Certificate of Occupancy (17) 1,1 • CITY OF TIGARD CERTIFICATE OF OCCUPANCY
�' COMMUNITY DEVELOPMENT Permit#: ���V1r�O�x
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Permit Issued: 02/14/2017,x1zn8vv*une|vo, m
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Parcel: 2G106DB12700
Jurisdiction: Tigard
Site address: 17407 SW SHADOW TRAIL ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 127
Project Description: New SF4/12/17: REPRINT 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 127
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: 360'685'7700
Fax:
This C*rtifivatvissued 1011/2017 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
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