HomeMy WebLinkAboutPermit 516 - Fulrich Residence - Move HouseBUILDING PERMIT
CIT( )F TUKWILA BUILDING PE( AIT
TUKWILA, WASHINGTON
BUILDING
PERMIT No.
IV?
516
OWNER •' Li I �'j i c
//j�
ADDRESS , �r /��, I
C/7
PHONE
DATE /
ACCESSORY
BUILDING
WIDTH D D TH
FT. ^ 'L T. 80. FT.
BUILD H
AV Al
ADDRESS
A• HITECT
ADDRESS
EXTERIOR
FINISH
0.
JOB
ADDRESS
STREET /• ✓, I / {t - Z %!!` j NUMS6i/ i w / / L••� ' A
VA :/ %! ,(� ,'w9/ I ✓ o
USE ZONE
C. /
/j/ /JL
LEGAL
LOT SIZE
LOT
LOT AREA
BLOCK
•-••-•- •-••-•- f
.
! YARDS
. DISTANCE To
Ii OPERTY LINES
L
MAIN
BUILDING
SET BACK
SIDE YARD
REAR YARD
NEAREST
BUILDIN
\
P_
ACCESSORY
` BUILDING
SS BACK
\\ %.
^ ( 1 l
SIDE YARD
REAR YARD
NEAREST
BUILDING
CLASS OF WORK
SIZE
OF
BUILDING
MAIN
BUILDING
■
WIDTH •EPTH IV AREA, `
-..
FT. ��1,ip =. FT.
Q
TYPE OF CONSTRUCTION
ACCESSORY
BUILDING
WIDTH D D TH
FT. ^ 'L T. 80. FT.
80. FT.
-
• X lirl G BUI G A E -- .•ILL. -
SO. FT.
LOT COVERAGE
yr
TOTAL RE Ole IE•
_t.
FT. •
LOT AREA LOT AREA OCCUPIED
80. in% F.-2
EXTERIOR
FINISH
0.
OCCUPANCY
TO BE USED `
AS
HOW
HEATED
BASEMENT
SIZE 80. FT.
ROOMS
TOTAL
ED
ROOMS
BAT
VINO 1JJ D
OMBO
DEN
KITCHEN
NOOK
K D
NOOK
GARAGE ATT. ❑
DET. []
VALUATION OF
ALL IMPROVEMENTS
HOUSES
GARAC S
HOUSE - ATT, GARAGE $
OTHER S
FOUNDATION OK
I FRAMINGK [INAL INSPECTION
REMARKS. DESCRIPTION OF ANY WOK NOT C
D ABOVE
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.
WARNING
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- Zy sented when work is done by occupant or lessor. OWNER �CC� x
PERMIT FEES: (THIS SPACE FOIE UILDING DEPARTMENT USE ONLY)
HOUSE S GARAGE S HOUSE &
_— RE
BOND NO TOTAL FEES S BY
OTHER
BUIL
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION,
PERMIT PLACARD MUST BE POSTED ON T E WORK
S
ATE
Beginning at the intersection of the North margin
of the Bow Lake Pipe Line and the West margin of
the West Valley Rood; thence. running North along
the West martin of the West. Valley RoE c1 a distance
of 380 feet; thence westerly 20 feet more or less
to the Bast bunk of the Green River; thence couth-
erly along; the Eat bank of the Green River to the
North margin.of the Low Lake Pipe bine; thence East
178 feet along the North margin of t ;he •Bow Lake Pipe
Line to .the point of beginning. •
This discripti:on being a portion of Henry Mender.
Donation Claim #46. .131tunted in Sections 24 and
25, Township 2 a, Rsn ;e 4, F .bt .ti
• , King; County,
;trite of •Wr►Hhin4Fton.
A
Owner .
Builder
Architect
1I
I; V/
CITY OF TUKWILA
APPLICATION FOR BUILDING PERMIT
Value of Construction $
Address
1 ■•
iXlY ".M.:Yl3y."ai,`+'�•.',i:•1.,..0 ..
hone
Address Phone
Address Phone
The following information to be attached to this permit
1. Two (2) copies of legal description of property
2. Plot plan r/
3. Two (2) copies of building prints
Additional nformation or comments
W , / 6 . 1 /1 6 /'// /Jj
Signature of Applicant r
Mailing Address of Applicant
U! 9- /q6S-
Date of Application
(This' accompanies
System Permit)
SEATTL KING COUNTY DEPARTMENT OF PUBLIC.' HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Roots. 904, PUBLIC SAFETY BUILDING
' SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
(Submit in Triplicate) ' '
the building permit application and is prerequisite to the issuance of the IndivicKC1(lD'%r( STAI )S3 IZlc j
' HEALTH OFFICE
L..
';.) .T7.
NOTE: If the property is within the boundaries of an operating sewer district or other sewering authority, it will be necessary
to obtain written permission from that, authority allowing use of an individual sewage disposal system.
•
/..,47. 9 .1 hie ,t %: ./
Lot Block
Single Family Residence 1,4, (No. Bedrooms.__ )
Other 0 (Specify) f ` ;,: e. r4 14./
Location of Property—Street Address
Addition or Subdivision O 0
(Or attach legal description)
Type of Building:
/1/4'.):, a//
New ❑
Existing L
ra
I
Seattle Office
North End
Eastside
Southeast
Southwest
904 Public Safety Building 98104
15272 -15th Northeast 98155
15607 N.E. Bellevue- Redmond Road, Bellevue 98004
12015 S.E. 128th Street, Renton 98055
10821 -8th S.W. 98146
Owner/'. t
JUniper 3.2065
EMerson 3 -4765
TUcker 5 -1278 (SH 7.1760)
ALpine 5-3496
CHerry 4 -6400
Street Address /` - 6, , 2'..f ' i'." / 4://11 f y /;f
City -Zip Code ?fr' f',.w; ", ' Phone //. • $".. :‘, ,' 7
Street Address
Builder X City -Zip Code Phone .,
,--, • .Street Address �rC�7)j ^ `"' "` J) 4:, 'r: -r
Designer `� .4 �,. '` t14'. ,j, �. City Zip Code .�� Phone i„�1,= _g,+ 4 i
Soil Log Tests (Describe soils encountered preferably by FHA's uniform soil classification system). Minimum depth 48 inches.
Hole No. 1
Hole No. 2 j ✓. ww / "
Hole No. 3
Hole No. 4
rc-;'
Evidence. of Water, Table, if encountered. (Distance from ground surface)
Source of Domestic Water Supply r , •
Percolation Tests .(Fall in minutes per inch, bottom 6 inches of test hole)
Hole No, 1
Hole No. 2
Hole No. 3
Hole No. 4
Hole No. 5
Hole No. 6
Depth
Average Rate
Length of Time Soaked
,Z fie; tr
r 0 r.
(r ,Yt-�)
wr t. e'
M��.., t t
(For additional remarks or comments attach letter in triplicate or utilize unused
application.)
Signature - -- Designer
✓/ fr.j; 4
spaces
around drawing on reverse side of
Date
DO NOT WRITE BELOW THIS LINE. (To be filled in by, Health Department)
Accepted. C1 r' "'/�%.�C t' r7 � �z•< t
Not Accepted Li
S•AP•11B Rev. 8.10•G7
CSS 13.15.2
(Dale)
(District Sanitarian)
(District Office Use)
site plan