Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
P * Permit#: BUP2018-00034
COMMUNITY DEVELOPMENT Permit Issued: 05/14/2018
TIC}#'ARL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AD03051
Jurisdiction: Tigard
Site address: 12750 SW ASH AVE
Subdivision: BURNHAM TRACT Lot: 5
Project Description: Occupancy only.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group:
Occupancy Load: 49
Fire Sprinkler Required:
Project Name: Model Institution Development LLC
Owner: PREMIUM PROPERTY-TIGARD LLC
BY CAPSTONE PARTNERS LLC
1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
Phone: 503-226-1972
Contractor: VERIDIS CONSTRUCTION INC
1809 NE 2ND AVE
PORTLAND, OR 97212
Phone: 503-232-6004
Fax:
This Certificate issued 5/22/2018 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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