Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
S'' Permit#: MST2016-00129
COMMUNITY DEVELOPMENT Permit Issued: 04/12/2016
T rr U A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB08900
Jurisdiction: Tigard
Site address: 13025 SW BLACK WALNUT ST
Subdivision: SUMMIT RIDGE NO.5 Lot: 157
Project Description: New SF. 7/27/2016: ADD continuous loop fire sprinkler system for 1,954 sf. 9/26/2016:
REPRINT to add NC.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Summit Ridge No. 5, Lot 157
Owner: DR HORTON INC
4380 SW MACADAM AVE
PORTLAND,OR 97239
Phone:
Contractor: DR HORTON INC PORTLAND
4380 SW MACADAM AVE SUITE 100
PORTLAND,OR 97239
Phone: 503-222-4151
Fax: 503-222-1304
This Certificate issued 9/29/2016 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
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