Certificate of Occupancy CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171
639-4171
SITE ADDRESS...: 12435 SW 1c.:i iL
SUBDIVISION
BLOCK LOT •
CLASS OF WORK. :ADD
TYPE OF USE...:OTR
OCCUPANCY GRP.:SR2
OCCUPANCY LOAD:111 4
TENANT NAME...:
Remarks: TEMPORARY OCCUPANCY FOR 30 DAYS FROM DATE OF ISSUANCE.
ADDING 1 MORE BED ROOM TO CARE HOME.
Owner:
& K LORINC
17 SW 121ST AVE
116ARD OR 97223 •
•
Phone #:
Contractor:
CONTRACTOR NOT ON FILE
Phone #:
Reg *..:
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for the group,
occupancy, and use under which the referenced per . was issued.
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N FICIAL
POST IN CONSPICUOUS PLACE
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CITY OF TIGARD j CERTIFICATE OF
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT V PERMIT # : MST93-0601
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171 - DATE ISSUED: 04/27/94
PARCEL: 2S103BB-06900
SITE ADDRESS...: 12435 SW 121ST AVE ) 1(\
'
SUBDIVISION....: ZONING:R-4.5
BLOCK
. - -
CLASS OF WORK. :ADD
TYPE OF USE... :SF
OCCUPANCY GRP.:R3
OCCUPANCY LOAD:111 4
TENANT NAME...:
emarks: ADDING 1 MORE BED ROOM TO CARE HOME.
Owner: ------------------- --
J & K LORINC
12435 SW 121ST AVE
TIGARD OR 97223
Phone #:
Lontractors -
CONTRACTOR NOT ON FILE
/
Pherie its
#..:
Uccupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for the group,
occupancy, and use under which the referenced permit was issued.
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FIRE DEPARTMENT ■ DI cINSPECTOR
B i'D d OFFICIAL
POST IN CONSPICUOUS PLACE