Certificate of Occupancy C ITY O F TI /y R D CERTIFICATE OF OCCUPANCY
A DEVELOPMENT SERVICES PERMIT #: BUP2003 -00638
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/21/2004
PARCEL: 25101 AB -01502
ZONING: MUE
JURISDICTION: TIG
SITE ADDRESS: 07565 SW HERMOSO WAY
SUBDIVISION: HERMOSO PARK
BLOCK: LOT: 022
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME:
REMARKS: Convert existing house into offices.Occupancy Change R -3 to B. No additional Parks SDC required
as office will have only two employees.
Owner:
BRENT JACOBSEN
4248 GALEWOOD ST
LAKE OSWEGO, OR 97035
Phone: 503 - 892 -9301
Contractor: 636 -5165
EVERGREEN PACIFIC INC
5664 CARMAN DR
LAKE OSWEGO, OR 97035 -3358
Phone: 636 - 5165
Reg #: LIC 41521
This Certificate issued 12/23/2004 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 Codes for the group, occupancy,
and use under which the referenced permit was a -,.e .
e/oh J /4/4)0 B ILDING INSPE BUILDING •'FFICIAL
POST IN CONSPICUOUS PLACE