HomeMy WebLinkAboutPre-Approved ADU Plans Request - FillableCITY OF PORT ORCHARD
Permit CenterOffice located at 72O Prospect Street
Mailing address: 216 Prospect Street
Port Orchard, WA 98366
_— ___ (360) 874-5533 • permitcenter@portorchardwa.gov
PRE APPROVED ADU PLAN REQUEST
Email completed form to: permitcenter@portorchardwa.gov
An Incomplete Application will not be Accepted
Pre -approved accessory dwelling unit (ADU) plans are available for models as shown on the City's
website. https://portorchardwa.gov/pre-approved-adus/
Once you have identified the model that you wish to construct, complete this form. You must provide a tax
parcel number and address for a property within the City of Port Orchard in order to request the complete
plan set through the City of Port Orchard Department of Community Development.
The plans will include a water mark indicating that the plans are not approved for construction. Plans are
intended for review to determine options such as roof configuration or optional porch (if available on the plan
selected), and to estimate construction costs prior to applying for a permit.
For more information, see the User Guide for Pre -Approved ADU Plans, available on our website.
1. Property Location.
Site Address:
Tax Parcel Number:
Property Owner Name:
Property Owner Email:
2. ADU Plans Requested.
Model: Select from list:
3. Requester Information.
Requester's Name:
Relationship to the
Property: ❑Owner ❑Other (describe):
Mailing Address:
City, State, Zip Code:
Email Address:
Phone Number:
4. Signature.
The electronic signature below is equivalent to a handwritten signature and is binding for all purposes.
Requester's Signature: Date:
The information on this form is considered a public record and is subject to public disclosure laws in Chapter 42.56 RCW
Pre -Approved ADU Plans Request form (10/212025) Page 1 of 1