Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
g '; Permit#: MST2020-00091
COMMUNITY DEVELOPMENT Permit Issued: 7/15/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CA00309
Jurisdiction: Tigard
Site address: 13044 SW 121STAVE
Subdivision: BIRCH MILL SUBDIVISION Lot:
Project Description: New SF. NO FINAL INSP UNTIL FEES PAID FOR SDCs DEFERRED TO OCCUPANCY.
1/15/2021: REPRINT permit to add shower in powder room and laundry sink.
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 2
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 3/3/2021 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2019 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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