Certificate of Occupancy (39) CERTIFICATE OF OCCUPANCY
q CITY OF TIGARD14
Permit#: MST2017-00163
COMMUNITY DEVELOPMENT Permit Issued: 05/31/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135DC09000
Jurisdiction: Tigard
Site address: 11625 SW 91ST AVE
Subdivision: CHARBEN Lot: 8
Project Description: New SF with 462 sf attached garage,and(2)detached garages of 480 sf each for a total of(3)
garages.8/7/17, REPRINTED to add(4)mini splits(2 of detached garages&2 for house).
Removing furnace.8/7/17 REPRINTED to add(1)add'I service for(2)detached garages.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Pacific Evergreen Homes
Owner: PACIFIC EVERGREEN HOMES
7410 SW OLESON RD STE 133
PORTLAND, OR 97223
Phone: 503-664-6423
Contractor: PACIFIC EVERGREEN HOMES LLC
7410 SW OLESON ROAD#133
PORTLAND,OR 97034
Phone: 503-664-6423
Fax: 503-671-0204
This Certificate issued 10/13/2017 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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