Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
i1 a" . Permit#: MST2015-00070
COMMUNITY DEVELOPMENT Permit Issued: 08/10/2015
T f t A II I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103BB06100
Jurisdiction: Tigard
Site address: 12517 SW 123RD AVE
Subdivision: BROOKWAY Lot: 61
Project Description: New SF. 10/8/15,adding(1)bar sink due to basement change to habitable space. 12/8/15,
adding(3)mini splits,(1)gas fireplace, (2) HRV's,gas piping for fireplace&(1)dishwasher.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: English Hayes Partition, Lot 3
Owner: WESTWOOD HOMES LLC
12700 NW CORNELL RD
PORTLAND, OR 97229
Phone:
Contractor: WESTWOOD HOMES LLC
12700 NW CORNELL RD
12700 NW CORNELL RD
PORTLAND,OR 97229
Phone: 503-330-2215
Fax: 503-342-2403
This Certificate issued 3/23/2016 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
POST IN CONSPICUOUS PLACE