Certificate of Occupancy CITY OF TIGARD
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�� 'I!I� - DEVELOPMENT SERVICES 13125 Tigard, ( )
CERTIFICATE OF
OCCUPANCY
PERMIT # BUP97 -0483
• DATE ISSUED: 01/28/98
PARCEL: S11 0DC -00700 •
SITE ADDRESS...:11205 SW SUMMERFIELD DR
SUBDIVISION -WILLOW BROOK FARM ZONING :R -25
BLOCK ° LOT •016 JURISDICTION: TIG
CLASS OF WORK °.:ADD
TYPE OF USE... :COM
TYPE OF CONSTR :5-1HR
OCCUPANCY GRP.: R3
OCCUPANCY LOAD: 14
TENANT NAME...:
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Remarks: Adding a 8' X 16 extention to Billiard room, and an 8' X 12 Storage
room
Owner: ---- -- -•-
HOLIDAY RETIREMENT CORP
11205 SW SUMMERFIELD DR
TIGARD OR 97224
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Phone #:
Contractor: -� - -_ _s._- ____._ .._ -_� '�"
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SUNDANCE CONSTRUCTION
16134 SE POWELL �.
PORTLAND OR 97236 q a•
Phone ##: 784-5729 hh •
Reg #..: 72640
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspe�rted for compliance with
the State of Organ Specialty Codes for the group, occu.ancy, and use under
which the referenced permit was issued.
BUILDING Ih SPECTOR . BUILD 'NG OFFICIAL ~ � ��
POST IN CONSPICUOUS PLACE
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