Certificate of Occupancy li
„ CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2019-00311
COMMUNITY DEVELOPMENT Permit Issued: 08/15/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB05900
Jurisdiction: Tigard
Site address: 11404 SW GABRIEL ST
Subdivision: WILLOW BROOK SUBDIVISION Lot: 4
Project Description: New SF. 8/28/2019: REPRINT permit to add irrigation backflow.
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 4
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 12/12/2019 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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