06-105916 105" I (10
• CITY of Y HALL
O 33325 8th Avenue South
., Fe d e ra I Way t v.* Mailing Address: PO Box 9718
r Federal Way, WA 98063-9718
(253)835-7000
www.cityoffederalway.com
December 5, 2006
Venishia Cooper
Angel's Forever Day Care
28006 — 20th Ave South
Federal Way, WA 98003
RE: In-Home Day Care Approval
File# 06-105916
Dear Ms. Cooper:
The City's Department of Community Development Services has completed the review of
your in-home day care application. The land use application is approved with the following
conditions:
1. A business sign outside your residence is not permitted. Advertising flyers may be
distributed via approved methods, such as store windows or at the library. Flyers
may not be placed on mailbox clusters.
2. No outside alterations are permitted to accommodate the day care.
3. Drop-off and pick up is permissible in the driveway and other allowed parking areas.
4. The maximum number of children allowed in your care is _, per your DSHS
license.
5. The in-home child day care shall meet all requirements of the enclosed
International Building Code, sections R310, R313.3, and R325.
Your city business license will be forwarded to you. Please contact my office at 253-835-
2626 if you have any questions.
Sincerely,
Robin Baker
Development Specialist
c: Cathleen Rossick,Licensing Specialist
File
daycare\approval.ltr
< 9 •
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
ilkt‘
33325 8`h Avenue South
-'4'1111144.4161"... RECEIVED ` PO Box 971s
CITY OF �` � Federal Way WA 98063 9718
Fri ay NOV 1 5 2006 253 835 2607;Fax 253 835-2609
ww•w.cityoffederalway.com
• CITY OF FEDERAL WAY
BUILDING DEPT. r
IN-HOME CHILD CARE (0 tt°
LAND USE APPROVAL APPLICATION
Application Fee: $43.00
•
Name of Child Care: (IA) ' '-S fXQIJ/if (`d &
Name of Applicant: \kJ" .-''
Address of Child Care: 7iNZ °I° 41". i' S`'
Mailing Address(if Different): ` �,
Phone Numbeil00)tea-- I (Opening Date of Child Care: 9j.,t,(1--e.i, 1'5
ay Nt:p .baa r Y �r of,"y. < �
g, tPV �;fJ
r.�o a $ xyy d, ��
--h �' ' ,472 4'4', �' ' `,,,,
X
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Ar
4
a ` r ' � .(11. -',...1,-,,,,w r + v� . . g f i �F pdp
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PLEASE PROVIDE THE FOLLOWING:
Name of familymember who resides on-site&operates child care: V '0 CT��'
❑
AI Copy of license from the Dept of Social&Health Services: ❑ Enclosed
A sketch of your lot that shows your home in relationship to your lot lines. Show where any off-street
parking is provided as well as loading and unloading area(see example on page 4).
ow many people living outside your home will be working at the child care:
�.
Completed&signed Neighbor Notifications(enclosed)for each neighbor adjacent to your home,or provide
the city with stamped, addressed envelopes of the neighbors' addresses and the city will notify them. Note,
please do not submit metered envelopes.The Federal Way Post Office may refuse such envelopes.
Bulletin#029—August 23,2006 Page 1 of 4
k:\Handouts\ln-Home Child Care Application
,
•
4 Hours and days of operation: .;,(-thc.
Maximum number of children you will take care of on any given day:
Number of children residing in the home: ID
0 Number of vehicles you anticipate coming to your home per day as a result of the child care (include
employees,customers, deliveries, etc.): ;, Please explain:
Cl,t.r 1 t C't GY.<-� C` 0-11_,c, GL nC c c"-i-)� J (' l1.4_,
escribe any fencing&other buffering devices around the play area(height&materials):
'Ck 'C Ct, I . ' ., t, ls-j. ccisetA .
The International Building Code(IBC)has special requirements for in-home child care centers.Please
provide the following information:
1. What type of house is it? 0 One story 0 Two story 0 Tri level 0 Split-level ❑wBasement
❑ Other:
2. A smoke detector shall be provided in all sleeping/napping areas and on each level of the home.Has a
smoke detector affidavit(enclosed)been completed? .0 Yes 0 No
3. Does the home have an automatic fire suppression system(sprinklers): 0 Yes 0 No
4. Each floor level used for child care purposes shall be served by two remote exits. Child care will be
located: 0 Basement 0 First story D Second story 0 Level: '
5. If in the basement,is there an exit at ground level(no steps,porches,or decks outside the door):
❑ Yes 0 No 0 Not Applicable
6. If in the basement, is there an exit at ground level and a self-closing door at the top or bottom of the
interior stairway(steps,porches or decks outside the door OK): 0 Yes 0 No 0 Not Applicable
7. If in the basement, is there an emergency escape window or door which leads to a public way:
❑Yes 0 No 0 Not Applicable
8. If on the second-story, is there an exit directly to the exterior of the home that does not go through the
first-story: , s 0 No 0 Not Applicable
9. If on the second-story, is there an exit directl to the exterior of the home and a self-closing door at the
top or bottom of the interior stairway: Yes 0 No 0 Not Applicable
Bulletin#029-August 23,2006 Page 2 of 4 k:\Handouts\In-Home Child Care Application
• •
10. Do the sleeping or napping rooms have at least one operable emergency escape or rescue window(5.7
min sq. ft.,20 inch min. width, 24 min.height, and 44 inch max. sill height): 0, es 0 No
11. Do the sleeping or napping rooms have a door directly to the exterior of the building: 0 Yes 0-No
12. Do any commercial uses occur next to the child care area:
❑ Yes 0 No If Yes, type of business use:
13. If you answered yes to qu tion#12,is there a fire-resistive separation between the rooms or spaces?
❑ Yes Pi No 0 Not Applicable If Yes, what is rating?
14. If you answered yes to/question#13, are there rated and labeled doors or windows in the wall:
❑ Yes E No 0 Not Applicable If Yes,what is rating?
15. Building Division Comments:
A BUSINESS SIGN OR OUTSIDE ALTERATIONS TO YOUR RESIDENCE ARE NOT PERMITTED.
I have read and understood that failure to comply with Federal Way City Code, Chapter 22, Article XIII,
Division 6,Section 22-1069,"Home Occupations Class II,"is grounds for immediate revocation of the in-
home child care approval.I agree that my child care will be conducted in such a manner that none of these
criteria will be violated and that I will report any changes in the conduct of the above described child care
(including increases in clients) to the Federal Way Department of Community Development Services and
receive approval before the changes take place.
' fri5hA-1 Nrta CtOp-V.
Full Printed Name
6Ue -
Signature at
Planning Representative Date
Building Division Representative Date
Bulletin#029—August 23,2006 Page 3 of 4 k:\Handouts\ln-Home Child Care Application
• •
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
CITY OF �r= ' 33325 8`b Avenue South
Federal 9 PBox 9718
Federal Way WA 98063-9718
253-835-2607;Fax 253-835-2609
www_cityoffederalway com
SMOKE DETECTOR AFFIDAVIT
IN-HOME CHILD CARE
Date: 10 - 6-o(0
(� 1-4O L., OtlyS N4V)1,E'
m 1 vl
Print Owner's Name: Ai -=P rnrit tchr NRC, NO 32.-,Z30-g-(016-
.
Print Street Address: A00(O 2,0TI1 Ave 5
Print City, State, Zip: 7aâetL( WA 9
I hereby certify, under perjury, that a properly operating smoke detector has been installed in the
dwelling unit within the building for which this application is being made.
Owner's Signature: I/./. .. ',�f
J
Bulletin#031 —January 1,2006 Page 1 of 1 k:\Handouts\Smoke Detector Affidavit
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