Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: BUP2012 -00125
COMMUNITY DEVELOPMENT Permit Issued: 06/26/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 140
Subdivision: 2004 -015 PARTITION PLAT Lot: 2
Project Description: TI
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 21
Fire Sprinkler Required: Yes
Project Name: House of Bread
Owner: SN PROPERTIES PARTNERSHIP
1121 SW SALMON ST
PORTLAND, OR 97205
Phone:
Contractor: BLACK DIAMOND HOMES INC
15685 SW 116TH AVE SUITE 290
TIGARD, OR 97224
Phone: 503 - 201 -6304
Fax: 503 - 579 -3990
This Certificate issued 10/12/2012 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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