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HomeMy WebLinkAboutPermit 1092 - Seattle House and Home - New HouseSeattle House and Home new residence BUILDING PERMIT TOWIJF TUKWILA BUILDING IKERMIT TUKWILA, WASHINGTON BUILDING PERMIT No. N? 1092 ADDRESS C., PHONE �A DAT T ti BUILDER l �• OF ADDRESS ACCESSORY WIDTH DEPTH ARE BUILDING ARCHITECT R a2 _ ADDRESS a'd?1 - v es r 7E R Rio CFE JOB STREET NUMBER EXISTING BUILDING AREA - - - - -- - - - -- LOT X BLOCK ADDRESS LOT COVERAGE TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED - ©% EXTERIOR FINISH �ry �+ J 1 CE D P, i jDoA'✓G r " Sp a 5RIC.� V eA, F_ R OCCUPANCY I TO BE USED -- AS Rie g b ,= No- G! HOW HEATED C 4.. ROOMS TOTAL _ - LO S12E �L✓ _ OT EA /,:Z USE ZONE L•D COMBO " KITCHEN NOOK K +D ry00K AT. GARAGE OFT. YARDS MAIN SET BACK BIDE YARD REAR YARD NEAREST ACCESSORY SET BACK SIDE YARD REAR YARD NEAREST DISTANCETO PROPERTY LINES BUILDING FRAMING OK FINAL INSPECTION BuILOINO BUILDING SuILDINO CLASS OF WORK AAC W %` R . I n F_ N C. S REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE I C WARNMG I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be cov ered bef ore inspection and OK for covering has been gi ven 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 Buil-cam Inspector governing building cons ,tion. Written Authorization of the owner must be pre. sented when work is done by occupant or 19ssor. x ._ PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) HOUSE 9: OTHER MISC. HOUSES ______-.GARAGE GE � �� BUILDINGS S , _ _FEES S BOND NO, �_ ___ - -_-._ TOTAL FEES S - -_ - BY CEIV �yF,} ` 4� ��BY 11-1 "°"`DATE � �� ��L� .� f� NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION. PERMIT PLACARD MUST BE POSTED ON THE WORK MAIN BUILDING • WIDTH DEPTH AREA - - FT. ^ � TYPE OF CONSTRUCTION SIZE FT. �o Sq, FT. OF �� M E ACCESSORY WIDTH DEPTH ARE BUILDING BUILDING �/ _ FT. ^ FT. - Sq. FT. 2L7 6 © SO. FT. EXISTING BUILDING AREA - - - - -- - - - -- SO. FT. LOT COVERAGE TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED - ©% EXTERIOR FINISH �ry �+ J 1 CE D P, i jDoA'✓G r " Sp a 5RIC.� V eA, F_ R OCCUPANCY I TO BE USED -- AS Rie g b ,= No- G! HOW HEATED C 4.. BASEMENT SIZE 1 12 SQ, FT. ROOMS TOTAL BED ROOMS BATHS LIVING L•D COMBO DEN KITCHEN NOOK K +D ry00K AT. GARAGE OFT. VALUATION OF ALLIMPROVEMENTS HOUSES GARAGES HOUSE A71A RAGE S� OTHER S FOUNDATION OK FRAMING OK FINAL INSPECTION REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE I C WARNMG I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be cov ered bef ore inspection and OK for covering has been gi ven 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 Buil-cam Inspector governing building cons ,tion. Written Authorization of the owner must be pre. sented when work is done by occupant or 19ssor. x ._ PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) HOUSE 9: OTHER MISC. HOUSES ______-.GARAGE GE � �� BUILDINGS S , _ _FEES S BOND NO, �_ ___ - -_-._ TOTAL FEES S - -_ - BY CEIV �yF,} ` 4� ��BY 11-1 "°"`DATE � �� ��L� .� f� NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION. PERMIT PLACARD MUST BE POSTED ON THE WORK r. SEATTLE- KING,COU : C DEPARTMENT OF PUBLIC HEALIf DIVISION OF SANITATION Room 904, Publ'tc' Safety Bui'l'ding APPLICATtbN,90R BUILDING SITE APPROVAL ? V1. (Submit in Triplicate) (This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank Permit.) Location of Property - Street Address ......... .........:............: ��`..!/...'';° 4................................ :................. Addition or Subdivision . l!&l' '.,....?��-- �..--- L�l.ft!�..Lot .i'r.r .... ..Block . : .................. Type of Building: New ..... ............... Existing . ............................... Single- family residence? ....:...., !! ........................... Basement......e....11 - ............ Other (Specify) .... ....... ............................................................ ...: '........ »................... NOTE: This application may be ubmitted to the main office at 904 Public Safety Building, or, for prompter service, directly.to the branch office having jurisdiction in the in which.the property is located. To contact District Sanitarians by telephone, place phone calls before 9 :30 A.M.' Seattle Office '' ` 9D4 Public Safety Building Ext. 281 or 376 North End 15272 - 15th Northeast EMerson .3-4765 Eastside 904 Public Safety Building MAN 2.6000, Ext, 281 - Southeast 812 "E" Street, Renton, ALpine 5 -3496 Southwest 707 Southwest 100th WEst 7 -0961 Owner .1�°,6Y..S'r'� / �'?.,- ......... Address /,c��,�" A, Builder ............................... `- '........ ........................Address ................ �..:...r. ... ....................... ....... Phone "`'- >............. Designer ...................... ............................... ......................... Ad ress Phone Soil Lod Hole No. 1 r ....� t ��' �. r '1�r;X�' ..�i's ,C �z.... �...... ...�� .l,. r ;.y ,......... ....,..... ................. ...............:.:.:........... llLog Ilole N �.2 ................................................................................................. ...................I........... ......... ..: ...............,:....: ................................................................................................................................................................... ............................... Soil Log 1iole.No. 3 ....... ......................................................................................... ............................... .............. .................. I .............. , ......................... ................................................................................,........................................................................ ............................... Soil L,og'Hole No`. 4 .......:...................................».............................. .............................;. ............................. ............................... ................... `r ............................. a..�......... nu........ o.. ........ .... ....................... . ............. .......... . n............ .............. . ...... . ....... . .................... . ..... ......... ............. ...... .. ............ I ... ................. El evation of Water Table, if encountered. (Distance from ground surface) r. e.w.e............................... .................. .. Give estimated difference in elevation between high and low points on lot in feet ..... eQ! ............. .... . .......... ..... Percolation Test liol No. 1- Avera) No. 2- " „ No. 3- No.4- „ ;e ratciZ........(Fall in minutes- per - irt. bottom -6" of test hole) /..1moov7..4 ?),. ,1 to It „ of it IF 11 of „ ........................... It 11 to it 1$ 1) to it 11 N o. 5- 10 ,1 11 91 1, it of 11 tl 19 it 1, No. 6- 11 11 It /, of of )) ►, to t, ,► t, . ............................... (For additional remarks or comments attach le4ter in triplicate or utilize unused spaces around drawing on rdverse side of application) Signature - Designer ........I....,�..�...�.Q ��. ,�..... ."Z ,�x.. Date DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department) Accepted ............................ ............................Not Accepted .....................................................:..............................:.................. ............ Date Date liealdi Department Sanitarian S• A P -118 It a v. 6110158