06-106247 • •
IF LE
` CITY OF CITY HALL
33325 8th Avenue South
Federal Way
I �'(°1t Mailing Address: PO Box 9718
Federal Way,WA 98063-9718
1 (253)835-7000
www.cityoffederal way.corn
December 27, 2006
Ivette Santana
Little Light Day Care
33403 25th Ave Sw
Federal Way, WA 98023
RE: In-Home Day Care Approval
File#06-106247-00-BL
Dear Ms. Santana:
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 6, per your DSHS license.
5. The in-home child day care shall meet all requirements of the enclosed
International Building Code, sections R31O, 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.l r
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
, •
. (.10 -- )tikcaL1-71 --co --K__
PO Box 9718
CITY oP Federal Way.WA_ 98063-9718
�'ai ',( 53,835-2607;Fax 253-835-2609
l www.cityoffederalway.com
IN-HOME CHILD CARE
LAND USE APPROVAL APPLICATION
Application Fee: $43.00
Care: 'l ' L J �`J a CGS re.
Name of Child
Name of Applicant: IV .-- -e San-I-a n �. )n
Address.of Child Care: .31403 , i9 G� 1\\I-e- 5 ;�.e era, \Q � .\8°2-.3Mailing Address(if Different):
Phone Number: o?S 3-Y.3s-!b$SOpening Date of Child Care: Qu$} 1
&.ell: 42S"S03-1O'#3 �1
,a
s
iX
1
PLEASE PROVIDE THE FOLLOWING:
❑Name of family member who resides on-site&operates child care: zV '.14 -e—
Copy of license from the Dept of Social&Health Services: . Enclosed
KA 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). G,v �
❑ How many people living outside your home will be working at the child care: Ap --
V.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\In-Home Child Care Application
• lb t
gHours and days of operation: `I,6 t, 6,3°
Maximumnumber of children you will take care of on any given day: (.D
XI Number of children residing in the home:
zi—
p Number of vehicles you anticipate coming to your home per day as a result of the child care (include
employees,customers,deliveries,.etc.): in Please explain:
r uH' l'5 rr y h us bamcA aind.. ol-ke.2 67',4f.0, z&c,i, pa„„,„+.
-lacy- bringc �k-0r GA,ld - - ., 11-011+. 64-re -
[Describe any fencingr &other buffering devices around the play area(height&materials):
. Li f-4- -Fe nc,i,°s r n #k -C .
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? $i One story 0 Two story 0 Tri level 0 Split-level ❑wBasement
0 Other:
2. A smoke detector shall be provided in all sleeping/napping areas and on each level:of the homer Has a
smoke detector affidavit(enclosed)been completed? --D Yes 0 No
3. Does the home have an automatic fire suppression system(sprinklers): 0 Yes *No
4. Each floor level used for hil care purposes shall be served by two remote exits. Child care will be
located: 0 Basement irst story 0 Second story 0 Level:.
5. If in the basement,is there an exit itorojand level(no steps,porches,or decks outside the door):
❑Yes 0 No 11ot Applicable
6. If in the basement, is there an exit at ground level and a self-closing door at the to bottom of the
interior stairway(steps,porches or decks outside the door OK): 0 Yes 0 No _ Not Applicable
7. If in the basement,is there an eerg cy escape window or door which leads to a public way:
❑Yes 0 No �ot Applicable
8. If on the second-story,is there . exit directly to the exterior of the home that does not go through the
first-story: 0 Yes 0 No 0 4 of Applicable
9. If on the second-story,is there an exit directly to the exterior of�thqy'home and a self-closing door at the
top or bottom of the interior stairway: 0 Yes 0 No Foot Applicable
Bulletin#029=August 23,2006 Page 2 of 4 k:\l-landouts\ln-Home Child Care Application
IV
10. Do the sleeping ornapping 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): Yes 0 No
11. Do the sleeping or napping rooms have a door directly to the exterior of the building: 0 Yes N No
12. Do any commercial uses occur next to the child care area:
❑ Yes 14 No If Yes,type of business use:
13. If you answered yes to question1 ,is there a fire-resistive separation between the rooms or spaces?
❑Yes 0 No Not Applicable If Yes,what is rating?
14. If you answered yes to questio #13,are there rated and labeled doors or windows in the wall:
0 Yes 0 No 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 H,"is grounds for immediate revocation of the m-
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:
'iarar\c
Full Printed Name
J;"4--"airtR_ 2-/0---0‘o
Signature Date
IrY\ 2r;�..�'. __
Planning Representative Date
ILYik
Building Division Representative Date
Bulletin#029—August 23,2006 Page 3 of 4 k:\Handouts\ln-Home Child Care Application
r M • r
•
SITE PLAN EXAMPLE
Include the following on the site plan:
1) Lot boundaries and dimensions
2) Dimensions between property lines and the house-
3) Any areas used for parking,loading,and unloading
4) Adjacent streets
5) North arrow
5 t` .;
Property.4.14p
Garage .. ::.
briveivAY.
C.11 z
Street
•
Bulletin#029—August 23,2006 Page 4 of 4 k:\liandouts\ln-Home Child Care Application
i Ili
‘1,.
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
CITY OF PO Box 9718
Federal WayFederal Way WA 98063-9718
253-835-2607;Fax 253-835-2609
www.cityoffederalway.com
NEIGHBOR NOTIFICATION
IN-HOME CHILD CARE
•,------1
e.,1 e., an o�� � is proposing an
in-
(Applicant's Name)
home child care at 33L103 2-54-11 AVS' 6 . As part of the
(Address)
Federal Way in-home child care application process,notification of adjacent neighbors is required.
Each adjacent neighbor should read and sign this form. (Applicant,please make as many
copies as necessary.) This child care will have a maximum of CO children at any one
time, including I children already residing on the premises.
Please call the Federal Way Department of Community Development Services at 253-835-2607
if you have any question or concerns.
Are you the property owner? Tenant? lease sign your name as an acknowledgement
of notification.
.
r --)Y1,( ( .,.... ylil a?e L I -- . / a-_ 1 D-_C
(Sign Name) (Print Name)_ (Date)
_ (Street Addr s)
4- e� Cdt0 A- �Y
(City, State,
Return to the Department of Community Development Services at the above address.
Bulletin#30—January 1,2006 Page 1 of 1 k:\Handouts\Neighbor Notification
S
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
CITY OF 33325 8th Avenue South
Federal AIa ' PBox 9718
Al 9 Federal Way WA 98063-9718
253-835-2607;Fax 253-835-2609
www.cityoffederalway.com
SMOKE DETECTOR AFFIDAVIT
IN-HOME CHILD CARE
Date: 12- ( i I ' 0(
Print Owner's Name: '(1'. 5ifl Permit No:
Print Street Address: 3 3 LIC3 -,a 1,—) A-b ,
Print City, State,Zip:
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: („x C l.4-, Y
Bulletin#031—January I,2006 Page 1 of I k:\Handouts\Smoke Detector Affidavit
•
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