Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
III g Permit #: MST2010 -00004
COMMUNITY DEVELOPMENT Permit Issued: 02/03/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CC21000
Jurisdiction: Tigard
Site address: 8129 SW LANGTREE ST
Subdivision: GAGE FOREST Lot: 17
Project Description: New SF
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -
Occupancy Load:
Project Name: Gage Forest
Owner: J T ROTH CONSTRUCTION INC
12600 SW 7ND AVE
TIGARD, OR 97223
Phone: 503 - 639 -2639
Contractor: J T ROTH CONSTRUCTION
12600 SW 72ND AVE #200
TIGARD, OR 97223
Phone: 503 - 639 -2639
Fax: 503 - 624 -0239
This Certificate issued 9/16/2010 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for
the group, • •cupancy, and use under which the referenced permit was issued.
/ 41*
tA t i teak&
Buil g Inspector ` Building Official
POST IN CONSPICUOUS PLACE