Certificate of Occupancy r�
Ilq a CITY OF TIGARD CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT PERMIT #: BUP2007 - 00386
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/24/2007
PARCEL: 1S134BC-00401
ZONING: C -N
JURISDICTION: TIG
SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 101
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 3 - HR
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: PROVIDENCE
REMARKS: TI - Tech /Draw area remodel.
Owner:
PROVIDENCE HEALTH SYSTEM
4607 NE GLISAN
PORTLAND, OR 97213
Phone: 503 - 215 - 6282
Contractor: 503 - 642 - 5117
IN LINE COMMERCIAL CONSTRUCTION
18880 SW SHAW ST
ALOHA, OR 97006
Phone: 503 - 519- 3970(CEL)
503- 642 -5117
Reg #: EK- 649 -3100
This Certificate issued 10/10/2007 grants occupancy of the above referenced building or
portion ther and confirms that the building has been inspected for compliance with
the State of • =gon Specialty Codes for the group, occ pancy, nd use under which the
refere ed - it was issued.
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if i'
BUILDING INSPECTOR BUILDING ICIAL
POST IN CONSPICUOUS PLACE