Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
11 $ . Permit #: BUP2013 -00136
COMMUNITY DEVELOPMENT Permit Issued: 07/17/2013
T [ (A A 4? - 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102AC00202
Jurisdiction: Tigard
Site address: 9110 SW BURNHAM ST
Subdivision: BURNHAM TRACT Lot: 3
Project Description: Interior remodel.
10/08/13: Reprinted permit for additional plan review.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: M
Occupancy Load: 159
Fire Sprinkler Required: Yes
Project Name: Ferguson Enterprises
Owner: MILLER, PRUDENCE M TRUST
BY PRUDENCE M MILLER TR
4220 SW GREENLEAF DR
PORTLAND, OR 97221
Phone:
Contractor: JOHN DONALDSON CONSTRUCTION INC.
2472 EASTMAN AVE., SUITE 32
VENTURA, CA 93003
Phone: 805 - 654 -1359
Fax: 805- 643 -4043
This Certificate issued 11/15/2013 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