Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
a Permit #: BUP2010 -00252
COMMUNITY DEVELOPMENT Permit Issued: 11/16/2010
T [ � "�' u.L) 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 1S134BC00401
Jurisdiction: Tigard
Site address: 12442 SW SCHOLLS FERRY RD 202
Subdivision: Lot: 0
Project Description: TI 12/8/10, phasing occupancy, 2 phases.
Class of Work: ALT
Type of Use: COM
Type of Constr:
Occupancy Group:
Occupancy Load:
Fire Sprinkler Required:
Project Name: Scholls Ferry Rehab
Owner: PROVIDENCE HEALTH SYSTEM
4400 NE HALSEY BLDG 1 SUITE 160
PORTLAND, OR 97213
Phone: 503 - 215 -6282
Contractor: ANDERSEN CONSTRUCTION CO
6712 N. CUTTER CIRCLE
PORTLAND, OR 97217
Phone: 503 - 519 -5949
Fax: 503 - 283 -4393
This Certificate issued 2/24/2011 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
POST IN CONSPICUOUS PLACE