8717 10TH DR SE 2016-01-01 MF Import

� � � NAMEOFAFH: � ` I Yl • SECT10N5�(USTBECOM�1E�f � il IN EFaHT�1 R J DI WIILH PLEASE CMECN AlL AYPIICABIE BO%E5,MA7CH TME lIF dE lOW lO 1RE APPtIUNT'S FIWR VIAN-USiNG TNCiq PROSPFCTIVE PE90EHi 9E�RCOM 0[SiGNAT70NS OF A B CO FANO i AND C1A551FlCATlOt1 CUDE 5,N51 OR N52. �___ _ . '._'_' ___ , . -- . R)75.3SIrePingaoanO+uncetros Ei[�:!repngrcominanP0e41amlyHomeotw��EeuasfiLeO�l'. Typc 5-w0em Ilr rtruu of eycst romac�c t*aU�.civ+�vt ar Fallcm 411f lo erxu�fe rol�enti i�puWc a�e�. TypcN51--�'�ne 1 mex��oleE*esiaf„raxKwellnasno�nnt�r.�rx„��ansvu�tre:em0��w:thAlA.9�iRovkrdioe�eiu�te.nl0em:�.oR6ha�e� 1 cN52-w�e�e2mr�ncu!t^io++�ern�e'�rvel�0otnn.r•rof+.l:qa u�c a.tWneticC i�antwt�P315.9areCr mrvetusScr.s'a!nuloG�'�<nrb �: SIEE%NG ROOM A'-' ' '�"`�"�'�� %� Type S Typc N51 7ype N52 YFS NO Cioset door/s are:cad�M o cnab!e Irom thc Inside es ❑No Smoke alarm�s im.talled in hc nedroom Q �rdroom door opens eas!iy ard ewckN 1wm the ou��de whcn locked � Slcep�^B roam window has a n2t opening ol 5.7 SF ;m�r imum dlmrns�ens at Icast:�`Mgh;a[�cast 20"wide� ❑ I E7fCEPrperR310.1.1:at�graAeescapewindows--mayhavenetciearanceopening55F . Slerpin room w�.ndow hat a maw�mum siq helql�t of�3' aheve fcc�;^o;[e,:un�P�v.�:nCu.v�e�m�tted ❑ � . . : .. . '�. �.SIE£-0ING ROOM B.^�:-. '�'. .�_ �VPc��Typc N51 _�Typc N52 YES NO ', Uo;et dcor/s are�eadily opnna0le 1•om Ihe mside ,es �Q No � • Smok�alarm,inzWllyd in:�e Ced:corn �' ❑_ Bedroom door c ens easiN anC pmckM� liom the oubiae wnen IcckeC � G}' [] Sleeping room wi�dow ha:a rel oPening of 5.7$f�mfnimum dinens�.tns a::east:4"'hiZh;a:�east 2Q'wi7c� (�-- ❑ I FXCEPTp[rR31Q1.1_at_grddee5capexlndo:vt-r.�ayha�_ene!dca%ieo0emny55F ___. _ J jS!ee;ln:�oom wireow has a naxlmum;III he�gh�cf:4'aco�e noor no steGs untler w.rCnw:e�m�L'cC : 0_I —�'—'—^^—.— .^SI.EEPINGROOMC:}:;.`:+-.::�i'�'i^jdTypeS TypeNSl '[�TYGeNS2 YES NO I �----��__• Close[dow/s are ieatldV oocna�le Iron tpe ms�Ce ❑Ycs�O No '. Smcke alarm�s�r.;r�;IrC in thc h^Grocm Q_ dedroom Acor o'�ers easl �nd o��ckl� Irom chc r,ut;lAe when Ir.�c7 � ❑ ❑ -- ---L----- — SICeO:ng room window na5 a nel openmg of SJ SF(mimm�m aimensicns a[�els[:3`highJ df ICdS!2Y'w�Ce) � ❑ ' IXCEPT per R?101 1:aFgrade escape windows-mxy havc net dearan:e epen ng 5 SF � I _, S'eeping room wlndetv ha;a ma*Ir�um nll he:ght of a�"a6coe floo�;no stepi under w;ndow perm�.tce�^ �- .❑ ❑ � - � SLEEPING ROOM D i- -:'� Type S i�/pe NSI Type N52 vE5 NO Oosec door/s are reaClly o0��able Irom the inside ❑Yes F�No Smoke alarm�s�n:ta4ed:n t�e Eeoroo:n ❑ ❑ Bedroom docr opens eas ly andq�ickly from tre euu�de wF.en locted ❑ �J $�Ceping room w�cdow has a net op�nmg o�i,15�(min��m�m ElmenSioni a[least i4"high, d[led;[20"wide� � � � EXCERT oer R3:01..:aPFrade escape w+ndows-may have�et deerance openmg 5 SF � Skepin rwm w�ndow ha;a maxim�r�slll ne�gM of d4"above�oor;no Y.eps unQer window permitted ❑ ❑ � : � � � . $LEEPING ROQfy}E ":�'yF=^" `-�:� Type S Type N51 - Q7ype N52 YES NO GoSet doo�(s are rcao�ly openable Irom the ins�de [�YM ❑NO ' ' SmOkf dlarm�S �nSIdIICC m lhe�edroom ❑ � 8edrocm door o�ens eavly andqwcily(rom tfie ouB�de when lot'ieC ❑ ❑ Slezp�ng room wlndow has a net opemng ol 5.7 SF(mimmum dlmen:�ons at Icast 2a"hlgh;at ieast 20'wice) ❑ 0 FXCEPT per H310.1.1:aFgradeezcape wmdows-may h�ve net ciearance opening 5 SF � ileeping room windew has a maslmum sdl helght o!»a"above ticor;no steDs under window perm�ttea � � SIEEPING ROOM Fi; .r_c°'•.: - :% Tvv�s 7ype N5t Type N52 YES NO Closet doorls are readlly opena5le Irom lhe inside ❑Yet ❑Mo Sm� ke al�rm n installetl In the hedroom 5edroomdooro emeasityandcuid;iylromiheouLsidcwhCnlockca ❑ ❑ Sleep�ng room w ndow has a nr.c opening o15.7 SF�mlmmum dimensiens at least i4"high;at least�0"w�oe� ❑ ❑ � FJ(CEPr per R330.1.::al-Rrade escape window;-may have net Uearance open�ng 5 SF ;Ireu�ng roomwmdow haz a maximum slll he�pht of a4"above Oooi, no:teps under w��ndow permi!ted ��,r�. Y> 7� ��f� E`fenive: 2013 luiy 07 , Y Upda'ed:2013June ��` . ��,�,�,�- , /, �,, (l�Ig��' ^�o�"`_`"�"^-,w "� /�J�,