Certificate of Occupancy •
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CITY OF TIGARD CERTIFICATE OF OCCUPANCY
19 Permit #: MST2012 -00101
COMMUNITY DEVELOPMENT Permit Issued: 05/30/2012
, T EGA.R.O 13125 SW HaII Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S110AB01000
Jurisdiction: Tigard
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Site address: 14245 SW 112TH AVE
Subdivision: COLE'S ACRES Lot: 5
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Project Description: Remove existing chimney and replace with new.
Class of Work: OTR
Type of Use: SF
Type of Constr: VB •
Occupancy Group: R -3
Occupancy Load:
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Fire Sprinkler Required: •
Project Name: Burton
Owner: BURTON, ROBERT & SHIRLEY M •
14245 SW 112TH AVE
TIGARD, OR 97224
Phone: 503 - 684 -9827
Contractor: PORTLAND CHIMNEY INC
1441 SE 122ND AVE STE M
PORTLAND, OR 97233
• Phone: 503 - 256 -9140
Fax: 503 - 256 -3020
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This Certificate issued 6/15/2012 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2011 State of Oregon Specialty
Codes for the group, occupancy, and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
• City of Tigard
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POST IN CONSPICUOUS PLACE