Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
R • Permit#: MST2013-00213
COMMUNITY DEVELOPMENT Permit Issued: 10/24/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BD02400
Jurisdiction: Tigard
Site address: 12820 SW GRANT AVE
Subdivision: NORTH TIGARDVILLE ADDITION Lot: 40
Project Description: Dormer addition only. Exterior footprint is not changing.
Class of Work: ALT
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: CAMPBELL
Owner: CAMPBELL, SANDRA RAE
12820 SW GRANT AVE
TIGARD, OR 97223
Phone:
Contractor: WEST COAST CONSTRUCTION
4300 SE ALDERCREST RD
MILWAUKIE, OR 97222
Phone: 503-939-1286
Fax:
This Certificate issued 4/15/2014 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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