Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
>r Permit #: BUP2012 -00231
COMMUNITY DEVELOPMENT Permit Issued: 11/20/2012
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S 136AD06505
Jurisdiction: Tigard
Site address: 10998 SW 68TH PKWY
Subdivision: WAY LEE Lot: B
Project Description: Add partition office walls and alter partition office walls
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 34
Fire Sprinkler Required: No
Project Name: Bailey - Golsan Building
Owner: KEN GOLSAN
BAILEY GOLSAN LLC
10998 SW 68TH PARKWAY
TIGARD, OR 97223
Phone: 503 - 244 -0297
Contractor: MCINNIS INDUSTRIES LLC
PO BOX 920
BEAVERTON, OR 97075
Phone: 503 - 643 -6343
Fax: 503 - 643 -6343
This Certificate issued 1/2/2013 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
POST IN CONSPICUOUS PLACE