12660 SW PRINCE ALBERT ST ►� APPLICATION C ? TY OF
BUILDING -
i� '(' "H" DATE 3- G' r , 1g 1 10
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED G� `7 ,)
OR AS SHOWN ANDi.,
AND PP ' VED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE `��! / •J 1
" , // "OWNER , AADDRESS [r lG �� /ie�v.�t� BUILDER PHONE �c g! �3
-- .4GINEER 1 + I
0.63_...cDESIGNER
A
STRUCTURE ENEW EMODEL(4 ir-76 �3 HI7ECT
n ice:�!� ADDITION 0REPAIR ❑RENEWAL FIRE DAMAGE SDEMOLITION
EE RESIDENCE COMM --EDUCATIONAL EGOV'T ERELIGIOUSDPATIO 0CAR PORT ❑GARAGE ❑ STORAGE DSLAB ❑FENCE
rThiOND ❑MOVING ❑CONDITIONAL USE E DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
OCCUPANCY LAN USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT .
&.6
OCC LOAD FLOOR LOAD HEIGHT NO. STORIES AREA VALUE 1/73
BUILDING DEPARTMENT i
{ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
1 _- - -- ----- —
Permit peJ
1, THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED tN THE BUILDING CODE, ZONING
I Plan Check 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
r WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
i Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
I I, RESTRICTIVE COVENANTS. CONTRACTOR A . i13 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I*%State j; LICENSE. SEPARATE PERMITS REQUIRED FOB .',ER, PLUMBING AND HEATING.
4 s
Totat II / .
Fly 1� 1AL.,_./... _ '._ -�,
�!rI', P /AN 44,7
� Approved ;i Receipt No. t 3 _ 7 � 3
L ADDRESS PHNE
KING"CTT '±-- TRUCTIIR,AL._CHANGE- REQUEST
Member ' ''" ,`,/✓)44Date ft 7
Address / vZ 447�� �s��
C-1 Phone 639— /3 /
TYPE OF CHANGE
(Patio Cover, Room, Fence, ,etc.)
PLAN: DIMENSIONAL AND MATERIAL DETAILS
dedkir
401 drt,,,j/ 7/11,"C)/1, Cel;e-411'1'*"
d
Note:
1) Adjacent property owners will be informed of the requested change.
2) If there is an objection, the objection, but not the name of the objector, will
be given to the member asking for the change.
3) The Board of Directors of the Civic Association will review the plans and property
for approval or disapproval and compliance with the stated restrictions.
A building permit must be obtained from the city for all improvements costing over
- 4a5OO.00
Date Notified / V'.;7 7 KCCA Board of Directors
President
Date to be Completed Approve Vice President
Final Inspection Disallowed (Reasons)
Au r/ e