Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
CZ Permit #: MST2009 -00224
COMMUNITY DEVELOPMENT Permit Issued: 01/19/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CC19900
Jurisdiction: Tigard
Site address: 15722 SW 81ST AVE
Subdivision: GAGE FOREST Lot: 6
Project Description: New SF
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -
Occupancy Load:
Project Name: Gage Forest
Owner: TIMBERLAND HOMES INC
12670 SW 68TH AVE #300
TIGARD, OR 97223
Phone: 503 - 620 - 8860
Contractor: TIMBERLAND HOMES INC
12670 SW 68TH AVE STE 300
TIGARD, OR 97223
Phone: 503 - 620 -8860
Fax: 503 - 598 -9081
This Certificate issued 6/15/2010 grants occupancy of the above referenced building or portion thereof
and confirms th.i' the building has been inspected for compliance with the State of Oregon Specialty Codes for
the group, occ fancy, and use under whi • • referenced permit was issued. ?-4
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Buildin"rnspector` Build:, g Official
POST IN CONSPICUOUS PLACE