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<br />SECTIOH 5 IdUST BE C00.1PLETGD �V TIIE BUILDItJG DEPARTI.IEIJT II! THE JURISDICTION TIIE NOIdE \91LL BE LOCATED.
<br />PLEASE CHECK ALL APPLICABLE BOXES; n+nrr,u 1I+G L�ST f3[LoIV lo THE APPLICnNT'S FI.00Ft PtnN-USIIdG 7H[�R
<br />._____ __...._ _ ............ ... .......,�. �,�-„ir_nin�nnnic nG A. R_ C. f7. F. AND F Ah'D CLl�SSIFICAI I0N COUE: S� NS�� OR NS2
<br />R375,3 Si i i ru� n9`t Cins�llliniioy. Each slecping roorn !n nn �dult lamlly hame shall be classlf/ed as:
<br />7ypCS- ' II i�... isilr n, c-. I i. I.-ra <' ���r�Jx'� nl I 1�� ri r s �r's ��iU'c�-.a.
<br />TypeNS' u tr=ar ilr�...��,nlei_�,:Ijhs�i�l�>�u�rTpu In'r��1c�i� .� •.thR�759u�•o�.�+dinr�i��i!nrr�l.stopeLf aren.
<br />,TypeNS2 lereln,e:rsdclr"tyradelvdlnfhh-reno.i=rsl,nir� c���n c.1��o�,�;n���.hFdc6.Jn�e(r d�lbrv.� r:Yr�!sloFubfca�ea.
<br />SLEEPINGROOM5 � _.`�_ .. ,_.—.^ --- - —
<br />-�� Siceping Room A f7" Type S � ❑ Type NS1 I ❑ Typc NS2 i Y� ''I ❑�
<br />Close� doorls are rcadity rpenable from the inside � vEs Q� I NO ❑ I Smoke alarm is installed in lhn bedrocm ,
<br />Bedroam door is ea�ily and quickly openable Irom Ihr. outsid^_ e:hen leck�d `� �
<br />;leeping room wind.�vi has a net opening of 5.7 SF' (ininimum dimensions �it I�i 1 24 i' �.� . t Irasl 20 w� �•) ��. `� I, �
<br />'ES[EriFEeR3I0.f.t:ai�rn4el..:c<Pc�.�,_:- . . r��,,..r.;iG�EfRu� .•.a55F ! .
<br />.n', — �_
<br />�Iceping room av do,v hrs a max�mum s:il hci,ht of 44 abotie Ilour, no steps under � ndov� penn tled _� � 0 i �__.
<br />Sleeping Room 8 ' ' fd� Type S �❑ Type N51 �__O Type NS2� I YES NO
<br />--- —
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<br />Closel door/s are readily openable from the inside � res CL3� I NO ❑ I_ Smoke al�rm is mstaVed in Ihe Ledreom �� i_ �..
<br />--I
<br />— - - o� ❑
<br />Gedreom door is easily and quickly openable Irom Ihe oW�ide �vhen locked �___. __-
<br />:'.deepirg room windocr has�a net openin9 of 5.7 sF' (minimum dimensions at Icasl 24 � nn �t �eas120" w�ac) � 0 ❑
<br />'E�G.Pf�Ei+H31(i.1.YF76rAG4E5[uEV'.u.00'�1 1'AVH4VE1ci[lEIH04iP'L"iG55F � � _ �
<br />cleeping mom ,tiindoe� has a maximum s�I height o144' above floor no steps underwndow pertr tlAd � __
<br />Sleep(ng Room C � f�T—ype S �❑ Type NS1 �__❑ Type NS2 I YES I_ _ N0
<br />--- __ --
<br />Closel doods are rezddy openatle Iwm Ihe inside � ves � 1 NO ❑ I Smoke alarm is installed in the bedmom � I �_
<br />�edroom door is easity and quickly openable Irom the oulside when locked �� I �
<br />Sleeping room windoa� has a net opening ol 5.7 sF' (minimum dimensions at leisl 24' h'on' al least 20" w�ee) li �� i ❑
<br />'E:.[EciriRR310_t_YAi?a�;BE5Cn1[Yj�:DJ�15-MAVHsI'E1.'inFFaCP!•d9,55F.__: _ .i_ __ _
<br />._""_" . -._- -_— "— _—____
<br />_ —
<br />___- -___'__ _ -_ __" "_
<br />,.� V g 4" above (loor, no steps wider window permilted _,_ � I ❑
<br />., eeping room window bas a marimum sill hei hl ol t
<br />�__ i . _.. __----
<br />Sleeping Room D ❑ Type S �❑ Type NS1 ❑ Type NS2 ' YE�S i_❑
<br />Closet daods arc rez�ily openalde Imm Ihe inside YES ❑ I NO ❑ 1 �moke .I�nn is installed m Ihe bedroom ;____
<br />E'r.droom door is easily and quickly openable (rom the outsine �men locked c ��_ .� _�
<br />,Ier.ping room window has a net opr.ning ol 5.7 sF (minimum dimrnsions �1 le3sl 24' r�nn• al leasl 20" wiael I❑ ❑
<br />� :u�t nnarm�r�rc<�_x.ma„s-���+nu��i,erneRpccrr�inc55F- —
<br />:�Ir,rping room �•rindov� has a maxirmm� sill hcig6l ol 11 aLo � Iloor no steps under windoc� permi�ted I❑ � ❑
<br />� Sleeping Room E ❑ Type S �❑ Type NS1 I ❑ Type NS2 I YES � NO
<br />Closel doods are rea�ity openal;lc Irom the inside � ves Ll �i NO ❑ I Smoke alarm is inslalled In lhe bedroom i❑ I ❑
<br />Redroom door is easily and quickly openable (rom Ihe outside �vhe�� lecked �� I �
<br />Sleeping room e�indow has a net opening ol 5.7 5F' (minimwn dimrnsions �l le�st 2d' i'� n• at Ic�s� 20' .dte1 �❑�, ❑
<br />cl � Slec Ing Room F^— -- rY `a"��I�o� TypeiS�Lo stlepsOnTyPe NS1`+ iennil❑tedTYPe'NS2F II Y❑ES I O
<br />„ rr.pin ruom tvndoei has a ina�unum sill height ol d
<br />— —.._ P
<br />� Iose( doorls are readily openablo Iroin Ihe inside � Yes ❑ � NO ❑ I Smoke alarm is instalizd m Uie bedruom �❑ j ❑
<br />Ir`�rp og roorn'��indow has a nelkc�epen9 oIf Sr7 sFF', (°�rr�cme��a�''t �r�;rr�esurEwmcans vanuver,Erneo orene,cSsF I❑_ I' O
<br />— I ❑
<br />Icepiny room windo�v has a ma�imurn sill heighl o( 4d' above Ilcor, no steps under tvindo�v permilted i❑ � ❑
<br />------ YES NO
<br />GENERAL I � ❑
<br />f�athroom doors are easily and quickly openable frem Ihe outside �vhen locked
<br />i„c4:e alarms are installed en all levels of Ihe dv�ellin , in each resident sleeping room, outside each separate sleeping I Q j ❑
<br />ir. a in Ihe immediafe vicinity of sleeping rooms (R314�
<br />;:m,���e alarms are inst �led in such a manner so Ihat thc lirc �vaming may be audible in all paits of ihe dwelling upon �� I ❑
<br />h,�tiroof�singir,dr.rce. . . .. _ - .._- --- .. _.__-.. ___.. � �.._� �
<br />„� � r-; r �; d ricd crdr�r �,upply mr,ct �nr,il Iho jtrtisdiction� I rey�nanen�s '� �
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<br />_ _ ___ ._...__- namtnn
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