Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
X Permit#: BUP2015-00003
COMMUNITY DEVELOPMENT Permit Issued: 01/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15895 SW 72ND AVE 120
Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: TI for new tenant:Wall demolition,and construction of an x-ray room and window.
Class of Work: ALT
Type of Use: COM
Type of Constr: IIB
Occupancy Group: B
Occupancy Load: 14
Fire Sprinkler Required: Yes
Project Name: Dr.Thistle
Owner: PACIFIC REALTY ASSOCIATES
ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
Phone:
Contractor: MATTHEW OLSON CONSTRUCTION
5320 SW DOVER LN
PORTLAND,OR 97225
Phone: 503-892-0066
Fax: 503-892-0067
This Certificate issued 1/30/2015 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2014 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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