Certificate of Occupancy (34) CITY CER�F|�� OFK�CUPAN��
.. OF TIGARD
��4 Permit#: M8T2O17-00024
COMMUNITY DEVELOPMENT
TK/�aRC' Blvd.,1m2uGvv*enTigardnne7oxa nn�71nu*an Permit Issued: 05/10/2017
� Parcel: 28106Dg14400
Jurisdiction: Tigard
Site address: 174O5SVVFOREST HOLLOW 8T
Subdivision: RIVER TERRACE NORTHWEST Lot: 144
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 144
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE, AZ 85258
Phone: 602'694-4051
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER, WA 98660
Phone: 360'695-7700
Fax:
This Certificate issued 12/7/2817 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
POST IN CONSPICUOUS PLACE