Certificate of Occupancy n CITY OF TIGARD CERTIFICATE OF OCCUPANCY
6 • Permit #: MST2013 -00053
COMMUNITY DEVELOPMENT Permit Issued: 04/02/2013
T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S136CA10500
Jurisdiction: TIGARD
Site address: 11067 SW LEGACY OAK WAY
Subdivision: WHITE OAK VILLAGE Lot: 26
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:
Project Name: White Oak Village, Lot 26
Owner: HAWTHORNE BLOCK LLC
621 SW ALDER ST, STE 605
PORTLAND, OR 97205
Phone:
Contractor: WESTLAND INDUSTRIES
12670 SW 68TH AVE STE #400
TIGARD, OR 97223
Phone: 503 - 245 -9715
Fax: 503 - 598 -9081
This Certificate issued 8/1/2013 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.
Mark VanDomelen
Building Official
City of Tigard
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