2010, 11-24 Permit: 10003892 Adult Family Home`cIT''°N v ne `�
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11703 E. Sprague Avenue, Su
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Spokane Valley, WA 9926
Site Information
Project Information
Site Address: 11209 E GRACE AVE
Project Number: 10003892 Inv: 1 Issue Date:
11/24/2010
Permit Use: ADULT FAMILY HOME
Parcel Number: 45092.0713
-
Subdivision:
Applicant: KATHREEN L SCACCO
Block: Lot:
11209 E GRACE
Zoning: R-3 SF Res District
SPOKANE VALLEY WA 99206 Phone:
509) 847-3117
Contact: KATHREEN L SCACCO
Owner: MATSCH, PATRICIA
11209 E GRACE
Address: 11209 E GRACE AVE
SPOKANE VALLEY WA 99206 Phone: (�09)
847-3117
SPOKANE. WA 99206-4699
Setbacks - Front: Left: Right: Rear:
Building Inspector: NORTH
Water Dist: IRV IN
Group Name:
Project Name:
Permits
Building Pern"it Contractor: OWNER
License#: OWNER .
HOURLY REVIEW
FEE 1 $61 00
$61 00
Total Permit Fee:
FOR BUILDING INSPECTIONS CALL (509) 688-0054.
Payment Summary
Total Fees AmountPaid AmountOWinL
$61.00 $61.00 $0.00
Tran Date Receipt # Payment Aral
11/24/2010 25177 $61.00
Processed By: DAVIS. JENNA PERMIT
Printed By: MORRIS, HEATHER Page 1 of I
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes and that required
inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the
construction at the applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE
REQUIRED by City Code:
FOOTING — when forms and reinforcement are in place and prior to placement of concrete -all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane
Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable
setback provisions lies solely with the permittee -neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the venfication or location of your property lines. Please verify their location prior to locating your structure. Failure to
properly locate the structure may require its relocation at the owner's/permittee's expense
FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING — after rough -in, before covering, and final
MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
FRAMING — after all framing, braoang and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to
concealing.
FINAL — when complete and prior to occupancy and/or use. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site
plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access,
on-site drainage ('208' swales), road improvements, parking and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES — Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover.
RIGHT-OF-WAY/APPROACH — pnor to placement of concrete/asphalt or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc. must
be inspected prior to cover. Check with the Building department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency.
Building, plumbing (includes interior reversals for sewer) and
mechanical, City of Spokane Valley Building Division 688-0054
Road cuts for utilities or driveways, City of Spokane Valley
Public Works 688-0195 or State Dept of Transportation
324-6000
Permts and inspections for electncal wiring, State Department of Labor Permts and inspections for Sewer Connection, Spokane County Unities Dmsion
And Industries 324-2640 477-3604
Pants and inspections for on-site septic systems. Spokane Regional Fire spnnkler and alarm systems and pnvate access road Inspections. Spokane Valley
Health Distnct 324-1560 Fire Department 892-4122
State law ROW 19 122 requires that pnor to any excavation the 'CALL BEFORE YOU DIG' center must be notified Cali before you dig al least 2 working days In advance. 456-8000
PERMIT EXPIRATION AND REFUNDS
All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is
abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is
finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
finish the original permit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be
authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner / Agent
&biz/ 4,1,ge
Staff Approval Date
APPLICATION AND INSPECTION CHECKLIST - Adult Family Home
Code References: 2006 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER:
SECTIONS 1, 2, 3, AND 4 MUST BESOMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1 - PROPERTY INFORMATION
SITE ADDRESS: // Z 07 E, L7i CE
99zaly
ASSK%RS TAX/PAROL#: f52 9Z -07/3
SECTION 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME: /0ATR/C./A Mgra.5.6.1-1"
LICENSEE NAME (IF DaFnefr): / C%i />' -.AZ 2- SGleiGC- 2
DAYTIME PHONE: /✓OSE,
DAYTIME PHONE:��g Y//yI -3./1
SECTION 3 - FLOOR PLAN
APPLICANT MUST DRAW A COMPLETE FLOOR PLAN ON THIS FORM. PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS).
**ON MIS DRAWING. THE BUILDING INSPECTOR MUST THEN IDENTIFY WHICH ROOM IS SLEEPING ROOM #1.2.3.4.5. AND 6 an
LABEL ALL COMPONENTS FOR EXITING Le. STAIRS. RAMPS. PLATFORM LIFTS & ELEVATORS (USE BMX OF THIS PAPER IF YOU NEED MORE ROOM)
SECTION 4 — DISCLAIMER/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 Adult Family Home at this location. I further certify that I
have made application to the Department of Social and Health Services for an adult family home license and that I have also made application to the
applicable jurisdiction for the appropriate license(s) to conduct such business at this location. I further 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, includyts off ors and employe , u the accuracy of the information supplied to the jurisdiction as part of is application.
c DATE: j'/ �/
NAME/TITLE:Y / / r4 -i-u� 7/�
❑ PROPERTY OWNER APPLICANT ❑ LICENSEE
811109
NAME of AFH: till 'S
SECTION 5 MUST BE COMPL TED BY THE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED.
PLEASE CHECK ALL APPLICABLE BOXES. PLEASE ALSO INDICATE ON THE FLOOR PLAN DNA WNBYAPPL/CAINT.
WHICH BEDROOM IS #1, 2, 3, 4, 5, OR 6 AND THE CLASSIFICATION CODE: S, NS1, OR NS2 (TO MATCH THE LIST BELOW)
SECTION 5 — BUILDING INSPECTOR'S INSPECTION CHECKLIST
P325.3 &EPPING ROOM CLASSIFICATION. Each sleeping room in an adult family home shall be classified as:
Type 5 — where the only means of egress contains stairs to evacuate.
Type N51— where one means of egress does not have stairs to evacuate.
Type NS2 — where two means of egress do not have stair: to evacuate.
SLEEpyNG ROptq
Sleeping Room #1 I • Type S I • Type NS1
• Type NS2
YES
NO
Closet door/s are readily openable from the inside
YES •
NO •
Smoke alarm is installed in the bedroom
•
■
Bedroom door is easily and quickly openable from the outside when locked
•
0
Sleeping room window has minimum dimensions at least 24' high; at least 20' wide—(NET OPEN -ABLE AREA OF57sFme)
•
II
"EXCEPT PER R310.1.1: AT. ADE ESCAPE WINDOWS— (MAY HAVE NET CLEAR OPENING 5 SF )
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
•
•
Sleeping Room #2 I
• Type 5 I 0 Type N51 I • Type NS2
YES
NO
Closet door/s are readily openable from the inside
YES •
NO ■
Smoke alarm is installed in the bedroom
■
■
Bedroom door is easily and quickly openable from the outside when locked
0
•
Sleeping room window has minimum dimensions at least 24" high; at least 20' wide —(NET OPEN -ABLE AREA OF S7 SF")
•
•
"EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS—(MAY HAVE NET CLEAR OPENING 5 SF )
Sleeping room window has a maximum sill height of 44' above floor, no steps under window permitted
■
0
Sleeping Room #3 I ■ TNPe S I • Type NS1 I • Type N52
YES
NO
Closet door/s are readily openable from the inside
YES ■
NO 0
Smoke alarm is installed in the bedroom
■
0
Bedroom door is easily and quickly openable from the outside when locked
■
■
Sleeping room window has minimum dimensions at least 24' high; at least 20' wide —(NET OPEN -ABLE AREA OF5.75F")
•
0
"EXCEPT PER R310.1.1: AT -(RACE ESCAPE WINDOWS—(MAY HAVE NET CLEAR OPENING 5 SF )
Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted
■
■
Sleeping Room #4 I • Type S I • Type NS1 • Type NS2
YES
NO
Closet door/s are readily openable from the inside
ns •
NO ■
Smoke alarm is installed in the bedroom
■
•
Bedroom door is easily and quickly openable from the outside when locked
■
•
Sleeping room window has minimum dimensions at least 24' high; at least 20° wide —(NET OPEN -ABLE AREA OF5.7SF")
■
•
"EXCEPTPER R310.1.1: AT -GRADE ESCAPE WINDOWS— NAY HAVE NET CLEAR OPENNG 5 SF )
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
■
■
Sleeping Room #5 I • Type S I • Type NS1 I 0 Type NS2
YES
NO
Closet door/s are readily openable from the inside
yes •
NO ■
Smoke alarm is installed in the bedroom
■
■
Bedroom door is easily and quickly openable from the outside when locked
•
■
Sleeping room window has minimum dimensions at least 24° high; at least 20' wide —(NET OPEN -ABLE AREA OF 5.7 SF")
■
•
•
■
"EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS— (MAY HAVE NET CLEAR ENING 5SFF)
Sleeping room window has a maximum sill height of 44' above floor; no steps under window permitted
Sleeping Room #6 I 0 Type S I • Type NS1 I • Type NS2
YES
NO
Closet door/s are readily open able from the inside
YES •
NO •
Smoke alarm is installed in the bedroom
0
•
Bedroom door is easily and quickly openable from the outside when locked
■
•
Sleeping room window has minimum dimensions at least 24' high; at least 20' wide —(NET OPEN -ABLE AREA OF 5.7 SF")
■
■
0
■
"EXCEPT PER R310.1.1: AT -GRACE ESCAPE WNDONS— (MAY HAVE NET CLEAR OPENING 5 SF)
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
GENERAL YES NO
Bathroom doors are easily and quickly openable from the outside when locked
•
■
Smoke alarms are installed on all levels of the dwelling, in each bedroom and common areas
■
■
Any smoke alarm must be audible throughout the home when activated.
■
■
Access road and water supply meet local fire jurisdictional requirements
0
■
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R311.6 Ramo
If N/A10 here
YES
NO
R311.6.1 Maximum Slope one unit vertical In twelve units horizontal (8.3% slope).
•
•
R311.6.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto
ramps, and where ramp changes directions.
•
•
R311.6.3 Handrails required (Qp brith sides of ramzsgrazig licen ' gjquirement WAC 388-76-10730).
•
•
Outside Ramp If NIA ®here
YES
NO
R311.6.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope).
•
•
R311.6.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto
ramps, and where ramp changes directions.
•
•
R311.6.3 Handrails required (on both sides of ramp: Der state licensing requirement WAC 388-76-10730)
•
•
'*Guards below are depicted vertically as an example only.
Less
than 4"
Handrail both sides
34'-36'
Guard
36" min
r
--
3' x 3' min
oi
••••••
„MO
MINN.
.�++^On
_
NO"�mwe
O^...
_�__—_
3' x
landing
3' min
landing
`"Cs
r_
1:12 max slope o
8.3%
7(
3
3
min ,
ADULT FAMI_Y HOME RAMP
per 2006 IRC with WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
mn
8311 Means of Earess
YES
NO
R311.4.2 Door Type and Size: Side-hinged not less than 3 feet in width and 6 feet 8 inches in height.
•
•
R311.4.4 Type of lock or latch: readily openable from the side from which egress is to be made without
the use of a key or special knowledge or effort.
•
•
R311.5 Stairways if N/A El heal
YES
NO
R311.5.3.1 Riser Height: Max riser height shall be3/a inc (8 inches in structures bust prior to July 1, 2004)
❑
■
R311.5.3.2 Tread Depth: Min. tread depth shall be 10 inches, (9 inches in structures built priorto July 1, 2004)
•
•
R311.5.6 Handrails required on both sides of one riser or more (per state gaensing requirement WAC 388-76-10730)
•
0
Grab Bars in Bathrooms
YES
NO
WAC 388-76-10730 The AFH must install and securely fasten grab bars (not suction cup style) to meet the
needs of residents in;
•
•
Bathing facilities such as tubs and showers; and
•
•
On both sides of the toilet (if structurally not feasible use type that affix to toilet seat)
❑
•
AG101 Swimming Pool. Sea. „oto If N/A lid hersi
YES
NO
AG105 Must be surrounded by a barrier that is 48 inches high, may have doors and or gates that
must have audible alarms when opened.
•
•
AG105.5 EXCEPTION: Spas or hot tubs with a safety cover which complies with ASTM F 1346
■
■
❑ PASSED
❑ CORRECTIONS REQUIRED
INSPECTOR'S SIGNATURE:
0 PERMIT REQUIRED
DATE:
INSPECTOR'S ADDRESS: PHONE:
Application and Inspection Checklist developed by Washington Association of Building Officials (WA80),
in cooperation with Department of Social and Health Services (DSHS) for use by both departments and licensors.
811/09
•