2011, 05-02 Permit: 11001129 Adult Home Inspect( V QEF3ro " ('F=.NTER
M�t iu family H me (AFH) LOCAL BUILDING INSPECTION CHECKLIST
`) \Code References: 2009 IRC Section R325 (WAC 51-51)
Project #�— 1! 1- -
Froj APPLICATION NUMBER:
Nan e _ - $EC'I
I Su
IONS 1,2,.,3, -AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SITE ADDRESS: I V Li /U !" r o (irE'_.-S
ASSESSOR'S TAX/PARCEL#:
SECTION 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME: VI :IX V J3 Y_ - -5 5) 0 °' S
AFH LICENSEE NAME (IF DIFFERENT): 13, Oic ,14 O 4 C> NA r' _r --
DAYTIME PHONE: 9:s j -/ 301
DAYTIME PHONE: o y - 7 /
SECTION 3 — FLOOR PLAN
APPLICANT MUST DRAW COMPLETE FLOOR PLAN/5 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.
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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 1
am authorized by the owner of the above premises to request inspection for the operation of an Adult Family Home 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 part of this applicati
NAME/TITLE:
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0 PROPER NER 0 PPLICANT ��
LICENSEE
DATE:
08101110
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Sketch a basic floor plan of your home. If your home has more than one level, include a floor plan of each level. Identify
the following items:
1. Location of doors and windows that exist to the outside
2. Location of doors between rooms
3. Location of each smoke detector and each fire extinguisher
4. Identify who steeps in each bedroom
DSHS 16-204 (05/2007)
NAME OF AFH:GL'i_ V.. A- - H o � pt
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, D, E, AND F AND CLASSIFICATION CODE: S, NSI, OR NS2
SECTION 5 — BUILDING INSPECTOR'S INSPECTION CHECKLIST
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 NSI -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 ROOMS
Sleeping Room A 1 ■ Type S 1 • Tyke 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
■
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 -MAY HAVE NET CLEAR OPENING 5 SF
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted
IN
■
Sleeping Room B j ■ Type S 1 ■ Type NS1 1 ■ Type NS2
YES
•
NO
1
Closet door/s are readily openable from the inside FYES • I 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 -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 C • Type S 1 ■ Type NS1 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 D ■ Type S ; ■ Type NS1 ■ Type NS2
YES
■
NO
1
Closet doorls 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 E j • Type S 1 • Type NS1 • T • e 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)
IN
■
*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 1 • Type S E • Type NS1 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
■
■
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 resident sleeping room, outside each separate sleeping
area in the immediate vicinity of sleeping rooms (R314)
■
■
•
■
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
1
■
08101110
R3'i 1.8 Ramps
YES
Inside Ramp 1 N/A
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.
•
M
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 — R311.8.3.3.
■
■
Outside Ramp N/A
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.
•
•
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
Guard
36" min
Less than 4"
910.
3'x3'min
landing
min
Handrail both sides
1:12 max slope
8.3%
ADULT
ADULT FAMI_Y HOME RAMP
per 2009 IRC with WA. ST. AMENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
3'x3' min
landing
3'
-4111( min '"°1 -
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 N/Ai
YES
NO
R311.7.4.1 Riser Height: Max riser height shall be 73/4 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)
■
■
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 IRC 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 i 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 opened.
I
MI
AG105.5 EXCEPTION: Pools, Spas or hot tubs with a safety cover which complies with ASTM F 1346 ■
■
0 PASSED
0 CORRECTIONS REQUIRED
INSPECTOR'S SIGNATURE:
0 PERMIT REQUIRED
DATE:
INSPECTOR'S ADDRESS: 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
1
Sp"„oliane
Valleye
Permit Center
11703 E Sprague Ave Suite B3 Spokane Valley WA 99206
509.720-52401 Fax: 509.688.00371 email: permitcenter@spokanevalley.org
Site Information
Project Information
Site Address: 1024 N PROGRESS RD
Parcel Number: 45141.0313
Subdivision:
Block:
Lot:
Zoning: MF -1 MF MDR District
Owner: SESSIONS JR, WAYNE D
Address: 1024 N PROGRESS RD
SPOKANE VALLEY WA 99037 -
Building Inspector: EAST
Water Dist: VERA
Project Number: 11001129 Inv: 1 Issue Date: 05/02/2011
Permit Use: ADULT FAMILY HOME INSPECTION
Applicant: SESSIONS JR, WAYNE D
1024 N PROGRESS RD
SPOKANE VALLEY WA 99037- Phone: (509) 892-7791
Contact: SESSIONS JR, WAYNE D
1024 N PROGRESS RD
SPOKANE VALLEY WA 99037- Phone: (509) 892-7791
Setbacks - Front: Left: Right:
Group Name:.
Project Name: BACK AT HOME AFH
Rear:
1
Permits
Building Permit Contractor: OWNER
License #: OWNER
INVESTIGATION FEE
FOR BUILDING INSPECTIONS CALL (509) 688-0054.
$61.00
Total Permit Fee:
$61.00
Payment Summary
Total Fees AmountPaid AmountOwing
$61.00 $61.00 $0.00
Tran Date Receipt # Payment Amt
05/02/2011 26641 $61.00
Processed By: Main, Jodi L
Printed By: MORRIS, HEATHER Page 1 of 1
PERMIT
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/permitee 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 and may
necessitate removal of certain parts of the construction are at the applicant's/permittee's or property owner's expense.
At a minimum, the following inspections ARE REQUIRED by the Spokane Valley Municipal Code (SVMC):
FOOTING - when forms and reinforcements are in place and prior to placement of concrete -all structures, including manufactured
homes.
NOTE: This inspection includes review of the structures setback from property lines. Minimum setbacks are established by SVMC.
Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback
provisions lies solely with the permitee-neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the verification 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, bracing 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 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 - prior 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.
State law RCW 19.122 requires that prior to any excavation the 'CALL BEFORE YOU DIG' center must be notified. Call 411 at least 3
working days in advance.
PERMIT EXPIRATION AND REFUNDS
Expirations:
Building or other permits (regulated under SVMC Chapter 24) 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 required to finish the original permit.
Right-of-way permits (regulated under SVMC Chapter 22) issued between April 1, and September 30, are valid for 30 days after the
date of issuance, with a one-time 30 -day extension available. Right-of-way permits issued between October 1, and March 31, shall be
valid until the following April 30.
Refunds:
All refund requests must be made in writing by the original permitee to the Building Official no later than 180 days after the date of fee
payment. Full refunds will be granted for any permit issued in error. Rate of refund shall be as set forth in the City of Spokane Valley
Master Fee Schedule in effect at the time of permit application. A copy of this schedule is available at Permit Center and also available
for reference on the city website at: http://www.spokanevalley.orq and search for "fees"
Owner/Agent 21-) O✓`�\
1j
Date:
Staff Approval Date: