Certificate of Occupancy (21) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
; Permit#: M8T2017-00014
~ COMMUNITY DEVELOPMENT Permit Issued: 02/14/2017
TIGARD
1u1zoSWHall B|w,ngamOn972z3 503.718.2439 Parcel: 23106DB13800
Jurisdiction: Tigard
Site address: 17456 SW FOREST HOLLOW ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 136
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 Northweat, Lot 136
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: 360-095-7700
Fax:
This Certificate issued 12/19/2017 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