HomeMy WebLinkAboutPermit 125 - Keller & Johnson - New HouseKeller & Johnson Incorporated
BUILDING
PERMIT No. 125
OWNER
MAIN
ADDRESS
J /
PHON!
DATE
BUILDER
ADDRESS
'9G / � FT.
^ l
_
FT. & 1d SO. FT.
-
SIZE
OF
�!
ACCESSORY
ARCHITECT
BUILDING
ADDRESS
X
JOB
STREE
- NUMBER /1
- -d f
ADDRESS
/_ _
° L�
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� GJ w SO. FT,
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USE ZONE
LEGAL C
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Gl
LOT SIZE
LOT AREA `
1
wv
LOT
!LOCK
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETo
BUILDING
`✓ l��
BUILDING
BUILDING
EXTERIOR
BUILDING
PROPERTY LINES
FINISH
CLASS OF WORK A/- w ,111
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 BT 17 Z
PERMIT FEES: (THIS SPACE FOR QUJJ.DING DEPARTMENT USE ONLY)
HOUSE 6 OTHER MISC.
HOUSES G ARAGE $ ^• ARAGE f BUILDINGS $ FEES i
RECEIVED ha PERMIT — A o
BOND NO.— TOTAL FEES SA BY DATE
F 7�
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
'9G / � FT.
^ l
_
FT. & 1d SO. FT.
SIZE
OF
�!
ACCESSORY
WIDTH DEPTH ARE{
BUILDING
BUILDING
X
.�"
A N �
FT.
PT. CCC/// 80. PT,
� /�1
� GJ w SO. FT,
r `'
f�
EXISTING BUILDING AREA — - - - --
so. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
jf�
LOT AREA
LOT AREA OCCUPIED
py
_
60. FT.
/f _
so. FT.
/�
`✓ l��
(/
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
HOW
BASEMENT
AS
HEATED
SIZE 80. FT.
ROOMS
TOTAL
BED 1ti
ROOM.
^ �
BATHS %
LIVING
L.D
OOMBO
DCN
KITCHEN
NOOK
K.D ;e
NOOK
FT.
El
CI
VALUATION OF
HOUSE I
GARAGE $
HOUSE • ATT. GARAGE
S
OTHER S
ALLIMPROVEMENTS
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. OWNER BT 17 Z
PERMIT FEES: (THIS SPACE FOR QUJJ.DING DEPARTMENT USE ONLY)
HOUSE 6 OTHER MISC.
HOUSES G ARAGE $ ^• ARAGE f BUILDINGS $ FEES i
RECEIVED ha PERMIT — A o
BOND NO.— TOTAL FEES SA BY DATE
F 7�
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
. •SEATTLE -KING COUNk DEPARTMENT OF PUBLIC HEALTH J�jV_�SIOTI OFAIIO
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL aJA�
(Submit in Triplicate)
SOUTI'lEA DISTRICT
(This accompanies the building permit application and is prerequisite to the issuanc1YS#%{{b""6 cCfank
Permit.)
Location of Property - Street A:ddress .... $214th ... 1.63 .... P140H ...................................................... ...............................
Addition or Subdivision ... Qr ... .,...`` I ,�:.._T.0.r'r:$.Sr4 ............. ............................Lot ........................Block ....................
Type Building: New ....x ... .......................Existing ............................... Single - family residence? ............ x.. ..................I............
................Other (Specify) ..4 4Y.� 1F. ..... ......
Basement ....,�,1,�.�,.. �:1!#r ti4? �.... o. fp .................. ...............................
NOTE: This application may be submitted to the main office at 904 Public Safety Building, or, -for prompter
service, dir.ectly.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 ..... K 1 ter...R!�... Johnsen .......... .........•.. .... Address !f 6�"6., �a.16l�:...... .....,............ Phone �Nt l.::949b
Builder ...0=6 ....................... ............................... ........................Address ........................................... ............................... Phone ..........................
16 1 12th S.W CH. •-1 11
Designer .•.v.�R t,Cr 13A .............. ............................... Address ................... '"............. .................�....:........ Phone ......... .,,...........
Soil Log Hole No. i l} brown, pandy....1, RM.-And ,• stgng,P ;....4.0 ...MUM. -
.... brom ... sand ... - ... zoo,... a. 1. 1W.a ................................................................................................................................................ ...............................
SoilLog Hole No. 2 . ........... Ma.-MA ..............................................•....».................................................................................... ...............................
............ . ................ .... .... . ................. ... ......... ... ...... . ........... ... ......... . ..... ... ... ... ............................................................................................................................................
Soil. Log Hole No. 3 •....• ......................................................................................................................................•...,,..,.......... ..•............................
...... . ... ......... . ........................ . ... ........... ........ . ... ... ....... . ..... . ... . ....... . ... . ................. . .............. . ...... .,...,.................. .. ....... .... ........ . .......... ...,...........................................
Soil Log Hole No. 4 .............................................................................................................................................................•...... ...............................
..._ .......................•........................................................................•....................,...,...............•................................................................................ ...............................
El evation of Water Table, if encountered. (Distance from ground surface) ....... 110. i<, te ................................ ...............................
Give estimated difference in elevation between high and low points on lot in feet .Afte .... drama.ng ... attA.
....•.•.......•.........• .............•........•.......... ..............•................
Percolation de 3
Test Hol No. 1- Average r .... ...• ........ ..............(Fall in minutes - per - ino bottom -6" of test hole)
it
No . 2- It ............................. it ►, ,► „ ,► ►, >, „ „
No . 3 - ..............................
No. 4- " ►► ►, „ „ „ „ „ „ „
No. 5 „ 11 „ It 11 it 11 11 11 /1 11 11
No. 6 „ /, I► I1 11 „ 11. 11 11 11 It /1
(For additional remarks or comments attach leqq in triplicate or utilize unused spaces around drawing on
reverse side of application)
Signature - Designer .......... . ... . ................. .......��Z ��..,C......,..`..;....... Date Ji�ll.11. 7.9�].........
f°
DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department)
` 4� ... r
Accepted ....... .... -.. ...............•.......Not Accepted .......... .,......................... ..� Flealth Department .. �. ,.......
Dece 5anit�rlan�
S-AP -118 Rev. 6/10/58
cal 1,. a K. 1
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