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Certificate of Occupancy IN CITY OF TIGARD CERTIFICATE OF OCCUPANCY COMMUNITY DEVELOPMENT Per : MST215-00055 Permit Issued: 06/15/2015 Tr GA Ft f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BA11100 Jurisdiction: TIGARD Site address: 14128 SW 118TH CT Subdivision: MEDALLION MEADOWS Lot: 4 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: Medallion Meadows, Lot 4 Owner: JT ROTH CONSTRUCTION INC FOUR D CONSTRUCTION CO 12600 SW 72ND AVE#200 TIGARD, OR 97223 Phone: Contractor: J T ROTH CONSTRUCTION 12600 SW 72ND AVE#200 TIGARD, OR 97223 Phone: 503-639-2639 Fax: 503-624-0239 This Certificate issued 2/5/2016 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the 2014 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 POST IN CONSPICUOUS PLACE CITY OF TIGARD CERTIFICATE OF OCCUPANCY Permit#: MST2015-00055 COMMUNITY DEVELOPMENT Permit Issued: 06/15/2015 TtC®a 'R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BA11100 Jurisdiction: TIGARD Site address: 14128 SW 118TH CT Subdivision: MEDALLION MEADOWS Lot: 4 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: Medallion Meadows, Lot 4 Owner: JT ROTH CONSTRUCTION INC FOUR D CONSTRUCTION CO 12600 SW 72ND AVE#200 TIGARD, OR 97223 Phone: Contractor: J T ROTH CONSTRUCTION 12600 SW 72ND AVE#200 TIGARD, OR 97223 Phone: 503-639-2639 Fax: 503-624-0239 This Certificate issued 2/5/2016 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the 2014 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 POST IN CONSPICUOUS PLACE