12600 SW PRINCE ALBERT ST S
:3i1JIL.D NG PERMIT APPLICATION S Y �'l'a•� so j�
'k3,, DATE_ 4 . Q
1 - -'E L `:._ ' rT.NED HEREBY APPLIES FOR APERMIT FOR THE WORK HERE! INDICATED BUILDER PHONE
:: R .ASS-iC.WN A%D APPROVED IN THE ACCO "P.ANYING P . S AND SPECIFICA I -NS. OWE r IONF —
1 A'- _�
LOT NO _._�
R _ JG? ADOR ESS!"{�6V S �4K..Q :.r,r,,E A_, .)?ESS
- _ TE
ARCHIic`CT
4. -Cr ENG)NEER
t _i_.
-. _ .-_- faZIO&CLI‘q d____I_____°_______'S___ _ D-SIGN=R
Lam'
URE
r-_-_-!,_ _, ❑REMCDEL ADL I^N REPAIR FiR ":`V:AL• ❑FIRE DAMAGE DOEMOLITION
1 ._NCE OREL L ICIO US PATIO OCAR R PORT ❑ RAGE ❑STORAGE❑SLA$ ❑-ENCE
❑'_!�S:P., Q_Jl'C:.TIQNAL ❑�OV'T ❑ ❑ =—=-=---,=----,-.,--- ___
i ?SCND ❑MOVING' ❑CONDITIONAL. USE _ ❑DESIGN REVIEW DCOUNCIL APPROVED DSIGNS
7'..1,.,,P^ CY ._ LAND USE ZONE__.- BLDG TYPE._._- -_FIRE ZONE_ PLAN CHECK $Y-_ HEAT,
. .._. e.0 ..-•-
_ __
...h.,_
..,
,40, .. ,
, ,
. .._ ii.„ , _ . .. _., . 4 4,--- 4' . •al -1 _
.-- 4.....e/24:4"..PH.111141114(
- A 4°0' WIPP It , ____
;' C_LQAD________F1:OC! ,LOAD__. ------rIEIGHT------_______NO_ST_QRIES _AREA __ n0__BEDROONIS VALUE
B ILD!N;_ DEPAR I HENT SET EACKS FRONT REAR LEFT SIDE RIGHT SIDE
ermiF d
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 SPEC;FICATIONS 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
Siete Tax 1 414601 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUM2ING AND HEATING.
Lt1I
al
i ��_
By 1 Ad _ _.
Ar _��� APPLICANT OR AGENT
LApp+oved I / Receipt No.
_.—_ I-
ADDRESS PHONE —_
Jnr-
•
*TS" - s
�^� t ,�I;
--- m 4 n jr z: 1�
BUILDING PERMIT APPLICATION KING CITY DATE , 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT NO.
OWNER JOB ADDRESS HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW 0 REMODEL ❑ADDITION 0 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT
t`
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
By
2-+7d5 APPLICANT OR AGENT
Approved Receipt No. ✓
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 Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final