Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2018-00171
COMMUNITY DEVELOPMENT Permit Issued: 06/28/2018
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01400
Jurisdiction: Tigard
Site address: 16297 SW 113TH AVE
Subdivision: WILLOW-BROOK-FARM Lot: 19
Project Description: New SF. Model home. 8/28/18: REPRINT to add 96 sf deck and 96 sf deck cover.
10/19/2018: REPRINT permit to correct street address from 16325 to 16297 SW 113th.
3/20/19: REPRINTED permit to include backflow preventer.
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 19
Owner: MISSION HOMES NW LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
Phone:
Contractor: PACIFIC LIFESTYLE HOMES
11815 NE 99TH ST#1200
VANCOUVER,WA 98682
Phone: 360-213-0813
Fax: 360-574-6401
This Certificate issued 5/1/2020 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