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Home My WebLink AboutPermit 140 - Keller & Johnson Inc Keller & Johnson Incorporated N? 140 OWNER MAIN WIDTH AODR L PH N DAT! -' 7_' J' � FT. BUILDER _ ^ FT. / J O 80. FT. 000 "` ADDR BB SIZE ACCESSORY WIDTH ARCHITECT AREA OF ADDRESS BUILDING BUILDING X JOB STREET NUMBER ox ADDRESS �•" w 80. FT. EXISTING BUILDING AREA — -- - - - - -- I USE ZONE LEGAL d J TOTAL AREA OCCUPIED LOT SIZE LOT AREA OCCUPIE L oT j SRFA k - - l _ ' — '�' � py /% LOT L 4 9 2 80. FT. BLOCK YA DS MAIN SET BACK 810E YARD REAR YARD NCAREBT ACCESSORY SET BACK 810E YARD REAR YARD NEAREST DISTANCETO BUILDING / /) / BUILDING BUILDING SIZE G Q SQ. FT. ROOMS BUILDING PROPERTY LINES (� BATHE :L D . / DEN KITCHEN 1 NOOK K•D NOOK ATT. ❑ GARAGE OCT. ❑ CLASS OF WORK )V /c VV REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE WARNING I i mm y tsuuat t)epartment Dy street A aaress ana rermit t wnen reuuy ror mspecuU YV U11C 411Ubt 11U( Vu co vered 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 �a•�:'u�4 .�vrt:v.G�h x v PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) HOUSE @ OTHER MISC. HOUSES G ARAGES G 0. R RAGES J BUILDINGS $ FEES S ECEIVED , PERMIT BOND N � TOTAL FEESSi�f —.: ,.'1, /J BY "' DATBiL� 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 -' 7_' J' � FT. X � ✓✓✓✓ DEPTH _ ^ FT. / J O 80. FT. 000 "` SIZE ACCESSORY WIDTH AREA OF BUILDING BUILDING X �•" w 80. FT. EXISTING BUILDING AREA — -- - - - - -- 80. FT. TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIE LOT COVERAGE �� _ ' — '�' � py /% 80. FT. 8q. FT. � EXTERIOR FINISH • tle, OCCUPANCY TO OE USED HOW BASEMENT AS HEATED SIZE G Q SQ. FT. ROOMS TOTAL BED 3 (� BATHE :L LIVING W DEN KITCHEN 1 NOOK K•D NOOK ATT. ❑ GARAGE OCT. ❑ ROOMS CO COMBO' VALUATION OF AL LIMPROVEMENTS HOUSES uV� GARAGE S HOUSE - ATT. GARAGE S OTHER S FOUNDATION OK FRAMING OK : FINAL INSPECTION REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE WARNING I i mm y tsuuat t)epartment Dy street A aaress ana rermit t wnen reuuy ror mspecuU YV U11C 411Ubt 11U( Vu co vered 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 �a•�:'u�4 .�vrt:v.G�h x v PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) HOUSE @ OTHER MISC. HOUSES G ARAGES G 0. R RAGES J BUILDINGS $ FEES S ECEIVED , PERMIT BOND N � TOTAL FEESSi�f —.: ,.'1, /J BY "' DATBiL� NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION. PERMIT PLACARD MUST BE POSTED ON THE WORK SEATTLE -KING COUN' - DEPARTMENT OF PUBLIC HEALTH( AVI REC EIV SIONY_O T Lj Room 904, Public Safety 'Building ,r APPLICATION FOR BUILDING SITE APPROVAL ,,.. .c (Submit in Triplicate) NPR 8., 1963 (This accompanies the building permit application and is prerequisite to the tssua f�a §Fp6jtT §*& Permit.) UVAI Ttu OPT71r17 Location Property - Street Address ...... RQ4...8.0.a10 ....1 14. 01 ......................... . ...... .... .......... . .................. .. ...... I...................... Addition or Subdivision ..Lot .... Z.1'. Flo, .... Rerrane ................... Lot Block .............................. ........................ .................... Type Building: New ......X .......................Existing ............................... Single- family residence? ............... X ............................... Basement .. .. ...J.Ull ................Dther (Specify) .... ff fly..144ht .... tO .... Sides ........................... ................... 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 10 821 - 8th S.W. CHerry 4.6400 Owner !411er r.. Johnsen �! �. r��.. ', 3 0 11�,� 1 ....1� 1 Ah............ Phone . CH tknq.1 , � ) � 7 ................................................... ............................... . Builder MARIO ........................ ............................... ........................Address ........................................... ............................... Phone .......................... Designer-KO.# 4... �. RA UX91. 19 ............... ............................... Address .....X hA1.l: ... "..... 1,_:tll. ... at.W *...... Phone .Q.163A.017. Soil Log Hole No. 1 .Q��'" ,Ott...11 ► ,+i,11? W 1...O.A JIB. 0...0 11ta.... aal..... akSan .eaa ':........ ....... Ann u.,....nq .... c1; xx ................................. :.................................................................................................................................................................... SoilLog Hole No. 2.............. A 9 ...................................................................................................................................... ............................... ................................................................................................................................................................................................................................. ............................... SoilLog Hole No. 3 ............................................................................................................................................................... ............................... .................................... . ....... . ................ ............................................................................ ....... "..................................................... ......... ... ...... ........ ......... ........ . ........ ..... SoilLog Hole No. 4 .................. .......I........... .................................................................................................. ........... . .......... .. ........I...................... .... .......................................................................................................................................................................................................................... ............................... Elevation of Water Table, if encountered. (Distance from ground surface) JR0,114 ...................... ............................... .............. Give estimated difference in elevation between high and low points on lot in feet0a... . ............................................................... ............................... Percolation Test Hol No. 1- Average rate ....... la.W ......... (Fall in minutes- per -in. bottom -6" of test hole) No. 2- 11 of ....... RAW ......... 1► to ►1 11 ►1 1► it 11 1► 11 11 11 2. ►1 11 11 11 11 It ►1 to 11 of No . 4- 11 It ... ............................... 10 1► 11 1► 11 11 11 it 11 ►1 No. 5- 11 11 11 t 11 11 11 10 I1 11 0 I ... ............................... No. 6- 11 91 /1 1/ 1► ►1 11 11 11 11 /1 11 . ............................... (For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on reverse side of application) Signature Designer .......................................................................... ............................... Date A .... 1 DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Dep•ttment) Accepted ......... .`...... `...I�. ......Not Accepted ............................................ .::....:... ..(................ � ....l. .. ............. ... Date Dace H •!th Dq/attment Saaltari n S-AP -118 Rev. 6/10/58 CBS 13.15.2 site plan