16150 SW ROYALTY PKWY BUILDING PERMIT APPLICATION corrFY TIC AR D DATE Cre.Y .1 1977
HE UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO.-___-__
R_.%,/7/2_-Cagt46. JOB ADDRESS /(J /0 ✓W/ " HOME ADDRESS
1 ARCHITECT
ENGINEER
=R ADDRESS DESIGNER
UCTURE ❑NEW D REMODEL ❑ADDITION D REPAIR URENEWAL ❑FIRE DAMAGE ❑DEMOLITION
IDFNCE ❑COMM DEDUCATIONAL DGOV'T URELIGIOUSDPATIO ❑CAR PORT ❑GARAGE DSTORAGEDSLAB ❑FENCE
JBOND ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
:'.CUPANCY..-..-__--_LAND USE ZONE_ BLDG.TYPE_ FIRE ZONE_. PLAN CHECK BY HE T
7s71 ALA _ ��, , L/O .�2 : , . %'
��
�_LQAD _-__ FLOOR LOAD HEIGHT NO. STORIES AREA NO.BEDROOMS VALUE `^'
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 6Y. OCA
-- 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
It WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN 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 ,34 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total q. .36 r
By A�.e. , �/� �� ` —
_._._- — — APPLICANT OR AG NT
Approved t .
Receipt No. I
_ —T ADDRESS PHONE
r
KING"CITY-STRUCTURAL_CHANGE_-REQUEST
Member Date //2 7 - 7 7
Address /� /,�L� .5 t�� Phone 4',9 9 6 75'
TYPE OF CHANGE
(Patio Cover, Room, Fence, etc.)
PLAN: DIMENSIONAL AND MATERIAL DETAILS
Note:
1) Adjacent property owners will be informed of the requested change.
2) If there is an objection, the objection, but not the name of the objector, will
be given to the member asking for the change.
3) The Board of Directors of the Civic Association will review the plans and property
for approval or disapproval and compliance with the stated restrictions.
I) A building permit must be obtained from the city for all improvements costing over
3500.00
Date Notified KCCA Board of Directors
President
Date to be Completed Approved Vice President
Final Inspection Disallowed (Reasons)