Certificate of Occupancy (11) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
`r?N v»` '^ Permit#: MST2016-00390
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COMMUNITY DEVELOPMENT Permit Issued: 10/17/2016TU{�ARI} �
13125 SW Hall Blvd.,Tigard OR 97223 503718,243e Parcel: 2S106n808300
Jurisdiction: Tigard
Site address: 13304 SW SATSUMA AVE
Subdivision: RIVER TERRACE NORTHWEST Lot: 83
Project Description: New SF. 2/1/2017: REPRINT to add 130sf patio cover.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Nouhwest, Lot 83
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695'7700
Fax:
This Certificate issued 6/7/2017 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
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