HomeMy WebLinkAboutPermit 1064 - Hjelman Residence - New Houser Hjelman Residence
siding and brick veneer
MAIN
BUILDING
ADDRESS
PHONE
DATE
y )
TYPE OF CONSTRUCTION
SIZE
BUILDER
ADDRESS
ARli, 17
ARCHITECT
ACCESSORY
ADDRESS
DEPTH
AREA
OF
BUILDING
11 M C_
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JOB
STREET
NUMBER
LOT ry .—
BLOCK
ADDRESS
FT.
r
FT. � Sq. FT.
/
LOT SIZE 7
LO EA
USE ZONE
EXISTING BUILDING
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCEO I
PROPERTY
BUILDING
�,
/��
BUILDING
BUILDING
BUILDING
LNES
`.
EXTERIOR
FINISH
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y , _ _
V e-of L R
CLASS OF WORK
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNMG Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspec 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
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre
sented when work is done by occupant or lessor. OWNER. Jq_/l —'
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
I
BY x4
+� ..- HOUSE & OTHER MISC.
HOUSE S--_ ...J� _. _GARAGES ._GARAG ; BUILDI i - FEES
BOND NO. --.--TOTAL _ _ FEES $- �- .BY +. BY , DATE- - � t /L.L I
/J O.
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
DEPTH
v
X
AREA
_ /r
—
TYPE OF CONSTRUCTION
SIZE
FT.
FT,
L/, — SO. FT.
ACCESSORY
WIDTH
DEPTH
AREA
OF
BUILDING
11 M C_
BUILDING
X
FT.
FT. � Sq. FT.
EXISTING BUILDING
SQ. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
_
^ r
EXTERIOR
FINISH
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y , _ _
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OCCUPANCY
I
TO BE USED
�( E
HOW
6' 1 �
BASEMENT _
SIZE SO.
FT.
AS
HEATED
!4S f.3
ROOMS
TOTAL
BED
DOOMS
BATHS /
Imo..
LIVING
L ' D /
COMBO
DEN
KITCHEN
NOOK
KID
NO
GARAGE ATT.
DET.
❑
0
VALUATION OF
AL LIMPROVEMENTS
HOUSES / 7� ao 0'l
I
I GARAGE i
j ��
HOUSE - ATT. GARAGE;
OTHER S
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNMG Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspec 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
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre
sented when work is done by occupant or lessor. OWNER. Jq_/l —'
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
I
BY x4
+� ..- HOUSE & OTHER MISC.
HOUSE S--_ ...J� _. _GARAGES ._GARAG ; BUILDI i - FEES
BOND NO. --.--TOTAL _ _ FEES $- �- .BY +. BY , DATE- - � t /L.L I
/J O.
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
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SEATTLE -KING COUNT ,DEPARTMENT OF PUBLIC HEALTH r:'� VISION OF SANITATION
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL
(Submit in Triplicate)
(This, accompanies the building permit application and is prerequisite to the issuance of tile Septic Tank
Permit.)
Location • of,Prop - erty- Street Address ....... ......... .............»....................................................................... ...............................
Addition or Subdivision' ............. Tri— V1stA„ Terrace ... ,,, . wila
tk ».Wash . ................. Lot ............ 27 ...... Block ....................
Type'—of Building: New Existing . ............................... Single - family residence? ......... XF... ...............................
Basement..... .....�.. » ................O.ther (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 p c 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
Sout 707 Southwest 100th WEst 7 -0961
Owner............... At....MOMA ►::AaV........!. ress ......................................... ............................... Phone ..........................
Builder ..............Wallace Cord ell ,,,,,, ...... ........ . ............... Address ...16619 »- Qth Ave. So. Phone Ch 2 -0 12
Designer ..... .... FAr l ... J ..... Piel ............ ............................... Address ..1771.. South „168th Phone C 1...24.032
. ...............................
Soil Log Hole No. 1 ... »....1 „ft!„ black „hand„ and „lr tRPl..... ��> 3!... 0 ...
1, 71AQW >t1...4)�btfiib
................. ......................... ............ I................. .............................................................................,.................... ............- ...............:..
Soil Log Hole No. 2 n It
Soil Log Hole No. 3
...................................... ................................................................................................. .............................. ......... . .................................... . ....... I............................
Soil Hole No. 4 ...........................................»..............,.................................................,..................................................... .............,.......,.'....... .
» ................. ... ...................... ........ ...................... ................. . ......................... . ................ . ......... . ............. . ....... . ............... . ............. .................. .....................................
Elevation of Water Table,, if encountered. (Distance from ground surface) .... 3.., nr... 4tAx... a��11(ig• ..................
Give estimated difference in elevation between high and low points on lot in feet 20 feet ,, ,
........ ...............................
............................................................... ...............................
Percolation * Note information on back.
Test Hol No. 1- Average rate ............. t ............. (Fall in minutes - per -in. bottom -6” of test hole)
No. 2- it ” to of to It „ „ „ „
of PP
No. 3- ..............................
No.,6- f1 it of ,# )p „ ,,. ,) 1, 1, 00 00 (For additional remarks or comments attach letter,in triplicate or utilize unused,spaces around drawing'on
reverse side of application) ,
i
Signature Designer .......C.f ... .. ............ .,. .....-.................... ................,.............. Date a&n....22 9 ........
DO NOT WRITE BELOW THIS LINE. (To''be filled in by Health Department)
Accepted »�...............�... S .1........Not Accepted ......................................... ...... »........................ ........^^�- v..- .........
Date Dace Health Depart n anitatian
SAP•118 Rev. 6 /10 /SB
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DrAinfield area to be filled with sand. and �
gravel material, to allow ample room. for �
drainfield; This designer'must "approve
fill before placing. This designer will
then perc lot to determine amount of drain-
field' to be installed. 'This designer and
`:;f ' c
. the, Health, Pepartment to be sole 3ud es of
amount of Bill. to be put in place. , Footing
...
and downspout drains are, to; be, carried
past drainSield in tight line, No drain-
` 'I
field shall' - be allowed any closer than
ten `. feet from edge of 'fill': .
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