Certificate of Occupancy 11 CITY OF TIGARD CERTIFICATE OF OCCUPANCY
• Permit #: MST2012 -00139
COMMUNITY DEVELOPMENT Permit Issued: 07/02/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S136AD04500
Jurisdiction: Tigard
Site address: 6715 SW PINE ST
Subdivision: VILLA RIDGE Lot: 2
Project Description: 513 square foot addition. 8/21/12, adding additional plumbing fixtures.
Class of Work: ADD
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Petersen
Owner: PETERSEN, OVE & LORA LEE
7608 SW PINE ST
PORTLAND, OR 97223
Phone: 503 - 452 -9457
Contractor: SCANDINAVIAN GENERAL CONTRACTING
7608 SW PINE ST
TIGARD, OR 97223
Phone: 503 -452 -9457
Fax: 503 -452 -9457
This Certificate issued 4/24/2013 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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