15605 SW QUEEN VICTORIA PL CITY OF
BUILDING PERMIT APPLICATION T
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THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED /
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS// AND SPECIFICATIONS. OWNER PHONE(c ( 7S
CiWNER�7'//1 .�.-C ` ' ADDRESS_ 1�COCJ�' �iLJ eta !/ICfd�LABUILDER PHONE
♦ / / ENGINEER
BUI LDER �j.ARCHITECT DESIGNER
I AUCTURE ❑NEW LJ REMODEL '0ADDITION REPAIR ❑RENEWAL DFIRE DAMAGE DDEMOLITION 1
RESIDENCE ❑COMM DEDUCATIONAL ❑GOV'TDRELIGUOUS DPATIO ❑CAR PORT OGARAGE ❑STORAGE®SLAB DFENCE
QBOND ❑MOVING ❑CONDITIONAL USE _ _ ❑DESIGN REVIEW ❑COUNCIL APPROVED ®SIGNS
____,„ /
OCCUPANCY LAND USE ZONE 1? BLDG.TYPE' FIRE ZONE 3 PLAN CHECK BY i '-.--7-4(--, HEAT r'
�2 4 A ) r� l a.�"c�/J,1-o
1..
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE ®Q ti
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit / dam'
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING a
I Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE 1=
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 i
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESdi
S
f/o State .7 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
il
Total 9 a7
3y • •
1
:::::T
OR AGENT
A.pprovedA �`�'y/liL `receipt No.17I.
PHONE
r
King City CITY OF -
BUILDING PERMIT APPLICATION TIGARD DATE N° 10 61
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ADDRESS BUILDER PHONE
ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
DBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
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 •
By
• APP.NT OR AGENT •
Approved • Receipt No.
ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
4 �/E Contractor
Permit No.
0%, ' Gas or Oil
Rough-in
Final
SEWER
Final
7.0e4
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
• • Zoning Final •