Certificate of Occupancy 71 CITY OF TIGARD CERTIFICATE OF OCCUPANCY
a Permit #: MST2012 -00230
COMMUNITY DEVELOPMENT Permit Issued: 11/01/2012
T f GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S135CA11400
Jurisdiction: TIGARD
Site address: 11473 SW 96TH AVE
Subdivision: EVERETT TERRACE Lot: 13
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: Everett Terrace, Lot 13
Owner: SAGE BUILT HOMES LLC
16280 NW BETHANY CT
BEAVERTON, OR 97006
Phone: 503 - 502 -6623
Contractor: SAGE BUILT HOMES
16280 NW BETHANY COURT
BEAVERTON, OR 97006
Phone: 503 - 502 -6623
Fax: 503 - 533 -5164
This Certificate issued 3/29/2013 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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