16065 SW QUEEN VICTORIA PL BUILDING PERMIT APPLICATION KING CITY DATE , 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE R - __...—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL ..i S'
OWNER JOB ADDRESS HOME ADDRESS
ARCHITECT
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW 0 REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ODEMOLITION
❑ RESIDENCE ❑COMM ['EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBOND 0 MOVING OCONDITIONAL USE 0 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 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
APPLICANT OR AGENT
Approved Receipt No.
��' 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
Storlti Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY I Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
CITY
� A % ( 7C- ? NoU{LDING PERMIT APPLICATION o
;HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN • D APPROVED IN THE ACCOMPANYING PLANS ND SPECIFICATIONS. OWNER PHONF
/ J /^ //l/ LOT NO
RC '� JOB ADDRESS /GQ C}�l�"�J 1Ll hr-titHOME ADDRESS
/'��//(/J�, ✓✓✓ f/�/) ARCHITECT
a�!n"' /����AA�^ t 33 ,C go / ? , ENGINEER
DER �'� '�iCJ le� ADDRESS DESIGNER
UCTURE DNEW DREMODEL ❑ADDITION REPAIR DRENEWAL DFIRE DAMAGE DDEMOLITION
E IDENCE D COMM DEDUCATIONAL DGOV'T DRELIGIOUSDPATIO DCARPORT DGARAGE 0 STORAGE DSLAB DFENCE
BOND DMOVING DCONDITIONAL USE DM-SIGN REVIEW DCOUNCIL APPROVED DSIGNS
' ;'.CUPANCY_____--LAND UjSE ZONE BLDG.TYPE FIRE ZONE. PLAN CHECK BYJ HEAT,___
4,AFF . �.r�111/� l
;C LQAD __ FLOOR LOAD HEIGHT NO. STORIES AREA NO.BEDROOMSVALUE r
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
;'omit
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
I- 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
— J RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax J fe LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ! 6-Z O
By
APPLICANT OR AGENT
Approved Receipt No.
ADDRESS PHONE