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Certificate of Occupancy 111 CITY OF TIGARD CERTIFICATE OF OCCUPANCY COMMUNITY DEVELOPMENT Permit#: MST2016-00533 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit Issued: 01/05/2017 Parcel: 2S106DB10500 Jurisdiction: Tigard Site address: 17455 SW AMELIA ST Subdivision: RIVER TERRACE NORTHWEST Lot: 105 Project Description: New SF.4/3/17: REPRINTED to add patio cover. Class of Work: NEW Type of Use: SF Type of Constr: VB Occupancy Group: R-3 Occupancy Load: Fire Sprinkler Required: Project Name: River Terrace Northwest, Lot 105 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: 360-695-7700 Fax: This Certificate issued 7/26/2017 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