Certificate of Occupancy INCITY OF TIGARD CERTIFICATE OF OCCUPANCY
PSN •
COMMUNITY DEVELOPMENT Permit#: MST2017-00172
T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit Issued: 06/06/2017
Parcel: 2S112CB19200
Jurisdiction: Tigard
Site address: 8015 SW BARNUM ST
Subdivision: CORBIN ESTATES Lot: 9
Project Description: New SF. 10/24/17: REPRINTED permit to remove(1)sink, (1)lavatory, (1)tub, and(1)hose
bib.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Corbin Estates, Lot 9
Owner: JT ROTH CONSTRUCTION INC
12600 SW 72ND AVE, STE 200
TIGARD, OR 97223
Phone:
Contractor: J T ROTH CONSTRUCTION
12600 SW 72ND AVE#200
TIGARD, OR 97223
Phone: 503-639-2639
Fax: 503-624-0239
This Certificate issued 4/26/2018 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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