2011, 02-15 Permit: 11000373 Adult Family Home Inspect Permit Center
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Valley®
11703 E Sprague Ave Suite B3 Spokane Valley WA 99206
Site Information 509.720-5240♦ Fax: 509.688.0037 injtpjpt'ffspokanevalley.org I
Site Address: 13519 E 27TH AVE Project Number: 11000373 Inv: 1 Issue Date: 02/15/2011
Permit Use: ADULT FAMILY HOME
Parcel Number: 45274.0316
Subdivision: Applicant: RANKINS,KANDICE
Block: Lot: 13519 E 27TH AVE
Zoning: R-3 SF Res District SPOKANE VALLEY,WA 99216 Phone: (509)251-8872
Owner: RANKINS,KANDICE Contact: RANKINS,KANDICE
13519 E 27TH AVE
Address: 13519 E 27TH AVE SPOKANE VALLEY,WA 99216 Phone: (509)251-8872
SPOKANE VALLEY,WA 99216
Setbacks-Front: Left: Right: Rear:
Building Inspector: SOUTH
Water Dist: VERA
Group Name:
Project Name:
Permits
Building Permit Contractor: OWNER License#: OWNER
HOURLY REVIEW FEE 1 $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 02/15/2011 25826 $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/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"
7((Owner/Agent _ -:• ..__��`� _.__.� —• Date: C_. l 5
Staff Approval Date:
NAME OF AFH: A k ftym-
SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED.
PLEASE CHECK ALL APPLICABLE BOXES. PLEASE ALSO INDICATE ON THE FLOOR PLAN DRAWN BY APPLICANT:
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
R325.3 SLEEPING ROOM CLASSIFICATION. Each sleeping room in an adult family home shall be classified as:
Type S-where the only means of egress contains stairs to evacuate.
Type NS1-where one means of egress does not have stairs to evacuate.
Tyke NS2-where two means of egress do not have stairs to evacuate.
SLEEPING ROOMS
Sleeping --- #1y- S
_ _ p g Room 0 Type S 1 ❑ Type NS1 ! ❑ Type NS2 YES NO
Closet door/s are readily openable from the inside YES❑ NO Err- Smoke alarm is installed in the bedroom 11
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**) 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 0 0
Sleeping Room #2 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES ❑ NO 0 I Smoke alarm is installed in the bedroom ❑ ❑
Bedroom door is easily and quickly openable from the outside when locked 0 i 0
Sleeping room window has minimum dimensions at least 24" high; at least 20"wide -(NET OPEN-ABLE AREA OF5.7SF**) ❑ 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 #3 0 Type S I ❑ Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside YES 0 NO 0 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 5.7 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 ❑ t ❑
Sleeping Room #4 0 Type S 0 Type NS1 0 Type NS2 YES ! NO
Closet door/s are readily openable from the inside YES 0 NO 0 Smoke alarm is installed in the bedroom ❑ ❑
Bedroom door is easily and quickly openable from the outside when locked 0 0
Sleeping room window has minimum dimensions at least 24" high; at least 20"wide -(NET OPEN-ABLE AREA OF 5.7 SF**) 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 0 0
Sleeping Room #5 0 Type S ❑ Type NS1 i 0 Type NS2 YES NO
Closet door/s are readily openable from the inside J YES❑ NO El I 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 0
**EXCEPT PER R310.1.1:AT-GRADE ESCAPE WINDOWS:NAY HAVE NET CLEAR OPENING 5 SF) _ l
Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted 0 0
Sleeping Room #6 0 Type S_ ( ❑ Type NS1 L CI Type NS2 YES NO
Closet door/s are readily openable from the inside I YES CI NO ; Smoke alarm is installed in the bedroom 0 0
Bedroom door is easily and quickly openable from the outside when locked 0 0
Sleeping room window has minimum dimensions at least 24" high; at least 20"wide -(NET OPEN-ABLE AREA OF5.7SF**) 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 ❑ ❑
GENERAL
YES NO
Bathroom doors are easily and quickly openable from the outside when locked 0 ❑
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. 0 j ❑
Access road and water supply meet local fire jurisdictional requirements 0 I 0
8/1/09
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 BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
1'35 �J -'7 SECTION 1 -gP-ROPERTY/INN%FORMATION
SITE ADDRESS: el '/ t- / J�g iYay /A/ASSESSOR'S TAX/PARCEL#: -
SECTION 2 y-APPLICANT INFORMATION
PROPERTY OWNER NAME: Jinn e'(1 1Ct4 f1 Ian DAYTIME PHONE: 5-09-Z5/-88 7z.
LICENSEE NAME(IF DIFFERENT): DAYTIME PHONE:
SECTION 3- FLOOR PLAN
APPLICANT MUST DRAW A COMPLETE FLOOR PLAN ON THIS FORM. PLEASE INCLUDE ALL SLEEPING ROOMS(BEDROOMS).
**ON THIS DRAWING,THE BUILDING INSPECTOR MUST THEN IDENTIFY WHICH ROOM IS SLEEPING ROOM#1,2,3,4,5,AND 6 AND
LABEL ALL COMPONENTS FOR EXITING i.e.STAIRS, RAMPS,PLATFORM LIFTS&ELEVATORS.(USE BACK 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,includingu1its officers and employees,upon the accuracy of the information supplied to the jurisdiction as a part of this application.
NAME/TITLENITIA A £Zt%(14- S DATE:
?ROPERTY OWNER ❑ APPLICANT ❑ LICENSEE
8/1109