Certificate of Occupancy (34) CITY OF TIGARD
CERTIFICATE OF OCCUPANCY
11111 Permit#: MST2017'00080
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COMMUNITY DEVELOPMENT Permit Issued: 05/10/2017
T'O/\ItI} 131zoGvvHall Blvd.Tigard D*erzun 503.718 2439 Parcel: 2S106DB14900
Jurisdiction: Tigard
Site address: 17315 SW FOREST HOLLOW ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 149
Project Description: New SF
Class of Work: NEW
Type v,Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Northwest, Lot 149
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
78OOEDDUBLETREERANCH RDSTE1
SCOTTSDALE,AZ 85258
Phone: 602'094'4031
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360'695'7700
Fax:
This Certificate issued 10/26/2017 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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