Certificate of Occupancy •
CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: MST2010 -00024
COMMUNITY DEVELOPMENT Permit Issued: 05/05/2010
CA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109DD08800
Jurisdiction: Tigard
Site address: 12717 SW DA VINCI LN
Subdivision: BELLA VISTA Lot: 18
Project Description: New SFR.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
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 8/4/2010 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 which the referenced permit was issued.
dJ � _Q
Building Inspector Building Official
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