Loading...
21-100194-AU-Land Use Application 1-27-2021After recording, please return to: Community Development Department 33325 8`h Avenue South Federal Way, WA 98003 CITY OF FEDERAL WAY ACCESSORY DWELLING UNIT LETTER OF APPLICATION & DEED RESTRICTION I, 'Caro lU v% 1-1 ew 14, being first duly sworn, on oath do hereby certify under penalty of perjury under the laws of the State of Washington: That I/we am/are owner of the single-family dwelling unit located at: 2.w(O S'vl Si -7fk -P(A.ce- , Federal Way, Washington, Parcel # I-ft l0 - 0("0 l7gV I D - O 1l0 . `L f Property Legal Description:_ t 11 C©u4ty \1 �t� No. -f , a6co � t`v�G 4o 1pla+ recorded i h �O/ cure 69 (�1aF -paq e- 33 � &Cord s-P i4'✓t.¢, C;w41V v✓atSln I>tiaI-on , 15e n r- t^ i�r,�erd Way, Cesun+y o� ka`✓t� , s�% Fe c�F v��s�;t�\g That I have made application and received City of Federal Way land use approval for an accessory dwelling unit at this location. That I presently occupy and will continue to occupy one of the two dwelling units at this location as my principal and permanent residence for six months or more of the calendar year. That this certification will remain in effect during the period of my ownership of the property unless I record a certification with the King County Office of Records and Elections that the use of the property for an accessory dwelling unit has been discontinued. i' Alv Signature of Ap licant State of Washington) )ss. County of L16 On this day personally appeared before me L' =aL l,,4 ; /,'1 �� -j- to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledge that he/she signed the same as his/her free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN my hand and official seal on this day-pf ,7b '77,20 9 `IIIIIIIIt�/��� i Notary's signature V� 9 % = Notary's printed name Or10�G .0 Notary Public in and for the State of Washington. do cy�: CJ My commission expires Fals�y c z "VA ncy is subject to a civil penalty of $S, 000, in addition to any criminal penalties. 05-25- -'/,f'F1/1111110% DEPARTMENT OF COMMUNITY DEVELOPMENT 33325 8"' Avenue South Federal Way, WA 98003 CITY OF 253-835-2607; Fax 253-835-2609 www.citvoffederalwLay.cone Federal Way ACCESSORY DWELLING UNIT (ADU) FEE: Contact the Permit Center at 253-835-2607, or permitcenter(a�cityoffederalway.com (Not required if legal nonconforming status is established.) FILE # 24 -103 i &! -ALL RELATED FILE #s: Owner's Name: e_ard l U o L i-P_ v lH- Address: 2DO& SV\./ I -ej-e� W Daytime Phone: Zu(v 4o9 4o l 1 Tax Parcel#: 1-71 D 10 - Q ( ( Zoning: Z S q , (0 Lot Size in Square Feet: i C, f 0 ( qkv Type of ADU: NAttached ❑Detached Is this a: N New ADU ❑ Existing ADU Existing ADU was: ❑Approved by King County (Provide a copy of the permit.) ❑ Other Construction of existing ADU completed in 19_/20 W. (0r eo-r'y 7-o-v ?i Construction of existing residence completed in 19 61 /20_ Which is the owner occupied unit: Vg'rimary Dwelling Unit or ❑ADU Number of square feet: 3t? 2�) Primary Dwelling Unit (pg0 ADU Provide the following information: C&Lakehaven Utility District Water & Sewer Certificates of Approval for the New ADU ❑ King County Public Health Department Approval (if septic) []Heating Type: ❑Electric ElGas ❑Other ® Electrical Capacity: _,�00 LU4 Primary Dwelling Unit ADU ❑ Letter of Application & Deed Restriction (attach) ADU FLOOR PLAN DRAWINGS (Provide the following; refer to page 3 for an example.) [a Floor plan of the primary dwelling unit and the ADU ® Plumbing (existing & proposed) Mechanical — HeatingNentilation/Air Conditioning (existing & proposed) Entrances of primary dwelling unit and ADU (existing & proposed) ® Ceiling Heights/Room Sizes for ADU ❑ Elevation of the proposed ADU with the primary dwelling unit _ " ngw e. et 'w Cre'aW Bulletin #049 —December 2 t, 2015 Page 1 of 3 k:\HandoutsWDU Application ADU SITE PLAN DRAWINGS (Provide the following; refer to page 3 for an example.) RScale/north arrow a5treet/driveway location ® Lot dimensions ❑ ADU footprint (if detached) ®,Primary dwelling unit ®, Building setbacks from property line Location of utilities & easements a Show location of three on -site parking stalls ® Locate the entrance of the primary dwelling unit and the ADU E4 Calculate the total impervious surfaces coverage for the site (Include the existing and proposed roof area, driveway, patios, and walkways.) ❑ other DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. Signature of Ap9licant v Date WAIVER: Approval of the ADU Land Use Application does not constitute approval of the building permit. Application and approval of the building permit is a separate process. OFFICE USE ONLY ❑ ADU Status: ❑Legal Nonconforming per FWRC 19.30.140 ❑New ADU ❑Assigned Address of ADU ❑Deed Restriction/Letter of Application Rec'd ❑Recording Number ❑Other Approved by ❑Conditions of Approval Date Bulletin #049 — December 21, 2015 Page 2 of 3 k:\I-IandoutsWDU Application