Certificate of Occupancy CITY OF T I G A R D CERTIFICATE OF OCCUPANCY
Alec DEVELOPMENT SERVICES PERMIT #: BUP2005 -00391
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/11/2005
PARCEL: 2S103DD -00800
ZONING: C -G
JURISDICTION: TIG
SITE ADDRESS: 13815 SW PACIFIC HWY 80
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2N
OCCUPANCY GRP:
OCCUPANCY LOAD:
TENANT NAME: DONUT SHOP •
REMARKS: Demo (1) wall.
Owner:
D.W. SIVERS COMPANY
4730 SW MACADAM AVE
#101 pR g 201
P Phone ND 503 -99 ,7 8
Contractor:
GSK CONSTRUCTION LLC
18244 NW WALKER RD # E
BEAVERTON, OR 97006
Phone: 503- 997 -8348
Reg #: LIC 152754
This Certificate issued 10/11/2005 grants occupancy of the above referenced
building or portion thereof and confirms that the building has been inspected for
corn : "ance with the State of 0 egon Specialty Codes for the group, occupancy,
and u 3 At/ e'er h ,olgtref = r =nced permit wa issu .
ARA , • 4,16; AA/Y./4
BUILDI NSPECTO BUILDING FF CIAL I
POST IN CONSPICUOUS PLA E