Certificate of Occupancy a a CITY OF TIGARD CERTIFICATE OF OCCUPANCY
IE Permit #: MST2012 -00172
COMMUNITY DEVELOPMENT Permit Issued: 07/30/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 1S136CA09000
Jurisdiction: TIGARD
Site address: 11047 SW LEGACY OAK WAY
Subdivision: WHITE OAK VILLAGE Lot: 11
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: White Oak Village, Lot 11
Owner: WESTLAND INDUSTRIES INC
12670 SW 68TH #400
TIGARD, OR 97223
Phone: 503 - 572 -0746
Contractor: WESTLAND INDUSTRIES
12670 SW 68TH AVE STE #400
TIGARD, OR 97223
Phone: 503 - 245 -9715
Fax: 503 - 598 -9081
This Certificate issued 12/17/2012 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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