Certificate of Occupancy •
u ��Y OF �O /1 I > L , ) TEMPORARY CERTIFICATE OF
OCCUPANCY
'' • COMMUNITY DEVELOPMENT
,,,,,,41 #: BUP2008 -00161
rv `ntt p 13 125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PERMIT ISSUED: 5/14/2008
PARCEL: 2S101 DS
ZONING: C -P
JURISDICTION: TIG
SITE ADDRESS: 07300 SW HUNZIKER RD 110
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
OCCUPANCY GRP: B
OCCUPANCY LOAD: 26
TENANT NAME:
REMARKS: TEMPORARY OCCUPANCY FORV DAYS FROM &/.17/ Q � U .
TI.
Owner:
ROBINSON DEVELOPMENT
PO BOX 91305
PORTLAND, OR 97291
Phone:
Contractor:
ROBINSON CONSTRUCTION
21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321
Phone: 503- 645 -8531
Reg #: LIC 63147
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 protectible 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 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, Ind related de requirements and any other applicable requirements have been co �'letely fulfilled -nd complied with to the
City's,orounty's isfaction. J \
��� 1 it '�
1 CN
BUI,L ING INSP TO BUILDING 7 FICIAL
POST IN CONSPICUOUS PLACE
I
4. .v r CITY OF TIGARD CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT PERMIT #: BUP2008 -00161
I ARD DATE ISSUED: 5/14/2008
YT GnRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S101 DE
ZONING: C -
JURISDICTION: TIG
SITE ADDRESS: 07300 SW HUNZIKER RD 110
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 3N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 26
TENANT NAME: ACUITY
REMARKS: Tenant Improvement
Owner:
ROBINSON DEVELOPMENT
21360 NW AMBERWOOD DR
HILLSBORO, OR 97124
Phone: 503 - 645 - 8531
Contractor:
ROBINSON CONSTRUCTION
21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321
Phone: 503- 645 -8531
503- 645 -5397
Reg #: LIC 63147
This Certificate issued 008 grants occupancy of the above referenced building or
por - nd co firms that the building has been inspected for compliance with
the ate of Or • • n Sp cialty Codes for the group, occupancy, and use under which the
refe enced per ", w - ' ued. F
U)LDING INSPE =tsl✓� BUILDING O FICIAL
POST IN CONSPICUOUS PLACE
�u,it ng . P e rmit Application ,
Commercial f FOROFFICEwSE`ONLY 5 . 4 yts v
'
P City of Tigard Receive Permit No.:
III `J g Date/By: e 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review
: = ®'S; Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit
•
T I G A'1 Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for
, ...I.c tif Internet: www.tigard- or.gov Notified'Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING -
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
8<ddition/alteration/replacement ❑ Other: / equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION. work indicated on this application.
dwelling ,_,_,� Valuation: $
❑ and 2-family g Uv l.ommercial /in ustrial
El Acc ory building ❑ Multi- family Number of bedrooms:
❑ Master b ilder ❑ Other: Number of bathrooms:
J OB SITE INFORMATION AND LOC ION Total number of floors:
Job site address: 3,00 5 kJ Nu Ai Z /( si' New dwelling area: square feet
City /State /ZIP: 6 U7 `' 7 ,p3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: `) /74- 13421/9-614-'47 Covered porch area: square feet
Cross street/directions to job site:, Deck area: square feet
Other structure area: square feet
\ REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: \ 1 Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: \ Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
- DESCRIPTION • "
IP WORD work indicated on this application.
,/u -r / ad YC /I'd r° C ii,i /,� ‘tiltL Valuation: $
iN ' / N / ; l Existing building area: square feet
G -'►^ e:-/-/6 = d t
/UDY /P Nd c /' /OGd � e. , 7 4 New building area: square feet
E4ROPERTY OWNER ■ TENANT 7 Number of stories:
Name: W k 415 y� Oki 5 �jy� /1ZQ. /,' (a.5 / Type of construction:
Address: '7 Z_- Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
APPLICANT ❑ ONTACT PERSON
- NOTICE
Business name: del- / S(..Gy.i r \ n, - Ali-contractors and subcontractors are required to be
Contact name: R/ LG ni / /_/ license th the Oregon Construction Contractors Board
under ORS 70ttand,may be required to be licensed in the
Address: 5 Sl " L = / ✓t j ti / ( - jurisdiction in which work is being performed. If the
City /State /ZIP: v �G�v�r G' 7 J applicant is exempt from licensing, the following reasons
apply:
Phone: (: 733) ( - 03 0 3 Fax: : (Sv3) ' - x` - / c `f `f`
. E -mail: sit-R,44 As / 4-7?4'� S . CO n.
CONTRACTOR .
Business name: 4jy/C / ( // 5 fri i 7y 'BUILDING PERMIT FEES*
// 5L- // � - L. ' (Please refer ro fee schedule)
Address:
� : � G -s� L . � l C ��:r7,
. /4j71-72--"A7 y 7 �c -L Structural plan review fee (or deposit):
City/State/ZIP:
( ) 2 j / 0 3 03 ( ) 2)o ! a Yef FLS plan review fee (if applicable):
Phone: 3 Fax
CCB lic.: ' j g'6, q 0 Total fees due upon application:
�G�v z \--- Amount received:
Authorized signature: ��,.
6i;.4 , This permit application expires if a permit is not obtained
w ithin 180 days after it has been accepted as complete.
Print name: t J/ /L7 Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440-46I3T( 1 I /02/COM/WEB)