HomeMy WebLinkAboutPermit 138 - Hansen Residence - New House don Hansen Residence
,BUILDING PERMIT
BUILDING
PERMIT No.
N? 138
OWNER
MAIN
ADDRESS
PHONE
DATE
BUILDER
TYPE OF CONSTRUCTION
ADDRESS
BUILDING
•,�. / PT.
ARCHITECT
FT. � 8q. FT.
ADDRESS
SIZE
i- JOB
ADD ESS
ADD RESS
STREET
l �/�+
e
NUMBER
Z O
USE ZONE
LEGAL L67 if
rt L19& 4D 9 12 K
Xg L , - 7p PA '3
LOT SIZE 7 91
L OT AREA 7 7 4,0
BUILDING
BUILDING
X
=
1 1 4C J Pd
rhl ' l
FT.
LOT
BLOCK
YARDS
MAIN
SETBACK
SIDE YARD
REAR YARD I
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO i
PROPERTY LINES
BUILDING
I/ ,
BUILDING
BUILDING
SO. FT.
BUILDING
I
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
GLASS OF WORK AI !i V!/
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
cove 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 �tate that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful ord s of the uilding Inspector governing building con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor.
OWNER BT X
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
,+� V e HOUSE @ OTHER MISC.
HOUSE C L.� G ARAGE S - A GE S— — BUILDINGS S —FEES S
RECEIVED PERMIT
BOND NO.— TOTAL FEES f- ��..BY _� BY DATE.S.�
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
;
PERMIT PLACARD MUST BE POSTED OH THE WORK
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
•,�. / PT.
v
^ �3
FT. � 8q. FT.
SIZE
"�`
y
ACCESSORY
WIDTH
DEPTH
AREA
OF
WOOD G��i �
BUILDING
BUILDING
X
=
�/
V 1
FT.
"
FT. — SQ. FT.
Bq. FT.
EXISTING BUILDING AREA---- --^---- --
SO. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
SQ. FT.
SQ. FT.
EXTERIOR
FINISH
W ool)
Sr
OCCUPANCY
TO BE USED
HOW
'ASEMENT
12E 80. FT.
^
AB K O'
Ib� c
HEATED juiec_
ROOMS
TOTAL
7
BED
ROOMS 3
BATHS
L•D
LIVING / COMBO
DEN
KITCHEN /
NOOK
K.
NOOK /
ATT. C]
GARAGE DET. ❑
VALUATION O F
HOUSE t CSC
O 1
GARAGE S
HOUSE . ATT. GARAGE S
OTHER S
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
cove 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 �tate that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful ord s of the uilding Inspector governing building con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor.
OWNER BT X
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
,+� V e HOUSE @ OTHER MISC.
HOUSE C L.� G ARAGE S - A GE S— — BUILDINGS S —FEES S
RECEIVED PERMIT
BOND NO.— TOTAL FEES f- ��..BY _� BY DATE.S.�
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
;
PERMIT PLACARD MUST BE POSTED OH THE WORK
r SEATTLE- KING'COUN' DEPARTMENT OF PUBLIC HEALTH AVISION OF SANITATION
Room 904, Public Safety Building �� EC j
APPLICATION FOR BUILDING SITE APPRO�A E 1 V E
(Submit in Triplicate) A Q ��
(This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank
Permit.) SOUTHER ST pi
5703 I'+i�ula Dri�� H E TH OFFI C E
Location Property•Street A:ddress .........................»............ ...... .............................................................................................. ...............................
Addition or Subdivision ._Riv* »...... .... » ...................... »... ............................Lot .....?...............Block ....................
Type Building: New . »..X .. .......................Existing . ............................... Single - family residence? ................ .x.............................
Basement......> 011 .....................Other (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 JUniper 3 -2065
North End 15272 -15th Northeast EMerson 3 -4765
Eastside 15607 N.E. Bellevue- Redmond Road, Bellevue TUcker 5 -1278
Southeast 812 "E" Street, Renton ALpine 5 -3496
Southwest 1 0821 -8th S.W. CHerry 4.6400
Owner,Cla► kRQ*... RPA .............................. ............................... Address
Builder !M* ....................... ............................... ........................Address
Designer 9amV1 At... 400% ............. ............................... Address
Soil Log Hole No. 1 ...,:G ,P!! oilj 54n.......
.......... . ........ . ......... ... ....... I ........... I.... .sA ndJ. ...............................
Soil Log Hole No. 2. ...... .......... Bsim4...Ap.. »?!b4; w.................
: ...................................................................................................... ...............................
Soil. Log Hole No. 3 .» ............... ...............................
....................
.1 7 t... 4#49M..nrt .............. Phone ROOM..
..................................... ............................... Phone ..........................
.. ' A... 4x.... .....A14A .............. Phone 040
.......................... . .......... . ........ . ...... :..:........ ........... ...........................................
........................................................................................ ...............................
.» .................................................................................... ...............................
............. ................. ............ ................. ..... ......... I ..........
...........
............................................................................ ...............................
Soil Log Hole No. 4 .. .. I.............
}
...» .......................................................................................................................................................................................................................... ...............................
Elevation Water Table, if encountered. (Distance from ground surface) ...........! ....! M ............................ ...............................
Give estimated difference in elevation between high and low points on lot in feet .......2!........
...... ............................... .
........................1.
Percolation
Test Hol No. 1- Average rate ( p b ottom- 6" ......� .................. Fall in minutes-per-in. 6 of test hole)
No . 2- 11 1► .... . ................... 11 it it OF to It to IF of IF
11 of �L 11 OF It it IF to to of ►1 of
No. 3- ..............................
No . 4- it IF ... ............................... 11 IF 1► to it 11 11 /1 to 11
No. 5 11 ►1 11 /► 1/ 1/ 11 11 " ►1 11 If ►►
. ...............................
(For additional remarks or comment ttach letter in triplicate or utilize unused spaces around drawing on
rdverse side of application) y
Signature - Designer ..............
.. Date ...400/03..........................
DO NOT WRITE BELOW THIS If (To be filled in by Heatth Department)
- ..................
� / .. ..............
Accepted . »....G...'....,�� ..... ..........Not Accepted /� �!..�4 U??....l�
Date Date Healdl Department Sfitarlan
S-AP -118 Rev. 6/10/58
cell 1 -IL 16.9
site plan