15920 SW ROYALTY PKWY King City CITY OF -
BUILDING PERMIT APPLICATION TIGARD DATE , 19 N° 10 6 6
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 0 REMODEL ❑ADDITION 0 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE El COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
QBOND El 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
AP NT OR AGENT
Approved • Receipt No. •
ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
fContractor
Permit No.
Gas orOil
Rough-in
:::
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb &Street Final
Approach
BLDG. DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
1111 _Zoning Final •
_-
CITY W 9" 1 --4---L----7 4.'4 i.`V _
PUP DING PERMIT APPLICATION ' 14 ;,. ` DATE 7 . )---_ 19 7 6-o 2 -
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE �`,v-j l_ 1t7 �" , 67
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
,/ � (�, .. d jam ,���
OWNER 1� 'L'� '' Lu' �` 61 -'t'` ADDRESS (C -e /` 'j46 %-f te-e BUILDER PHONE
ENGINEER 4 7
BUILDER ItiLL-6'.4---A-al-t-e , ARCHITECT DESIGNER
STRUCTURE El NEW C1 REMODEL El ADDITION REPAIR ❑RENEWAL DFIRE DAMAGE ^ ❑DEMOLITION
ld{ RESIDENCE C3 COMM ❑EDUCATIONAL ❑GOV'T DRELIGIOUS DPATIO E]CAR PORT ❑GARAGE ElD
STORAGE SLAB OFENCE
C (BOND r..2 MOVING OCONDITIONAL USE 0 DESIGN REVIEW OCOUNCIL APPROVED ESIGNS
OCCUPANCY LD USE ZO E BLDG.TYPE FIRE ZONE_ PLAN CHECK BY r HEAT
,-, .., ;) -,i -,----e-4-'0 ' t- erit4f.../if, "--,21{,t e-- -/- el_ ,
I 6ece k i-�----�
l
(ci/
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUJ Y
I %'_U!LDI O 'A-?-',1"-Nr- F SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 'I _ `p ' l4ii
II
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check I; 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 '1 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 l; - '
I - ' I
APPLICANT OR AGENT 1
Approved iiReceipt No. i. ^
ADDRESS PHONE