Certificate of Occupancy CITY OF TIGARD111141 CERTIFICATE OF OCCUPANCY
Permit d: BUP9 2016 8
COMMUNITY DEVELOPMENT
Permit Issued: 01/19/2016
T ( AR F) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AC00700
Jurisdiction: TIGARD
Site address: 12540 SW MAIN ST 202
Subdivision: BURNHAM TRACT Lot: 1
Project Description: TI-Improvements for private clinic. New partition walls to form exam rooms and other
associated areas.Other revisions to second floor area, including door addition/removal.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group:
Occupancy Load:
Fire Sprinkler Required:
Project Name: Recovery Works
Owner: DOLAN&CO LLC
BY FLORENCE T DOLAN
4523 NE DAVIS ST
PORTLAND, OR 97213
Phone: 503-225-9009
Contractor: SUMMIT CONSTRUCTION
PO BOX 10345
PORTLAND,OR 97296
Phone: 503-223-9703
Fax: 503-242-3841
This Certificate issued 4/5/2016 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2014 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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