Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
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>9' Permit #: MST2011 -00070
- COMMUNITY DEVELOPMENT Permit Issued: 06/08/2011
T I (AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S110CB08000
Jurisdiction: Tigard
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Site address: 12433 SW AUTUMNVIEW ST
Subdivision: MOUNTAIN VIEW ESTATES Lot: 5
Project Description: New SF
Class of Work: NEW
Type of Use: SF
• Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
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Project Name: Mountain View Estates, Lot.5
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Owner: JT_ ROTH CONSTRUCTION INC
12600 SW 72ND
TIGARD, OR 97223
Phone: 503 - 639 -2639
Contractor: J T ROTH CONSTRUCTION
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12600 SW 72ND AVE #200
TIGARD, OR 97223
Phone: 503 - 639 -2639
Fax: 503 - 624 -0239
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This Certificate issued 2/7/2012 , grants-occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2011 State of Oregon Specialty
Codes for the group, occupancy, and use under which the referenced permit was issued.
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Mark VanDomelen
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Building Official
City of Tigard
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POST IN CONSPICUOUS PLACE
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