Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2019-00417
COMMUNITY DEVELOPMENT Permit Issued: 12/19/2019
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104BC10400
Jurisdiction: Tigard
Site address: 14059 SW WALNUT LN
Subdivision: FERN STREET SUBDIVISION Lot: 1
Project Description: New SF. 6/3/2020: REPRINT permit to reduce plumbing fixtures: replace(1)tub/shower with
(1)shower stall, remove (1)island sink, remove(2)lays from two bathrooms on second floor.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Fern Ridge, Lot 1
Owner: K5 URBAN PROPERTIES&MANAGEMENT
PO BOX 25571
PORTLAND, OR 97239
Phone:
Contractor: BELLA TERRA HOMES
PO BOX 25571
PORTLAND, OR 97298
Phone: 503-2929344
Fax: 503-297-7524
This Certificate issued 12/22/2020 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
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