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11315 SW AMBIANCE PLACE :}
CITY OF TIGARD BLDG. DEPT.
1'3420 S.W. MAIN STREET
1 IGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Coat, the
following item(s) require correcting:
.�.�A
Permit
Inspector t!:�r
CALL FOUR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
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Date: .��- ,z:4Permit No.---
Inspector
o. __Inspector ,
CALL FOR REINSPECTION
CITYOF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
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tri►917 •st',4 — -24AS'Age
')ate: _1 _`_'_ `� _ Permit No.
Inspector--OV--
CALL FOR REINSPECTION
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BUILDING PERMIT APPLICATION OF ��C���® DATE- _ _, t��
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. 0WIER PHONE
LOT NCI_
OWNER fol lrl i li rt l• JOB ADDRESS LZ !. r,�i N mbis()C E'' C NOME ADDRESS
ARCHITECT
ENGINEER
BUILDER r UIM611 ADDRESS � � V j l l.N 1'f5 I L'• DESIGNER
STRUCTURE ❑NEW ❑REMTIDEL _ ❑ADDITION _OREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSUPATIO OCARPOIJ
R--TII ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW 4COUNCIL APPROVED ❑SIGNS
OCCUPANCY——* -LAND USE ZONS ry+� _BLDG.TYPE —.FIRE ZONE__ . PLAN CHECK BY I' HEAT '
.�rl�t> ucL 1�1nt,,l.el $rlt3y + � lltn w/R a.CI�cYl�+ls_ r a,;��,� t:bua �-
_
dill, —
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BUILDING DEPARTMENT43'
SET BACKS FRONT 'Zr) REAR _ LEFT SIDE RIGHT SIDE
Permit rlrl
-- — THIS PERMIT IS ISSUED SUt!JFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check i1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
---- AORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICnTIONS AND IN COMPLIANCE WITH
Sub•totac `1 ALL APPLICABLE CODES AND ORnINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONT'IAc;TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS RE VJIRED FOR SEWER, PLUMBING AND HEATING.
Total I Uluue 00
BY --------- ---------
^�" APPI ICAN1 f)R A(-.f NT - —
Approved RPCT��ht N:� �-- C-/
BB-�D'�ATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Iff71 OpTinl - 'D!b aux i,s1�I C�, Contractor
N .. Permit No. _ 3
`L-�o'�� �- n o✓C � �/t �� �'//'1j 2wela NCO:-_
Rough-in
..
FixtureXX
V —
Final
HEATING
Contractor
PermltNo. `p
1�' ��/�G�t•OL�1 -. V
/l- 7.7 9 fic , �e(«or/�"- �,� / Gas or Oil —
"' .QrSe*.2�,mdr4 Hough-in
Final
- SEWER _—
y_ Final
DRIVEWAY
- - ------- Final
Storni Drainage _
(Rain Drain)Final.
S idewel k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY T CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY ( Final - -
Landscaping
—` -- I Zoning Final
1