Certificate of Occupancy 1111 CITY OF TIGARD CERTIFICATE OF OCCUPANCY
a Permit #: MST2012 -00001
COMMUNITY DEVELOPMENT Permit Issued: 01/06/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109DA17400
Jurisdiction: Tigard
Site address: 15351 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 103
Project Description: New SF
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Arlington Heights, Lot 103
Owner: COLUMBIA STATE BANK
17800 SE MILL PLAIN BLVD, STE 10
VANCOUVER, WA 98683
Phone:
Contractor: STONE BRIDGE HOMES NW LLC
16869 SW 65TH AVE # 505
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7577
Fax: 503 - 387 -7615
This Certificate issued 4/18/2012 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2011 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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