2013, 05-07 Permit App: BLD-2013-0818 RemodelSiblane�
1Va11ey°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevalley.org
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
COMMERCIAL (NON-RESIDENTIAL) CONSTRUCTION PERMIT APPLICATION
D NEW CONSTRUCTION "TENANTIMPROVEME T -OTHER
SITE ADDRESS: 12-0 22. At : Project # -/
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
RECEIVED
MAILING ADDRESS: 77/ Z S- /97 JtU(,
MAY 2013
CITY:
C%n/,G4-per
STATE:
CONTACT PERSON NAME: U ! ' lit: - LLJ O` L L
PHONE: Sd q-- 779- y/7 ' FAX:
CELL:
CONTRACTOR NAME: JAP4-- ( e'g. •/2e-LjffaL- II�JC
MAILING ADDRESS:
CITU:
STATE: - ZIP:
PHONE:
FAX: CELL: Coq - 1 S V - ?Q 7y
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
ARCHITECT/COMPANY NAME:
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
NAME OF SOCCUPANT OF STRUCTURE: VA LL 1c y Pl uti `b T( 5tcJ tldng
PHONE: D (p - Y( 7 - 2 S ZSl% I 7 - FAX: LL: q_ —0q 7GJ'Y(y—i-j)
CONTACT PERSON NAME:
PHONE:
FAX: CELL:
DESCRIBE THE SCOPE OF WORK IN DETAIL 06RJde0 pantie) di a/ A ,U 6Q - CoAg -StA,2 u/r
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TYPE OF PROJECT: Pg TOTAL BUILDING SQ FT: 3, 000
HEAT SOURCE: FIRE SPRINKLERS:
PRIMARY OCCUPANCY: 1?- Z SQ FOOTAGE: Z t O
SECONDARY OCCUPANCY:
TOTAL COST OF PROJECT: $ l O 60
DISCLAIMER /
U CI
SQ FOOTAGE:
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory Is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit Is not a permit or approval for a, of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subse uently approved before this application can be processed.
Signa
Afivivu
/Ore
Date: J7
Updated 1-10-2011 Page 1 of 1
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
Code References: 2009 IRC Section R325 (WAC 51-51) p
APPLICATION NUMBER: 61:—P-40/3 "c'(4
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
:afarSECTIONft _ PROP.ERTYrINFORMATION&"_ " _,
SITE ADDRESS: / 262% /_ . /-/A) (A)e: / C2 J/ /lkJ/ UAL L6JASSESSORSTAX/PARCEL#:
itr;!SECtIO_N_
PPLIC{1NTipINFORMATION wIM"("'_ ' u"?
PROPERTY OWNER NAME: 14 6I 13. 1 00.4( LJ Ln`/✓. ITI DAYTIME PHONE: rill — 6 / -
AFH LICENSEE NAME (IF DIFFERENT): t/A Ll&y pI lies Al 77/69C4 4 LI DAYTIME PHONE: rill -3 z Y- Y7 /c
l e ui7< y SECTION 3 4 FL'OOR:RE'AN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THIS FORM (ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS).
ON THI5 DRAWING, INDICATE WHICH BEDROOM IS A, B, C, D, E, AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS,
RAMPS, PLATFORM LIFTS & ELEVATORS.
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1ft` ; SECTIONW4DISCL'AIMERISIGNA11JRE BLOC
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 Horne 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 arises out of the reliance of the jurisdiction, including Its officers and employees, upon the accuracy of the information supplied to the
jurisdiction as a �f this application. /� �1 , / /I /
NAME/TITI_ • /17%24,% A4 /!F �Ot /F�,/ DATE: r1 26I2
0 APPLICANT 0 LICENSEE
74 PROPERTY OWNER
08101/10
(Effective July 1, 2010)
WAC 51-51-0325
Section R325 - Adult family homes.
SECTION R325
ADULT FAMILY HOMES
R325.1 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.
R325.2 Submittal Standards. In addition to those requirements in Section 106.1, the submittal shall identify the project as a Group
R-3 Adult Family Home Occupancy. A floor plan shall be submitted identifying the means of egress and the components in the means
of egress such as stairs, ramps, platform lifts and elevators. The plans shall indicate the rooms used for clients and the sleeping room
classification of each room.
R325.3 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 NS1 - where one means of egress is at grade level or a ramp constructed in accordance with R325.9 is provided
3. Type NS2 - where two means of egress are at grade level or ramps constructed in accordance with R325.9 are provided.
R325.4 Types of Locking Devices. All bedroom and bathroom doors shall be openable from the outside when locked.
Every closet shall be readily open able 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. The force required to activate
operable parts shall be 5.0 pounds (22.2 N) maximum. Exit doors shall have no additional locking devices.
R325.5 Smoke Alarm Requirements. All adult family homes shall be equipped with smoke alarms installed as required in
Section R314. Alarms shall be installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon
activation of a single device.
R325.6 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.
R325.7 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.
R325.8 Grab Bars. Grab bars shall be installed for all water closets and bathtubs and showers. The grab bars effective WAC 51-51-
0325: Section R325 - Adult family homes. date 7/1/10 shall comply with ICC/ANSI Al 17.1 Sections 604.5 and 607.4 and 608.3.
EXCEPTION: Grab bars are not required for water dosets and bathtubs and showers used exclusively by staff of the
adult family home.
R325.9 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 R325.9.1.
R325.9.1 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 R311.6.3.1 through R311.6.3.3.
R325.10 Stair Treads and Risers. Stair treads and risers shall be constructed in accordance with R311.7.4. Handrails shall be
installed in accordance with R325.10.1.
R325.10.1 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 R311.7.7 through R311.7.7.4
[Statutory Authority: RCW 19.27.190, 1927.020, and chapters 19.27 and 34.05 RCW. 09-04-023, §51-51-0325, filed 1/27/09, effective 7/1/10. Statutory
Authority: RCW 19.27.074, 19.27.020, and chapters 19.27 and 34.05 RCW. 07-01-090, § 51-51-0325, filed 12/19/06, effective 7/1/07. Statutory Authority: RCW
19.27.031 and 19.27.074.04-01-109, § 51-51-0325, filed 12/17/03, effective 7/1/04.1
08101110
APPLICATION AND INSPECTION CHECKLIST - Adult Family Home
Code References: 2006 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER:
Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed.
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,l SECTION1=_P.ROPERTYINFORMATION: ' "`'
SITE ADDRESS: 12 o Z2 / r 4,X (.J e H 1 /4 V e ASSESSOR'S TAX/PARCEL #:
n`SECTION,2 APPL'ICANT'INFORMATION;
PROPERTY OWNER NAME: - e-5
La Lite)
DAYTIME PHONE: / tib/ - 33 09
LICENSEE NAME (IF DIFFERENT) DAYTIME PHONE:
SECTION'3;-'FLOOR PLAN
A complete Floor plan must include all sleeping rooms, identified by number (#1, #2, #3 etc.) and all components for
exiting, i.e. stairs, ramps, platform lifts and elevators. (Attach additional sheets if necessary)
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3SECTION CDISGLAIMER/SIGNATURE:BLOCIC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that 1 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, including its officers and employees, upon the accuracy of the information supplied to the jurisdiction as a part of
this application.
N
NAME/TITLE:
❑ PROPERTY OWNER APPLICANT D LICENSEE
DATE:
NAME OF AFH:
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, B, C. 0, E, AND F AND CLASSIFICATION CODE: S, NSI, OR NS2
:1," SECTIOW5r14,BUILDING:INSPECTORVINSP,ECTION CHECKLISTA
R325.3 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 a ramp constructed compliant with R325.9 is provided to evacuate residents to public area.
Type NS2-where 2 means of egress at grade level (both have no stairs), or ramps constnlcted compliant with R325.9 are provided to evacuate residents to public area.
SLEEPING ROOMS
Sleeping Room A ■ Type S 1 DiType NS1 1 • Type NS2
YES
0
NO
■
Closet door/s are readily openable from the inside YES NO ■ ' - Smoke alarm isinstalled in the bedroom
Bedroom door is easily and quickly openable from the outside when locked
g
■
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide)
E'
■
*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
L'J
■
. - °Sleeping'Room B ' ■ . Type S- - ,,i1:1 (Type NS1' - ❑ Type NS2
,YES
•
NO
■
Closet door/s a'r`e readily op"enable from the inside_ VES ■ NO • • , Smoke alarm is installed in the bedroom
Bedroom door is easily and quickly' openable from the outside when locked_ _ -__ ' °-
■
■
y+z
._.- °. _r _-_-- _ least '
. ° .r p'
Slee In roo'""`'
p',�g m window has a net o enln of 5.7 sF- mlmmum dimensions at least 24"thigh; at le
■
1
E.,.
^ +` 9*EXCEPT PER R310.1'1�RADE ESCAPE WINDOWS -MAY HAVE NET CLEAROPEN,. SSF..
Sleeping room window has.a maximum, sill height of 44" above floor, no steps under window pe-rmitted :` ; . „ ,
■
1
Sleeping Room C • Type S • Type NS1 ■ Type NS2
YES
•
NO
1 '',`L;`
Closet door/s are readily openable from the inside YES • NO ■ „;_ Srnoke5IETiisinstalled in the bedroom
Bedroom door is easily and quickly openable 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 1.1: AT -GRADE ESCAPE WINDOWS -MAV HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
■
■
,'-,.SIeeping Room D :: - • TypeS, _ _ _❑ Type NS&7.. "' ■ Type NS2 -
YES
■
NO '',
■
Closet doorlsare readily openableirom theinside' YES • NO,, ■ i; Smoke alarm is installed in the bedroom
...q_ckl p c,,...
Bedroom door is easily and wckl"`o enablefrorrl the outside when lock'i:d ; ' .,,; ..-;;
■
•
Sleeping room window has a net opening of 5.7 sF_* (minimum dimensions al Ieast 24 hian;.at least 20"• wide)
■
■
,...
• *EXCEPTPER R310.L1' AT -GRADE ESCAPE WNDOWS-MC
AV HAVE NETCLEAR OPENING 5 SF
Sleeping room window hese maximum sill height of 44" above floor; no steps under window permitted;,
■
■
Sleeping Room E I • Type S • Type NS1 • Type NS2
YES
•
NO
■
Closet door/s are readily openable from the inside YES • NO • .twSFrio ke alar is installed i.the bedroom'
Bedroom door is easily and quickly openable from the outside when locked
•
■
Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" nigh; at least 20" wide)
•
■
*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
•
■
.' °'Sleeping Room F,, ;..4.,, ,,,,,`,r,,; ,''' ' ` : -❑ _Type S... .: ■ Type NS1 1 • -Type NS2:
YES
■
NO ,
■
_.loset tloorls are readily openable from the inside , ye4 ■ ; NO_ ■= Smoke alarm is installed in the bedroom
Bedroom door is easily and quickly openable_from the outside whenIocked St. ■
■ 1-
Sleeping room window has a nei opening of 5.7 SF*' (minimum dimensions at least 24 blah tat least 20". wide)
■
■
i ie-,'.j'.,,__*EXCEPTPERR310.1.1. ATGRAOE ESCAPE NANOOW34-MAYHAVE NET CLEAR OPENING 5 SF
SleePing room.. irit . 9 W perms
epi' g 'window hese maximum silhhei ht Gf.44" above floor; no steps,under window permitted' ;;,,,;__'', " ■
■
GENERAL
YES NO
Bathroom doors are easily and quickly openable from the outside when locked W "
■
■
Sin -eke alarms are installed on afhlevels of the dwelling, in each resident sleeping room, outside each separate sleeping
area in the immediate vicinity of sleeping rooms (R314) , '' t.
•
•
■
■
Smoke alarms are installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon
activation of a single device.
Access road and water supply meet local fire jurisdictional requirements
■
0
08101110
R311.8 Ramos
YES
Inside Ramp NIA
YES 1
NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH)
•
•
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp
changes directions.
•
■
•
•
R311.7 Stairways 1 N/A
YES
R325.9.1 Handrails required an both sides of ramp in accordance with R311.8.3.1 — R311.8.3.3.
•
E
Outside Ramp NIA
YES
NO
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH)
•
■
R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp
changes directions.
•
•
•
IN
R 325.8 Grab Bars in Bathrooms (May require -alternate" approval in accordance with IRO Sec. R104.10 and .11)
YES
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 — R311.8.3.3.
II
•
*Guards below are depicted vertically as an example only.
All Ramps must have Guards
Guard
36" min
Less than 4"
Handrail both sides
34"-38"
3'x3'min
landing
3'
� min )f.
3'x3'min
landing
1:12 max slope
8.3%
0
ADULT FAMI_Y HOME RAMP
per 2009 IRC with WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
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.
•
■
R325.4 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, emergency egress hardware). The Exit doors
shall have no additional locking devices.
•
■
R311.7 Stairways 1 N/A
YES
NO
R311.7.4.1 Riser Height: Max riser height shall be 7% inches (8 inches in structures built prior to July 1, 2004)
•
•
R311.7.4.2 Tread Depth: Min. tread depth shall be 10 inches. (9 inches in structures built prior to July 1, 2004)
II
•
R325.10.1 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 R311.7.7.1 — R311.7.7.4
•
•
R 325.8 Grab Bars in Bathrooms (May require -alternate" approval in accordance with IRO Sec. R104.10 and .11)
YES
NO
R325.8 Grab bars shall be installed for all water closets (toilets), bathtubs and showers.
Bathing facilities such as tubs and showers; and
•
•
On both sides of the toilet. (shall comply with ICC/ANSI A117.1 Sections 604.5,607.4 & 608.3)
•
•
AG103 — AG 105 Swimming Pool, Spa, Hot Tub 1 N/A
YES
NO
AG105.2 Must be surrounded by a barrier that is 48 inches high, may have doors and or gates that must have audible
alarms when o . ened.
MI
•
AG105.5 EXCEPTION: Pools, Spas or hot tubs with a safet cover which com'lies with ASTM F 1346
•
Ill
P74:),
❑ CORRECTIONS REQUIRED
❑ PERMIT REQUIRED
INSPECTOR'S SI ATE:
31/6 1RE n ^a!,— lDo
INSPECTOR'S ADD ESS. PHONE:
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.
08/01/10