Certificate of Occupancy � p CITY OF TIGARD CERTIFICATE OF OCCUPANCY
i - Permit #: MST2012 -00171
COMMUNITY DEVELOPMENT Permit Issued: 10/25/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102DC06200
Jurisdiction: Tigard
Site address: 13887 SW 90TH AVE
Subdivision: GERTZ HOMES AT EDGEWOOD NO.2 Lot: 11
Project Description: New SF. 5/28/13, adding a /c, placement of a/c unit must comply with manufacturer's clearance
requirements. 5/30/13, reprinted to correct parcel information from 2S102DC01400 to
2S102DC06200.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Gertz Homes at Edgewood No. 2, Lot 11
Owner: GERTZ CONSTRUCTION CO INC
19200 SW 46TH AVE
TUALATIN, OR 97062
Phone: 503 - 692 -3390
Contractor: GERTZ CONSTRUCTION CO INC
19200 SW 46TH AVE
TUALATIN, OR 97062
Phone: 503 - 692 -3390
Fax: 503 - 692 -5433
This Certificate issued 5/29/2013 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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