08-102485•
` CITY OF
� Federal Way
May 28, 2008
Totka's Daycare
Totka Micheva
31831 — 251h Ave SW
Federal Way, WA 98023
n rj , CITY HALL
33325 c
Mailing BAddress PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www.cityoffederalway.com
RE: Permit #08 -102485 -00 -BL; TOTKA'S DAYCARE
31831-25 TH AVE SW
Dear Ms Micheva:
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, with additional supervision
requirements 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
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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
4Ak 333258 th Avenue South
CITY OF PO Box 9718
Federal Way WA 98063-9718
federal 1- -y 253-835-2607; Fax 253-835-2609
www.cityoffederalwa
IN-HOME CHILD CARE
LAND USE APPROVAL APPLICATION
Name of Child Care:
Name of Applicant:
Address of Child Ca
Application Fee: $46.00
10
Car fow 3
Mailing Address (if Different):
Phone Number:4�W r Opening Date of Child Care:
PLEASE PROVIDE THE FOLLOWING:
CI Name of family member who resides on-site & operates child care:
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).
E7 How 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 — January 1, 2008 Pagel of 4 k:\Handouts\ln-Home Child Care Application
0 •
Hours and days of operation: 6 30 a • v 6 130 p, , /V — 5 VWO'/
Maximum number of children you will take care of on any given day:_
❑ Number of children residing in the home:
❑ 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:
❑ Describe any fencing & other buffering devices around the play area (height & materials):
6i" ZaYA4
The International Building Code (IBC) has special requirements for in-home child care centers. Please
provide the following information:
What type of house is it? ❑ One story ❑ Two story ❑ Tri level �'P<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? J�I_Yes ❑ No
3. Does the home have an automatic fire suppression system (sprinklers): ❑ Yes Z7 No
4. Each floor level used for child care purposes shall be served by two remote exits. C ild care will be
located: ❑ Basement ❑ First story ❑ Second story P Level: Om f a �.�
.o(kl'k�4
5. If in the basement, is there an exit at ground level (no steps, porches, or decks outside the door):
❑ Yes ❑ No ❑ 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): ❑ Yes ❑ No CRNot Applicable
7. If in the basement, is there an emergency escape window or door which leads to a public way:
❑ Yes ❑ 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: [Yes ❑ No ❑ Not Applicable
9. If on the second -story, is there an exit directly to the exterior of the home and a self-closing door at the
top or bottom of the interior stairway: 91 Yes ❑ No ❑ Not Applicable
Bulletin #029 - January 1, 2008 Page 2 of 4 k:\Handouts\ln-Home Child Care Application
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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
PO Box 9718
Federal Way WA 98063-9718
253-835-2607; Fax 253-835-2609
www.cityoffederalway.com
SMOKE DETECTOR AFFIDAVIT
IN-HOME CHILD CARE
Date: 0 -'>//,V; v LF
Print Owner's Name: �4a M,"<,A0_4,14 Permit No:
Print Street Address: / 8�3 I oC 1� 7h / V,
Print City, State, Zip: W
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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:
Bulletin #031 — January 1, 2006 Page I of I k:\Handouts\Smoke Detector Affidavit
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LICENSE CONTROL ID NUMBER - z PROVIDER ID NUMBER
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DEPARTMENT OF EARLY LEARNING (DEL)
FIRST INITIAL LICENSE - FAMILY HOME CHILD CARE
In compliance with and pursuant to the laws of the State of Washington in meeting the minimum licensing requirements of the
Department of Early Learning, an initial license is hereby granted to the provider named below. Further information on the
status of this license can be obtained by calling 1-866-482-4325 or (1 -866 -48 -check).
TOTKA G. MICHEVA to provide child care for children at
3183125'" AVE SW city of FEDERAL WAY zip code 98023 .
county of _ KING _ _ , State of Washington, in a family home licensed for a maximum of 6
children on the premises including the provider's own children under twelve years when on the premises.
The provider may have on the premises at any one time:
6 children, birth through —11 years of age; or When a qualified assistant is present, the provider may have:
XX_ children, two years through _X_ years of age; or XX children, birth through XX
-------------- rou g years of age.
XX children, three years through _ XX_ years of age; or
XX children, five years through _XXyears of age; or The allowed number of children under two years of age is: 2.
Limitations, if any:
This license is issued on FEBRUARY 26, 2008
And expires on AUGUST 25, 2011
Dated at K&IN U Wamhinntnn this
NOTE:
10TH day of MARCH 2008
DELSICENSIV
DEL 1EIM111
ri
...MARTINCHARLING K. CHOW
T YOUR NAME HERE PRINT YOUR NAME HERE
( 253 _ ) -372.5982 _ ( 253 ) 372. 6043
TELEPHONE NUMBER TELEPHONE NUMBER
This license is not transferable, and is valid only for use by the individual(s) to whom it is issued and at the location described, Issued by
Authority of Chapter 43.215 Revised Code of Washington.
DEL 10-092A (0712006) TRANSLATED
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