Certificate of Occupancy � � CITY OF TIGARD CERTIFICATE OF OCCUPANCY
11 .. Permit #: MST2009 -00087
COMMUNITY DEVELOPMENT Permit Issued: 04/14/2009
I1GARP 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S103CC04100
Jurisdiction: Tigard
Site address: 13888 SW 124TH AVE
Subdivision: EAGLE POINTE Lot: 16
Project Description: 2nd story addition. ADDED limited energy 6/23/09.
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Class of Work: ADD
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
Project Name: McRaven
Owner: MCRAVEN DAVID K & RUTH A
13888 SW 124TH AVE
TIGARD, OR 97223
Phone:
Contractor: OWNER
Phone:
Fax:
This Certificate issued 9/10/2009 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2008 State of Oregon Specialty
Codes for the group, occupancy, and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE
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