HomeMy WebLinkAboutPermit 216 - Keller & Johnson Inc - House and Garage Keller & Johnson Incorporated
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BUILDING PERMIT N? 216
MAIN
BUILDING
WIDTH
f12 /
ADDRESS S—,/,
/J
'�Jy
TYPE OF CONSTRUCTION
PHQL / jv. -'aa
7
DATE - --
BUILDER
1
FT.
�
ADDRESS
ACCESSORY
WIDTH
DEPT`
AREA
OF
BUILDING
ARCHITECT
^ ` ,
�(
FT. � `
ADDRESS
/
y
JOB
ADDRESS
STREET
h/l
✓ U B[
f
HQ. FT.
USE ZONE
LEGAL IL
O
L
j .aL
1713r
LOT SIZE
P FV e /• X ope
0? j
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA LOT AREA OCCUPIED
%
BLOCK
t -p S FT o✓
EXTERIOR
LOT
YARDS
MAIN
BET BACK
BIDL RD
REAR YARD
NEAREST
ACCESSORY
SET BACK
810E YARD
REAR YARD
NEAREST
DISTANCE TO
PROPERTY
BUILDING
/
/,3
/
9
S
L A
BUILDING
BUILDING
a h /, A + TT.
ROOMS
TOTAL
BUILDING
LINES
.0
f U A/
-•7
DEN
KITCHCN
NtlOK
K•D
NOOK
GARAGE DET.
C{
[I
CLASS OF WORK All v/
C
v
c:
REMARKS DESCRIPTION OF ANY WORIC NOT COVERED ABOVE
0
1
WARNING I 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 i n writing on Permit Placard.
I hereby acknowledge that I have read this application arid 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. O WNE R ; 1 t _'. " 'v 1^ DT x = � n' t AI
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE 4
HOUSES G ARAGES G ARAGE
BOND NO.— TOTAL FEES f `- -� qx
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INST
PERMIT PLACARD MUST 8
misc.
FEES fQ /may
DAT E 77' _ __L
WORK
MAIN
BUILDING
WIDTH
f12 /
DEPTH
�( /
„
AREA
—_
8Q.
TYPE OF CONSTRUCTION
SIZE
1
FT.
�
FT. 1 2-6-6 PT,
ACCESSORY
WIDTH
DEPT`
AREA
OF
BUILDING
BUILDING
^ ` ,
�(
FT. � `
_
FT, SQ. FT.
/
y
HQ. FT.
EXISTING BUILDING AREA------- -
j .aL
SQ. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA LOT AREA OCCUPIED
%
t -p S FT o✓
EXTERIOR
FINISH
OCCUPANCY
T B! UBlD
°4—
e
S ME MCN ^" r ) SQ.
FT,T,,.c
L A
HEATED 6 A l ht
I •
a h /, A + TT.
ROOMS
TOTAL
BED
ROOMS
BATHS
LIVING
L•O
COMBO
DEN
KITCHCN
NtlOK
K•D
NOOK
GARAGE DET.
C{
[I
VALUATION OF
ALL IMPROVEMENTS
HOUSE
f �� /� D O
GARAGE f
[ HOUSE . ATT. GARAGE f
O
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
C
v
c:
REMARKS DESCRIPTION OF ANY WORIC NOT COVERED ABOVE
0
1
WARNING I 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 i n writing on Permit Placard.
I hereby acknowledge that I have read this application arid 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. O WNE R ; 1 t _'. " 'v 1^ DT x = � n' t AI
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE 4
HOUSES G ARAGES G ARAGE
BOND NO.— TOTAL FEES f `- -� qx
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INST
PERMIT PLACARD MUST 8
misc.
FEES fQ /may
DAT E 77' _ __L
WORK
ti
'SEATTLE -KING COUNT c)EPARTMENT OF PUBLIC HEALTH A_,VISIONJT lIZ Tl "'' j
Room 904, Public Safety Building ""
F
APPLICATION FOR BUILDING SITE APPROVAL SEP G 1964
(Submit in Triplicate)
(This accompanies the building permit application and is prerequisite to the issuance of tt E C,10E1CT s
Permit.) 1
Location of Property-Street Address ........ ........... .............
...
Addition or Subdivision . .!........ .... I.....I..!!...... ..........f.� tK'� II LL ..................Lot ................... .....Block............ .......
Type Building: New ...... :...X ..................Existing ........................... »... Single - family residence? ....... ....... ...............................
Basement ....../ X A ................Dther (Specify) ...... �!.:�1!' f „1( f/ r 7 :K N'/: I")f�
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
Owner .... ....... t ...........) Kiln> l ..1V ............... Address .... .... 0 ........ ....... /.4.r:............... Phone . -.
Builder .................. .r.'............. ........................ ........................Address ................... ............... ............................. Phone ..........................
Designer ........ ....... :....... . ... Address ... 1:.�. :.....�: :..::....::1: ............ Phone (- / .... .....� /
Soil. Log Hole No. 1 .......l.,!..r�.'....C" .... .......Or r: ��.. a. t.:....... ...13.6',��.1:11::1� .........:. ..( ?......... .....'.I....':� ....;�. ........ . `...
q .� 1�........... 1 V » ? 1 r. e ............................................................................................... ...............................
SoilLog Hole No. 2............. 5l; 1 !.... .... .................................................................................................................................. ..I............................
................................................................................................................................................................................................................................. ...............................
SoilLog Hole No. 3 ................ . ............... .................. .. ......... . ......... . .... . ......... . .......... . ......................... . ..... . .... . ........ . ....... . .... ... .... I .......... I ..... I.........
......................................................................................................................................................................................................................... ............................... I ... I...
Soil Log Hole No. 4 ..................................................................................................................................................................... ...............................
...» .......................................................................................................................................................................................................................... ......I........................
Elevation of Water Table, if encountered. (Distance from ground surface) ........./� �' ......... ..... Nf
.............................. ...............................
Give estimated difference in elevation between high and low points on lot in feet ...::r f. N........... r : .
............................................................... ...............................
Percolation .- I ,–�
Test Hol No. 1- Average rate " '� ( p b ottom- 6" .............................. Fall !n minutes -per-in. 6 of test hole)
No. 2- it it ,� , 0 0t to to to to to to it to It
...........I ..................
3- tt It to of to it to to It to tt ,►
No. .....
No . 4 " " . .................... of it to it to of to it it tt
to ►, t, it to to to to it it to tt
No . 6- " of . ........................ I ... ... of to if to ,t. to to to of it
(For additional remarks or comments attach le,taer in triplicate or utilize unused spaces around drawing on
rdverse side of application)
f ..I..
Signature Designer ............ a .:., w... r".... ��... r'.-:....: f ............................... ............................... Date ...................
DO NOT WRITE BELOW T1iIS / L / INE. (To be filled In by Health Department) /`iC - �
Accepted ..9� .. ��+ ......... ot Accepted ... <.r ...c ......
Date Date Health Department Sanitation
SAP -118 Rev. 6/10/18