11310 SW AMBIANCE PLACE 1 I
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11310 SW AMBIANCE PLACE
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 6394171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following itern((s)) require correcting:
,3
r)ate:-Z —3r _ Permit --
Inspector'
CALL FOR PEINSPECTION
ADDRESS_J �Ly ` �(.�dt16.LuQ. a PERM;T N0._ __. . . . ..
PERMIT CHARGE none
OWNER �v.RjQ� � CONNECTION FEE
PAID BY
TYPE OF BUILDING _ /t�2,rJ DATE CONNECTEO
SERVICE RATE INSPECTION FEE S.
CONTRACTnR _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
9
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CITY OF TIGARD BLUG, . DEPT,
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sections) of the Uniform Building Code, the
followi,ig items) require correcting:
— .ear
dea
Permit No.
Inspectors _..
CALL FOR REINSPECTION
BUILDING PERMIT APPLICATION 1oFY TIGARD DALE— —., 19
THE UNDERSIGNED HEREBY APPLIES FOP APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE.J,+ ^
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNERPHONET
OWNER `�(lG J14'iMlf�t L7f114t.n I JO'MDDRESS LOT NO.—
— HOME ADDRESS _
ARCHITECT — -
BUILDER -DDRES5 ENGINEER
DESIGNER___
SIRUCIURE-_❑NEW ❑REMODEL _ ❑ADDITION_ ❑REPAIR _❑RENEWAL ❑FIRE DAMAGE UEMOLITI
r� tt-_— 1--� - �— ❑ ON
❑ RGSIDENCE�❑COMM ❑EUUCATIONAL�LJGOV'T ❑RELIGIOUS❑PATIO [:]CARPORT ❑GARAC•E ❑STORAGE❑SI AB ❑FENCE
-`❑BOND ❑MOVING _ UL'ONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED
[:]SIGNS
OCCUPANCY-----LAND USE ZONE_." _ BLDG.TYPE FIRE ZONE� PLAN CHECK 8y
_ HEAT
dwi],l3ntj Iv%9tt.'ACho4d garage. 4 k., L'tat?fgKtt � .'1 o$�Ixklli.
It, i J '.I+I HU-T A1'TiC HU.',
SICC .L4A�1.____ 414
AREA _
rIQ�H�Fl2fi�MVAL.�I'_ _
BUILDING DEPARTMENT
SET BPCKS FRONT REAR LEFT SIDE `" RIGHT SIDE
Permit - -_-.— -- -_
THIS PFRMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
Plan Check 4. FE3ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TME
-`" - AURK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Suh`-total - ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES ►JOT WAIVE
State Tal
RESTRICTIVE COVENANTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CI Y BUSINESS
I.I(ENSE. SEPARATE PERMITS REOUIRFD FON SEWER, PLUMBING AND HEATING.
Total
' 41uu•uU
By
Approved PLICA
Receipt N() --
r
DATE INSP. TYPE INSPE:CTI")N REMARKS PLUMBING DATE
Contractorit
Per No.
V• c!z�. - ----- --
Rough-fn
Fixture
_ � ' --___i- Final
HEATING
3z rim.�.9a
COnMBCtOf
Permit No.
Gac or Oil I
Rough4n
— Final
SEW
Final
DRIVEWAY
Final
Stom Drainage _
(R in Drain)Final.
Sidewalk
Curb&Strw Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
-Zoning Final
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