Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
11111 Permit#: MST2019-00462
COMMUNITY DEVELOPMENT Permit Issued: 1/27/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CA00310
Jurisdiction: Tigard
Site address: 13124 SW 121ST AVE
Subdivision: BIRCH MILL SUBDIVISION Lot:
Project Description: New SF. 4/10/2020: REPRINT permit to add A/C. 7/10/2020: REPRINT permit to add
irrigation backflow.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Birch Mill Estates, Lot 4
Owner: LF121 LLC
5285 MEADOWS RD, STE 171
LAKE OSWEGO, OR 97035
Phone: 503-657-3402
Contractor: JTSC LLC
5285 MEADOWS RD, SUITE 171
LAKE OSWEGO, OR 97035
Phone: 503-308-7324
Fax: 503-684-0102
This Certificate issued 7/29/2020 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2017 State of Oregon Specialty
Codes for the group, occupancy,and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE