HomeMy WebLinkAboutPermit 086 - Bussell Residence - New House donald Bussell Residence
N° 86
OWNER �
MAIN
ADDRESS
I v e
PHONE
/
o f'
DATE
/ �/ __
IF,
BUILDER
SIZE
ADDRESS
14 u FT. /� � PT, I � Bq, FT.
OF
BUILDING
Ir111V//
ACCESSORY
BUILDING
WIDTH DEPTH
_
FT. „ FT,
BO. FT,
ARCHITECT
ADDRESS
SO. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED O�
JOB
STREET
EXTERIOR
NUMBER
FINISH
S H bt
ADDRESS
TO BE USED r
AS
T
HOW
BASEMENT
���
l 41
USE 70NE
I
LEGAL L r-
ROOMS
(CJ6
ROOMS
BATHS
LIVING
COMBO '
( (� 11A
% (
, 1 L OT SIZE 7 .3 - 1k &
LO EA
VALUATION OF
ALL IMPROVEMENTS
b O 0
HOUSE i / 6
GARAGE i
HOUSE • ATT. GARAGE i
OTHER i
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
/'H"'
� T'v�� 1M /RA AG�u�c� /Rr
lro,
Ilvl` O ✓/fl/if C6F6 or
BLOCK
YARDS
MAIN
SET BACK
X YARD
REAR YARD
NEAREST
I ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO
PROPERTY LINES
BUILDING
// r
:. !y
[
r
` /
BUILDING
BUILDING
BUILDING
I
CLASS OF WORK /V r U/
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Permit Plac
I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre- �� Ir ���
sented when work is done by occupant or lessor. OWNER
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE B: OTHER MISC.
HOUSE G ARAGE i _ ARAGE i'— BUILDINGS s FEES i
RECEIVED PERMIT, f
BOND NO. TOTAL FEES S .� =� B Y BY DAT
NOTICEt THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST 6 POSTED ON THE WORK
a
!
I
1
1
MAIN
WIDTH DEPTH AREA
BUILDING
/ �/ __
IF,
TYPE OF CONSTRUCTION
SIZE
14 u FT. /� � PT, I � Bq, FT.
OF
BUILDING
Ir111V//
ACCESSORY
BUILDING
WIDTH DEPTH
_
FT. „ FT,
BO. FT,
80. FT.
EXISTING BUILDING AREA----------- - --
SO. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED O�
+ SO. FT. SO. FT. /O
EXTERIOR
FINISH
S H bt
OCCUPANCY
TO BE USED r
AS
T
HOW
BASEMENT
���
l 41
HEATED
SI SO, FT.
ROOMS
�y
TOTAL y
(J
ROOMS
BATHS
LIVING
COMBO '
DEN
KITCHEN
NOOK F
NOOK 1
GARAGE DET. 0
VALUATION OF
ALL IMPROVEMENTS
b O 0
HOUSE i / 6
GARAGE i
HOUSE • ATT. GARAGE i
OTHER i
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Permit Plac
I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre- �� Ir ���
sented when work is done by occupant or lessor. OWNER
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE B: OTHER MISC.
HOUSE G ARAGE i _ ARAGE i'— BUILDINGS s FEES i
RECEIVED PERMIT, f
BOND NO. TOTAL FEES S .� =� B Y BY DAT
NOTICEt THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST 6 POSTED ON THE WORK
a
!
I
1
1
-D SEATTLE -KING COUNTY DEPARTMENT OF PUBLIC HEALTH - DIVISIaefF'S'Afi7�Ti
Room 904, Public Safety Building 'JUN 18 1902
APPLICATION FOR BUILDING SITE APPROVAL
(Submit in Triplicate) SOUTHEAST DIST91CT
HEALTH OFy
(This accompanies the building permit application and is prerequisite to the issuance of the Septic an
Permit.)
Location Property - Street A:ddress ........� !�,!,? .......'� 7........— c '................................................................................................... ...
Addition or Subdivision 9qK T.... VI EW...! q: Q. D.... TQ. ..TV.�W.I.L.A ...............Lot .....................Block ........... _.......
Typ of Building: New ........ X ......................Existing ............................... Single - family residence? .. x........... ...............................
{ Basement .... ..Q .......................Dther (Specify) ..- .......... .........
NOTE: This application may be submitted to the main office at 904 Public Safety Building, or, -for prompter .
service, directly to the branch office having jurisdiction in the area in which the property is located. To
contact District Sanitarians by telephone, place phone calls before 9:30 A.M.
Seattle Office 904 Public Safety Building MAin 2 -6000, Ext. 281 or 376
North End 15272 - 15th Northeast EMerson 3-4765
Eastside 904 Public Safety Building MAin 2 -6000, Ext. 281
Southeast 812 "E" Street, Renton ALpine 5-3496
Southwest 707 Southwest 100th WEst 7 -09
Owner .......... ..:...... Q.U.s�J E -. ................................... Address f 4.11 .0 P lion t G.. .. "............
Builder ........................................ .....:......................... ...................,....Address ........................................... ............................... Phone
..........................
Designer QP.Q.G.LA, ........4D.N.� .............. AddressID N.. ... r - 7 ..... PT�1F,.......KENT PhoneUk� v q;M
Soil Log Hole No. 1�' ". � ��..... ...".......,. A11 .................. ...............................
... .................................... ;AMP.A. ,T ........ SANDY ..... 5.. 4.. y...... .... G. R.gYE L..........................................
Soil Log Hole No. 2 ,.?A .................... ................................... ........... ..... .. ......................... ,.............................
,.................
................................................................................................................. ............................... ...................................................................... ...............................
Soil Log hole No. 3 ............. ............................... ..............................................................................:........................... ...............................
............................................ ............................... .......... ............... ............................... ............................................................ ............................... ....
Soil Log Hole No. 4 .................... ....................................::.................................. ............................... .......................... ..........
. ................................................................................................:......................................................................................................................... ...............................
Elevation of Water Table, if encountered. (Distance from ground surface)
Give estimated difference in elevation between high and low points on lot in feet
/ ..... ......... ..................
Percolation
Test Hol No. 1- Average rate .,,..$ ...............:...(Fall in minutes - per -in. bottom -6" of test hole)
No. 2- ►, „ $ �► „ ,► „ „ „ ,► „ „
No . 3- ..� .....................
No. 4- to „ „ ,, r, it to to to ,,. , r „
No . 5- „ „ ... ............................... ►, „ ..,► „ „ „ „ „ „ ,1
No. 6- „ . ...............................
(For additional remarks or comments attach letter in triplicate or utilize.unused spaces around drawing on
reverse side of application)
Si �i�
Signa ture ................ ........ °.,.... Date,. 2 "........
g Designer ...
DO. NOT WRITE BELOW THIS LINE. (To be filled in by Health Department) f
Accepted ._.........�'_ ....��(.'" ...........Aloe. !- ... ............. ........................... ► ,...... r °.......:
_... .
Date Date Heal epartment Sanitaria
6-AP -118 Rev. 6/10/18
.., ..
site plan
5-7 AV 5
- A'750 GAL TANK
.„,
0- TESTI. 24'40 FEET DRAI.NFiELP
STUB OUT EL •
SANDy. -LOAM 'GRAVEL FtLL MATPZIAL. WITH A PERCOLATION : RATE OF .NOT..'mORE
IS TO • 'SE H1010LED IN FROM AN:.. OFF SITE . LOCATION . 1 SPREAD
VR T11E--ENTIRE, • oRANFIELD:-. _,'AREA:,:•AT.i.-MtN. 'DEPTH OP • D RA.It4 TILE LINES
-.1.•.•;*/E.R • .GRADg
% "