Certificate of Occupancy 11111 CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: BUP2021-00165
COMMUNITY DEVELOPMENT Permit Issued: 8/2/2021
TIGARD
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 200
Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Interior tenant improvement for new tenant to include minor demo of existing partitions, new
private offices, conference room and training room. Re-use existing conference room, open office
areas and staff break room.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 179
Fire Sprinkler Required:
Project Name: Amica Mutual Insurance Company
Owner: G&S FC LLC
16083 SW UPPER BOONES FERRY RD, STE 120
TIGARD,OR 97224
Phone:
Contractor: BUILT ENVIRONMENTS NORTHWEST
PO BOX 160
GLADSTONE, OR 97027
Phone: 503-650-4084
Fax: 503-650-4104
This Certificate issued 10/1/2021 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2019 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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