Certificate of Occupancy CITY TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT #: BUP2004 - 00233
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/01/2005
PARCEL: 2 S 102 B D - 00800
ZONING: R -
JURISDICTION: TIG
SITE ADDRESS: 12630 SW GRANT AVE
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND
BLOCK: LOT: 009
CLASS OF WORK: ACS
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: S1
OCCUPANCY LOAD: 4
TENANT NAME:
REMARKS: 1000 sf storage building.
Owner:
ROMAN CATHOLIC ARCHBISHOP OF
PORTLAND IN OREGON
2838 E BURNSIDE
PORTLAND, OR 97214
Phone: 503 - 780 - 8837
Contractor:
LUCIUS VALUSEK HOME SERVICES
12721 SW 131ST AVE
TIGARD, OR 97223
Phone: 503- 780 -8837
503 -524 -7170
Reg #: LIC 138761
This Certificate issued 04/13/2005 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with
the State Oregon Specia ty Codes for the group, o upan a - d u `e under which the
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re - -iced p .. rmitw . i : s -d. I / � l
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B ? INSPEC ' R BUILDING OFFICIA
POST IN CONSPICUOUS PLACE