Certificate of Occupancy 111II
4
� CITY OF TIGARD CERTIFICATE OF OCCUPANCY
�r11 Permit#: MST2019-00234
COMMUNITY DEVELOPMENT Permit Issued: 8/28/2019
-NGAR.T) 13125 SW Hall Blvd„Tigard OR 97223 503.718.2439 Parcel: 2S110AD10200
Jurisdiction: Tigard
Site address: 10921 SW ANNAND HILL CT
Subdivision: ANNAND HEIGHTS Lot: 4
Project Description: New SF.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Annand Heights, Lot 4
Owner: ANNAND HILL LLC
BY RICHARDS, M DALE
12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
Phone: 503-788-4375
Contractor: WINDWOOD CONSTRUCTION INC
12655 SW NORTH DAKOTA
TIGARD, OR 97223
Phone: 503-625-6526
Fax: 590-7606
This Certificate issued 11/9/2020 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
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