16385 SW ROYALTY PKWY King City CITY OF N0 179
BUILDING PERMIT APPLICATION TIGARD DATE 19 lr
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT 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 ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE El COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE CISTORAGE❑SLAB ❑FENCE
RE
BOND ❑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
A ANT OR AGENT
Approved III Receipt No. •
ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/(03/,7 , f" /LC- 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 Final
CERTIFICATE OCCUPANCY
Landscaping
• • Zoning Final
41111
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BUILDING PERMIT APPLICATION y,I. gGo T, _-,, . 19 No /C” —
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEAIFICATIOJ\JS. OWNER PHONE
1 s (OWNER( (,,LI a t - .'7,LADDRESS /f 3 F,5,tf� .(tf p DER PHONE HONE
Li ENGINEER
B 1 DER� ' Ifje, gL ! IY ARCHITECT \ DESIGNER
STRUCTURE ED NEW ❑ EMODEL ADDITION REPAIR ❑RENEWAL DFIRE DAMAGE ;DEMOLITION
`RE ❑ ❑
SIDENCE ®COMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS DPATIO DCAR PORT ®GARAGE STORAGE SLAB FENCE
7•FkE
❑.BOND ❑MOVING DCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED 0SIGNS
OCCUPANCY LAND USE ZONE w ,i''BLDG.TYPE FIRE ZONf� PLAN CHECK BY 7 A HEAT
77
7-„
/ s 7.z.v. ,P.-4z,,
Ji f .�0_1-(f)-3, 7. ,s2—(2, Jr L 127✓c..`
ileg)
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
IOC
1 BUILDING DEPARTMENT I SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
I Permit ] /1 C C
il, 1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check II ( REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
ri WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording il l ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
I I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%State ,1) ( LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
i
Total 1
,,; ii /
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v ( —,..-'....-.% - . • e'1.1 ...
I----- "I'ANT OR AGE N
j Approved 11 Receipt No.
ADDRESS PHONE