Certificate of Occupancy (38) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
� Permit#: BUP2016-00281
COMMUNITY DEVELOPMENT Permit Issued: 11/03/2016
i i L.A RT7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10124 SW WASHINGTON SQUARE RD
Subdivision: OAKBURG Lot: 9
Project Description: TI for future tenant: Modifying dining and kitchen layout.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: A-2
Occupancy Load: 93
Fire Sprinkler Required: Yes
Project Name: Costa Vida
Owner: PPR SQUARE TOO LLC
PO BOX 847
CARLSBAD, CA 92018
Phone:
Contractor: KUGEL CONSTRUCTION
PO BOX 1271
CHEHALIS,WA 98532
Phone: 360-740-4305
Fax:
This Certificate issued 3/28/2017 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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