Certificate of Occupancy n CITY OF TIGARD CERTIFICATE OF OCCUPANCY
1 I c , N DEVELOPMENT Permit #: MST2012 -00170
COMMUNITY DEV O MENT Permit Issued: 01/03/2013
TI 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S136CA08200
Jurisdiction: TIGARD
Site address: 11040 SW LEGACY OAK WAY
Subdivision: WHITE OAK VILLAGE Lot: 3
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 3
Owner: WESTLAND INDUSTRIES INC
12670 SW 68TH #400
TIGARD, OR 97223
Phone: 503 - 572 -0746
Contractor: WESTLAND INDUSTRIES
12670 SW 68TH AVE STE #400
TIGARD, OR 97223
Phone: 503 - 245 -9715
Fax: 503 - 598 -9081
This Certificate issued 4/30/2013 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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