Certificate of Occupancy r
A A CITY OF TIGARD CERTIFICATE OF OCCUPANCY
*, DEVELOPMENT SERVICES PERMIT #: BUP2004 -00010
" Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/13/2004
PARCEL: 2 S 101 AD -03200
ZONING: MUE
JURISDICTION: TIG
SITE ADDRESS: 12909 SW 68TH PKWY 250
SUBDIVISION: TIGARD OFFICE BUILDING
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2N
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: AMERICAN FAMILY INSURANCE
REMARKS: Work being done in Suites 250 and 340 (first and second floor). TI: New walls.
Owner:
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224
Phone: 503 - 892 -0066
Contractor:
MATTHEW OLSON CONSTRUCTION
5320 SW DOVER LANE
PORTLAND, OR 97225
Phone: 503- 892 -0066
503- 892 -0067
Reg #: MET 00002036
LIC 66070
This Certificate issued 2/11/2004 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 C • r - s for the ! roup, occupancy,
a d use under w ich t e referenced permit wa - ' , • .1
C 1-TI INSPEC OR BUILDING A ICIAL
POST IN CONSPICUOUS PLACE