Certificate of Occupancy s n CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: BUP2013 00120
COMMUNITY DEVELOPMENT Permit Issued: 07/11/2013
T[GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S135BC00202
Jurisdiction: Tigard
Site address: 10763 SW GREENBURG RD 120
Subdivision: HILLSBORO Lot: PTS 1 -2
Project Description: Interior remodel to a Subway: walls, ceiling, flooring, wallcoverings, bathrooms. 8/20/2013:
REPRINT permit to correct suite from 100 to 120.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: A -2
Occupancy Load: 51
Fire Sprinkler Required: No
Project Name: Subway
Owner: BELANICH, ROGER M
22020 17TH AVE SE #200
BOTHELL, WA 98021
Phone:
Contractor: JUSTIN L BALDWIN CONSTRUCTION
PO BOX 1688
TUALATIN, OR 97062
Phone: 503 - 805 -0150
Fax:
This Certificate issued 9/17/2013 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