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Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY 11111 Permit#: MST2019-00462 COMMUNITY DEVELOPMENT Permit Issued: 1/27/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CA00310 Jurisdiction: Tigard Site address: 13124 SW 121ST AVE Subdivision: BIRCH MILL SUBDIVISION Lot: Project Description: New SF. 4/10/2020: REPRINT permit to add A/C. 7/10/2020: 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: Birch Mill Estates, Lot 4 Owner: LF121 LLC 5285 MEADOWS RD, STE 171 LAKE OSWEGO, OR 97035 Phone: 503-657-3402 Contractor: JTSC LLC 5285 MEADOWS RD, SUITE 171 LAKE OSWEGO, OR 97035 Phone: 503-308-7324 Fax: 503-684-0102 This Certificate issued 7/29/2020 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 POST IN CONSPICUOUS PLACE