Certificate of Occupancy (80) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: BUP2016-00273
COMMUNITY DEVELOPMENT Permit Issued: 09/13/2016
T[to A RL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#150
Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: TI for existing tenant. Tenant is downsizing from second floor to first floor, and reconfiguring
offices.
Class of Work: ALT
Type of Use: COM
Type of Constr: IIIB
Occupancy Group: B
Occupancy Load: 129
Fire Sprinkler Required: Yes
Project Name: American Family Insurance
Owner: PNWP LLC#2
PNWP LLC
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
Phone:
Contractor: VANOSDEL CONSTRUCTION
PO BOX 1057
BATTLEGROUND,WA 98604
Phone: 360-600-9916
Fax: 360-687-7677
This Certificate issued 2/9/2017 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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