12469 SW KING GEORGE DRIVE _ 12469 SW Kinr George _
King City
� U
' ��. :r ,.. .....w .. .. .... ... -.. .. �..,.,.,.1.rn,..y y.. ..-,...^...=ryw:�4VM^.. yfy;. .yy..,. i+ro .fro•,-Wti:
b Nil 1.
BIJILDING PERMIT APPLICATION KING CITY VATE�_ � f _, 19
THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.-- _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONI• __... —
4I' VID LOTNO.__
ON NER 5topherison JO,ADDRESS 11469 SW i my Goor�sHOME ADDRESS
ARCHITECT -
al S�LaU !bbl tjethCEEan r"1'INEER
BUILDER • ^^11 ADDRESS rry DCSIUN1_R
STRUCTURE ANEW 1_J RFMnnE1. LJADDITION []REPAIR [:]RENEWAL ❑FtrR-�F. DAMAGE CJOEMOLITION
0RESIDFNCF ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCIPATIO [)CARP NT ❑GARAGE U.1STORAGEOSLAEi CFF.NCE
[:]BOND ❑MOVING CCONDITIONAL USE ❑DESIGN REVIEW 000UNCIL APPROVED LJ';IGNS
QCCUPANC'Y__._-LAND USG ZON --.,BLDG TYPE--_ — FIRE ZONE.-_ PLAN CHECK BY------- EAT
t wr'1.1-i g 64th t•'i.lalkey tub **if' 868i1ny, ulrt.:•k l t.
---
BUILD_NG DEPARTFA'JT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON)AINED IN THE BUILDING COIF 7nP11NG
Plan Che k REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT Thr
INOR1 WIL1_HE DONC IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL I•"PLWABI_F CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NCiT WAIVE
RESTW-TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax t'° LICEN F. SEPARATE PERMIT, REQUIRED FOR SriiER, PLUMBING AND HEATING.
Total
Byi3 —__ —._- - - — ------- -
.�..____ APPI.,,ICANI OR AGENT -- -
Approved R�.���r, No.
w
DATE INSP. TYPE INSPECTIGN REMARKS P'.UM91NG I DATE
�� -- Contractor
Permit No, —
1� Rough in
—— --- =1w" Fixture� — ---
Final
HEATING+—
—^-- —i�—�— .--- -'ontrector
Per rb.t No.
Gee or Oil
Finsl
------.-- ------ ------ ------- —_ � SEWER -- —`—
_—
Final — —
--- •----- — — - —_�
DRIVEWAY
Final
FIneI
Storm Drainage
(Rein Drain)FIneI
Sidewalk
Curb&Street Final
_ _ Approach — ---- --
M OG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY LFInICATE OCCUPANCYaping
Final