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Certificate of Occupancy (10) CITY OF TIGARD CERTIFICATE OF OCCUPANCY Permit #: BUP2010 -00150 • COMMUNITY DEVELOPMENT Permit Issued: 06/29/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S136DD05300 Jurisdiction: TIGARD Site address: 11850 SW 67TH AVE, STE# 210 Subdivision: TIGARD TRIANGLE COMMONS Lot: 13 Project Description: TI 7/2/2010: REPRINTED TO CORRECT SITE ADDRESS. Class of Work: ALT Type of Use: COM Type of Constr: IIIB Occupancy Group: B Occupancy Load: Fire Sprinkler Required: Yes Project Name: American Family Insurance Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 Phone: 503 - 624 -6300 Contractor: TRIANGLE CONSTRUCTION LLC 35155 NE ROCKY HILL RD NEWBERG, OR 97132 Phone: 503 - 625 -9194 Fax: This Certificate issued 7/16/2010 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