11-103775A-0 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
4%L 33325 8`h Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
CITY OF
« "1ti•w.ci tvo ffederahvay. com
Federal C
INH MEF RECEIVED
O FAMILY DAY CARE
LAND USE REVIEW SEP 19 2011
CITY OF FEDERAL. WAY
CDs
Name of Day Care: /_4+1c -a^, _a r sr L .'-4+1,,- Toej - I,k. C c' -A—
Address of Day Care: 0,3 0a ZOCl, J. re4'I `.Jwy t -A, 9mo3
Name of Applicant:
Mailing Address (if different): S e� rr. e.
Phone Number: 2S-1-632-72-2.6 E -Mail:
Name of family member who resides on-site & operates day care: 50,
Number of people living outside your home that will be working at the day care: IC4-
Family day care is for ❑ Adults 0 Children ❑ Both
Hours and days of operation: /2 {
Maximum number of children/adults you will care for on any given day:
(including those requiring care who reside in the home)
Attach site plan showing:
6
Property Boundaries and Dimensions North Arrow
Adjacent Street Names Location of Off -Street Parking and Loading Areas
Location of Structures on Site Distance from Structures to Property Lines
Attach Neighbor Notification forms, completed and signed, for each property adjacent to the proposed
family day care or submit stamped, addressed envelopes for each property with this application and they
will be notified by the city.
APPROVED BY:
A
(Reviewer) (Date)
Bulletin #029 —January 1, 2011 Page 1 of 2 k:\Handouts\Family Day Care Application
0
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 81h Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www. c itvoi'fL(ieral way. coni
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 day cares. The complete code can be
viewed through the City's web page www.cityoffederalway.com (FWRC 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 Si clients at anyone 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.
,Z-ZA1 sS - J y- -3) Z -3 j a Z/ x 06 7 6,
(Signature) (Street Address)
(Print Name) (Date)
Bulletin #030 — January 1, 2011 Page 1 of 1 kAl-IandoutsWeighbor Notification
0 RECEIVED BY 0
COMMUNITY DEVELOPMENT DEPARTMENT
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 81h Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www.citvotYederalway.com
NEIGHBOR NOTIFICATION
FAMILY DAY CARE
A Family Day Care has been proposed at the following address:
31 030 2� TH C i S P7a>PpAL, wAY, WA c' Sco3
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 day cares. The complete code can be
viewed through the City's web page www.cityoffederalway.com (FWRC 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 (o 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.
31 Oem Zq GT SWAY I A
(Signature) (Street Address)
(Print Name)
g -z3 --i(
(Date)
Bulletin #030 —January 1, 2011 Page I of I k:\Handouts\Neighbor Notification
•
•
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www. cityoffederalway. coni
NEIGHBOR NOTIFICATION
FAMILY DAY CARE
A Family Day Care has been proposed at the following address:
G 2� fiN CTr S PFN�M_WAY, WA ct SOP3
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 day cares. The complete code can be
viewed through the City's web page www.cityoffederalway.com (FWRC 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 (o 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)
rePi4->AL_
31005 2qTN AVCS WAY, WA
(Street Address)
/-,/-/ 1041v - - ? - //
(Print Name) V (Date)
Bulletin #030 —January 1, 2011 Page I of 1 k:\Handouts\Neighbor Notification
C(Ipy(For office use only)
Avg[ # -11-1 1 B,_,
BUSINESS LICENSE APPLICATION
*ew Application ❑Update Application/Address Change
❑Federal Way Business ❑Outside Contractor LIHome Occupation L7 Temporary
SECTION A - Business Infnrmntinn - Prnaco.•,,.....,e.., -
Business Name _
WA State UBI # (1-800-647-7706)
Business Address (Street/Suite# --Physical Location) Are you currently occupying this address?DYes ONo
(o O 1-0
City
Statg
Zip Y�
Business Phone #: _
Mailing Address
City
StateZip
Driver License#/State:
Business Fax #:
30 3o Z _ S�
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Q Civ 3
30c
Email Address: '
50A `R t17� � 1 ��0
Employees in Federal Way (do not include yourself)
° ��'F"�
# Full Time # Part Time
Is there Liquor served on the premise? ❑Yes WNo
Is there Gambling activities? ❑Yes 0
State Liquor License #
State Gambling License #
SECTION B — Description of Business — describe in detail your business activities—including
which category - retail, wholesale, or services.
PTU(6)C41
SECTION C - Business Ownership - Attach additional pages if necessary.
❑Snla PrnnriPtnr F1RgrtnPr¢hin rlr_nrnnrntinn ill imif-A t i_k;GF., r -]&i- . n ca r
Company Name
As registered with WA State): �
1
�. � T3 ry
Number of Owners, Partners,
Date Business began
or Corporate Officers:
or will be in: CJc S
Name:
Title:
Driver License#/State:
Birthdate:
'5& ,5; G5 r ti 3 G 9
30c
Home Address (StreeYPO Box, City, State, Zip)
Telephone Number:
% Owned:
S1030 i- �-i- C4. 1 ai-
t..�-5,V003
Z 53--3-3 -��3
Name: Title:
6)) Driver License#/State: j.t A- Birthdate:
Pot//,?Cj3 ---Z-\ - 6
Home Address �(JS,(t�reet/Pio Box, City, State, Zip)
(03,0 � So I
p Telephones Number: % Owned:
9l & Z -Z-!?
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Name of Emergency Notification/Contact:
/�
Telephone No..
SECTION D - Business Location - Some improvements to your business may require separate
permits. I -lease contact the Community Development ermit counter at 253 835-2607 for more information.
King County Parcel #: Are you making tenant improvements? DYes WNo
Building: ❑Single Tenant Floor Space Used�TName of Business Center (if applicable):
OMultiTenant for Business Sq. Ft-): %���
Does buildingipremise have If Yes, monitored by: City alarm registration no.:
a security alarms stem? DYes IAO
CITY OF
Federal Way
September 28, 2011
Steve and Sonia Sciscente
Little Fingers Little Toes Daycare
31030 24th Ct S
Federal Way, WA 98003
RE: In -Home Day Care Approval
Dear Steve and Sonia Sciscente:
C�
CITY HALL
33325 8th Avenue South
Mailing Address: PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www.cityoffederalway.com
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 R310, R313.3, and R325.
Your city business license will be forwarded to you from the Business License
Department.
Please feel free to contact me should you have further questions at 253-835-2636
Sincerely,
Development Specialist
SECTION E - Hazardous Materials - Required by the City of Federal Way and -Fire Department
Does your facility curfently report to the Federal Way Fire Department under Sara Title III? ❑Yes Q04o
Does your facility currently use or store flammable materials? (Yes ONo
If yes, please list. - C ", Ad'ec 4- jar.,,,. r%UW'L/'
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.
4
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) kf
SECTION F — Home Occupation — Required by the City if you run the business from your hnmp
Names all family members who reside at the home and work in the business,
Total Floor Space of AA3,
include yourself: 5kN, �Se.� �� rh-,/
Residence- 70'4 sq.ft
Do you have employees who are not a family member residing in the home? DYes *No
If yes, do any of these employees visit the residence in connection with the business? l7Yes Ll No
* *Non resident, non family member employees may not conduct business on this roe
Will there be any outside storage of goods, display of materials or outside activity? WYes ❑No
If Yes, please ex Iain: P%A i„ ui-s tfn r.. ,;,. 2{-C .
Will the qysiness require the usb of heavy equipment, power cols or power sources not common to a residence?
DYes No , 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 or delivery services? Yes QNo of - -19rd p:c1FJQ Ck. r
-
If Yes, please explain the number of deliveries expected: per week per month k'
Are there any conditions produced by the home occupation such as noise, vibration, smoke, dust, odor, heat, or glare
which would exceed that normally produced by a single residence, or which could create a disturbing or objectionable
condition in a neighborhood? DYes WNo If Yes, please explain type and frequency:
SECTION G— Temporary Business Activity - Temporary Licenses are granted for a specific
ana are not to exceed w days in a calendar year.
in of Temporary Business/Activity:
Dates of Temporary Activity:
Please provide map of area/streets event will take place at. *Signed Consent of Property Owner is required for
Attach additional paperwork if necessary** approval. Copy of lease agreement 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 t (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. 1 also understand that 1 am responsible for notifying the City Clerk, in writing, of any
change in location or mailing address within thirty days. All licenses are nontransferable. 1 understand my place of
business must comply with all federal, state, and local codes and ordinances.
X
Application prepared by (please print)
Title
Title
Date
? S "-) 5`f -`
Phone Number
For office use only //��/)�// /•��/]�
) J/
Amount Received: Check No.: 09 -
Date Received `�Z[ Receipt # �O
Business License #: _ Date License Issued:
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