Certificate of Occupancy (19) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
'^ � �' ~ DEVELOPMENT Permit
MST2016-00548
COMMUNITY��COMMUNIDEVELOPMENT[
T f�3A&J� 131zn8VVHanB|vu Tigard noa7�824oq penni�|soued� 01/23/2017
` � Parcel: 2G106DB11000
Jurisdiction: Tigard
Site address: 17394 SW SHADOW TRAIL ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 116
Project Description: New SF
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 Northwest, Lot 116
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7O00EDDUBLETREERANCH RDSTE1
SCOTTSDALE, AZ 85258
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER, WA 98660
Phone: 360'095'7700
Fax:
This Certificate issued 10/102017 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