Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
} Permit #: BUP2010 -00264
COMMUNITY DEVELOPMENT Permit Issued: 12/01/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112DC00500
Jurisdiction: TIGARD
Site address: 15895 SW 72ND AVE 250
Subdivision: OREGON BUSINESS PARK III Lot: 40
Project Description: TI
Class of Work: ALT
Type of Use: COM
Type of Constr:
Occupancy Group:
Occupancy Load:
Fire Sprinkler Required:
Project Name: Diagnostic Male Medical
Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
Phone: 503 - 624 -6300
Contractor: MATTHEW OLSON CONSTRUCTION
5320 SW DOVER LN
PORTLAND, OR 97225
Phone: 503 - 892 -0066
Fax: 503 - 892 -0067
This Certificate issued 12/30/2010 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
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