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16-102929DEPARTMENOMMUNITY DEVELOPMENT SERVICES 33325 8`h Avenue South Federal Way, WA 98003-6325 CITY OF 253-835-2607; Fax 253-835-2609 ' Federal Way � � '� � �� ��� `���tiw.cityoffederll�vay.com File #: ROCEIVLD IN HOME FAMILY DAY CARE JUN 15 2016 LAND USE REVIEW CITY OF FEDERAL WAY _. CDS Name of Day Care: CZA k4 0:3 : �L( OD44- S S 4EX Address of Day Care: Name of Applicant: Mailing Address (if different): Phone Number: E -Mail: 17k , tm tin L C Cf f 'm'a : C D��✓� Name of family member who resides on-site & operates day care:k,,i, ff Number of people living outside your home that will be working at the day care: Family day care is for ❑ Adults Children ❑ Both Hours and days of operation: A vw %-0p2_2,,, Maximum number of children/adults you will care for on any given day: /.;_> (including those requiring care who reside in the home) M R X ! (P Attach site plan showing: 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: CQ �3 1 Co (Reviewer) (Date) Bulletin #029 — January 1, 2011 Page 1 of 2 k:\Handouts\Family Day Care Application 0 `CITY OF Federal Way June 23, 2016 Kyung Ja Kim Sycamore Montessori School 30922 16th Avenue SW Federal Way, WA 98023 L J CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. cityoffederalway com Jim Ferrell, Mayor O 0 RE: Approval for In Home Family Day Care (Sycamore Montessori School) 30922 16th Avenue SW Federal Way, WA 98023 Dear Kyung Ja Kim: On June 15, 2016 you submitted an in-home family day care application in conjunction with a business license application. We have completed the review of the land use application and it is approved with the following conditions: The primary use of the site must remain residential, with the day care as an accessory use. 2. No exterior changes are permitted to accommodate the day care, including signs. 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. 3. No more than two people who are not residents of the home can be employed in the day care. One off-street parking space must be available for each non- resident employee. 4. The maximum number of children allowed in your care is 6, per your DSHS license. If you have any questions or would like additional information about this process, feel free to contact me or another Development Specialist at (253) 835-2607. We wish you great success in this endeavor! Sincerely, �ayvrc� �r�ia,ct,,,olr.� Janice Fernandez Development Specialist OEM 0 4ik FCITederal Way 0 DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 www. ci t vo ffed eral wAy. coni NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: Vudo-alu)ayl L - 11 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 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. rDet r, 0 (Signature) (Street Address) L t f; (Print Name) ! rf (Date) Bulletin #030 — January 1, 2011 Page I of 1 k:\HandoutsWeighbor Notification • 4ik CITY OF Federal Way • DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8`h Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 Nvvsw.cityoffederal\yaycom NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been �lpoe 5iD roposed 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 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. -7 , (Signature) (Street Address) (Print Name) (Date) Bulletin #030 —January 1, 2011 Page 1 of 1 k:\HandoutsWeighbor Notification L 4ik CITY OF Federal Way • DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8`h Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 www. c itvo ffederal wy. corn NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: :���T zz 1 ��`' ✓�- ire � �.� `��.����1 �Y > c�.1,q ��� 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 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. vac�[-'A- (Signature) (Street Address) (Print Name) (Date) Bulletin #030 — January 1, 2011 Page 1 of 1 k:UHandoutsWeighbor Notification 0 41k OF Federal Way • DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 www.ci tvoffederal �yAy.com NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: . M, (-' �'O 2-,3) 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 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. V (Signature) (Print Name) (Street Address) (Date) Bulletin #030 —January 1, 2011 Page 1 of 1 kAHandoutsWeighbor Notification • 41k CITY OF Federal Way • DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8`h Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 \Vv,w.ci.tvoffcderalwA .corn NEIGHBOR NOTIFICATION FAMILY DAY CARE A Family Day Care has been proposed at the following address: og 2zl l b .-� A ve 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 FARC. 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. (Signature) (Street Address) (Print Name) (Date) Bulletin #030 — January 1, 2011 Page I of 1 k:UHandoutsWeighbor Notification sy<:AllCip� MeC)�t�pj 9 e oz� (For office use only) ` FWBL # 20- - -BL BUSINESS LICENSE APPLICATION Mew Application ❑Update Application/Address Change ❑Federal Way Business ❑Outside Contractor ❑Home Occupation ❑Temporary SECTION A — Business Information - Please complete all information. Business Name ��'9Ga1MDYG� OtltesSZ3�`i WA State UBI # (1-800-647-7706) 6aL4 OGS 2(� Business Address (Street/Suite# - Physical Location) Are you currently occupying this address?❑Yes ❑No �- City — r - 1 state IV � Zip � � �" Business Phone Mailing Address City State Zip Business Fax #: 6 "Av i� 1 6 AA IA© mail Address: t Employees in Federal Way (do not include yourself) ` t0 # Full Time # Part Time Is there Liquor served on the premise? ❑Yes ❑No Is there Gambling activities? ❑Yes ❑No State Liquor License # State Gambling License # SECTION B - Description of Business — describe in detail your business activities -including which category - retail, wholesale, or services. C c - SECTION C - Business Ownership -Attach additional pages if necessary. ❑Sole Pmnrietnr ❑Partnershin ❑Comnration ❑Limited Liahility ❑Non -Profit ❑Other Company Name As registered with WA State): �- Number of Owners, Partners, Date Elusiriess began ' or Corporate Officers: or will begin: Na e: Title: Driver License#/Sta e: Birthdate: . " kJ Q r / 9�` Ho Address ( tree p0 Box, City, State, Zip) Telephone Number: /o Owned: -- �, F -A)qy u 2_,$3— Name: Title: Driver License#/State: Birthdate: Home Address (Street/PO Box, City, State, Zip) Telephone Number: % Owned: Name of Emergency Notification/Contact: Telephone No.: SECTION D — Business Location - Some improvements to your business may require separate ermits. Please contact the Community Development permit counter at (253)535-2607 for more information. King County Parcel #: Are you making tenant improvements? ❑Yes ❑No Building: XSingle Tenant Floor Space Used Name of Business Center (if applicable): ❑MultiTenant for Business (Sq. Ft.: � ) t� Does building/premise have If Yes, monitored by: 7iii—alarm registration no.: a security alarms stem? ❑Yes ko 9 SECTION E - Hazardous Materials - Required by the City of Federal Way and Fire Department. Does your facility currently report to the Federal Way Fire Department under Sara Title III? ❑Yes MNo Does your facility currently use or store flammable materials? 0"No 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. 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 — Required by the City if you run the business from your home. Names all family members who reside at the home and work in the business, Total Floor Space of include yourself: Residence: 2lLt)12 sq.ft Do you have employees who are not a family member residing in the home? DYes 14No If yes, do any of these employees visit the residence in connection with the business? DYes ❑ No * *Non resident, non family member employees may not conduct business on this propertr Will there be any outside storage of goods, display of materials or outside activity? DYes ❑No If Yes, please explain: Will the business require the use of heavy equipment, power tools or power sources not common to a residence? DYes Xqo , If Yes, please explain: Will there be any pick up or delivery by commercial vehicles? DYes RNO If Yes, please explain type and frequency: Will there be any visits to the home by clients or delivery services? DYes ONo If Yes, please explain the number of deliveries expected: per week 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 produced by a single residence, or which could create a disturbing or objectionable condition in a neighborhood? DYes ❑No If Yes, please explain type and frequency: SECTION G— Temporary Business Activit/ - Temporary Licenses are granted for a specific and are not to exceea au clays in a caienaar Dn 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 I (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. Signature of applicant Title Title 211411 Date --17 �7 %— "i Phone Number For office use only �p Amount Received: / '� Check No.: cc Date Received: ` t$ (n Receipt # 00(� Business License M _ _ Date License Issued: