Certificate of Occupancy IN44 CITY OF TIGARD CERTIFICATE OF OCCUPANCY
`< Permit#: MST2017-00256
COMMUNITY DEVELOPMENT Permit Issued: 11/28/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BA13300
Jurisdiction: Tigard
Site address: 14026 SW 118TH CT
Subdivision: MEDALLION MEADOWS Lot: 26
Project Description: New SF. 2/5/2018: REPRINT permit to remove(1)laundry tray and correct number of
tub/showers to(3).
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Medallion Meadows, Lot 26
Owner: JT ROTH CONSTRUCTION INC
12600 SW 72ND AVE#200
TIGARD, OR 97223
Phone: 503-639-2639
Contractor: J T ROTH CONSTRUCTION
12600 SW 72ND AVE#200
TIGARD, OR 97223
Phone: 503-639-2639
• Fax: 503-624-0239
This Certificate issued 10/11/2018 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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