2011, 01-25 Permit App: 11000162 Adult Family Home Inspection..p / / ._L.'' 11d �--
/_I
Adult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST t\ /s��
Code References: 2009 IRC Section R325 (WAC 51-51)
APPLICATION NUMBER:
SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1 - PROPERTY INFORMATION
SITE ADDRESS:
% ASSESSOR'S TAX/PARCEL#: -
SECTION 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME:
or R/
` � � 7` 7
DAYTIME PHONE: .. � C
AFH LICENSEE NAME (IF DIFFERENT): V l/ DAYTIME PHONE:
SECTION 3 — FLOOR PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/s ON THIS FORM (ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS).
ON THIS DRAWING, INDICATE WHICH BEDROOM IS A, B, C, D, E AND F. LABEL ALL COMPONENTS FOR EXITING i.e.: STAIRS,
RAMPS, PLATFORM LIFTS & ELEVATORS.
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. 1 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, includir)g its officers and employees, upon the accuracy of the information supplied to the
jurisdiction as a part of this application.
NAME/TITLE:
‘51/1DROPERTY OWNE
0 APPLICANT 0
NSEE
DATE:
08101110
r
(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.
11325.3 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.
11325.4 Types of Locking Devices. All bedroom and bathroom doors shall be openable from the outside when locked.
Every closet shall 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. 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. A11 adult family homes shall be equipped with smoke alarms installed as required in•-
Section 11314. Alarms shall be installed in such a manner so that the fire warning may be audible in all parts of thedwelling•up6n
activation of a single device.
11325.6 Escape Windows and Doors. Every sleeping room shall be provided with emergency escape and.iescue.windows as
required by Section R310. No alternatives to the sill height such as steps, raised platforms or other devices placed bX the.openirigs
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.
11325.8 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 A117.1 Sections 604.5 and 607.4 and 608.3.
EXCEPTION: Grab bars are not required for water closets and bathtubs and showers used exclusively by staff of the
adult family home.
8325.9 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.
11325.10 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.
11325.10.1 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, 19.27.020, 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.]
08/01/10
Floor Plan G4UOi \ (16VR
;' E; ./J'
�Ke cli tie floor p an of your home and est' b is two exit routes(
k°C ) `i34c, _-IA'Rk
*440
11
Floor Two
e-Vtrit Evatiatrl CAIYY1 ScQ S. di li
n S moe+-i n. Iace U n i I+ r -1r insIrtia4ltriS
A
NAME OF AFH:
SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURIS CTION 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 OFA, B, C, D, E, AND F AND CLASSIFICATION CODE: S, NSI, OR NS2
SECTION 5 - BUILDING INSPECTOR'S INSPECTION CHECKLIST
R325.3 SLEEPING Roots 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 constructed compliant with R325.9 are provided to evacuate residents to public area.
Sleeping Room A • Type S C • Type NSI 1 • 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 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 —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 B ■ Type S 1 • Type NSI • 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 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 —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 C ■ Type S 1 :. ■ Type NSI. • Type NS2
YES
- • NO'
Closet door/s arereadily 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 :
1 ,-
., ■
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—ry1AY HAVE NET CLEAR OPENING 5 SF
Sleeping roomwindow has a.maximum sill height of 44" above floor;; no steps under window permitted.. .,..,;,.:..
, II
■ :..:.
Sleeping Room D • Type S 1 • Type NSI ■ Type NS2
YES'.
;.. N0'
Closet door/s are readily openable from the inside. YES ■ NO • Smoke alarm is installed in the bedroom
- ®-
1
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/
Iii
•
*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
1
❑ ❑❑❑o❑ ❑❑❑o'❑
Sleeping Room E 1 ■ T pe S 1 ■• Type NSI 1 • Type NS2
r
YES
Closet dooris are readily openable from the inside 1 YES • NO • I Smoke alarm is installed 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 —MAY HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
1
Sleeping Room F ■ Type S ■ Type NSI 1 • Type NS2
YES
Cl
Closet door/s are readily openable from the inside YEs • NO 1 Smoke alarm is installed 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 —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
■
1
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)
■
■
Smoke alarms are installe-Tin such a manner so that the fire warning may be audible in all parts of t e dwelling upon
activation of a single device.
■
■
Access road and water supply meet local fire jurisdictional requirements
■
■
08/01/10
R311.8 Ramps
Inside Ramp
N/A
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.
YES
0
NO
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 — R311.8.3.3.
Outside Ramp 1 NIA
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.
0
YES
0
NO
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1- R311.8.3.3.
*Guards below are depicted vertically as an example only. All Ramps must have Guards
0
Guard
36" min
Less than 4"
Handrail both sides
34"-38"
3'x3'min
landing
1:12 max slope
8.3%
3'x 3' min
landing
3'
min
ADULT FAMILY HOME RAMP.
per °2009 IRO with .WA, .ST AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
• KS11.2 Means of Egress .: