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Certificate of Occupancy 74 CITY OF TIGARD CERTIFICATE OF OCCUPANCY Permit #: MST2010 -00007 COMMUNITY DEVELOPMENT Permit Issued: 03/05/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109DD09600 Jurisdiction: Tigard Site address: 15623 SW RAPHAEL LN Subdivision: BELLA VISTA Lot: 26 Project Description: New SF Class of Work: NEW Type of Use: SF Type of Constr: VB Occupancy Group: R - Occupancy Load: Fire Sprinkler Required: Project Name: Bella Vista Owner: RIVERSIDE HOMES INC 17933 NW EVERGREEN PKWY #370 BEAVERTON, OR 97006 Phone: 503 - 645 -0986 Contractor: RIVERSIDE HOMES LLC 17933 NW EVERGREEN PKWY 370 BEAVERTON, OR 97006 Phone: 503 - 645 -0986 Fax: 503 - 690 -2942 This Certificate issued 6/22/2010 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 POST IN CONSPICUOUS PLACE