Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2018-00300
COMMUNITY DEVELOPMENT Permit Issued: 11/21/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01400
Jurisdiction: Tigard
Site address: 16309 SW 113TH AVE
Subdivision: WILLOW BROOK SUBDIVISION Lot:
Project Description: New SF. 3/20/19: REPRINTED permit to include backflow preventer.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Willow Brook, Lot 20
Owner: MISSION HOMES NORTHWEST LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
Phone: 360-573-8081
Contractor: PACIFIC LIFESTYLE HOMES
11815 NE 99TH ST#1200
VANCOUVER,WA 98682
Phone: 360-213-0813
Fax: 360-574-6401
This Certificate issued 4/9/2019 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2017 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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