Certificate of Occupancy (3) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
_ Permit#: MST2015-00292
COMMUNITY DEVELOPMENT Permit Issued: 07/12/2016
TIC A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BA10900
Jurisdiction: TIGARD
Site address: 14080 SW 118TH CT
Subdivision: MEDALLION MEADOWS Lot: 1
Project Description: New SF. 9/26/16, REPRINTED to correct the number of tub/showers actually permitted.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Medallion Meadows, Lot 2
Owner: JT ROTH CONSTRUCTION INC
FOUR D CONSTRUCTION CO
12600 SW 72ND AVE#200
TIGARD, OR 97223
Phone:
Contractor: J T ROTH CONSTRUCTION
12600 SW 72ND AVE#200
TIGARD, OR 97223
Phone: 503-639-2639
Fax: 503-624-0239
This Certificate issued 3/21/2017 grants occupanc of the above reference• • _' • • •• i • • • - -
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