HomeMy WebLinkAboutPermit 380 - Nyholm Residence - House and CarportJackNyholm
new house with carport
5215 south 164th street
BUILDING
PERMIT No.
N? 380
OWNER 7* RJ t h t /V LJ A+
BUILDER L
ARCHITECT
1 t
JOB STREET
I ADDRESS!
USE ZONE LEGAL
l
3
J
FT. FT. d SQ. FT.
YARDS
MAIN
•,DI STANCE To
BUILDING
OPERTY LINES
q,
FT. X ,d... f/ FT. [J V SQ. FT.
CLASS OF
WORK
8Q. FT.
MAIN
I DEN
BUILDING
SIZE
OF ACCESSORY
BUILDING BUILDING
A
S y
IADDRESS DATE
.7 J �I�' IL ���•✓'V rJ I PH
(ADDRESS
(ADDRESS I
NUMBER r
l .1 LOT SIZE 1 A ,ir
A 0 1 LOT AREA
A "t`li'� d (l: �0 1 LOT BLOCK
SET BACK SIDE YARD REAR YARD NEAREST ACCESSORY SET BACK SIDE YARD REAR YARD NEAREST
BUILDING BUILDING BUILDING
WIDTH
DEPTH AREA
TYPE OF CONSTRUCTION
J
FT. FT. d SQ. FT.
WIDTH
DEPTH A,R(EA/�
OCCUP NCY y TO BE USED rr HOW BASEME j
AS LY, f HEATED O SIZE iU Sq. F7.
(y
J L
q,
FT. X ,d... f/ FT. [J V SQ. FT.
I TOTAL I
ROOMS 3
8Q. FT.
I COMBO
I DEN
EXISTING BUILDING AREA
I NOOK
I GARAGE H OET.�
SQ. FT,
Bd
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
LOT COVERAGE
Q
SQ. FT.
OL C..i .f.• SQ. FT.
r
EXTERIOR
FINISH 00, �7 t )v L�
OCCUP NCY y TO BE USED rr HOW BASEME j
AS LY, f HEATED O SIZE iU Sq. F7.
ROOMS
I TOTAL I
ROOMS 3
BATHS I LIVING
I COMBO
I DEN
I KITCHEN (NOOK
I NOOK
I GARAGE H OET.�
Bd
VALUATION OF
ALL IMPROVEMENTS HOUSES 6` �j"` GARAGE i HOUSE ATT. GARAGE i OTHER i
1
FOUNDATION OK
I FRAMING OK
I FINAL INSPECTION
f
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 City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre.
sented when work is done by occupant or lessor OWNER G♦ X
v v
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE Q THER MISC.
HOUSES GARAGES 'GARAGE i 1%UILDI FEES i
BOND NC' TOTAL FEES i �1/ qY E /���Y I 7 DATE
r i
NOTICE THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION. j v
PERMIT PLACARD MUST BE POSTED ON THE WORK
x
x
yy Y
1 d
SEATTLE -KING COUNT DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATIAN
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL
(Submit in Triplicate)
(This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank
Permit.)
Location of Property- Street A:ddress lyd,.
Addition or Subdivision` ..f,:: i:":- 4-- S�f Lot ......Block
Type of Building: New .......Existing Single family residence? 1!''
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 :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 10821 -8th S.W. CHerry 4.6400
Ownsv Q114- t e Addres ..'.g'.... 01"hon+h .......wi.
Builder ............:...........Address Phone
Designer,!�C ":.M"5 r;rfi+.... Address; .t'r' ".r.^ ,y Ph .:,,;s�..
,.s
Soil Log He No. 1'�r rw "4, -�GI✓ !....s° t d f..` u «�w U
Ho 1�-w r,
Soil Log Hole No. 2
......I........................
Soil Hole No. 3
I..........
Soil Hole No. 4
Elevation of Water Table, if encountered. (Distance from ground surface) '?'...l e
Give estimated difference in elevation between high and low points on lot in feet .t!'
Percolation
Test Hol No. 1- Average rate tt+i .0o...6..(Fall in minutes per -in. bottom -6't of test hole)
No. 2- of to to to It to It It of It to
t► rr tt tt of It to is of t► is
No. 3- �r''+r...
No 4- ►t to I.............. it to to It to to to of t►
N t► tt to to to to to it to to of
No. 6- of to to of to rt to to It or
(For additional remarks or.gpmrylents attach letter in triplicate unused spaces around drawing on
ct+verse side ofapplicacion) ^�a"
Signature Desigriec` ..r~"�'�..:ti „:2; w'::...: ���c' -rn.. D to ,�,t�`
DO NOT WRITE E EL THIS LINE. (To be filled in by Health Department)
Accepted f'fp.. I.....Not Accepted
:.,Y
Date Date Health Department Sanitarian
SAP -118 Rev. 6/10/58
cgs 13.15.2
x
x