HomeMy WebLinkAboutPermit 075 - Butler Residence - New Houseglen Butler Residence
N`.' 75
OWNER
MAIN
BUILDING
ADDRESS
DEPTH AREA
�/
PHONE
DATE
BUILDER
SIZE
ADDRESS
r�
i� „6� FT.
_
^ .y PT. a O 80. FT. I
ARCHITECT
ADDRESS
WIDTH
DEPTH ARE/
OF
BUILDING
JOB
ADDRESS
STREET /d 4"
a7 (p/'I
/� v,� � NUMBER
USE ZONE
LEGA �3y►
L u d.
sa.
tl
LQT 812E 0 O
OT A G
7"
¢7d .4 - T n! f 7,
1
(t:•+%�.0 tD1 V"V 'D7 ,
. , #�
LOT
BLOCK
YARDS
DISTANCE To
PROPERTY LINES
MAIN
BUILDI G
SET BACK
� �
SIDE YARD
����
REAR YARD
11
�8
NEAREST
BUILDING
ACCESSORY
BUILDING
SET BACK
S10E YARD
REAR YARD
NEAREST
BUILDING
CLASS OF WORK !U F H./
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
covered 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
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 -- e BY X �'�'� -'�
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGE S G ARAGE f — BUILDING FEES s
RECEIVE D PERMIT ,
BOND NO. TOTAL FEES S 40 BY DATE
e l NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
DEPTH AREA
�/
TYPE OF CONSTRUCTION
SIZE
r�
i� „6� FT.
_
^ .y PT. a O 80. FT. I
ACCESSORY
BUILDING
WIDTH
DEPTH ARE/
OF
BUILDING
X —
—
rte^
FT,
FT. 80. FT.
FT -
EXISTING BUILDING AREA -- -1L�(/ -- °
SQ. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
—
—
- Flo
9
%
d 0
SQ. FT a o 80. FT,
EXTERIOR
r/
FINISH
0
A)
e �I 5 72, - D L
OCCUPANCY
TO BE USED
HOW ,
BASEMENT
AS `
G «7
H EATED ..`f
V
SIZE // 00 SQ.
FT.
ROOMS
TOTAL
BED
pOOMB
BATHS
LIVING (
L•D
COMBO t
DEN
KITCHEN NOOK
K +D
ryOOK
ATT.
GARAGE DET.
❑
❑
VALUATION OF
ALLIMPROVEMENTS
HOUSES V
GARAGE i
HOUSE - ATT. GARAGE f
OTHER f
FOUNDATION OK
FRAMINOOK
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
covered 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
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 -- e BY X �'�'� -'�
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE & OTHER MISC.
HOUSES G ARAGE S G ARAGE f — BUILDING FEES s
RECEIVE D PERMIT ,
BOND NO. TOTAL FEES S 40 BY DATE
e l NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
SEA' TLB -KING iCOU f DEPARTMENT OF PUBLIC HEAL h = DIVISIR EGAEAWED
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL APP 1 2 1962
(Submit in Triplicate) ,. SO
:,.�- ,� UTHSAS T DISTRICT
(This accomyanies.,the building permit applicA6i6; and is prerequisite.to. the issuance 00,W4td1Pft c
Permit.) �}
Location of V roperty- Street' Address r'. t! .�t n..»3. :, '?.......... '�� ..`: ............... .. ...I ............. .I.............
Addition or Subdivision ._ ,.T !� ! �� 7r����...Lot ............Block .....I ..............
Type of Building: New ... ...k .. .............Existing .......................... Single- family residence? ........ "DTI...........................
' alinement .... ...!.:::;` ................Other (Specify) ..........................................................! ............ .I ..................... :...........
Nr,TE: This application may be submitted to the main office at 904 Public Safety Building, dr, -for prompter
service, directly.to the branch office having jurisdiction in the area in which the property is 1pcated. To
contact District Sanitarians by tel place phone calls before 9:30 A.M.
Seattle, Offic� W 904 Public Safety.Building ^— MAin 2.6000, Ext, 2£ 1 oU76
North $nd . "' °` `� 15272 - 15th Northeast ------- EMerson 3 -4765
` Eastside` 904 Public Safet y g Buildin M'Af� 2.6001 Ext. 2t
' Southeast " 4
Southwest 707 S uthwest 1 00th ton i 4" W9st 09616. fi
Owner �.�+,,,�! >�!'�' 'r..... ,�' t,�.'.. ��............A .�.: r�. :.. ".:. ..... "�..:a........ :� ..... honk !�..'.��..'�'i�.
,rf........,:� �t�!, ". ^••:!' ;? ................. .Aildress� .................. ° .. .............I..........: "..... ........... PhoL ............ .........
Designer ,.r' ,1�..�„�........,I I I. 'l. ' . ,............ Address ., e�' 1''��'..r..... ...�. ......:"�.!� �... ��.... .........
{ �.... ,
Soil Log Hole No. 1 . . »G'.....I ........... r..c.1,.$. 15: t?' .....I...... ....... r'' '.'...... ' ; -, , - » G.. .............................
.............. . ................ I ............................ I. ...... ......... ........ .... ........... .. i .... a ..... .... ...............................
Soil Log Hole No. 2. ..................... ..t..............t`............ ';.;. .:.�'�•`'r .... ... .. ....... .. . c.'!,":1..!� ... .... .... .......
». ......
,
............. ............. ...................... I.,...... .� . .... :r -.... + .. .... ...�.... I .. x ...............��. ....y..........� yy` ...... :N .... ;' �..... ....t.................
Soil Log }Tole No. 3 4�' ................ . ..t....s:t »..........G...d.... .., r,.t:r'i� t....,. f..................................... ..................;,...........
IlN
.............a........n n.......a..»»..........o . u..... .......... n...».. o.... .....»............»............ uu...................... . ........... n........ n............. n.. ...»...............�........... u..........».........
Soil Log Hole No. 4 .......................................»......... t.... ............................... ... t ........................... ............................... . ...............................
..
» ........................ ..............................' ... {...... . .... . ............. . ............... . ....... .. ............ ..., ..................... .......................................................
. ..::. ..............................I
Elevation of Water Table if,•encountered. (Distance from ground` r ,,t`�'' ^'� .
+
. ..
Give estimated difference in; elevation betwe�q tigh and low points on lot in feet ..........., r...... ..... I ............:..........I
Percolation
Test Hol No. 1- Average rate (I•all''tn iflin ites-�er in. ottom -6" of test hole)'�Z
k ..
No: 4- „ to to t, P tt to - to to it to ,t
No. 5- to t) 11 it I to to It of it tt „
... ...............................
N 6- to „ of ,t to it t► to to to tt t,
. ...............................
(For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on
reverse side of application).
Signature - Designer ,T � "- ....
/,�
��... .x.:. �a r.. ..... s .............................. Date .. ..........................�... �'.
NOT WRITE BELOW THIS LIN
n by Hea1tk&Department)
Accepted .......... Neil - - ...... ....... .: ..,r.��.... .:. /..1..:...!�........
Date Date
Heal attment Sanitarian
S•AP -118 Rev. 6/10/58