Certificate of Occupancy (25) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2019-00095
COMMUNITY DEVELOPMENT Permit Issued: 04/17/2019
TIG.A.RLD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB08400
Jurisdiction: Tigard
Site address: 11109 SW GABRIEL ST
Subdivision: WILLOW BROOK SUBDIVISION Lot: 29
Project Description: New SF. 7/30/19: REPRINT to add backflow preventer. 7/31/19: REPRINT to add 34 sf deck.
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 29
Owner: PACIFIC LIFESTYLE HOMES INC
11815 NE 99TH ST STE 1200
VANCOUVER,WA 98682
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 8/20/2019 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
€ity of Tigard
POST IN CONSPICUOUS PLACE