If the first tile is a $3$, we can count the tilings of the remainder by $a(n-3)$.
If the first tile is a $1$, then either (1) the tiling is all $1$'s, or (2) the tiling continues with some quantity of $1$'s, then a $3$, then any valid tiling of the remainder. Hence we get $1+a(n-4)+a(n-5)+a(n-6)+\cdots$.
If the first tile is a $2$, then either (1) the tiling is all $2$'s, or (2) the tiling continues with some quantity of $2$'s, then a $3$, then any valid tiling of the remainder. Hence we get $\delta(n)+a(n-5)+a(n-7)+a(n-9)+\cdots$. (where $\delta(n)$ is $1$ if $n$ is even, and $0$ otherwise).
Hence, the desired recurrence relation is found by adding these three:
$$a(n)=1+\delta(n)+a(n-3)+a(n-4)+2a(n-5)+a(n-6)+2a(n-7)+a(n-8)+\cdots$$
Luckily we can simplify this. We have $\delta(n)=\delta(n-2)$. We write
$$a(n-2)=1+\delta(n-2)+a(n-5)+a(n-6)+2a(n-7)+a(n-8)+2a(n-9)+\cdots$$
Subtracting, lots of stuff cancels, and we get $$a(n)-a(n-2)=a(n-3)+a(n-4)+a(n-5)$$
Rearranging, we get the lovely fifth-order recurrence $$\color{red}{a(n)=a(n-2)+a(n-3)+a(n-4)+a(n-5)}$$
I wish I knew a combinatorial way of getting that recurrence directly, rather than algebraically by subtracting sums.