HomeMy WebLinkAboutPermit 117 - Holl Residence - New House Holl Residence 117
" .PERMIT No.
BOII.DING
OWNER
MAIN
BUILDING
ADDRESS
FT. ^ �/
PHONE
OWE
BUILDER
ADDRESS
O (
ARCHITECT
ADDRESS
ACCESSORY
WIDTH
JOB
STREET
NUMBER
OF
V
W '" JV
ADDRESS
BUILDING
r'
X
USE ZONE
LEGAL
�' AH
pp��/ v
LOT SIZE % ^ /#
O
SFG AC 0? 3N /�!�� Mi; �
1
l �
7urw �
BLOeK
1 v a
EXISTING BUILDING AREA -- — —
LOT
(YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SETBACK
81DE YARD
REAR YARD
NLARLST
DISTANCETO
PROPERTY LINES
BUILDING
�I�,
80, FT.
BUILDING
BUILDINO
NUILDINa
A,
lG/
EXTERIOR
• CLASS OF WORK / Y ; W/
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
c overed 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 governing building con-
struction.
Written Authorization of the owner must be pre - - [[ f� ,p
sented when work is done by occupant or lessor. OWNER' 144' P..a�,_.f' �"r'-""'Z -� DY Q . r w t d
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) q
HOUSE $ G ARAGE t ARGE f
H OUSE
f '' �� /� �+ OTHER MISC.
� �— BUILDINGS f FEES f
R ECEIVED PERMIT
BOND NO,— TOTAL FEES f Y Y ATE
4
IF NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATIO .
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH
q
FT. ^ �/
DEPTH
SS
AREA
_
PT. � 3 � BQ. FT.
E
E
TYPE CONSTRUCTION
SIZE
O (
n
ACCESSORY
WIDTH
DEPTH
ARE A
OF
V
W '" JV
BUILDING
BUILDING
X
—
FT. � `
RT. 80. F T.
1
•!
1 v a
EXISTING BUILDING AREA -- — —
80, FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
,�
%
80, FT.
•
f/ w' 80. FT.
A,
lG/
EXTERIOR
FINISH
G
I' V
OCCUPANCY
TO BE USED
HOW
BASEMENT
AS
HEATED 044
SIZE 80. FT.
ROOMS
TOTAL
BED i /
ROOMS
f
BATHB�/
LIVING
/
L D
COM BO
DEN /
[
KITCHEN
NOOK
X °0 n� y G�
NOOK
GARAGE ATT.
DLT,
LJ
❑
- - // I J�
VALUATION OF
ALLIMPROVEMENTS
HOUSE i
GARAGE f
HOUSE'. ATT. GARAGE
f
OTHER f
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
c overed 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 governing building con-
struction.
Written Authorization of the owner must be pre - - [[ f� ,p
sented when work is done by occupant or lessor. OWNER' 144' P..a�,_.f' �"r'-""'Z -� DY Q . r w t d
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) q
HOUSE $ G ARAGE t ARGE f
H OUSE
f '' �� /� �+ OTHER MISC.
� �— BUILDINGS f FEES f
R ECEIVED PERMIT
BOND NO,— TOTAL FEES f Y Y ATE
4
IF NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATIO .
PERMIT PLACARD MUST BE POSTED ON THE WORK
Room 904, Public Safety Building (, t 1
APPLICATION FOR BUILDING SITE APPRO A , "'
(Submit in Triplicate) JAN 4 V
3
(This accompanies the building permit application and is prerequisite to the is ua [ I A �ptj i nk
Permit.)��
Location Property- Street A:ddress .c ..l ..........................................................
..............................I
/ 1.
Addition or Subdivision .. lr.., 11- e ..........� '. rti7� . ... ............................Lot
.. r.... Block ....................
Type of Building: New ............ ...... Existing ............................... Single - family residence? ..............................
Basement .....................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 9:3 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 10821 -8th S.W.
CHerry 4 -6400
L,,,8P7ftTLE -KI'NG COUN - C DEPARTMENT OF PUBLIC HEALTI, DIVISION OF SAIrATION
Builder .............N
Design
Soil Log Hole No. 1 ..►r0... ....
f..
...................Address ......................
............... . ... . ............... . ............. ................................................................................................................................................................................ ..............................I
Soil Hole No. 3 ............................................................................................................................................................... ..............................1
............................................................... . ................... . ... . ............. ................................. . ..... .... ................ . ........ . .................... . ... ............................... ..............................I
SoilLog Hole No. 4 .................................................................................................................................................................... ...............................
.... ............................................................................................................................................................................................:............................. ...............................
Elevation of Water Table, if encountered. (Distance from ground surface) �f40Y. ....................... ...............................
Give estimated difference in elevation between high and low points on lot in feet ................................. I ...... .
.............................................................. ............................... `
Percolation IiiX47
Test Hol No. 1- Average rate (��....t... 4.� ...........(Fall in minutes - per -in. bottom - of test hole)
No. 2- if it ' .............. it „ „ „ ►> „ ►, ►►
„ tt to of to it of to to ,t to to
No. 3- f
No . 4- ►► ,t . I .................... to to of to to It to to to tt
No. 5- " ,t to tt t, 1) of to tt of to t,
... ...............................
No. 6- tt it
(For additional remarks or c,
reverse side of application)d
Signature - Designer
DO NOT WRITE BELO
. ...............................
m, gegAuarh letter in triplicate or utilize unused spaces around drawing
0
Date
K. -
vl
I .............
. (To be filled in by Health Department)
..Not Accepted .................. .............................., y � .......... r;:. .�..... Gxt..........I........:�......
Dace Health Department Sanitarian.
Accepted ...........
[.� ... ...I........ ..`3,
Date
S-AP -118 Rev. 6/10/58
ceatN_101_2
............................................................................................................................................................................................................................. ..............................I
SoilLog Hole No. 2 ....................... ... ................ . .............. . ............. . ....................... . .............................. .......... ...............................
site plan
legal description