HomeMy WebLinkAboutPermit 195 - Keller & Johnson - New House Keller & Johnson Incorporated new
BUILDING
PERMIT No,
Ne 195
OWNER
MAIN
BUILDING
WIDTH DEPTH
PHONE
DATE
SIZE
FT. , SQ. FT.
BUIL ER
ACCESS Y
WIDTH DEPTH
/ !
ADDRESS / y
BUILODING
/N)
�Y
7- 2 X
_
� 80. FT.
ARCHITECT
ADDRESS
PT.
9
JOB
STREET
$ER
ADDRESS
L �
EXISTING
Z
U E ZONE
,/�
LEGAL �> 1~
7 p /,
�7 V
!00
LOT 812E
0 7 ARLA
t // /'`) r
G I I �"" I
}
/�' / �J l _
LOT
BLOCK
YARDS
LOT COVERAGE
MAIN
SET BACK
BIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
Of
/
BUILDING
BUILDING
BUILDING
PROPERTY LINES
�d
v
fJ
,3O
I
J� e—
HOW
HEATED L x
��
BASEMENT
SIZE SQ. FT.
ROOMS
CLAS OF WORK /I/ P_ A/ •
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify buil Department by b treet Address and Permit Number wnen reaay for inspection. YYorx must not D
covered before inspection and OK for covering has been given by Inspector in writing on Permit P lacard.
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 gov ning building con-
struction.
Written Authorization of the owner must be pre- �� �_' 7i Y'�
sented when work is done by occupant or lessor. OWN R v DY x
i
PERMIT FEES: (THIS SPACE FOR B14LDING DEPARTMENT USE ONLY) V
d
/ U d Q HOUSE 6 OTHER MISC.
HOUSES R ARAGE S " ARAGE S. BUILDIN FEES S
/ PER
BOND NO,— TOTAL FEES S � � � � � Y ' a+' L � DATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORN
MAIN
BUILDING
WIDTH DEPTH
X /
AREA
—
TYPE OF CONSTRUCTION
SIZE
FT,
_Z v�
FT. , SQ. FT.
ACCESS Y
WIDTH DEPTH
/ !
AREA
BUILODING
/N)
�Y
7- 2 X
_
� 80. FT.
PT.
9
FT.
/ r� SQ. FT,
�--
EXISTING
BUILDING AREA
---�•— -- - - -^
Bo. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA
—
LOT AREA OCCUPIED
I Q $O.
FT. •
Q d So. FT.
000
E XTER I O R
FINISH
!� �� 1 l
I C-
,S �7 N Cc'
/
OCCUPANCY
TO BE USED
AS
I
J� e—
HOW
HEATED L x
��
BASEMENT
SIZE SQ. FT.
ROOMS
TOTAL
BED ;�
ROOMS
BATHE �f LIVING
L-O
L•D
DLN
NOOK
K•D
NOOK
ATT,
GARAGE DET
AL LUATIO IMPROVEMENTS
—
HOUSES / d A
GARAGE S
HOUSE . ATT, GARAGE $
OTHERS
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I Notify buil Department by b treet Address and Permit Number wnen reaay for inspection. YYorx must not D
covered before inspection and OK for covering has been given by Inspector in writing on Permit P lacard.
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 gov ning building con-
struction.
Written Authorization of the owner must be pre- �� �_' 7i Y'�
sented when work is done by occupant or lessor. OWN R v DY x
i
PERMIT FEES: (THIS SPACE FOR B14LDING DEPARTMENT USE ONLY) V
d
/ U d Q HOUSE 6 OTHER MISC.
HOUSES R ARAGE S " ARAGE S. BUILDIN FEES S
/ PER
BOND NO,— TOTAL FEES S � � � � � Y ' a+' L � DATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORN
site plan
SEATTLE -KING COUN( _ DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION
, Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVA
(Submit in Triplicate) MAY 4 - 9961
(This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank
Permit.) SOUTHEAST DISTRICT
----- --- - -- -- - --
Location of Property- Street A:ddress .......... 110 South 16�rd! P1aCe .......... .................... . ... I .......... ..... ....... . .
Addition or Subdivision . » .T.M..I41cMA...� r race...» ....... ........................... »... ............................Lot .....................Block ....................
Typeof Building: New . »..... ..................- Existing ........................... »... Single - family residence? ............... .. »X...........................
Basement furl! .......................Other (Specify) .... partial,., daylight .,t °,.. 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
co District Sanitarians by tel pla 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 ,.,. Keller. » &... Johnse .... ....................I.......... Address 46 . 56,. . Phone ..Ch - - 0496
Builder Same ..................... ............................... ........................Address ....... ...... . Sam
. e . . ..........................
Designer ... Ken., V..,., Ritcthie .... ............................... Address , 1,6$14 .. 1 2th Ale ... S•W.41 Phone CN7371$11
.... .......................
Soil Log Hole No. 1 ... »,�....Q.'.! —�' cose br Band Silt,., (no,, slay. ) ....................... I......
. ................ ur
............ ... .... ....... ... .I............awn ....... .
.......... ........ .. .................. ... ....... . .............. . .... . ......... . ........... .... ....................................... ........ ... . .............. . ............. . .................. . .................................................. I.....
Soil Log Hole No. 2 ............ 4ame ...................................................................................................................................... ...............................
........... . ........ . ...... . ................. . ........... . ....... . ................... . ......... .... ................. . ...... . ............. . ............................. . ... . .... . ... . ......... ... .... . ....... .... .............................. ...........I.....
Soil Log Hole No. 3 .» ............................................................................................................................................................ ...............................
........................................................................................................................................................................................ ...............................
Soil Hole No. 4 ..................................................................................................................................................................... ...............................
... .......................................................................................................................................................................................................................... .....I.,....I.............I....
El evation of Water Table, if encountered. (Distance from ground surface) ...........» nOx1. Q .......................... ...............................
Give estimated difference in elevation between high and low points on lot in feet Z ... cl -ra t'i.ng...a.tta.ched
... ... ...... .... ..... . ....... ... .......... ................... . ......... I ......................
Percolation
Test Hol No. 1- Average rate .909 ...............(Fall in minutes - per -in. bottom of test hole)
N O 2- it to 2 Q0 ........... to It to to to to of It to
to I ? *..5.Q ,► to ►, ,► to ,► ►, of to ►,
No . 4- ►► ► . ....................... I ..... I.... ,► to it it ►► ►► to it to to
No. 5- ►► to ,► to it it to to of is to r►
No 6- ................... I .... I .... ... to of to if of of to it to of
(For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on
reverse side of application)
Signature - Designer ,, /
g . .... �G.,._ .............. ............................... Date ...5f V.64..........................
DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Departme t) /7
�Ce t .............. ......�?..���.............. „ ....»
Date Date / Health Department Sanitarian
S-AP -118 Rev. 6/10/58 45
CBS 19.16.2
site plan