16820 SW QUEEN ANNE AVENUE i
r• rn
:3 w
� N
O
n
r• cn
n :F.
'C
K)
C
ro
ro
a '
ro
16820 SW Queen Anne
King City
•:gra
.nes -^,,,..,....,_..Y_.,,..,.,_,.., ,q,.w,,..,.y,,,,,p., .--._""_.,.y,,.__.o>+r"'�+R""Pr;�.'Y�°!'..,...,y....,...r,..w+...._.,. ... ., -. _.._.-R".Qv+"'c+'�"r'""^^�""�"pp ,n. d 4✓c
BUILDING PERMIT APPLICATION KING CITY D.'TE _-. I9----'�+�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONEr -.__....
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING FLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.- _.
1„'_R kklM* ShQc thill JOB ADDRESSL '0620 .'SW lusen Annie HOME ADDRESS
ARCHITECT
ENGINEER
GUILDER Uurk Masonry ADDRESS/90'J 511 Vth DESIGNER _
STRUCTURE ONEW ❑RI MODEL ®ADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE -1 ❑DEMOLITION
Q RESIDENCE ❑COMM 0EDUCA'rIONAL ❑GOV'T ❑RELIGIOUSCIPATIO ❑CAR PORT ❑GARAGE C3 STORA,7E COSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ODESIGN REVIEW QCOUNCIL APPROVED OSIGNS
I Z_ ',
Q�UPANCY _LAND USE 2011E _BLDG.TYPE 2>'. _FIRE ZONE= PLAN CHECK BY N�1+1 NEAT____�,.��
tnatall F-irepliBru (Masonry) all per carlog reauirsountm & Plant .0
r uquires footing for chimney.
li
9 ..14A��__`f449P LOAD _ NELt'tHtSTORtE5
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit Q(a
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUII_DING CODE, ZONING
Plan Check REGULATIONS AND .ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W11H
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOI WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4k. —.571 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total Si b,7 t
By � _
--- APPLICANT OR AGENT
Approved t• Recel pt M
1
DATE PE INBPECTICK REMARKS PLUMUING _DATE
Contractor
Permit No.
• —_—_ ---
Rough-In
v Fixture
Final
HEATING
Contractor
_ _._� ------- ---- Permit No. --
�^ Gat or Oil —�
Rough.1,
- --- Final
SEWER
Final
N DRIVEWAY—�
— — —•--- IFlnul
torni Drainage
Rein Drain{Final
idewalk
urb&Street Final
pproach
BLDG DEPT. FINAL TEMPORARY Ca''TIFICATE OCCUPANCERTIFICATE OCCUPANCY .endacaping
Y--- I
Zoning Final