Certificate of Occupancy •
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CITY OF TIGARD CERTIFICATE OF OCCUPANCY
11 ' Permit #: MST2011 -00147
COMMUNITY DEVELOPMENT Permit Issued: 09/21/2011
T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S110CB08500
Jurisdiction: Tigard •
Site address: 12499 SW ST ANDREWS LN
Subdivision: MOUNTAIN VIEW ESTATES Lot: 10
Project Description: New SF
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Class of Work: NEW •
Type of Use: SF •
Type of Constr: VB •
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Occupancy Group: R -3 •
Occupancy Load:
Fire Sprinkler Required:
Project Name: Mountain View Estates, Lot 10
Owner: JT ROTH CONSTRUCTION INC
12600 SW 72ND AVE
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 •
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This Certificate issued 5/30/2012 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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POST IN CONSPICUOUS PLACE
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