :3JTIT\3MAH
33811301J TVIAOIJ
to yIuL EIOK :9viIogM
yiwidsl CLOS :bsf6bgU
A3V1WO YTA3goA;,MN
(.E POS , f yiuL evilosft3)
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 8 CD EAND FAND CLASSIFICATION CODE S, NS1 OR NS2.
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
113 Type S 10 Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside [3 Yes [3 No I QN/A I Smoke alarm is installed in the bedroom
1313
Bedroom door opens easily and quickly from the outside when locked
Q
Q
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
13
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM B
[3 Type S [3 Type N51
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes [3 No I ON/A Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
13
13
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
13
13
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
13
13
SLEEPING ROOM C
Q Type S [3 Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes [3 No [3N/A I Smoke alarm is installed in the bedroom
[3
Q
Bedroom door opens easily and quickly from the outside when locked
13
Q
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
13
13
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
13
0
SLEEPING ROOM D
10 Type S [3 Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside [3 Yes [3 No I [3N/A I Smoke alarm is installed in the bedroom0
13
Bedroom door opens easily and quickly from the outside when locked
0
13
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
13
13
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
SLEEPING ROOM E
0 Type S 10 Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside Yes [3 No I [3N/A I Smoke alarm is installed in the bedroom
Bedroom door opens easily and quickly from the outside when locked
13
13
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
13
Q
Sleeping room window has a maximum sill height of 44" above floor to clear opening; no steps under window allowed
13
13
SLEEPING ROOM F
[3 Type S [3 Type NS1
10 Type NS2
YES
NO
Closet door/s are readily openable from the inside [3 Yes [3 No I [3N/A Smoke alarm is installed in the bedroom
[3
13
Bedroom door opens easily and quickly from the outside when locked
[3
13
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
Q
13
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 openable from the outside when locked
0
Q
Carbon Monoxide alarms are installed as required in R315 on each level of the home.
D
13
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).
13
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.
13
Q
Access road and water supply meet local fire jurisdictional requirements.
13
13
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).
Pocket doors shall have graspable hardware available when in the closed or open position.
13
13
R311.8 Ramp
I
YES
NO
Inside Ramp
I N/A [31
13
13
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in
13
13
R330.9)
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
ramp changes directions.
13
13
R330.9.1 Handrails required on both sides of ramp.
13
13
Outside Ramp I N/A [3 1
YES
NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in j
13
13
R330.9)
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where
13
13
ramp changes directions.
R330.9.1 Handrails required on both sides of ramp.
13
13
R312.1.1 Guards shall be located along open -sided walking surfaces, that are located more than 30 inches measured
13
13
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" mii
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.
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).
Q
0
R330.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry
Q
13
without use of key, tool or special knowledge.
R311.7 Stairways N/A [:I
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)
13
13
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
13
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 131
YES
NO
Grab bars shall be installed for all water closets (toilets), bathtubs and showers according to R330.8.
13
13
Water Closets (toilet) shall have grab bars installed on both sides according to R330.8.3
1:1
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
Q
13
Shower stalls must be minimum size of 30 inches deep by 48 inches long (R330.11)
Q
13
PASSED
NAME OF AFH:
Adult Family Home Project Address
BUILDING DEPT. INSPECTOR'S NAME (PRINT)
BUILDING DEPT. INSPECTOR'S SIGNATURE 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 388-76-10700.
Implementation Date: 2021 February 01
Updated: 2021 February