Certificate of Occupancy 14 a CITY OF TIGARD CERTIFICATE OF OCCUPANCY
a Permit #: MST2010 -00013
COMMUNITY DEVELOPMENT Permit Issued: 02/17/2010
T I G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CC22100
Jurisdiction: Tigard
Site address: 15723 SW 81ST AVE
Subdivision: GAGE FOREST Lot: 28
Project Description: New SFR.
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Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Project Name: Gage Forest
Owner: TIMBERLAND HOMES INC
12670 SW 68TH AVE
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 11/2/2010 grants occupancy of the above referenced building or portion thereof
and confi ' s that the building has been inspected for compliance with the State of Oregon Specialty Codes for
the grou occupancy, and use under which the referenced permit was issued.
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Building Inspector ` Building f ficial
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