Certificate of Occupancy (22) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
11111 �`�~ Permit#:#� MST2O18�0520
- COMMUNITY DEVELOPMENT
Permit Issued: 01/23/2017
T�GA 11'Cx
13,2oSvvHan e*u,Tigard Vnorzz3 503.718 2439 Parcel: 2G106DB11700
Jurisdiction: Tigard
Site address: 17416 SW SHADOW TRAIL ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 117
Project Description: New SF
Class of Work: NEW
Type o,Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Northwest, Lot 117
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
VANC0UVER,WA 98660
Phone: 800'695'7700
Fax:
This Certificate issued 11/7/2017 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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