Certificate of Occupancy (10) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
x000 ^/^ �� Permit#: MST2O17�OO43
� `� ' COMMUNITY DEVELOPMENT Permit Issued: 02/14/2017
T|c;��z7 1o1ooewHall mvo,Tigard one72uu 503718,243e Parcel: 2G1O00J13000
Jurisdiction: Tigard
Site address: 17347 SW SHADOW TRAIL ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 130
Project Description: New SF 4/12/17: REPRINT toadd patio cover
Class of Work: OTR
Type ufUse: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Northwest, Lot 130
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: 500-685-7700
Fax:
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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