Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
A 11 • DEVELOPMENT SERVICES PERMIT #: BUP2004 -00446
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/21/2004
PARCEL: 1 S136AA -01500
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 10313 SW 69TH AVE
SUBDIVISION: FUR VALLEY
BLOCK: LOT: 006
CLASS OF WORK: ADD
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: SR3.2
OCCUPANCY LOAD:
TENANT NAME: LUKE -DORF
REMARKS: 600 sq.ft addition, 2 bedrooms 1/2 bath to an existing care facility
Owner:
LUKE -DORF
10313SW69TH
TIGARD, OR 97223
Phone: 503 - 624 -0866
Contractor: 503 - 705 -2176
PLUMB CONSTRUCTION LLC
1015 15TH STREET
OREGON CITY, OR 97045
Phone: 503- 705 -2176
Reg #: LIC 146357
This Certificate issued 1/27/2005 grants occupancy of the above referenced
buildin • or portion ther -of . • d confirms that the building has been inspected for
• • ".=n e th the St . to • Oregon Specialty ode for . e group, occupancy,
j d - un• -r c permit w• -d.
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BUILDING INSPE ' 0 - BUILDI . f OFFICIAL
POST IN CONSPICUOUS PLACE