13-105314 S •
p-� DEPARTMEOF COMMUNITY AND Eco�ohrrc DEVELOPMENT
Admi.400,
RECEIVED 33325 8`h Avenue South
Federal Way,WA 98003-6325
CITY OF 253-835-2607;Fax 253-835.2609
N O V 2 7 2013 www.cityoffederalway.corn
Federal Way
CITY OF FEDERAL WAY
CDS
ACCESSORY DWELLING UNIT (ADU)
FEE: $192.50(Not required if legal nonconforming status is established.)
FILE# O -�j i J0 RELATED FILE# 3 -00 3 I (0 531 ✓ —00
Owner's Name: Cm-?Z.t S i'As (`/ ,Z Li J L
Address: - 410 el Lb. re .Q ` &i C..)4 C '4,3
1
Daytime Phone: Z j;_.g — LI L o X Tax Parcel#: r I C0 UV 3'/—
Zoning: 5,Se,tt3d Lot Size in Square Feet: WI Z-Y
Type of ADU: XAttached U Detached Is this a: C.New ADU U Existing ADU
Existing ADU was: ❑ Approved by King County(Provide a copy of the permit.) 0 Other
Construction of existing ADU completed in 19_/20_
Construction of existing residence completed in 19_/20
Which is the owner occupied unit: 'Primary Dwelling Unit or U ADU
Number of square feet: 4414 Aiii, Primary Dwelling Unit 3 31 ADU
4/000 ZV0
Provide the following information:
U Lakehaven Utility District Water&Sewer Certificates of approval for the New ADU
D King County Public Health Department Approval(if septic)
D Heating type: 6(Electric XGas 0 Other
LI Electrical Capacity: Primary Dwelling Unit ADU
ADUDFLOOR PLAN DRAWINGS (Provide the following;refer to page 3 for an example.)
( 'Floor plan of the primary dwelling unit and the ADU
l )pmbi ng(existing&proposed)
CO i, 'cal—Heating/Ventilation/Air Conditioning(existing&proposed)
VZ
!'
trances of primary dwelling unit and ADU(existing&proposed)
Z
L Ceiling Heights/Room Sizes for ADU 5 /
El/Elevation of the proposed ADU with the primary dwelling unit
Bulletin p049-January 7,2013 Page 1 of 3 k:\Handouts\ADU Application
411 411
1
ADUD�SITE PLAN DRAWINGS (Provide the following:refer to page 3 for an example.)
(�/Scale/uorth arrow lStreet/driveway location
[ILot dirnensionstaki6ky 51,6rimary dwelling unit
CY:DU footprint(if detached) �grBuilding setbacks from property line
t Location of utilities&easements :s+ til/(how ow location of three on-site parkingstalls
'�
GY Locate the entrance of the primary dwelling unit and the ADU
0 Calculate the total impervious surfaces coverage for the site(Include the existing and proposed roof area, S
¶j
driveway,patios,and walkways.) @0
0 Other i"
...._$-_--,w......._-i---_I----*-----.I----I--_-,0_---I,--i----i--I-...
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.
eL.- CS . I i /2-2-- 3
/ I
Signature of Applicant Date
WAIVER: Approval of the AD ULand Use Application does not constitute approval of the building permit.
Application and approval of the building permit is a separate process.
,
OFFICE USE ONLY
0 ADU Status: 0 Legal Nonconforming per FWRC 19.30.140 0 New ADU
0 Assigned Address of ADU
0 Deed Restriction/Letter of Application Recd 0 Recording Number
0 Other
Approved by Date
0 Conditions of Approval
Bulletin 049—January 7,2013 Page 2 of 3 k:11-andoutsNADU Application