Certificate of Occupancy (18) f q CITY OF TIGARD CERTIFICATE OF OCCUPANCY
l Permit#: MST2017-00090
COMMUNITY DEVELOPMENT Permit Issued: 04/05/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110CB09000
Jurisdiction: Tigard
Site address: 12412 SW AUTUMNVIEW ST
Subdivision: MOUNTAIN VIEW ESTATES Lot: 15
Project Description: This permit is to final out work previously permitted under MST2014-00196 by different
contractor.
Class of Work: ALT
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Mountainview Estates, Lot 15
Owner: CHRIS&JENNIFER NGUYEN
12412 SW AUTUMNVIEW ST
TIGARD, OR 97224
Phone: 503-351-9381
Contractor: DREAM BUILDER CUSTOM HOMES INC
16805 SW GASSNER LANE
LAKE OSWEGO, OR 97035
Phone: 503-880-7132
Fax: 503-821-6462
This Certificate issued 7/19/2019 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
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