Certificate of Occupancy (42) „ CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2018-00210
COMMUNITY DEVELOPMENT Permit Issued: 03/07/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA17300
Jurisdiction: Tigard
Site address: 16865 SW APPLEDALE RD
Subdivision: RIVER TERRACE EAST Lot: 212
Project Description: New SF.
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 East No.2, Lot 212
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
Phone: 602-694-4031
Contractor: WILLIAM LYON HOMES INC
703 BROADWAY STREET, SUITE 510
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax:
This Certificate issued 8/27/2019 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2017 State of Oregon Specialty
Codes for the group,occupancy,and use under which the referenced permit was issued.
Mark VanDomelen
Buttding Official
City of Tigard
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