Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
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Permit#: MST2016-00433
COMMUNITY DEVELOPMENT Permit Issued: 01/30/2017
T[C A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104AC15100
Jurisdiction: Tigard
Site address: 12863 SW 133RD AVE
Subdivision: WALNUT RIDGE Lot: 5
Project Description: New SF. 2/21/17. REPRINTED to remove(1) hose bib&(1)laundry tray. 3/29/17, REPRINTED
to add 4th bath details to permit.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Walnut Ridge, Lot 5
Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY,#370
BEAVERTON, OR 97006
Phone:
Contractor: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY 370
BEAVERTON, OR 97006
Phone: 503-645-0986
Fax: 503-690-2942
This Certificate issued 6/9/2017 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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