HomeMy WebLinkAboutPermit 141 - Keller & Johnson Inc Keller & Johnson Incorporated
PERMIT No,
BUILDING PERMIT ITT° 141
OWNER
MAIN
WIDTH
ADDRESS
DEPTH
AREA
TYPE OF CONSTRUCTION
Ir F414 ER !k
D
BUILDING
S
FT.
_
FT. SQ. FT.
BUILDER
SIZE
OF
BUILDING
ADDRIEIM
ACCESSORY
BUILDING
WIDTH DEPTH ARREA��
A
FT.
X
�
FT. _ Sq. FT.
ARCHITECT
ADDRESS
JOB
STREET
NUMBER
8q, FT,
ADDRESS
�
EXISTING BUILDING AREA - -� -- - - - - --
USE ZONE
LEGAL L-+
W A Tr IF 13 G E
LOT SIZE
LOT AR
1
LOT COVERAGE
TOTAL AREA OCCUPIED
3
BLOCK
LOT AREA OCCU IED
/
LOT
N
UliV A
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE
BUILDING
± 0 1
jq'J
BUILDING
BUILDING
C'
■ILDINB
PROPERTY LINES
' .�S )
/O �
HOW
BASEMENT
CLASS OF WORK / V e I/V
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
A
WARNING Notify Building D epartFnent by Street Address and Permit Number when ready for inspection. Work must not be
covered before ins pection 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, Ow t�. `��.•(1t..•Il�.t� •r Y x
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
�•� HOUSE& OTHER MISC.
HOUSi ' i P a G ARAGE S � G ARAGES BUILDINGS i FEES i
n
RECEIVED j �2 PERMIT
BOND NO.— TOTAL FEES $ Y '^ ' BY DATE
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
FT.
_
FT. SQ. FT.
SIZE
OF
BUILDING
ACCESSORY
BUILDING
WIDTH DEPTH ARREA��
FT.
X
�
FT. _ Sq. FT.
8q, FT,
EXISTING BUILDING AREA - -� -- - - - - --
80. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCU IED
Bo. FT. '
a -0 80.
0
0
EXTERIOR
FINISH
C'
OCCUPANCY
TO BE USED
HOW
BASEMENT
A8 l
R.
�'
HEATED
SIZE Bo. FT.
ROOMS
TOTAL 7
BED
gOOMB
BATHS
ry
„/
V",
LIVING
L•D
COMBO
'
DEN
KITCHEN 1
NOOK
K•D
NOOK
ATT.
GARAGE
DET.
13
❑
VALUATION OF
HOUSES
a �
GARAGE S
HOUSE - ATT, GARAGE i
OTHER S
ALLIMPROVEMENTS
7 9
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
A
WARNING Notify Building D epartFnent by Street Address and Permit Number when ready for inspection. Work must not be
covered before ins pection 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, Ow t�. `��.•(1t..•Il�.t� •r Y x
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
�•� HOUSE& OTHER MISC.
HOUSi ' i P a G ARAGE S � G ARAGES BUILDINGS i FEES i
n
RECEIVED j �2 PERMIT
BOND NO.— TOTAL FEES $ Y '^ ' BY DATE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
J J�
SEATTLE -KING COUN( DEPARTMENT OF PUBLIC HEALTI(1 DIVISION OF SANITATIO
Room 904, Public Safety Building
'..f` . APPLIC
CATION FOR BUILDING SITE APP R AL E
O VED
(Submit in Triplicate) APR 8 - 196R
(This accompanies the building permit application and is prerequisite to the issuance of
Permit.) Soul A-Aa „ `. tRr
Location of Property - Street Address X1 south 163rd P 1a .9
............................... ............................... .... ............................................................ ...............................
Addition or Subdivision ,L.91 .... 3 .... T.. T. SIB_` rmo .. ..................- ............ .............,..........Block
Type of Building: New , -,;K .. .......................Existing . ............................... Single- family residence? ......... X........
Basement .... ft11 ...................Other (Specify) .S day.l igh t....t iA .... did a .............. . ............ I.....................
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
conta Di 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 Ke7,18r & Joh ........... Address .46.5.?...,��4?. *.�, ?�lr1i A:n 96
........ ............................... ........ ............................... Phone Q�.. .... �
Builder AM R .... ...............................
................... ........................Address ............................... ........................................... Phone ..........................
Designer]KOK. ... Y. pia, tilRhla .............. ............................... Address ........ 1M:14ml2t,h ....SoN Phone 0H..3w.1fJ11
Soil Log Hole No. 1 . 0�0.. din... 11wtUtli> QIn brn wn .... sand v .... silt ... &.... stci .nele; ...45M ... grey ... aand• -
......................... U4... 0 14Y. s.............,................,.........,........................,..........,.....................,...........,..................... t.................................. ..........................I....
Soil Log Hole No. 2....15AM6 ..................... ..................................................................................................................... ...............................
....................................................................................................................................................................................................................... ...............................
Soil Log Hole No. 3 .......... ................................... . ..................... . ..................... . ......................... .....,.................. . .................. I .............. .............
Soil Log Hole No. 4 ....................... .................... .............................................................................................................. ...............................
. ........... .. .......... . ....... .. ....... . ........................ . ............................................................. . ............... . .... . ....... . ... . ........ . ......... . ........... . ....... .. .................... I ...... I... ....... I.........
Elev ation of Water Table, if encountered. (Distance from ground surface) „ �Q11 9 ................................... ...............................
Give estimated difference in elevation between high and low points on lot in feet .#.0.9 ... d.r.AW N...4 t a..
Percolation
Test Hol No. 1- Average rate .... 2a.QQ ............ (Fall in minutes - per -in. bottom -6" of test hole)
No. 2- „ '� it to It to it 1/ it II to to
3 . 2 0, " It 11 of to 11 of to to 11
No. 4-
No. 5-
11 1/
11 II /I It II I, 11
. ...............................
11 II 11 II /1
11 1/ I f II
,1 II II II II
6- „ 11 It II to to I1 it 11 It of it
(For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on
rdverse side of application)
Signature D .. ... .............., ............................... Date Apr11....fa r ....LS,.1......
DO NOT WRITE BELOW THIS LINE. (To be filled In by Health Department)
Accepted ....... . Ll..~......... .......:....�........Not Accepted ......... .............................. ...,........... e.
Date Date Health Depattment Seaitatia
S-AA -118 Rev, 6/10/58
CBS 13.15.2
site plan