Certificate of Occupancy 6 y CITY OF TIGARD CERTIFICATE OF OCCUPANCY
" ` t - Permit #: MST2010 -00002
COMMUNITY DEVELOPMENT Permit Issued: 02/02/2010
TfGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CC20700
Jurisdiction: Tigard
Site address: 15610 SW 81ST AVE
Subdivision: GAGE FOREST Lot: 14
Project Description: New SF
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Project Name: Gage Forest
Owner: J T ROTH CONSTRUCTION INC
12600 SW 72ND 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 Certificat- issued 9/16/2010 grants occupancy of the above referenced building or portion thereof
and confirm /hat 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.
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KJ\ tuL2,,,,,,
Building Inspecto lb Building Official
POST IN CONSPICUOUS PLACE