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CITY OF EVERETT <br /> EVERETT Permit Services <br /> WASHINGTON <br /> ADULT FAMILY HOME SUBMITTAL CHECKLIST* <br /> For Conversions or Modifications <br /> *Does not apply to Adult Family Homes licensed by WA DSHS prior to July 1, 2001. <br /> PERMIT SUBMITTAL REQUIREMENTS: <br /> ❑ Completed Permit Application for Group R-3 Adult Family Home Occupancy. <br /> ❑ Two(2) complete sets of building plans(1/4"= 1' minimum scale) and one (1)additional <br /> reduced set of plans in 11"x 17" size. Note:Three (3)sets required for properties located <br /> within a historical overlay. <br /> ❑ Three (3)site plans, no larger than 11"x 17" in size. 1"=20' minimum scale; however, if the <br /> parcel is too large to fit on an 11"x 17"then show the entire parcel at 1"=30'and provide a <br /> blow up of the area where the work is occurring at a minimum of 1"=20' on a separate <br /> numbered page. <br /> ❑ Plan check fee. <br /> ❑ All documents must be clearly legible for microfilming, each page consecutively numbered <br /> and stapled. <br /> ❑ Any land use review(i.e. nonconforming certification or variance) if required, must be <br /> completed prior to permit submittal. <br /> NOTE: Submittals for New Adult Family Homes or Additions to an Adult Family Home will also need to <br /> comply with the additional requirements included in the Residential Plan Submittal Checklist. Planning <br /> Department review required. <br /> I. SITE PLAN <br /> • A site plan showing parking, paved surfaces, access roads and fire service water supply, per <br /> Design and Construction Standard 101, attached. <br /> • Swimming pools, spas and hot tubs should also be shown with four foot high barriers. <br /> II. FLOOR PLANS <br /> • Floor plans showing existing and new work for each story or level, all rooms labeled for use, <br /> dimensions of rooms,window and door sizes, rooms used for clients and the sleeping room <br /> classification for each room, smoke and carbon monoxide alarms, means of egress and <br /> components: stairs, ramps, platform lifts, elevators. Hardware locking devices to be shown at <br /> all bedrooms, bathroom and closet doors. Provide detailing for new work. <br /> • Grab bars shown at all water closets, bathtubs, and showers used by clients—see attached. <br /> • Stair and ramp cross sections showing: construction, headroom, guard and handrail size, <br /> attachment and height, guard elevations, riser height and tread depth for stairs, rise and run for <br /> ramps. <br /> Adult Family Home Checklist(2019) Page 1 of 2 <br />