Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
;I . Permit#: MST2022-00351
COMMUNITY DEVELOPMENT Permit Issued: 1/9/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103BD12200
Jurisdiction: Tigard
Site address: 12594 SW 121ST AVE
Subdivision: Hollingsworth Subdivision Lot: 3
Project Description: New detached dwelling.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: HOLLINGSWORTH PROPERTIES LLC, Lot 3
Owner: HOLLINGSWORTH PROPERTIES LLC
PO BOX 23894
TIGARD, OR 97281
Phone:
Contractor: LEDGEWOOD CONSTRUCTION LLC
PO BOX 298
SHERWOOD,OR 97140
Phone: 503-522-2500
Fax:
This Certificate issued 9/12/2023 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2021 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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