Certificate of Occupancy n CITY OF TIGAR CERTIFICATE OF OCCUPANCY
I : Permit #: BUP2010 -00044
COMMUNITY DEVELOPMENT Permit Issued: 07/23/2010
T E G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102AA01200
Jurisdiction: Tigard
Site address: 11895 SW GREENBURG RD
Subdivision: Lot: 0
Project Description: Building A, remodel and addition of 892 sq ft to existing building for office and medical office
use.
Class of Work: ADD
Type of Use: SF
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 73
Fire Sprinkler Required: No
Project Name: Luke -Dorf Inc.
Owner: LUKE -DORF INC
11895 SW GREENBURG
PORTLAND, OR 97223
Phone:
Contractor: EFRAIN PALOMARES PEREZ
470 NW YONIA CT
HILLSBORO, OR 97124
Phone: 503 - 547 -5261
Fax:
This Certificate issued 1/25/2013 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2010 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
POST IN CONSPICUOUS PLACE
CITY OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY
111 3 . Permit #: BUP2010 -00044
COMMUNITY DEVELOPMENT Permit Issued: 07/23/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102AA01200
Jurisdiction: Tigard
Site address: 11895 SW GREENBURG RD
Subdivision: Lot: 0
Project Description: Building A, remodel and addition of 892 sq ft to existing building for office and medical office
use.
Class of Work: ADD
Type of Use: SF
Occupancy Group: B
Occupancy Load: 73
Fire Sprinkler Required: No
Project Name: Luke -Dorf Inc.
Remarks: Temporary occupancy for 30 days from 8/23/2012
Owner: LUKE -DORF INC
11895 SW GREENBURG
PORTLAND, OR 97223
Phone:
Contractor: EFRAIN PALOMARES PEREZ
470 NW YONIA CT
HILLSBORO, OR 97124
Phone: 503 -547 -5261
Fax:
It is understood by the owner /tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use
and /or occupancy of the structure located at the site address listed above (hereinafter "structure "), does not grant or convey
to the owner or tenant any property right or other protectable property interest in the use and /or occupancy of the structure for
any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from
the date of issuance listed above and that the owner /tenant will no longer be authorized to occupy the structure after the
period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the
project's land use case(s) issued by the City's Development Services Department or the County's Department of Land Use
and Transportation and /or the Clean Water Services and all building and related code requirements and any other applicable
requirements have been completely fulfilled and complied with to the City's or County's satisfaction.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE