HomeMy WebLinkAboutPermit 120 - Keller & Johnson IncBUILDING PERMIT
Keller & Johnson Incorporated
N? 12
OWNER
WIDTH DEPTH AREA
/// x
ADDRES
PHONE
D C
SIZE
BUI�
c
ACCESSORY
WIDTH DEPTH AREA
ADDRESS
BUILDING
BUILDING
X _
l�
ARCHITECT
ADDRESS
Bq, FT,
EXISTING BUILDING AREA - -- tJ —� -- - --_
JOB
ADDRESS
STREET J/
SQ, FT.
NUMBER /O
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
—
a` %
USE ZONE
LEGAL
C,��10 R.
M
OCCUPANCY
TO BE USED
///���
HOW
BASEMENT
AS
_5 ' , 6C
_ /��
W/
M.
LOT SIZE
O T AREA
LIVINq
L•O
COMBO
L �V (L,
+ I Ci i�
NOOK
K•D
NOOK
LOT
BLOCK
YARDS MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
BET SACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO BUILDING
�� /
BUILDING
BUILDINq
BUILDING
PROPERTY LINES
_
CLASS OF WORK
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.
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) �.
HO USE & G F ��THER MISC.
HOUSES G ARAGE i -' _ E i — BUILDI FEES i
_4Z RECEIVED PERMIT NGS
BOND NO.— TOTAL FEES i�BY BY DATE
NOTICEt THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST. BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH DEPTH AREA
/// x
TYPE OF CONSTRUCTION
FT. ,(! / FT. 0� Sq. FT,
SIZE
ACCESSORY
WIDTH DEPTH AREA
OF
BUILDING
BUILDING
X _
l�
Bq, FT,
EXISTING BUILDING AREA - -- tJ —� -- - --_
SQ, FT.
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED
—
a` %
l Sq. FT. ' Bq. FT. —
EXTERIOR
FINISH
C,��10 R.
OCCUPANCY
TO BE USED
///���
HOW
BASEMENT
AS
HEATED
SIZE ! PAZd 80. F�T�..+
ROOMS
TOTAL
BED
ROOMS 3
a
BATHS 7
LIVINq
L•O
COMBO
DEN
KITCHEN ,
NOOK
K•D
NOOK
ATT. t7
�r DET. ❑
VALUATION OF
ALLIMPROVEMENTS
HOUSES A �Q�� '
//
GARAGE i
HOUS�• A GARAGE i
OTHER i
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
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.
PERMIT FEES (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) �.
HO USE & G F ��THER MISC.
HOUSES G ARAGE i -' _ E i — BUILDI FEES i
_4Z RECEIVED PERMIT NGS
BOND NO.— TOTAL FEES i�BY BY DATE
NOTICEt THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST. BE POSTED ON THE WORK
SEA -irtE -KING COUNT( DEPARTMENT OF PUBLIC HEALTH . H AVISIOI 'is 1 Ak Ii EiR
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL J AN 2 2 1963
(Submit in Triplicate) SOUTHEAST DISTRICT
(This accompanies the building permit application and is prerequisite to the issuance of tNkE*11f Cfif liEE
Permit.)
Location of Property- Street Address .....519 .. agmth.... .... ..............................................».... ...............................
Addition or Subdivision ._..ot...9>, .. .. Tukw3,a Terrace Lot Block
...._....... ............._. ........................ ....................
Type of Building: New ._....:X ............. »....... Existing .............................. Single - family residence? ?r
Basement .M11... » ................Other (Specify) „davliht to side
...................... ...............................
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 A In....,t ohmen ..... ............................... Address 465.6. ... SA... 164th ............................ Phone M,4-4 496
Builder ....... BAip e .......... » ....... ............................... ........................Address .......................................... ............................... Phone ..........................
Designer . Ken. V. Ritchie ................I........ ......... Address 16$111 - 12 h Ave. S.W. Phone CH� � -1$11
».,,..... ......... ».......... ».,,....... .... ............
Soil Log Hole No. 1 .,. xaad .,Sh.m rQY. ...vand3C. .... l Kahl ... and ... JnA.X1, twig .3.x ...... 4.OT .... medium
.h?!"o .. ».4land .... =... nq... c7 Ant..
Soil Log Hole No. 2................1i 6M. 0..........» ........................................................................................................................ ...............................
..» ....................................»..........,.,.........,...............................................,.,............................................................................................................. ...............................
Soil Log Hole No. 3 .» ............................................»............................................................................... ...............................
....» ............................».,.....,.,.,......,..................,.......,............................................................................................................................................» ...............................
Soil Log Hole No. 4 ,..,...» ........................................................................................................................................................... ...............................
.... ...................................................................................................................................................................................................... ............................... I ...... I............
Elevation of Water Table, if encountered. (Distance from ground surface) ................. 130nis ..... ........ ...............................
Give estimated difference in elevation between high and low points on lot in feet . ea &tt.,.
Percolation under 3.00
Test Hol No. 1- Average rate .... ..........................(Fall in minutes - per -in. bottom -6" of test hole)
N O. 2- tt tt of to of to to of to of to of
..... »............I.......... of to to to to 11 to to to 10
No. ... ................. I .... ..
No. 4• „ r► it it to it it to to to to to
No. 5 „ to ►t to to to to ►► it to to to
6 „ ►► tt to to It of to of to to to 1.
(For additional remarks or comments attach let in triplicate or utilize unused spaces around drawing on
rdverse side of application)
Signature Designer .. .....• ...... ................... ... ... �._.... .........................I..... Date ...JAaa.l x ,....1963 .....
LOW THIS LINE. (To be tilled In by Health Departmen
Accepted . 2 L C �'
..............- ,.,....... » ......................... ..Not Accepted ...,..,..................
Date Date
� ............... yl........... ..........
,.....
Department Sanitation.
6-AP -118 Rev. 6110118
eaa I a_Ia_2
Department
h ereby applies for
(print or type nao6An full)
permission to
(describe in full activities to be carried out)
zp
TZ ..J "`1 /'Jt ! �.�, Y N r � w' I � w" t w7 •b��
(do not write on the back of this application if additional space
is required use additional application farms
Applicant hereby agrees to carry out all activities described on this application in com-
pliance with all applicable City of Tukwila ordinances, state and federal laws; and to
allow inspections to be made by authorized inspectors.
address where activities are to be
carried out) (signature of licant)
J 'e"tx O'C'
(mailing address of applicant)
date of application)
legal description