Certificate of Occupancy (10) CITY CERT�CA� OFOCCUPANCY
OF TIGARD
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Permit#: M8T2016-00423
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COMMUNITY DEVELOPMENT
Permit
� Zy �muud: 11/03/2016
13125Svvna Blvd Tigardo�ur��n ��7�a�*un
` Parcel: 2G100DB09000
Jurisdiction: Tigard
Site address: 17583 SW SABRINA AVE
Subdivision: RIVER TERRACE NORTHWEST Lot: 90
Project Description: New SF
Class of Work: NEW
Type ofUse: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Northwest, Lot 90
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE.AZ 85258
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 560'685-7700
Fax:
This Certificate issued 6/9/3017 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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