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• <br /> ` ADULT FAMILY HOME CONVERSION OR MODIFICATION <br /> PLAN SUBMITTAL CHECKLIST* <br /> *Does not apply to Adult Family Homes licensed by WA DSHS prior to July 1, 2001. <br /> PERMIT SUBMITTAL REQUIREMENTS: <br /> 1. Completed Permit Application for Group R-3 Adult Family Home Occupancy. <br /> 2. Two (2) complete sets of building plans (1(4" = 1' minimum scale) and one (1) <br /> additional reduced set of plans in 11" x 17" size. Note: Three (3) sets required for <br /> properties located within a historical overlay. <br /> 3. Three(3) site plans, no larger than 11" x 17" in size. 1"=20' minimum scale; however, <br /> if the parcel is too large to fit on an 11" x 17" then show the entire parcel at 1"=30' <br /> and provide a blow up of the area where the work is occurring at a minimum of <br /> 1"=20' on a separate numbered page. <br /> 4. Plan check fee. <br /> 5. All documents must be clearly legible for microfilming, each page consecutively <br /> numbered and stapled. <br /> 6. Any land use review (i.e. nonconforming certification or variance) if required, must <br /> be 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 (PLOT) 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 shouldalso 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 <br /> at all bedrooms, bathroom andcloset 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 <br /> for ramps. <br /> APPLICABLE CODES AND REFERENCES <br /> • Adult Family Homes, Section R325, WAC 51-51-0325 <br /> • International Residential Code (IRC), 2012 Edition &WAC 51-51 <br /> • International Fire Code (IFC), 2012 Edition &WAC 51-54 <br /> • National Electrical Code (NEC), 2014 Edition &WAC 296-46B-010 <br /> • Uniform Plumbing Code (UPC), 2012 Edition & WAC 51-56, 51-57 <br /> • International Energy Conservation Code, Residential (IECC) 2012 Edition, WAC 51-11R <br /> • City of Everett Design & Construction Standards & Specifications <br /> Chklst-AFH(rev 02/15) <br /> CL1 <br /> % <br />