Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: MST2010 -00026
� ' COMMUNITY DEVELOPMENT
Permit Issued: 06/17/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109DD09900
Jurisdiction: Tigard
Site address: 15589 SW RAPHAEL LN
Subdivision: BELLA VISTA Lot: 29
Project Description: New SFR.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -2
Occupancy Load:
Project Name: Bella Vista
Owner: RIVERSIDE HOMES INC
1300 DEXTER AVE NORTH #500
SEATTLE, WA 98109
Phone:
Contractor: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY 370
BEAVERTON, OR 97006
Phone: 503 - 645 -0986
Fax: 503 - 690 -2942 •
This Certificate issued 9/22/2010 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for
the group, occupancy, and use under which the referenced permit was issued. 1(-)
W SZ
Building Inspector Building Official
POST IN CONSPICUOUS PLACE