Certificate of Occupancy 11 II CITY OF TIGAR CERTIFICATE OF OCCUPANCY
a : Permit #: MST2013 -00054
COMMUNITY DEVELOPMENT Permit Issued: 04/02/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S136CA10600
Jurisdiction: TIGARD
I I
Site address: 11063 SW LEGACY OAK WAY
Subdivision: WHITE OAK VILLAGE Lot: 27
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 27
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 12/4/2013 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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