Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permits #: BUP5 201 00320
COMMUNITY DEVELOPMENT
Permit Issued: 12/15/2015
T r i_;A ft I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BC00202
Jurisdiction: TIGARD
Site address: 10763 SW GREENBURG RD 100
Subdivision: OAKBURG Lot: 27
Project Description: TI for a new medical clinic. Change of use from retail store to outpatient clinic.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 148
Fire Sprinkler Required: No
Project Name: Acadia Healthcare
Owner: BELANICH, ROGER M
22020 17TH AVE SE#200
BOTHELL,WA 98021
Phone:
Contractor: WHITE OAK CONSTRUCTION INC
2455 RIVER RD S
SALEM, OR 97302
Phone: 503-588-3081
Fax:
This Certificate issued 3/28/2016 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2014 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
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