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Brighter Beginning Daycare CZC0 . 0 �E IDIANi� GIow. NOTE: This is not a Building Permit. Prior to any construction, you should contact the Building Department at L208) 887-2211 _ to verify if any additional permits and/or inspections will be required by the Meridian Building Department. CERTIFICATE OF ZONING COMPLIANCE* Date: September 4 2008 Project Name/Number: BrighterBeginning Daycare CZC-0$-074 Owner: Mike Combs Site Address: 1463 E. Star Drive, Meridian, Idaho 83642 Proposed Use: Daycare Facili Zoning: Comments: Conditions of Approval: Project is subject to all current City of Meridian ordinances. The issuance of this permit does not release the applicant from any previous requirements of the other permits issued for this site, including, but not limited to, annexation (AZ -03-034), preliminary plat (PP -03-039), conditional use permit (CUP -03-062), final plat (FP -04-055) and modification to the conditional use permit (MCU -06-004). Site Plan: The Site Plan prepared by North End Architects, on August 20, 2008, labeled Sheet Al, is approved (stamped "Approved" on September 4, 2008 by the Meridian Planning Department) with the following changes/notes (see redline changes on plan): Per phone conversation with Ken Litzin er on September 4 200$ fence on west boundary of property is to be removed from the plans. Landscape Plan: The Landscape Plan prepared by North End Architects, on August 20, 2008, labeled Sheet A2, is approved (stamped "Approved" on September 4, 2008 by the Meridian Planning Department) with no changes. The approved landscape plan is not to be altered without prior written approval of the Planning Department. No field changes to landscape plan permitted; prior written approval of all material changes is required. Prior to final inspection and sign off for this project, a written certificate of completion shall be submitted to the Planning Department, prepared by a landscape architect, landscape designer or qualified nurseryman responsible for the landscape plan upon completion of the landscape installation. The Certificate of Completion shall verify that all landscape improvements, including plant materials and sprinkler installation, are in substantial compliance with the approved landscape plan. Elevations: Elevations prepared by North End Architects on July 7, 2007, labeled sheet A3 and elevations prepared July 7, 2008, revised August 20, 2008 labeled sheet A 10, are approved with no changes from the Planning Department. Irrigation: An underground, pressurized irrigation system must be installed to all landscape areas per the approved specifications and in accordance with UDC 11-3A-15. Protection of Existing: Any existing trees on site must be protected or mitigated for in accordance with the Tree Preservation section of the City's Landscape Ordinance.. Per UDC 11-3B-10, coordinate with the Parks Department Arborist (Elroy Huff, 888-3579) for approval of protection/relocation measures for the existing trees prior to construction. Any severely damaged tree must be replaced in compliance with UDC 11- 3B -10-C.5. Parking: The proposed parking areas shall be paved and striped in accordance with UDC 11-3C and 11-3B. Project engineer/architect shall certify that the number and size of handicap -accessible spaces conforms to the Americans with Disabilities Act (ADA). Handicap accessible stalls must have signage in accordance per ADA and signed accessible. Curbing: Per UDC 11-313-5I, all landscape areas adjacent to driveways, parking lots, or other vehicle use areas, must be protected by curbing, wheel stops, or other approved protective devices. Curbing may be cut to allow for storm water runoff Sidewalks: All sidewalks shall be constructed in accordance with 11-3A-17. Sidewalks shall be constructed prior to occupancy. Draina e: Storm water drainage swales shall not have a slope steeper than 3:1, shall be fully vegetated, and shall be designed in compliance with UDC 11-3B-11 and UDC 11-3A-18. Li htin : Lighting shall not cause glare or impact the traveling public or neighboring development and comply with lighting standards as defined in UDC 11-3A-11. The outdoor lighting shall have downward shielding on the building and perimeter lighting. Signage: No signs are approved with this CZC. All business signs will require a separate sign permit in compliance with UDC 11-3D. Trash Enclosure: All dumpster(s) must be screened in accordance with UDC -11-3A-12. Trash enclosures must be built in the location and to the size approved by SSC. Handicap -Accessibility: The structure, site improvements and parking areas must be in compliance with all federal handicap -accessibility requirements. ACHD Acceptance: All impact fees, if any, shall be paid prior to the issuance of a building permit. If any changes must be made to the site plan to accommodate the ACHD requirements, a new site plan shall be submitted to the City of Meridian Planning staff for approval prior to the issuance of a building permit. Certificate of Occu anc : All required improvements must be complete prior to obtaining a Certificate of Occupancy. All changes in occupancy need to comply with the requirements of the Building Department. It is unlawful to use or occupy any building or structure until the Building Official has issued a certificate of occupancy. A certificate of occupancy or temporary certificate of occupancy is obtained from the Building Department (208) 887-2211 after inspections are complete and the field inspection record is returned to the Building Department. Plan Modifications: Except for the changes mentioned above, the approved Site and Landscape Plan, stamped "Approved" on September 4, 2008, is not to be altered without prior written approval of the Planning Department. No significant field changes to the site and landscape plan are permitted; prior written approval of all changes is required. (1 td6kr Sarah Wheeler Assistant City Planner *This letter does not indicate compliance with requirements of other departments/agencies, including, but not limited to, Ada County Highway District, Central District Health Department, affected irrigation district(s), Meridian Sewer, Water, Building or Fire Departments, Sanitary Services Co., etc. This letter shall expire one (1) year from the date of issuance if work has not begun. 0 RECEIVIEa t �& '� t TV' Gity E IDIAN eria�a� Planning Department p1ann44+%)RATIVE REVIEW APPLICATION Type of Review Requested (check all that apply) ❑ Accessory Use ❑ Alternative Compliance j<Certifrcate of Zoning Compliance ❑ Conditional Use Permit Minor Modification ❑ Private Street ❑ Property Boundary Adjustment ❑ Short Plat ❑ Temporary Use Certificate of Zoning Compliance ❑ Time Extension (Director) ❑ Vacation ❑ Other Applicant Information STAFF USE ONLY: File number(s): CZs^ 0%_ ca(k Project name: ib v\ C6{ Date filed: 13° Date complete: Assigned Planner: �\ W N. Qti Related files: d 056- (23 - 0 7(23-0 1 A-,7- 03-O3 Applicant name: 2.4-2.1 ng e_tr &J44 r LJ CAI,) K �Q . Phone: S yn " I Y V Applicant address: 3 Z O Ld , 0 -5,t t c k K_- e) C� Zip: Y-3 701 Applicant's interest in property: ❑ Own 17 Rent ❑ Optioned ❑ Other Owner name:r( Phone: Owner address: .S f +' l� �W� rJ� ak t Zip: _ � 2— Agent Agent name (e.g., architect, engineer, developer, representative): �•2 e.01.-4! e CO r ,. Firm name:(,L4-iti e►. �+ �- �� ��-[-�5 Phone: Address: 14,2 W. P,,,,;,wrkA t H 5� & t 5 r_ . Zip: Y 3 7a Z_ Primary contact is:�,/J;? Applicant ❑/I Owner ❑ Agent ❑ Other Contact name: KC -(,L +_61 E-mail: %t47-/ l•- �a e�dc.t I r Subject Property Information Phone: 3k2Y•- ),'K_7 Fax: , -OIG O Location/street address: -1� 3 e, 5-1zG, 1) ►rt tip Assessor's parcel number(s): El 3 5-5 510 O 3 0 Township, range, section: 1 4LF 3 I Total acreage: o 5+4, Current land use: Current zoning district: /. d 660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642 Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org I (Rev. 4/4/08) +M Project Description Project/subdivision name: Ztr C vol' 1 K General description of proposed project/request: Proposed zoning district(s): Acres of each zone proposed: Type of use proposed (check all that apply): ❑ Residential R Commercial ❑ Office ❑ Industrial ❑ Other Amenities provided with this development (if applicable): Who will own & maintain the pressurized irrigation system in this development? _Z�je Which irrigation district does this property lie within? fV Primary irrigation source: _- %��(Secondary: _ �XA:tt'_ Square footage of landscaped areas to be irrigated (if primary or secondary point of connection is City water): r 2-17 a Residential Project Summary (if applicable) Number of residential units: 04 _ Number of building lots: _Ji_A _ Number of common and/or other lots: A1A- Proposed number of dwelling units (for multi -family developments only): n 1 Bedroom: A7 2 or more Bedrooms: Minimum square footage of structure(s) (excl. garage): ZZU _ Proposed building height: /7 �t Minimum property size (s.f): / Average property size (s.f.): uJ Gross density (DU/acre-total land): QA Net density (Macre-excluding roads & alleys): Percentage of open space provided: _ l 1 Acreage of open space: Percentage of useable open space:(See Chapter 3, Article G, for qualified open space) Type of open space provided in acres (i.e., landscaping, public, common, etc): (* Type of dwelling(s) proposed: ❑ Single-family ❑ Townhomes ❑ Duplexes ❑ Multi -family Non-residential Project Summary (if a Number of building lots: P /1` Other lots: A - Gross floor area proposed: 42-2-D Existing (if applicable): _ t tt Hours of operation (days and hours): -7,4* - w p &-v _ Building height: 1-7 - (o Percentage of site/project devoted to the following: Landscaping: s 3 °�a Building: Paving: Total number of employees: 1-2— Maximum number of employees at any one time: Number and ages of students/children (if applicable):e- ,mac. �-- Seating capacity: _ Total number of parking spaces provided: l -) Number of compact spaces provided: Authorization Print applicant name: s '�—, �ZJ 14r, _4- (2-0. X s Applicant signature: Date: 7 ` - / - o k 660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642 Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org 2 • Planning Department CERTIFICATE OF ZONING COMPLIANCE Application Checklist Project name: c -c /� �+y %jt,x []ekc4 CCL, -e__ File #:aL — -o A licant/a ent: All applications are required to contain one copy of the following unless otherwise noted: Applicant Description Staff (�) � (/ Com leted & si ed Administrative Review App lication Narrative fully describing the proposed use of the property, including the following: Information on any previous approvals or requirements for the requested use (i.e., applicable conditions of approval or Development Agreement) r Recorded warranty deed for the subject property Affidavit of Legal Interest signed & notarized by the property owner (If owner is a corporation, submit a copy of the Articles of Inco oration or other evidence to show that the person signing is an authorized a ent.) V J� Scaled vicinity map_showing the location of the subject property Sanitary Service Company approval for trash enclosure & access drive (stamped site plan) A photometric test report for any light fixture(s) with a maximum output of 1,800 lumens or more (see UDC 11-3A-11) Copy of the recorded plat that the property lies within (8 I/z" x 11") Address verification and utility service letter from Public Works (See Lynsey Todd 898- 550o) Site Plan --4 copies (folded to 81/2" x 11" size) The following items must be shown on the siteplan: • Date, scale, north arrow, and project name (scale not less than 1"=50') • Names, addresses, and telephone numbers of the developer and the person and/or firm preparing the plan >• • Parking stalls and drive aisles • Trash enclosure(s) location • Detail of trash enclosure (must be screened on 3 sides) • Location and specifications for underground irrigation (Pressurized irrigation can only be waived if you prove no water rights exist to subject property) i/ • Sidewalks orathwa s (proposed and existing) • Location of proposed building on lot (include dimensions to property lines) Lr • Fencing (proposed and existing) • Calculations table including the following: Number of parking stalls required & provided (specify handicap & compact stalls) Building size (sq. ft,) Lot size (sq. ft.) ➢ Setbacks Zoning district • Reduction of the site plan 81/2" x 11") Landscape plan — 3 copies (folded to 81/2" x 11" size) Plan must have a scale no smaller than 1 " = 50' (I " = 20' is preferred) and be on a standard drawing sheet, not to exceed 36"x 48" (24" x 36" is preferred). A plan which cannot be drawn in its entirety on a single sheet must be drawn with appropriate match lines on two or more sheets. The following items must be included on the landscapeplan: 1/ • Date, scale, north arrow, and project name 660 E. Watertower Street, Suite 202 • Meridian, Idaho 83642 Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org ( 20 11 Yu Y! n ti� 0 r� ACHD Acceptance: Applicant shall be responsible for meeting the requirements of ACRD as they pertain to this application. All impact fees, if any, shall be paid prior to the issuance of a building permit. If any changes must be made to the site plan to accommodate the ACHD requirements, a new site plan shall be submitted to the City of Meridian Planning & Zoning Department for approval prior to the issuance of a building permit. Your building permit will not be issued until ACHD has approved your plans and all associated fees have been paid. THIS APPLICATION SHALL NOT BE CONSIDERED COMPLETE UNTIL STAFF HAS RECEIVED ALL REQUIRED INFORMATION. _ • Names, addresses, and telephone numbers of the developer and the person and/or firm preparing the plan t /@ V Stamp/signature of a landscape architect, landscape designer, or qualified nurseryman preparing the plan • Existing natural features such as canals, creeks, drains, ponds, wetlands, flood lains, high groundwater areas, and rock outcroppings • Location, size, and species of all existing trees on site with trunks 4 inches or greater in diameter, measured 6 inches above the ground. Indicate whether the tree will be retained or removed • A statement of how existing healthy trees proposed to be retained will be protected from damage during construction • Existing structures, planting areas, light poles, power poles, walls, fences, berms, L- parking and loading areas, vehicular drives, trash areas, sidewalks, pathways, stormwater detention areas, signs, street furniture, and other man-made elements • Existing and proposed contours for all areas steeper than 20% slope. Beans shall be shown with one -foot contours • ....Sight Triangles as defined in I 1-3A-5 of this ordinance • Location and labels for all proposed plants, including trees, shrubs, and groundcovers (trees must not be planted in City water or sewer easements). Scale shown for plant materials shall reflect approximate mature size • A plant list that shows the plant symbol, quantity, botanical name, common name, minimum planting size and container, tree class (I, II, or III), and• comments (for spacing, stakin , and installation as appropriate) • Planting and installation details as necessary to ensure conformance with all required standards • Design drawing(s) of all fencing proposed for screening purposes • Calculations of project components to demonstrate compliance with the requirements of this ordinance, including: ➢ Number of street trees and lineal feet of street frontage Width of street buffers (exclusive of right-of-way) Width of parking lot perimeter landscape strip ➢ Buffer width between different land uses (if applicable) Number of parking stalls and percent of parking area with internal landscaping Total number of trees and tree species mix ➢ Mitigation for removal of existing trees, including number of caliper inches being removed Reduction of the landscape plan (8 'A" x I I") i/ Building elevations showin construction materials �i If applying for approval of a public school, provide additional information as required by the Public School Facility supplemental checklist per §67-6519 Fee (If this project had prior approval on a site plan, reduced fees may apply) ACHD Acceptance: Applicant shall be responsible for meeting the requirements of ACRD as they pertain to this application. All impact fees, if any, shall be paid prior to the issuance of a building permit. If any changes must be made to the site plan to accommodate the ACHD requirements, a new site plan shall be submitted to the City of Meridian Planning & Zoning Department for approval prior to the issuance of a building permit. Your building permit will not be issued until ACHD has approved your plans and all associated fees have been paid. THIS APPLICATION SHALL NOT BE CONSIDERED COMPLETE UNTIL STAFF HAS RECEIVED ALL REQUIRED INFORMATION. _ Litzinger Construction Company 7280 W. Ustick Rd. Boise ID 83704 Ph#208-388-1887 Fax#208-388-0160 Tuesday, July 29, 2008 RE: Brighter Beginnings Daycare To Whom. It May Concern: We are proposing the construction 4220 sq. ft. a daycare facility that will operate between the hours of 7:00 am to 6:00 pm Monday thru Friday. The daycare at capacity will include 12 full time employees and will care for 58 children. Sincerely, Ken Litzinger Order No.: A0875220 WARRANTY DEED FOR VALUE RECEIVED, The Cutting Edge, L.C., An Idaho Limited Liability Company the Grantor, does hereby grant, bargain sell and convey unto Carson Creek, LLC whose current address is 2578 S. Brands Jewel Ave. Meridian, y radian, ID 8362 the Grantee, the following described premises, in Ada County, Idaho, TO WIT: Lot 1 in Block 2 of Razzberry Crossing Subdivision, according to the official plat thereof, filed in Book 93 of Plats at Pages 11213 through 11217, official records of Ada County, Idaho. TO HAVE AND TO HOLD the said premises, with their.appurtenances unto the said Grantee, its heirs and assigns forever. And the said Grantor does hereby covenant to and with the said Grantee, that Grantor is the owner in fee simple of said premises; that they are free from all encumbrances EXCEPT those to which this conveyance is expressly made subject and those made, suffered or done by the Grantee; and subject to all existing patent reservations, easements, right(s) of way, protective covenants, zoning ordinances, and applicable building codes, laws and regulations, general taxes and assessments, including irrigation and utility assessments (if any) for the current year, which are not due and payable, and that Grantor will warrant and defend the same from all lawful claims whatsoever. Whenever the context so requires, the singular number includes the plural. Dated: July 30. 2008 The Cuttin E ge, C. BY: Car ei an, Nfanager State of Idaho County of Ada On this . 3 o day of July, in the year 2008, before me, the undersigned, personally appeared - c a r k J - Rem"t rm�a n *, own or i e1Jt1 I e to me to be the mana er or member of the Limited Liability Company that executed the instrument or the person(s) who execute the instrument on behalf of said Limited Liability Company, and acknowledged to me that such Limited Liability Company, executed the same. *and Bcdnnie A. Reiterman °°g6gao�atayga�e� 6° �! A �T Camille Vanscoy Qab°��%4o°meue Commission Expires: 09/13/12 �0 N ll n A Residing at:Meridian ID 4 =�G� a �Q a ®e© 4 a"% a o IlegoU ° �aOAr T G �Qqd�°o °gBa¢rFsavae9r6'� 251 CERTIFICATE OF ORGANIZATION AILED Ei=,FE 1-1V LIMITED LIABILITY COMPANY 88 JUL ! 8 -PM 3.3 (Instructions on back of �J �� STATEapplication). • �n��f1C []�-- 1.�`ii� i 1. The name of the limited liability company is�7 : STATE OF IDAHO Carson Creek, LLC 2. The complete street and mailing addresses of the initial designated/principal office, 2578 S. Brandys Jewel Ave. - Meridian, ID 83642 {Street Address) (Mailing Address, if different than street address) 3. The name and complete street address of the registered agent: Mike Combs 2578 S. Brandys Jewel Ave. - Meridian, ID 83642 (Name) (Street Address) 4. The name and address of at least one member or manager of the limited liability company: i Address Mike Combs 2578 S. Brandys Jewel Ave. - Meridian, ID 83642 5. Mailing address for future correspondence (annual report notices): 2578 S. Brandys Jewel Ave. - Meridian, ID 63642 6. Future effective date of filing (optional): Signature of organizer(s). (An organizer is a member, or is acting in behalf of a member or members). 0 Secretary of State use only Signature AW/ideT,&.0 k Typed Name: ,, ....., ombs IAAHD SE CRETAR1r OF STATE Signature CKa 1145 CT �3$ Mi. 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I as•L..i L-.vo'oA-i $I L 09'[FJ O o ff ®• ry I ,00'— 3 ..oc.n.00�I U I I I L----,oP[LL----J -7N/7 H✓lYiV y y Q I� =I r-•--� .nr,sl.oa rti v M w`m I I I I I-•,o9•Lz�---,`yl I I L -,_J L oc _J L_. _. �Jh ,� r----3 ..oi.c Loa N-- 4- g_ .-o 4* . it .00 oc �� os.ttov L l;� 31 O 61 � 3 z 3otl11H71{$ n 3-af.CL00 N -------,Z9'SLI--••••�` " s� 3 - � � � k � � I I I I $ � _ .•.r _ _ _� •,of.c I.00 N-; .__ jgss!g�5 Iq d k i C bf a i $I �g ��P,$ I aln1-I gl I I I z l �= I I� ,vs L•-----.Av'Lcl-----I X11 I r--,3 -oi.i LM N - r .�N/7 H,71 N6Y^. I as•L..i L-.vo'oA-i $I L 09'[FJ O o ff ®• ry I ,00'— 3 ..oc.n.00�I U I I I L----,oP[LL----J -7N/7 H✓lYiV 10 6 6 1-44,00 1 m � 0 I I I .}<z> *!<m.(\ . . ,� , 2�>\ Paee-I -of-1------ Sarah- Sarah Wheeler From: Sargents [traditionallandscape@msn.comj Sent: Thursday, March 26, 2009 9:30 AM To: Sarah Wheeler Subject: RE: Sara Wheeler- New Beginnings Daycare Traditional Sprinkler and Landscape 914 S. McDermott Nampa, ID 83687 Ryan Recla (208)941-6074 Chad Sargent (208) 941-6076 Subject: RE: Sara Wheeler- New Beginnings Daycare Date: Wed, 25 Mar 2009 13:26:35 -0600 From: swheeler@meridiancity.org To: traditionallandscape@msn.com -Thank youfor the email. -Would you mindprovidingthe a -company and contact name for :niy.file? . Thanks, Sarah Sarah Wheeler Assistant City Planner swheeler@meridiancity.org From: Sargents [mailto:traditionallandscape@msn.comj Sent: Wednesday, March 25, 2009 1:13 PM To: Sarah Wheeler Subject: Sara Wheeler- New Beginnings Daycare This is to confirm the landscaping and sprinklers installed at New Beginnings Daycare is completed and done to the specifications provided. Thank you for your business. Any questions or concerns email or call us at 327-7711. 3/27/2009 IDAHO STATE FIRE MARSHAL - INSPECTION FORM FOR DAYCARE CENTERS 2e6 INTJ/N Name of tstaousnmum I tt Operator. n'1r` �n——Owner n Location i 4 , F S 4& 'D City Questions are so worded that a negative answer will indicate an unsatisfactory condition. Note: This inspection form was drafted within the confines of the legislated fire safety standards for daycare facilities and does not mean to infer that the provisions within provide for a level of fire safety that woulmeet nationally recognized standards,N or does it mean that it would provide a level o re sae that would meet our awn ado ted fire safety standards for other occupancies in Idaho. I. DEFINITIONS: 1. Daycare: Daycare means care and supervision provided for compensation relaed by during part of a twenty-four (24) hour day, for a child or children,not lacet other blood or marriage to the person or.persons providing the care, in a p than the child's or children's own home or homes. 2. "Child" means a person less than twelve (12) years of age. 3. "Daycare Center" means,a place or facility providing daycare for compensation for thirteen (13) or more children. Note: Daycare centers are required to be licensed. . 4. "Group Daycare Facility" means,a home, place, or facility providing daycare for seven (7) to twelve (12) children. Note: Group daycare facilities are required to have a fire inspection but not a license. 5. "Family Daycare. Home" means a home, place or facility providing daycare for six (6) or fewer children:ection. Note: Family daycare homes are not required to have a license or fire tnsp 6. "Licensing Authority" is the Idaho Department of Health and Welfare. Note: The minimum standards as outlined in the state daycare licensing act will not preempt any local ordinance that is more stringent. t ,.'fir H. FACILITIES WITH OVER FIFTY (50) CHILDREN: (a). Do exit doors swing in the direction of egress? Y�N. (b). Do exit doors from rooms having an occupant load tg fifty (50) or more, if provided with a latch, have panic hardware? Y Ce" N (c). Are Exit signs installed at required exit doorways and w re otherwise necessary to clearly indicate the direction of egress? Y N (d). Is an approved fire alarm system installed? Y �N III. GENERAL REQUIREMENTS FOR ALL DAYCARE OCCUPANCIES 1. EXITINGREQUIRENdENTS: (a). Are the required exits located to provide an unobstructed path outside the building to a public way or area of refuge? Y L,-fN (b). Can exit doors be opened from the inside without the use of a key or any special knowledge or effort? Y_j.,!-�N (c). Are there at least two exits (travel distance between not to exceed 75 feet) located a distance apart, not less than one-half the diagonal dimension of the building or portion used for daycare? Y t,,'' N Exception: The distance between exits can be extended to 90 feet if the building is totally protected throughout with smoke detectors, and in buildings with automatic fire sprinkler systems, the distance may be increased to 110 feet. (d). Are the required exits not less than 32 inches of clear exit width and not less than six feet, eight inches (6'8") in height? Y_je­'� N Exception: Sliding patio doors will be accepted as a. required second exit in "Family and Group Daycare Facilities" only. (e). Are sleeping rooms provided with at least one (1) emergency egress window having at least a minimum single net clear opening of 5.7 square feet, minimum height>24 inches, minimum width 20 inches, and maximum finished sill height not over 44 inches? Y ✓� N Note: An approved exit door is acceptable in lieu of egress windows. Also, an app -oved piece of furniture or platform, if anchored in place, can be approved to sit in front of a window, tf the sill height is over 44 inches (f). Are approved egress windows from sleepinY.areas operable from the inside without the use of separate tools? Y N (g). Where children are located on a story below the I of exit discharge (basement), are thereat least two exits provid , ne of which is directly to the outside? Y N (h). Daycare is prohibited n�y upper floor beyond the first floor. Exception: Daycare " permitted at the second,floor level, provided that the building is otected throughout by an automatic fire sprinkler system and cfexit doors directlyfrom the secondfloor level to the outside. Is t acility in compliance? Y N 2. FIRE EXTINGUISHER REQUIRED:. - (a). Is there a portable fire extinguisher (minimum, 2A-10BC) mounted securely in a visible location not to exceed five (5) feet from the:floor to the top to the extinguisher, and not more than s venty.five (75) feet travel distance, and is it maintained properly? Y N Note: Fire extinguishers shall be maintained as per the Uniform Fire Code Standards. 3. TELEPHONE REQUIRED: (a). Is there an operable telephone on the premises? Y� N 4. OCCUPANT LOAD' (a). To determine occupant load, calculate the square footage of the space between the interior face of the exterior walls, assigned to daycare use, and divide by the occupant load factor of 35. Allowances, for interior walls or partitions and furnishings have been taken into account, in the occupant load factor, except fixed seating. The occupant load for faced seating is determined by counting the seats. Enter occupant load a� Is the facility in compliance? Y 5. SMOKE DETECTOR REQUIRED: (a). Is there a smoke detector installed •therbV hr ent having a stairway which opens from the base rt . o the facility? (such detector shall be connected to a so g device or other detector to provide an alarm which will Bible in the sleeping area). Y N (b): Are approved smoke detectors provided in a central location in the corridor or area giving access to rooms used for sleeping purposes? Y ✓N __ _—._ ,x==� •" a- _ - ,r rE1rL'- ._r3i .r�i q . ,rte. � _+ a+c -�..e� rw 'r�,���`T�'zfi��s. 1 \ l IV. CHILD/STAFF RATIOS: Note: By Idaho Code; All adults on the premises shall be counted as_staff for the purpose of computing child -staff ratios. Each child shall count as one (1) child for the purpose of computing child -staff ratios A). Any facility licensed to provide day care for thirteen (13) or more children "Daycare Center" shall comply with the following minimum staff to child ratios: 1. One (1) staff member to six (6) children for all children age, eighteen (18) months or less. When children of varying ages are present, any staff member responsible for supervising one (1) or more children age eighteen (18) months or less shall be responsible for no more than six (6) children. 2. One (1) staff member to twelve (12) children for all children above age eighteen (18) months but less than five (5) years. When children of varying ages are present, any staff, member responsible for supervising one (1) or more children older than eighteen (18) months but younger than five (5) years shall. be responsible for no more than twelve (12) children. 3. One (1) staff member to eighteen (18) children for all children whose age is five (5) years or more. Number of children 18 months or less Number of staff i Number of children above 18 months but less than 5 years of age 1-1141 Number of staff 3 Number of children 5 years or more of age Number of staff B). Any facility licensed to provide day care for seven (7) to twelve (12) children "Group Daycare Facility " shall comply with the following minimum staff to child ratios: One (1) staff member to twelve (12) children._ Number of children Number of staff REMARKS: Facility Passes fire inspection: Yess N INSPECTION MADE BY: / \<" W TITLE AND AGENCY: Application Forn. Mike Combs 2578 S. Brandys Jewel Ave. Meridian, ID 83642 Verification Number: 867690 IDHW Receipt #: Daytime Phone: (208) 230-2210 Home Phone: (208) 884.3949 Gender: Male Race: White/Hispanic Height: 5'10" Weight:210 Eye -Color: Hazel Hair -Color: Brown List Former Name's below (Maiden, AKA's, Etc...) Combs, Michael 119 Day Care Owner ILL Invoicing Account: No Company: DHW Reg 4 Day Care Licensing 1720 Westgate Drive, Suite D Boise, ID 83704 Contact Name: Rebolo, Pamela Fax Number: (208) 334-0725 Ext. -Phone Number: (208) 334-6854 Ext. Print Date: 12/5/2008 Page 1 of 5 3 Question # Question Answer 1 Have you ever been arrested or received a citation for any misdemeanor or felony offense? Click on YES even if the action resulted in dismissal, withheld judgment or the conviction was sealed No 2 If answered yes to question one has this been adjudicated. No 3 Have you ever plead guilty or been convicted of a crime as an adult orjuvenile? Click on YES even if you received a withheld judgment or the conviction was sealed. Include traffic violations such as DUI, Driving Without Privileges, Reckless Driving, Inattentive Driving or Negligent Driving No 4 Have you ever been on probation in this or any other state? Click on YES even if the probation was unsupervised. No 5 Do you have criminal warrants pending currently. No 6 Have your or anyone in your home ever been involved in a child protection action with the Department of Health & Welfare. No 7 Have you or anyone in your home ever been involved in an Adult Protection Action. No 8 Have you ever had a Medicare/Medicaid provider exclusion from Health and Human Services Office of Inspector General - No 9 Do you currently have a valid driver's license. Yes 10 If you have a current driver's license, in what slate. ID 11 Driver's license number. ZD267393K 12 Has your driver's license ever been suspended or revoked. - No Print Date: 12/5/2008 Page 1 of 5 3 Mike Combs 2578 S. Brandys Jewel Ave. Meridian, ID 83642 Vel,,..ation Number: 867690 IDHW Receipt # : Daytime Phone: (208) 230-2210 Home Phone: (208) 884-3949 Print Date: 12/512008 Page 5 of 5 a_ Question # Question Answer 1 What incident occurred that caused your exclusion from the Medicare / Medicaid provider list 2 When did the incident occur 3a City 3b County 3c State 5 For how long is the exclusion in effect I authorize the Department of Health and Welfare to obtain background and criminal history information from all sources deemed necessary and release it as required without liability. I understand if I have been convicted of a crime, I may be contacted by the Department and asked to provide court documents or disposition records in order to complete the processing of my application. I understand the process for conducting criminal history checks and approving or denying applications is detailed in the Rules Governing Mandatory Criminal History Check, IDAPA 16.05.06. Affidavit I, Mike Combs, solemnly swear (or certify) that the answers to all questions in this application including any supplemental sheets are true, complete and correct, and that I have not been convicted of, or received a withheld judgment for any of the disqualifying offenses. I further understand that this Criminal History Background Check Application and Authorization Form will be filed with the State of Idaho, Department of Health and Welfare and failing to disclose information or falsification of this form may be punishable by prosecution for perjury pursuant to Section 18-5401, Idaho Code. Applicant Signature (or parent/guardian if under 18) State of Idaho ) SS County of ) Subscribed and sworn (or affirmed) before me this day of 20_ S E A Notary Public Signature L My Commission expires on Print Date: 12/512008 Page 5 of 5 Mike Comlis 2578 S. Brandys Jewel Ave. Meridian, ID 83642 >tion # Question 1 What was the date of your arrest or citation 2 Was this action while you were an g What was the specific charge or offense at the time of arrest or citation 4 I Where did you appear in court 5 I What was the final charge determined by the court 6 What was the final result of the court 6a Determined criminal offense after court or plea 6b - Date of conviction or adjudication of offense 7a The amount of jail time whether served or TOther requirements of the court (including munity service, evaluations, counseling uirements, ect.) g What have you done to change your behavior since this incident Print Date: 1215!2008 City: State: Vel,—ation Number: 867690 IDHW Receipt # : Daytime Phone: (208) 230-2210 Home Phone: (208) 884-3949 Answer Page 2 of 5 of any finesmount of any restitution of probation servedting date of probationing Ramount date of probationbation officer nameation was served in what citybation was served in what countyobation was served in what stated you have any probation violations TOther requirements of the court (including munity service, evaluations, counseling uirements, ect.) g What have you done to change your behavior since this incident Print Date: 1215!2008 City: State: Vel,—ation Number: 867690 IDHW Receipt # : Daytime Phone: (208) 230-2210 Home Phone: (208) 884-3949 Answer Page 2 of 5 Mike Combs 2678 S. Brandys Jewel Ave. Meridian, ID 83642 Ve....�ation Number: 867690 IDHW Receipt# : Daytime Phone: (208) 230-2210 Home Phone: (208) 884-3949 Page 3 of 5 Print Date: 12/512008 Mike Combs ( V,...,ation Number: 867690 2578 S. Brandys Jewel Ave. IDHW Receipt # : Meridian, ID 83642 Daytime Phone: (208) 230.2210 Home Phone: (208) 884-3949 Question # Question Answer 1 Date ofEchildrotection action 2a City 2b State 3 Caseworker 4 Describe what happened 5 Were your children removed from your home 6 Were your children returned to your home, and if so when 7 Did you have any criminal charges filed against you for the child protection action - - - 8 What were you required to do by the court, and social services Question # Question -Answer 1 Where did the adult protection take place (your home, clients home, nursing home, etc...) 2 Date of the adult protection action 3 Who conducted the investigation 4a City 4b State 5 Describe what happened 6 What was the outcome of the investigation Print Date: 12/5/2008 Page 4 of 5 STATE OF IDAHO COUNTY OF ADA ) AFFIDAVIT OF LEGAL INTEREST s7 ^ J'— (name) � D / c (state) being first duly sworn upon, oath, depose and say: I. That I am the record owner of the property described on the attached, and I grant my pe x ssion/to:/ ��h (address) (name) 2. 3. to submit the accompanying application(s) pertaining to that property. I agree to indemnify, defend and hold the City of Meridian and its employees harmless y resulting from any dispute as to the statements contain which is the subject of the application. from any claim or liabilit herein or as to the ownership of the property for the I hereby grant permission to City of Meridian said ataffo subject property PP lication(s) purpose of site inspections related to processing y of � Dated this .3-rday 20 ignature) SUBSCRIBED AND y SWORN to before me the da and year first above written. i�(Nntaryhcfor Idaho) ,.••0" 4. PRrp .r',�4`....'.. o� far �OTARp *• co 91 ,•'44P •'•••••oe°• ��'ZjTE 09 apo'1 r Residing My Commission Expires: Jul,24 2008 8:OOAM( E IDIANN�-6 IDAHO FORM PW100 DATE:. July 23, 2008 Mayor Tammy de Weerd City Council Members: Keith NO Joe Berton Charles Rountree David zaremba The following property has been researched by The City of Meridian Public Works Department. 1) The address has been verified as listed. 2) Municipal water and sewer has also been confirmed. Project Name: Brighter Beginning Daycare Address: 1463 E Star Drive Suite #: Zip Code: 83646 Lot/ Block Subdivision: Lot 1 Block 2 Razzberry Crossing Notes: EACH SET OF PLANS WILL BE REQUIRED TO CLEARLY REFLECT THE CORRECT ADDRESS AND SUITE NUMBER (IF APPLICABLE),. Karie Glenn Department Specialist Supervisor Public Works 898-5500 glennk@meridiancity.org Public Works Department . 660 E. Watertower Street, Suite 200, Meridian, ID 83642 w R v a R y IL _ k S 'll� 8 � y w a a2[ QtlOtl �ON915I1]OI'N 5 i Iryls-3 Jr K.0 nl I I -1 O j 11 p� ,It ooZ 3_bt£D0 N d llo,rew �.. 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