Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
'., Permit#: BUP2014-00064
COMMUNITY DEVELOPMENT Permit Issued: 03/26/2014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S135BD01200
Jurisdiction: Tigard
Site address: 9800 SW SHADY LN
Subdivision: MEADOW VIEW Lot: 8
Project Description: TI
Class of Work: ALT
Type of Use: COM
Type of Constr: IIIB
Occupancy Group: B
Occupancy Load: 12
Fire Sprinkler Required: No
Project Name: Portland NCS
Owner: BURDICK-FORBES INVESTMENTS LLC
BY DONALD C BURDICK
434 RIDGEWAY RD
LAKE OSWEGO, OR 97034
Phone:
Contractor: HEMMINGSON CONSTRUCTION INC
PO BOX 802
BEAVERTON, OR 97075
Phone: 503-646-1585
Fax: 503-646-0129
This Certificate issued 5/5/2014 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
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