Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
• Permit#: MST2019-00144
COMMUNITY DEVELOPMENT Permit Issued: 10/31/2019
T t(.A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104BC10500
Jurisdiction: Tigard
Site address: 14037 SW WALNUT LN
Subdivision: FERN STREET SUBDIVISION Lot: 2
Project Description: New SF. 8/6/2019: Fire sprinklers required due to site grade under separate permit.
4/10/2020: REPRINT permit to replace(1)tub/shower combo with (1) shower stall and remove
(1) lavatory from hall bathroom.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Fern Ridge, Lot 2
Owner: K5 URBAN PROPERTIES&MANAGEMENT
PO BOX 25571
PORTLAND, OR 97239
Phone: 503-292-9344
Contractor: BELLA TERRA HOMES
PO BOX 25571
PORTLAND, OR 97298
Phone: 503-2929344
Fax: 503-297-7524
This Certificate issued 11/3/2020 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