HomeMy WebLinkAboutPermit 178 - Keller & Johnson - New HouseKeller & Johnson Incorporated
new home
PERMIT No.
N? 1'78
k,6 L L F 19 4- j i t A/ it/ /Ale, VZb - S' 1 A S51.;rrz& / //2 7 /G3
WNER
MAIN
BUILDING
WIDTH
/ "�
ADDRESS
AREA
_ /
�
PHONE
DATE
FT.
'3 C b
FT. fl0. FT.
b
BUILDER
ADDRESS
WIDTH
�/
DEPTH
v 9
^
y
AREA
a
S {��y
�� ,(A
/✓
'56 X 3 Z
FT.
./S.
ARCHITECT
ADDRESS
JOB
STREET
00 ',
NUMBER
J L„
ADDRESS
I
USE ZONE
LEGAL
LOT COVERAGE
TOTAL AREA OCCUPIED
r
LOT SIZE UD
O AREA D O
LOT AREA OCCUPIED py
{r..
j ��..// /
1
/! /�
/� /7
_
S0. FT,
// o
D D S0. FT.
BLOCK
BFI' � !—
/G� y,6
Lf�
LOT
EXTERIOR
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SETBACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
L
/
BASEMENT
SIZE 60, FT.
BUILDING
BUILDING
n
�S ,
HEATED
BUILDING
PROPERTY LINES
ROOMS
TOTAL
BED
ROOMS
BATHS
q t �
(
COMBO
DEN
KITCHEN
NOOK
K•D
NOOK
GLASS OF WORK A/r IA/ /V A AA P
REMARKS; LlESCRIPTION OF ANY WORK NOT COVERED ABOVE
7
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 P ermit 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 lossor, OWNE �&, DT
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
J HOUSE& �� OTHER
HOUSE f ! G ARAGES ARAGE f BUILDINGS f
O� RECEIVED; ' PERMIT
BOND NO. TOTAL FEES $ ° Y
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE
MISC.
FEES S
r
DATE
WORK
MAIN
BUILDING
WIDTH
/ "�
DEPTH
x ja /
AREA
_ /
�
TYPE OF CONSTRUCTION
FT.
'3 C b
FT. fl0. FT.
b
SIZE
ACCESSORY
BUILDING
WIDTH
�/
DEPTH
v 9
^
y
AREA
a
OF
BUILDING
�� ,(A
/✓
'56 X 3 Z
FT.
./S.
FT. -7 80. FT.�V'
e0. FT.
EXISTING BUILDING AREA----------- --
80. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
r
LOT AREA
LOT AREA OCCUPIED py
_
S0. FT,
// o
D D S0. FT.
/�
/
LLL
Lf�
V / J
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
^
HOW
BASEMENT
SIZE 60, FT.
AS
n
�S ,
HEATED
ROOMS
TOTAL
BED
ROOMS
BATHS
LIVING
(
COMBO
DEN
KITCHEN
NOOK
K•D
NOOK
GARAGE ATT. ❑
GET, o
0 o
do
VALUATION OF
HOUSE
S / `�' �� �/
GARAGE f f
HOUSE •ATT, GARAGE f
F THERS
ALLIMPROVEMENTS
7
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS; LlESCRIPTION OF ANY WORK NOT COVERED ABOVE
7
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 P ermit 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 lossor, OWNE �&, DT
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
J HOUSE& �� OTHER
HOUSE f ! G ARAGES ARAGE f BUILDINGS f
O� RECEIVED; ' PERMIT
BOND NO. TOTAL FEES $ ° Y
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE
MISC.
FEES S
r
DATE
WORK
SEATTLE -KING COUNI, DEPARTMENT OF PUBLIC HEALT&, ,JIVIS[O r 3�E NT Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL
(Submit in Triplicate) N OV 20 9963
(This accompanies the building permit application and is prerequisite to the issuanceV16+1� 1CT
Permit.) I'r�l Tp nr.�l ---
Location of Property - Street Address 510$ So 163 rd Place
Addition or Subdivision ... TuIn- . dl A. ... T.e rr C@ ... ....... ............................... ............................Lot ....................Block ....................
Type Building: New ....... ......................... Existing ........................... .... Single - family residence? ..... �.......... ...............................
Basement.. .. ....................Other (Specify) .. * '.... tp... sidQ ........,...... .........................,.....
NOTE: This application may be submitted to the main office at Dayl 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 1.5272 - 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
Keller & Johnsen 4656 South
164th St. Ch 4-0496
Owner...........................».................................... ............................... Address .......... .... ..................... .....................................
Phone ..........................
Builder Same Same
........................Address ......................................
"........... ' "' ............ ... ..................... ....... ... . ......
am®
...................,.,.... Phone .........,................
K ell V. rt�t;ahie 16.81 12th
......................... Address ................!..................
Designer . * ........................ ....... * * * ** ............. ...... :
Ave ��. a�. Q!! 1811
.......,....................... Phone .. ~�...`............
Soil Log Hole No. 1 ..._ " -12� regraded ran and silt.
...................................................... ...............................
49" course ..............
—Brown send -- no y
........................... . ................... . .................................................. . ............... ................. ......... . ............... ..................... . ..................... . ........ I ...................... I......
Soil Log Hole No. 2.... ................. 9 am!) ................................................,...........,................,................................................ ...............................
............ . ................................. . ............ . ....... . ............. . .... . .................. . ............ . ........... ........................ . ............................
Soil Log Hole No. 3 ...............................................................................................................................................................
. ........ . ... . ....... . ...... . ............................... I............
...............................
............................................................................................................................................................................................................................
Soil Hole No. 4 .....................................................................................................,...............,....................................,........
...............................
...............................
.... ..........................................................................................................................................................................................................................
Elevation of Water Table, if encountered. (Distance from ground surface)
....I..............I...........
none '
`�' C a F.itt...
Give estimated difference in elevation between high and low points on lot
in feet
....................... . ..... . ...... . ...... . ............................... I ............ ......
Percolation 2 9 5 0
Test Hol No. 1- Average rate ............. ...........(Fall in minutes - per -in. bottom -6" of test hole)
'00a
t o to I tt of to
No. 2- ........ I P
.• 3, .
to to tt of
►► tl it to I It to t►
No. 3- ..............................
►► it 1► 11
No . 4- " " .... . ... . ............ I............ tt to to of tt it
of it to tt
No. 5- to to tr tt tt to it to to tt to tt
... ...............................
No. G- 11 to ............. I.................. to it to to It of tt 0 P tt
(For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on
rdverse side of application)
' Nove 19/
Signature Designer .................,...... . ..... ,.................. Date
DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department)
/r� Z �. r,' 3 - L'............ .....
Accepted .....<........- _ ........... ............................Not Accepted ...........
Dace Date Health Department an itarian
S-AP -118 Rev. 6/10/18
Caat9.15.2
site plan