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Certificate of Occupancy (12) IN CITY OF TIGARD CERTIFICATE OF OCCUPANCY Permit#: MST2015-00308 COMMUNITY DEVELOPMENT T&t rR RLQ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit Issued: 06/28/2016 Parcel: 2S110BA 12600 Jurisdiction: TIGARD Site address: 14103 SW 118TH CT Subdivision: MEDALLION MEADOWS Lot: 19 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 19 Owner: JT ROTH CONSTRUCTION INC FOUR D CONSTRUCTION CO 12600 SW 72ND AVE#200 TIGARD,OR 97223 Phone: Contractor: FOUR D CONSTRUCTION PO BOX 1577 BEAVERTON, OR 97075 Phone: 503-590-0805 Fax: 503-590-1751 This Certificate issued 2/23/2017 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