Certificate of Occupancy CITY OF TIGARD1111 CERTIFICATE OF OCCUPANCY
Permit#: MST2015-00236
COMMUNITY DEVELOPMENT Permit Issued: 12/28/2015
T Ei A!J D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1026C01102
Jurisdiction: Tigard
Site address: 12764 SW KING CT
Subdivision: GRACELAND Lot: 4
Project Description: New SF. 5/10/16: REPRINTED permit to include(1)laundry tray.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Graceland, Lot 5
Owner: PACIFIC EVERGREEN HOMES LLC
7410 SW OLESON RD#133
PORTLAND, OR 97223
Phone: 503-664-6423
Contractor: ALAN NATHANIEL GOFFMOORE
13950 SW BARLOW RD
BEAVERTON, OR 97008
Phone: 503-664-6423
Fax:
This Certificate issued 6/6/2016 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2014 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