Certificate of Occupancy (38) y n CITY OF TIGARD CERTIFICATE OF OCCUPANCY
s 1! Permit #: BUP2010 -00129
COMMUNITY DEVELOPMENT Permit Issued: 06/15/2010
T f;GARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 92
Subdivision: Lot: 0
Project Description: TI
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 15
Project Name: Fantastic Sam's
•
Owner: 13500 PACIFIC CORP
BY CAPOZZOLI ADVISORY FOR, PENSIONS
INC, 21500 HAGGERTY ROAD, SUITE 100
Phone:
Contractor: CREATIVE CONTRACTORS & DESIGN
15357 UNION SCHOOL RD
WOODBURN, OR 97071
Phone: 503 - 984 -3220
Fax: 503 - 981 -7784
This Certificate issued 8/11/2010 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for
the group, occupancy, and use under which the referenced permit was issued.
N
Building Inspector Building Official
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