HomeMy WebLinkAboutPermit 123 - Hanson Residence - New House BUILDING don Hanson Residence
N? 123
OWNER l,�r. �✓ IIAA S
MAIN
BUILDING
ADDRE 77 CQ S1) / 1 1! �rl CAl 6P,
P � " YAK I
DATE
BUILDER
TYPE OF CONSTRUCTION
ADDRESS
SIZE
'
ARCHITECT
ADDRESS
_
.,J . /`' ", /N
ACCESSO
WIDTH
DEPTH
AREA
JOB
ADDRESS
STREET /
S S ur�
NUMBER
BUILDIN
USE
0 0
ZONE
LEGAL
FT, "
FT, SQ. FT.
LOT 812E �7
O E
T' ,I I �) A �/ // /1 /� ,,L.� p�
L, �" / A ?t ;&CSio 149\ 94 a
p ,e
/
SQ. FT.
/T rT
LOT �
BLOCK
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCE690RY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETo
BUILDING
I
BUILDING
BUILDING
LOT COVERAGE
BUILDING
I
PROPERTY LINES
—
r
t1
/ D
A10 ,tic
/ s>0
I 1 SQ. FT.
SQ. FT.
`
EXTERIOR
CLASS OF WORK AQ A F Vll
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
co vered before inspection and OK for covering has been given by Inspector in writing on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector ;7,n r ing Du 'IdIng con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor. OWNER nl DT X `�
PERMIT FEESt (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
/� / • HOUSE & OTHER MISC.
HOUSE i " G ARAGE i— —GA CEI PER
ILDI�NGS i 7 FEES i_��
BOND NO._ TOTAL FEES 3 .'�' BY
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
DEPTH
�/ ,/
PT. '\ �1"0
AREA
— /
FT. � 9� � 8q, FT.
TYPE OF CONSTRUCTION
SIZE
ACCESSO
WIDTH
DEPTH
AREA
^ M
BUIL
BUILDIN
�(
FT, "
FT, SQ. FT.
SQ. FT.
EXISTING BUILDING AREA----------- - --
SO. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
L '
—
%
I 1 SQ. FT.
SQ. FT.
`
EXTERIOR
FINISH
OCCUPANCY
TO Be USED
z C
HOW � C
BASEMENT Wp'yB
SIZE SQ.
FT.
AS
HEATED I
ROOMS
--
TOTAL
BED
ROOMS '
BATHS /
r
LIVING
L•D.
COMBO
/
DEN
KITCHEN /
NOOK
K•D
NOOK
� ATT.
GARAGE DET.
VALUATION OF
HOUSE i �J�pCi
GARAGE i
HOUSE • ATT. GARAGE i
OTHER i
ALLIMPROVEMENTS
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
co vered before inspection and OK for covering has been given by Inspector in writing on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector ;7,n r ing Du 'IdIng con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor. OWNER nl DT X `�
PERMIT FEESt (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
/� / • HOUSE & OTHER MISC.
HOUSE i " G ARAGE i— —GA CEI PER
ILDI�NGS i 7 FEES i_��
BOND NO._ TOTAL FEES 3 .'�' BY
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
SSEA TTLE -KING COUN' DEPARTMENT OF PUBLIC HEALTI- DIVISION OF SANITATION
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL V'
(Submit in Triplicate)
J
(This accompanies the building permit application and is prerequisite to the issuance of the $ep
Permit.) r r t } !'
Location of Property - Street Address ......... 13036 57th H•
................................................................................................................................ ...............................
Addition Subdivision itIiV40ral ' # Lot ..... x ................ Block . ...........................................................................................- ...............................
Type of Building: New ._.... ...x '
...................Existing ............................... Single - familyresidence? ................ ...z...........................
Basement.... .... ...................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 tel -pla phone calls before 9:30 A.M.
Seattle Office 904 Public Safety Building JUniper 3 -2065
North End 15272 -15th Northeast ElVerson 3.4765
Eastside 15607 N.E. Bellevue- Redmond Road, Bellevue Tucker 5 -1278
Southeast 812 "E" Street, Renton ALpine 5 -3496
Southwest 10821 -8th S.W. CHerry 4 -6400
Owner ...... rle" wotls -. 1�C�xx ... ............................... .......................Address 77t�1...14UGL �t 1 ` r �.....�� • .......... Phone PA.5`.8 :...
Builder ....,
............. ........................Address ..................................................... ;.................... Phone ..........................
Designer ................... ....I....
J81408 A' ftner ....... Address 1121 go %1 �' Phone U12»gry(.x'
......................... ............... .
............ ...I......... .................. ....
Soil Log Hole No. 1 .......... 16w
loon
...................... . ............... . .......... I ....................... . .......I........ .......:...................................................:......................................
Lo 6B�rssv u � l ..�..�. ........ ...............................
...... ... .........
Soil Lo Hole No. 2 ................-....................... ........................................................................... ...........:.. ................. ...... ........... ...
......................................................................:.......................:.....................................:...........................:.................................. ...............................
Soil Log Hole No. 3 ................ .................... .:..... ................ .................. ............. .................:............. ............................ ...............................
.................... :... .............................................................................................................. ....... ......... .............. ................ . ..................... . .................. ....................... .............
SoilLog Hole No. 4 .............. . ........... I ........... I .............. ........ ............................... ............................. ...............................
... ..............................................................................................................................::........................................................:................................ ...............................
Elevation of Water Table, if encountered...(Distance from ground surface) .............. .... ...............................
t�0�ta
.................................
Give estimated difference in elevation between high and low points on lot in feet .............. ...... ,. ................. I ....... .
........................................................ ...............................
Percolation
Y
Test Hol No. 1- Average rate .... ............ ... to it to to it ..............(Fall in minutes - per -in. bottom -6" of test hole)
No . 2- „ „ ..... 4 ............ r,. it to
No.
3 to to ,..� to to to it to it to to t, it
No. 4- it to ................. it „ it to 11 to It „ to „
No. 5- " to It to ,► of of 10 it to t, „
... ...............................
(For additional remarks or corn nts attach letter in ,triplicate or utilize unused spaces around drawing on
reverse side of application)
Signature Designer :�~ ...... ..........................� ....- .: W .. ..:.......... ......................... ...... Date ..... � 1��........................
DO NOT WRITE BE
Accepted...... A ........
SAP -119 Rev. 6/10/18
caa 13.15.2
OW IS LINE. (To be filled in by Health Departmey
....Not Accepted ........................... .................
Date Date yartment
V
site plan
3.•1 f.�F
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SK006' R•dil?rm
RECEIPT
Received From—
Add
t� ;
For
ACCOUNT
AMT. OF
ACCOUNT
AMT. PAID
if. R.
I-IOW PAID
CASH
CHECK
MONEY
ORDER
i • ,
RECEIPT
pate
°� 19 _A�- 2 No. 8 5 Q t"3
,Received From
Add es
For
Dollars .$ d ' d�
"{
ACCOUNT
HO W PAID
AMT. OF
ACCO UNT
CASH
AMT. PAID
CHECK
BALANCE
DUE
MONEY
ORDER
SK006' R•dil?rm
RECEIPT
Received From—
Add
t� ;
For
ACCOUNT
AMT. OF
ACCOUNT
AMT. PAID
if. R.
I-IOW PAID
CASH
CHECK
MONEY
ORDER
i • ,
stop work notice