Certificate of Occupancy 4 CITY OF TIGARD CERTIFICATE OF OCCUPANCY
0` - . Permit #: BUP2012 -00046
COMMUNITY DEVELOPMENT Permit Issued: 03/30/2012
T [ C, A'AO 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102BD00701
Jurisdiction: Tigard
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Site address: 12785 SW PACIFIC HWY
Subdivision: NORTH TIGARDVILLE ADDITION, AMENI Lot: 8
Project Description: TI
Class of Work: ALT
Type of Use: COM •
Type of Constr: VB •
Occupancy Group: A -2
Occupancy Load: 81
Fire Sprinkler Required: No
Project Name: Burgerville
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Owner: BENNETH, CATHERINE MCNICOL
3830 ROBIN CREEK LN •
WEST LINN, OR 97068
Phone:
Contractor: RSV CONSTRUCTION SERVICES INC
1115 ESTHER ST
SUITE A •
VANCOUVER, WA 98660
Phone: 360 - 693 -8830
Fax: 360 -693 -8910
This Certificate'issued 6/26/2012 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2011 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
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CITY OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY
I 0 Permit #: BUP2012 -00046
COMMUNITY DEVELOPMENT Permit Issued: 03/30/2012
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102BD00701
Jurisdiction: Tigard
Site address: 12785 SW PACIFIC HWY
Subdivision: NORTH TIGARDVILLE ADDITION, AMEND Lot: 8
Project Description: TI
Class of Work: ALT
Type of Use: COM
Occupancy Group: A -2
Occupancy Load: 81
Fire Sprinkler Required: No
Project Name: Burgerville
Remarks: Temporary occupancy for 30 days from 6/21/2012
Owner: BENNETH, CATHERINE MCNICOL
3830 ROBIN CREEK LN
WEST LINN, OR 97068
Phone:
Contractor: RSV CONSTRUCTION SERVICES INC
1115 ESTHER ST
SUITE A
VANCOUVER, WA 98660
Phone: 360 - 693 -8830
Fax: 360 - 693 -8910
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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 protectable 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
the 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 and related code requirements and any other applicable
requirements have been completely fulfilled and complied with to the City's or County's satisfaction.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE