Certificate of Occupancy (26) CITY �U��� �� CERTIFICATE OF OCCUPANCY
� �. OF TIGARD
��\ Permit#: MST2017'00122
COMMUNITY DEVELOPMENT
Permit Issued: 05/10/2017
TI^3AT\0 13125 SW Hat Blvd ngom0R9roun nVa71Oz*ao
` Parcel: 2G106DB15100
Jurisdiction: Tigard
Site address: 17295 SW FOREST HOLLOW ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 151
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 151
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 11/22/3017 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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