Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
2 . Permit #: MST2011 -00168
COMMUNITY DEVELOPMENT Permit Issued: 01/12/2012
Th 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S110BA10500
Jurisdiction: Tigard
Site address: 14222 SW 119TH PL
Subdivision: 2010 -004 PARTITION PLAT Lot: 2
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: Treehill Partition, Lot 2
Owner: JT ROTH CONSTRUCTION INC
FOUR D CONSTRUCTION CO INC
12600 SW 72ND AVE #200
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 Certificate issued 7/18/2012 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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