Certificate of Occupancy (6) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2018-00142
COMMUNITY DEVELOPMENT Permit Issued: 04/11/2019
T �iA .D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BD02300
Jurisdiction: Tigard
Site address: 9544 SW ANNA BELLE CT
Subdivision: ASH CREEK VILLAGE Lot: 9
Project Description: New SF. 8/14/2019: REPRINT permit to add NC.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Ash Creek Village, Lot 9
Owner: SAGE BUILT HOMES LLC
1815 NW 169TH PL STE 1040
BEAVERTON, OR 97006
Phone:
Contractor: SAGE BUILT HOMES
1815 NW 168TH PLACE
BEAVERTON, OR 97006
Phone: 971-221-4597
Fax: 503-533-5164
This Certificate issued 9/4/2019 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
POST IN CONSPICUOUS PLACE