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Certificate of Occupancy (11) CITY OF TIGARD CERTIFICATE OF OCCUPANCY 4 Permit#: MST2015-00224 COMMUNITY DEVELOPMENT Permit Issued: 12/07/2015 T I(-1 Ali U 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BC01102 Jurisdiction: Tigard Site address: 12802 SW KING PL Subdivision: GRACELAND Lot: 4 Project Description: New SF. 5/10/16: REPRINTED permit to include(1)laundry tray. Class of Work: NEW Type of Use: SF Type of Constr: VB Occupancy Group: R-3 Occupancy Load: Fire Sprinkler Required: Project Name: Graceland, Lot 3 Owner: PACIFIC EVERGREEN HOMES LLC 7410 SW OLESON RD#133 PORTLAND,OR 97223 Phone: Contractor: ALAN NATHANIEL GOFFMOORE 13950 SW BARLOW RD BEAVERTON,OR 97008 Phone: 503-664-6423 Fax: This Certificate issued 5/20/2016 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