Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
U
17 Permit #: MST2011 -00068
COMMUNITY DEVELOPMENT Permit Issued: 06/08/2011
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T'GAR.D 13125 SW Hall Blvd., Tigard OR 97223. 503.718.2439 Parcel: 2S110CB07900
Jurisdiction: Tigard
Site address: 12465 SW AUTUMNVIEW ST
Subdivision: MOUNTAIN VIEW ES TATES Lot: 4
Project Description: New SF •
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Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
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Occupancy Load:
Fire Sprinkler Required:
Project Name: Mountain View Estates, Lot 4
Owner:_ JT ROTH CONSTRUCTION
12600 SW_ ,72ND
TIGARD, OR 97223
Phone: 503 - 639 -2639
Contractor; J T ROTH CONSTRUCTION
12600 SW 72ND AVE #200
TIGARD, OR 97223
Phone: 503 - 639 -2639
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Fax: 503 - 624 -0239
This Certificate issued 2/7/2012 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.
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Mark VanDomelen
Building Official •
City of Tigard
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POST IN CONSPICUOUS PLACE
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