Certificate of Occupancy 11 � CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: MST2010 -00218
COMMUNITY DEVELOPMENT Permit Issued: 12/28/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S125DD08800
Jurisdiction: Tigard
Site address: 9686 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTATES NO. 3 Lot: 96
Project Description: Install (2) windows and relocate (1) branch circuit.
Class of Work: ALT
Type of Use: SF
Type of Constr:
Occupancy Group:
Occupancy Load:
Fire Sprinkler Required:
Project Name: Schroeder
Owner: SCHROEDER, TED C & JENNIFER
9686 SW VENTURA CT
TIGARD, OR 97223
Phone: 503 - 245 -8337
Contractor: GREEN CONSTRUCTION & DEVELOPMENT
PO BOX 1303
WASHOUGAL, WA 98671
Phone: 503 - 545 -1835
Fax: 503 - 296 -5905
This Certificate issued 1/6/2011 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2008 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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