Certificate of Occupancy (11) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2017-00086
COMMUNITY DEVELOPMENT Permit Issued: 04/17/2017
T EC,ARL 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104AC14900
Jurisdiction: Tigard
Site address: 12825 SW 133RD AVE
Subdivision: WALNUT RIDGE Lot: 3
Project Description: New SF. 7/12/17: REPRINTED permit to show 80 sq.ft. 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: Walnut Ridge, Lot 3
Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY,#370
BEAVERTON, OR 97006
Phone:
Contractor: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY 370
BEAVERTON, OR 97006
Phone: 503-645-0986
Fax: 503-690-2942
This Certificate issued 9/12/2017 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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