16170 SW ROYALTY PKWYPPI4
It i
1
3UIE_UNNG PERMIT APPLICATION OctC�;Y �•�•' TE 24,1978, is N®
HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON1281 1238
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF 639 5654
.LOT NO
Constance Boulderr�_ RESS HOME ADDRESS 16170 0 S•W. Royalty
ARCHITECT Parkway —
Clow Roofing & Sidi E GINEER
=R n.�DDRESS 434 N. Tillamook Portiar SIGNER DDEMOLITION
�D( NEW D REMODEL D ADDITION L REPAIR DRENEWAL DFIRE DAMAGE DDEMOLITION
ESCDFNCE NICOMM DEDUCATIONAL DGOV'T DRELIGIOUSDPATIO ❑CAR PORT ❑GARAGE DSTORAGEDSLAB ❑FENCE
T
.POND ❑MOVING DCONDITIONAL USE 0 DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
:_;'.CUPANCY.._.._____LAND USE ZONE BLDG.TYPE _FIRE ZONE PLAN CHECK BY HEAT
Reroof house with Certainteed gray frost 240# composition
shingles. Cost 31,2.95.00
,C,_;OAp __ FLOOR LOAD HEIGHT NQ. STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT 717
REAR LEFT SIDE RIGHT SIDE
ermit
/3
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
ISub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`:Tate Taxes LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total /3 a.
�YAPPL. 7f-
, y7-
CANT OR AGENT
Approved Receipt No. 431. N. Tillamook Portland 281 1238
ADDRESS PHONE
Uig_CiNG PERMIT APPLICATIONSOF s� . ' 1 DATE_( ,*(1 g"Y . 19 7e N9
HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
--
OR AS SHOWN AND APPROVED I, THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
/ ) LOT NO. _
s _,41/ /j r �B A.d RESS /6' 4if / y HOME ADDRESS —
ARCHITECT
* ENGINEER
=>=R� f L.'.M d�f�/ ADDRESS __ DESIGNER
.JCTURE ❑NEW a REMGDEL El ADDITION JREPAIR _ DRENEWAL ❑FIRE DAMAGE DDEMOLITION
)ESIDF_NCE 000MM DEDUCATIONAL DGOV'T ❑RELIGIOUSDPATIO ❑CARPORT ❑GARAGE ❑STORAGE DSLAB QFENCE
' BOND ❑MOVING ❑CONDITIONAL USE D DESIGN RE VIEW DCOUNCIL APPROVED DSIGNS
,
.-CUPANCY._--__LAND USE ZONE__ BLDG.TYPE —FIRE ZONE_ PLAN CHECK BY I HEAT_ —
/y
�,
AL ..Art -AO. /1✓aAL__Arri/APL - _ its/AO.der-A'/II �rNI lit W At ie
';C_LQAD _ FLOOR LOAD HEIGHT NO.STORIES AREA_ NO.BEDROOMS VALUE l/-03
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit c°:—
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I 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
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax `4, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
; Total 17'
61
By T. APPLICANT OR AGENT
Approved Receipt No.
---- ADDRESS PHONE