BUP1978-1288 BUILDING PERMIT APPLICATION KING CITY DATE � • 19 n
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
p LOT NO.
OWNER �� JOB ADDRESS Jyl � HOME ADDRESS
ARCHITECT
BUILDER r l, I, ADDRESS 01s Tina-04k, onr41 ENGINEER
ER
STRUCTURE ❑NEW ❑REMODEL El ADDITION [I REPAIR ❑RENEWAL ❑FIRE DAMAGE [-]DEMOLITION
C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND El MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY_ HEAT______...
t6erwi uws"iiig with uerwii1t1"oa 24�,
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS 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
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 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 38.72
BY - -
Approved 74 APPLICANT OR AGENT MZd 3r Receipt No. /
ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
3UILDING PERMIT APPLICATION SOF ATE oct•2� 78— NA
HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONi 1238
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHONE_ 639 73r7_
Sarah J. B,�orqui st LOT NO
R _ 16699 S W124 JOS ADDRESS King Ci til HOME ADDRESS
ARCHITECT
ENGINEER
_RClow Roofing & SidinADDRESS 434 N. Tillamook PortlandEsIGNER
„1CT_URE Dti_EIN _❑REMODEL ❑ADDITION EIREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
E5!DFNCE )01:nMM ❑EDUCATIONAL ❑GOV'T DRE LIGIOUSDPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
'DRONE) ❑MOV ING ❑CONDITIONAL USE DDLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
:.CUPANCY.._.__—_LAND USE ZONE__ BLDG. TYPE_ FIRE ZONE— PLAN CHECK BY HEAT
Reroof h0l Se with Certain ed 240 shingles.
Cost 81 ,745.0n
;C LQAD _____FjOOR LOAD HEIGHT _ NO.STORIES AREA NO.BEDROOMS 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
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 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
by
APPL IC NT OR AGENT
Approved Receipt No. Ay 281 1238
111affleelf Pei PHONE