16770 SW QUEEN ANNE AVENUE-1 U
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.16770 SW QUEEN ANNE DRIVE
-KING CITY --
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King City CITY OF 3epitumber 1 Ng 1069
BUILDING PERMIT APPLICATION TIGARD DATE— _' 19-
THE
, 19_THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED t139-UU1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ADDRESS 1677I 5W Quw!..i Anne ::Vr;, g1_ILDERPHONE
fS29MW ENGINEEN Xtrw City
BW LDER r ARCHITECT
LDESIGNER
STRUCTURE ONEW REMODEL _ ❑ADDITION ❑REPAIR ❑F!ENEWAL []FIRE DAMAGE ❑DEMOLITION
❑RESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY j.__ LAND USE ZONE_ Its BLDG.'rYPE FIRE ZONE_ PLAN CHECK BYETW HEAT '
320 A 1204 eq. it., aingia rumily residence w/etta Mhed garage.
a baa, ant 2 bedroome 7 bath
1204 I'quent
Qf&. LOADD
FLOOR LOA_ HEIGHT NO.STORIES AREA VALUES J
BUILDINGPARTMENT ��
_ DE —� SET PACKS FRONT REAR _ LEFT SIDE _ RIGHT SIDE
Permit •ITU
THIS PCRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII DING COC'E, ZONING
Plan Check 10 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BF. DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMP!.:ANCE WITH
Recording ALL APPLIC(-BLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRA^.TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE.SEPARATE PERMIIS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
AP -'ANI OR AGENT
Approved Receipt No. /
ADDRESS _ ON
'M•
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
_ Contractor
V,2
Permit N
- •.-ti- 6 ,1Rou h In
c�� cq Q 4c� aua n rixture
Final
HEATING --
_—__.� Contracto• _
/syr — - - ---- Permit N
Gas or Oil-
- Rough-in
-- — -- Final ---
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(�',ain Drain) Final
Sidewalk
Curb&Street Fina! _—_ _ _—.--•
_ Approach
BLDG. DEPT, FINAL TEMPORARY CERTIFICATC OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
;`J Zoning Final J
City of King City
15390 S.W. 116th Avenue
Portland Oregon
97223
8-19-7'
Tu>;lati.n De elopment Co. ,
15300 S "-4 lJ.',th Ave. ,
Kine City Orepon. 97223.
Re: Plan Anorov,;1 Job #'20 Single Family Dwelling. . S.W.Queen Anne Ave.
The Proposed plans for the above cited dwelling were submitted to the Architectural
Re-:ie:w Committee, and were approved by that bcdy.
At the regular Council meeting nn August 18th, the Council voted to accept the
Corunitteets report and recommendation This constitutes official
spproval of the plans for this structure.
The building permit should be obtained in the usual manner. Attention is also
drawn to the land development ordinance # 37 which specifies the installation
of services and amenities, including sewer, storm drainage, lighting, etc.
L. .Ca oll Mayor.