Certificate of Occupancy C ITY OF TIGARD CERTIFICATE OF OCCUPANCY
� , PERMIT #: BUP2002 -00519
,���,�. DEVELOPMENT SERVICES DATE ISSUED: 12/6/02
s' '�J �� 13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00401
ZONING: C -N
JURISDICTION: TIG
SITE ADDRESS: 12442 S W SCHOLLS FERRY RD * * **
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR:
OCCUPANCY GRP: B
OCCUPANCY LOAD: 17
TENANT NAME: PROVIDENCE HEALTH SYSTEMS
REMARKS: Tenant Improvement 2nd floor rehab & Conference room on 1st floor
Owner:
SISTERS OF PROVIDENCE IN OR
BY STEVE FOSTER
PO BOX 13993
13 9516 N
Contractor: 557 -1085 FAX
ontractor:
5c7_nan6
BNK CONSTRUCTION INC
10730 SE HWY 212
PO BOX 66
C1 W015
557 -1085 FAX
Reg #: 14086600003941
LIC 107555
This Certificate issued 2/27/03 grants occupancy of the above referenced
building or tion thereof and confirms that the building has been inspected for
complianc with the State of Oregon Specialty Codes for he group, occupancy,
and u u de which the referenced permit was -
BUILDING INSPECTOR BUILDIN 4 FICIAL
POST IN CONSPICUOUS PLACE