Certificate of Occupancy C ITY OF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT #: B /11/20 -00547
DATE ISSUED: 10/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 102 BA -01100
ZONING: I -
JURISDICTION: TIG
SITE ADDRESS: 12220 SW GRANT AVE
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND
BLOCK: LOT: 058
CLASS OF WORK: OTR
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 20
TENANT NAME:
REMARKS: Change of use confirmation to issue C of O. (This permit replaces expired permit BUP2003- 00399)
Owner:
JOHN HADLEY
2656 FAIRMOUNT
PORTLAND, OR 97201
Phone: 503- 297 -7670
Contractor:
503 - 244 -7467
OLSON & JONES CONSTRUCTION INC
PO BOX 19563
TIGARD, OR 97280
Phone: 503- 244 -6791
503- 244 -7467
Reg #: LIC 54065
This Certificate issued 11/18/2005 grants occupancy of the above referenced
building or portion thereof and confirms that the building has been inspected for
compliance with the State • Oregon Specialty Codes for the group, occupancy,
a ncruie der w -'c � - references. permit w edt.
BUILDTh INSP CTOR BUILD! OFFICIAL
POST IN CONSPICUOUS PLACE
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