15765 SW 116TH AVENUE I
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15765 SW 116TH AVENUE
KING CITY --.
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King City CITY O!
BUILDING PERMIT APPLICATION TIGARD DATE February_ �4 19
7"Y 1035
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
1$ 116th Ave.
OWNER
Wilhelm F, hg)<tk ADDRESS BUILDER FHONE
15765 Sid 116th Ave. ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARA,3E ❑STORAGE OSLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LJSIGNS
OCCUPANCY LANE)USE ZONE-. BLDG.TYPE FIRE ZONE PLAN CHECK BY _ HEAT _
Temporary (,mill sign 1 ' x 70 - —_
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit $5100 -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING 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 WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINeSS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total �S•Cl0 ""
By
- ------- APPI ICANI OR AOENl
Approved :3e.i ,Ipt No
-- A'll)Rf55
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
.Contractor
Permit No.
Rough-in
Fixture
Final HEATING
Contrartor
Permit No.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Hain Drain) Final
Sidewalk
Curb&Street Final
Approach
_Dr_ DEPT. FINAL
TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
King City CITY OF
BUILDING PERMIT APPLICATION TIC ARD DATE_ 6-13___, 19.7_5_N° 1017
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
SER Suburban T.V. ElectroniiZODRESS 15765 S.W. 116t1i B.V1_DER PHONE
ENGINEER
91LIl�ER Lumi.ni&e Signs ARChITECT _ DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDIITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOL.ITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑COV'T ORELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE C1STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE 0DESIGN REVIEW ❑COUr'CIL APPROVED MSIGNS
OQCUPANCV LAND USE ZONE—,__ BLDG. TYPE — FIRE ZONE_ PLAN CHECK BY_.__ HEAT_ _�
Install 25 sq. ft. wall sign approved by Lloyd Carroll
QCC, LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA VALUE 1()(x.00
BUILDING DEPARTMENT—_ SET BACKS FRONT REAR LEFT SIDE RIrHT SIDE
Permit 10.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chick REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE YVITV
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS- CONTRACTOR D SLOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE SEPARATE PERMITS REQUIRED R SEWER, PLUMBING AND HEATING.
Total
B --- ------- �..-�/ A t Op AGF. y.-_�dGL�''!'� _
Approved Receipt No)�� c' � i Fyf
-
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rou h m -
-- � Fixture
Final
_ HEATING i
Contractor
--. Permit No.
Gas or Oil
— __ -- Final — -
-_ SEWER
-- — - _ - Final _
DRIVEWAY
-- Final
- — ----- —__._-------- __-- Storm Drainage_—
�_—�_� Drain) Final
_.—_ —_�,_—_�------ -- - - -- - Sidewalk -
--- Curb&Street Final
—._�-- —.._--- -- ---- - Approach
BLDG DEPT FINAL TEMPORARY CERTIFICATE.OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final