Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: BUP2010 -00258
COMMUNITY DEVELOPMENT Permit Issued: 12/03/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102AC00800
Jurisdiction: Tigard
Site address: 12555 SW MAIN ST
Subdivision: Lot: 0
Project Description: Review for change of use and occupancy only. 12/8/2010: No Certificate of Occupancy to be
issued until building plans submitted and approved for partition wall constructed and electrical
work done without permits, and for structural repairs required to floor beam with all work to be
performed by licensed contractors per Building Official. DLH
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 10
Fire Sprinkler Required:
Project Name: MyConnect LLC
Owner: HEUVELHORST, MICHAEL J
0/0 KADEY, GEORGE S JR
12551 SW MAIN ST
TIGARD, OR 97223
Phone:
Contractor:
Phone:
Fax:
This Certificate issued 12/21/2010 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2010 OSSC 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