Certificate of Occupancy CITY TIGARD CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT PERMIT #: BUP2008 - 00048 • TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2008
PARCEL: 1 S126DC -04800
ZONING: C -
JURISDICTION: TIG
SITE ADDRESS: 09495 SW LOCUST ST A
SUBDIVISION: LEHMANN ACRE TRACT
BLOCK: LOT: 004
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: KLEIN DERMATOLOGY
REMARKS: Tenant Improvement
Owner:
BAKER, JAMES +
9495 SW LOCUST ST. #G
BAKER, DIANE R
TIGARD, OR 97223
Phone: NA
Contractor: 503 - 201 - 2996
EXTREME BUILDERS LLC
PO BOX 690
NORTH PLAINS, OR 97133
Phone: 503- 201 -2996
503- 647 -0619
Reg #: LIC 173315
This Certificate issued 3/19/2008 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with
the State of 9regon Specialty Codes for the group, o t upanc , and use under which the
referenced p rmit was issued. /
14 0
BUILDING INSPECTO BUILDIN4FFICIAL
POST IN CONSPICUOUS PLACE