2010, 09-15 Permit: 10002908 Adult Home Inspect \11
Spokane PERMIT CENTER
Valley® 11703 E. Sprague Avenue, Suite B-3
Spokane Valley,WA 99206
Site Information Project Information
Site Address: 7122 E 12TH AVE Project Number: 10002908 Inv: 1 Issue Date: 09/15/2010
Permit Use: ADULT FAMILY HOME INSPECTION
Parcel Number: 35244.9075
Subdivision: Applicant: SEMENCHA,SERGEY&RUFA
Block: Lot: 7212 E 12TH AVE
Zoning: R-3 SF Res District SPOKANE VALLEY,WA 99212 Phone: (000)000-0000
Owner: SEMENCHA,SERGEY&RUFA Contact: SEMENCHA,SERGEY&RUFA
7212 E 12TH AVE
Address: 7212 E 12TH AVE SPOKANE VALLEY,WA 99212 Phone: (000)000-0000
SPOKANE VALLEY,WA 99212
Setbacks-Front: Left: Right: Rear:
Building Inspector: SOUTH
Water Dist: EAST SPOKANE
Group Name:
Project Name:
Permits
Building Permit Contractor: OWNER License#: OWNER
INVESTIGATION FEE $61.00
Total Permit Fee: $61.00
FOR BUILDING INSPECTIONS CALL(509)688-0054.
Payment Summary
Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt
$61.00 $61.00 $0.00 09/15/2010 24278 $61.00
Processed By: Main,Jodi L PERMIT
Printed By: MORRIS,HEATHER Page 1 of 1
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 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 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—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.
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 Road cuts for utilities or driveways,City of Spokane Valley
mechanical,City of Spokane Valley Building Division 688-0054 Public Works 688-0195 or State Dept of Transportation
324-6000
Permits and inspections for electrical wiring.State Department of Labor Permits and inspections for Sewer Connection,Spokane County Utilities Division
And Industries 324-2640 477.3604
Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections,Spokane Valley
Health District 324-1560 Fire Department 892-4122
State law RCW 19.122 requires that prior to any excavation the"CALL BEFORE YOU DIG"center must be notified.Call before you dig at 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.
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Owner/Agent PIk Date
Staff Approval Date
Adult Frily Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
i Code References: 2009 IRC Section R325(WAC 51-51)
�. � APPLICATION NUMBER: i 0
't:,
' SECTIONS 1,2,3,AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1 - PROPERTY INFORMATION
SITE ADDRESS::. V(�,� E (� ( /Af�t,&_____, ASSESSOR'S TAX/PARCEL#:Fi -
SECTION-- 2 - APPLICANT INFORMATION
PROPERTY OWNER NAME: j l(./ f- (/64-)U / DAYTIME PHONE: Q/ �a 7417*
AFH LICENSEE NAME(IF DIFFERENT): f P/lO/'7 r s l ave 7 r DAYTIME PHONE:9?/ 92 9b..I 'O (l"`/
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, ID, 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 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 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.
NAME/ LE: /�� "f / /'4-&// / DATE: `V
1-01PROPERTY OWNER ( ❑ APPLICANT ❑ LICENSEE
08/01/10
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,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 0 Type S 0 Type NS1 ( 0 Type NS2 ! YES NO
Closet door/s are readily openable from the inside YES 0 I NO 0 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) 0 ❑
*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 0 Type S _ 0 Type NS1 0 Type NS2 YES j 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) 0 0
*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 i 0 Type S 0 T s e NS1 0 T •e NS2 ( YES NO
Closet door/s are readily openable from the inside YES❑ NO 0 Smoke alarm is installed in the bedroom I ❑ ❑
Bedroom door is easily and quickly openable from the outside when locked 0 I ❑
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 ❑ T e S 0 T •e NS1 0 T se NS2 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 a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) ❑ ❑
*EXCEPT PER 8310.1.1: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 E 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES 0 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 a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) I ❑ ❑
*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 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES 0 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 8310.1.1: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 ❑ I 0
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 resident sleeping room, outside each separate sleeping ❑ 0
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 0 ' El
08/01110
R311.8 Ramps
Inside Ramp j N/A YES NO
R311.11 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. ) ❑ ❑
Outside Ramp I 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.
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
Less than 4"
Handrail both sides
4
` 34"-38"
..
-�_
Guard
36"min
1 i
h�"r�
3'x3'min
3'x3'min
-- ___ �-=ZIT ---_� landing
landing = 1:12 max slope — "-'-^^ -'-� 3, )h
IH
8.3%
min
min
ADULT FAMLY HOME RAMP
per 2009 IRC with WA. ST. AIvENDMENTS
*ALL RAMPS REQUIRE A BUILDING PERMIT*
R311.2 Means of Egress YES I 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 j NIA ( 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) ❑ 0 _
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to ❑ ❑
multi de 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) 1 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 0 ❑
On both sides of the toilet. (shall comply with ICC/ANSI A117.1 Sections 604.5,607.4&608.3) 0 ❑
AG103—AG 105 Swimming Pool,Spa, Hot Tub I N/Al 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.
AG105.5 EXCEPTION:Pools, Spas or hot tubs with a safety cover which complies with ASTM F 1346 El r El
❑ PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
INSPECTOR'S SIGNATURE: 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.
08101110