Certificate of Occupancy CITY OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY
` I Permit#: BUP2021-00226
COMMUNITY DEVELOPMENT Permit Issued: 10/18/2021
l [ RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136CD00101
Jurisdiction: Tigard
Site address: 11675 SW PACIFIC HWY
Subdivision: None Lot: None
Project Description: Interior TI for American Family Care
Class of Work: ALT
Type of Use: COM
Occupancy Group: B
Occupancy Load: 40
Fire Sprinkler Required:
Project Name: AFC
Remarks: Temporary occupancy for 30 days from 12/16/2021
Owner: COLUMBIA STATE BANK
PO BOX 2156 MS 3300
TACOMA,WA 98401
Phone:
Contractor: JOSEPH HUGHES CONSTRUCTION INC
11125 SW BARBUR BLVD
PORTLAND, OR 97219
Phone: 503-624-7100
Fax:
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