Loading...
09-1038962� cf/7 DEPARTAOF COMMUNITY DEVELOPMENT SERVICES 33325 8'h Avenue South PO Box 9718 CITY OF IEFederal Way WA 98063-9718 / 253-835-2607; Fax 253-835-2609 FederalEal yFile #: D9 - l 3 89 v www•cityoffederalwU.com IN HOME FAMILY DAY CARE RECEIVED LAND USE REVIEW NOV 2 5 2009 r--- CITY OF FEDERAL WAY Name of Day Care: 046L 42TW-VhM1 t CDS Address of Day Care: A acL- 011 36 �e- e5 W� /a cl L�% -opD3.ZName of Applicant:Ley Y) -yu t Mailing Address (if different): S%(/vll e I, Phone Number:�o� '7 07 90,t3 e-mail address rn OSl�bo b 12 V0 Iwo W,;17 c -- Name of family member who resides on-site & operates Day Care: Number of people living outside your home that will be working at the Day Care: I Family Day Care is for O Adults ISI Children O Both Hours and days of operation: r 10 rn Maximum number of children/adults you will care for on any given day UR 40 (including those requiring care who reside in the home) Attach site plan showing: Property Boundaries and Dimensions Adjacent Street Names Location of Structures on Site North Arrow Location of Off -Street Parking and Loading Areas Distance from Structures to Property Lines Attach Neighbor Notification forms, completed and signed, for each property adjacent to the proposed Family Daycare or submit stamped, addressed envelopes for each property with this application and they will be notified by the City. APPROVED BY: / 6� (Reviewer) (Date) Bulletin c, 01 P" 1 ? u='W" i Page 1 of 2 k:AHandouts\Family Day Care Application SITE PLAN 9ADOiK5 109' RECE V N 0 V, 2 5 11,E .f CITY OF FEDERAL WAY CDS SITE PLAN EXAMPLE 35' PL 20' 8' House Garage riveway c.r ic.r s 301 a.3 Ca P — ?O' 1st Street Bulletin (Final Draft 10/20/09) Page 2 of 2 PL = Property Line 0 rA k:\Handouts\Family Day Care Application 0 (For office use y) FIFWBL # 20- _00L-107 _BL BUSINESS LICENSE APPLICATION R E?�E XNew Application ❑Update Application/Addressang V E D oI,I= ❑Federal Way Business ❑Outside Contractor dome Occupation MANyt_ 017Y OF FEDERAL WAY SECTION A - Business Information - P/Parra r_mmnipta all infnimatinn Business Name 0602 —/V"/?Ju/L WA State UBI # (1-800-647- 706) 6Do2• 3 7/& 4 Bu ess Address (Street/Suite# - Physical Locatiop) Are you currently occupying this address?❑Yes ❑No 35017 36 7YVe-s t�/ CitY �6 Gt �� Zd6 .3 �6 Mailing Address V City State Zip Busin ss Fax #: _bct4-n e— Driver License#/State:Birthdate: Is this a Non -Profit Organization established for educational, Number of persons employed in Federal Way: religious, or charitable purposes? ❑Yes o # Full Time # Part Time Is there Liquor served on the premise? ❑Yes WNo Is there Gambling activities? ❑Yes o If yes, State Liquor License # If yes, State License # SECTION B -Description of Business —describe in detail your business activities -including vhichjcat o - retail, wholesale, or services.op / G le of e ;v SECTION C — Business Ownership - Attach additional pages if necessary. RdgnlP Prnnrietnr OPartnarchin r1rr%rnnr7+inn rll imi+.A I i-kilifii MKI., 0—rif mr%4 ....- Company Name As re istered with WA State): C& Number of Owners, Partners, V Date Business began or Corporate Officers: % or will begin in FW: Name: Title: Driver License#/State:Birthdate: I ytJ©a'7/mayTea�210� /y"7' 3 HoWe Address (Street/PO Box, City, State, Zip) elephone Number: % Owned: 330/7 S rfi/ y07 9OZ3 1/00 Name: Title: Driver Lice se# tate: Birthdate: Home Address (Street/PO Box, City, State,Zip) Telephone Number: % Owned: Name of Emergency Notification/Contact: Te ephone No.: SECTION D - Business Location - Some improvements to your business may require separate ermlts. urease contact ine community uevelopment permit counter at (253) 835-2607 for more information. King County Parcel #:Q 3 03 D 0 Are you making tenant improvements? ❑Yes QWo Building: Mingle Tenant Floor Space UsedQ Name of Business Center (if applicable): ❑enant MultiTfor Business (Sq. Ft.: O2 J Does building/premise have If Yes, monitored by: City alarm registration no.: a security alarms stem? ❑Yes ❑No SECTION E - Hazardous Materials - Required by the Citv of Federal Wav and Fire Denartment Does your facility currently report to the Federal Way Fire Department under Sara Title III? DYes No Does your facility currently use or store flammable materials? DYes Ao If yes, please list. What types of hazardous materials and /or waste are used, stored, handled, processed, or generated by your business? If additional space is needed, please attach a separate sheet(s) of paper. ✓-941tt_ What quantity (in gallons) of the above substance is stored on site at any given time? (Excluding consumer commodities for household use packaged in quantities of less than five (5) gallons) SECTION F— Home Occupation - If you are applying for an Adult Family Home or In -Home Daycare please contact Communitv Development Department at 253-835-2607 for additional requirements -------------- -------------- e all family members ypo reside a he home and vAork in the busin s, include yourself: A hCt r�r Na of Apartm n ownhouse Complex:(If applicable) �otie Complete Floor Space of Residence: Will there be any outside storage of goods, display of materials or outside activity?AYesNo If Yes, lease explain: ` Will the business require the use of heavy equipment, power tools or power sources not common to a residence? DYes .�hlo , If Yes, please explain: Will there be any pick up or delivery by commercial vehicles? DYes No If Yes, please explain type and frequency: Will there be any visits to the home by clients, employees, or delivery services? Wes I]No If Yes, please explain the number of deliveries expected: perweek J per month Are there any conditions produced by the home occupation such as noise, vibration, smoke, dust, odor, heat, or glare which would exceed that normally prod ced by a single residence, or which could create a disturbing or objectionable condition in a neighborhood? DYes To If Yes, please explain type and frequency: SECTION G— Temporary Business Activity - Temporary Licenses are granted for a specific perioa, ana are not to exceed 90 days in a calendar Description of Temporary Business/Activity: Specific Dates of Temporary Activity: Is site layout of area/structures provided? DYes ❑NoI Signed Consent of Property Owner must be attached for (including ingress and egress of area) approval Copy of lease a reement is acceptable. SECTION H - SIGNATURES I (we) the undersigned, declare under the penalties of perjury and the denial of a license or revocation of any license granted, that 1 (we) am (are) the applicant(s) or authorized representative(s) of the firm making this application and that the answers contained, including any accompanying information have been examined by me (us) and that the information set forth is true, correct, and complete. I also understand that I am responsible for notifying the City Clerk, in writing, of any change in location or mailing address within thirty days. All licenses are nontransferable. I understand my place of business must comply with all federal, state, and local codes and ordinances. p X 49a�4x___ X_'/ Signature o -scant V Title Date OA C'/ I -W/7 rLi QA.. u -Ir- oZo-,6 It/O Applicatioh prepared by (please print) Title Phone Number For office use only t� Amount Received: Check N7O1`� Date Received: 4Receipt No.: Business License M SIC CODE: Date License Issued: co i V so wo \ W � ® co ` l W � N w � �L. i MS AV H.L'9'0 so wo \ l i low* rll� f► \ l 0 0 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8'h Avenue South CITY OF PO Box 9718 Federal Way 98063-9718 Federal Way 253-835-2607; Fax 253-835-2609 www. ci tyoffederalway. com RECEIVED BY COMMUNITY DEVELOPMENT DEPARTMENT FAMILY DAY CARE NOV 2 5 2009 A Family Day Care is a business conducted by the occupant of a private residence providing care for up to 12 children or adults during part of a 24-hour day. Family Day Cares are allowed in conjunction with an established residential use in any zoning district in the City of Federal Way. In order to be approved to operate, the provider must submit the following to the Department of Community Development's Permit Center: Completed application for Family Day Care Land Use Approval (attached) Completed Neighbor Notification form for each resident whose property abuts the site (attached) ❑ Completed application for Federal Way Business License (attached) Site Plan (see example attached) showing: • Property Lines, Building Locations, Driveway and Off -Street Parking ❑ Applicable Fees: • Land Use Review $60.50 ■ Business License $75.00 $135.50 Bulletin 029 t -oor Page 1 of 1 I k:AHandouts\ 1] 0 DEPARTMENT OF COMMUNITT DEVELOPMENT SERVICES 33325 8`h Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 «N% w.ci tyoffederalway.com NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: -3 3 o t -3- s Vr sLAD A Family Day Care is a business conducted by the occupant of a private residence providing care for up to 12 children or adults during part of a 24-hour day. Family Day Cares are allowed in conjunction with an established residential use in any zoning district in the City of Federal Way. In addition to State licensing requirements, the Federal Way Revised Code (FWRC) has restrictions and requirements for Family Daycares. The complete code can be viewed through the City's web page cityoffederalway.com. (Code Section 19.105.070) Because your residence abuts this property, you are being notified as required by the FWRC. This facility will have a maximum of 3 clients at any one time (in addition to any family members requiring care). Please sign below as an acknowledgement of notification. If you have any question or concerns feel free to contact the Department of Community Development Services at 253-835-2607. (Signature) (Street Address) (Print Name) (Date) RECEIVED NOV 2 5 2u"9 CITY OF FEDERAL WAY CDS Bulletin # Page I of I k:\Handouts\Neighbor Notification U • DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8`1' Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-21609 www.cityoffederaly _ziN.cout NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: A Family Day Care is a business conducted by the occupant of a private residence providing care for up to 12 children or adults during part of a 24-hour day. Family Day Cares are allowed in conjunction with an established residential use in any zoning district in the City of Federal Way. In addition to State licensing requirements, the Federal Way Revised Code (FWRC) has restrictions and requirements for Family Daycares. The complete code can be viewed through the City's web page cityoffederalway.com. (Code Section 19.105.070) Because your residence abuts this property, you are being notified as required by the FWRC. This facility will have a maximum of g clients at any one time (in addition to any family members requiring care). Please sign below as an acknowledgement of notification. If you have any question or concerns feel free to contact the Department of Community Development Services at 253-835-2607. (Signature) (Street Address) /-1cz &-"q [/yJ rz-i S (Print Name) IC_Z -%�, (Date) NOV 2 5 2000 i CITY OF FEDERAL WAY Bulletin # Page I of I k:AHandouts\Neighbor Notification U • DEPARTMENT OF COMMUNITI DEVELOPMENTSERVICES 33325 81h Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 w kl w.c it,,offederalway.corn NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: 3301 7 3AV".o-e- SW A Family Day Care is a business conducted by the occupant of a private residence providing care for up to 12 children or adults during part of a 24-hour day. Family Day Cares are allowed in conjunction with an established residential use in any zoning district in the City of Federal Way. In addition to State licensing requirements, the Federal Way Revised Code (FWRC) has restrictions and requirements for Family Daycares. The complete code can be viewed through the City's web page cityoffederalway.com. (Code Section 19.105.070) Because your residence abuts this property, you are being notified as required by the FWRC. This facility will have a maximum of clients at any one time (in addition to any family members requiring care). Please sign below as an acknowledgement of notification. If you have any question or concerns feel free to contact the Department of Community Development Services at 253-835-2607. k ,!� u, L�,)� a o&, (Print Name) 33o t t 3(�`� A1ttP,� SW (Street Address) Bulletin # Page 1 of 1 (Date) RECEIVED NOV 2 5 20109 CITY OF FEDERAL WAY eighbor Notification