Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
i; i ' • Permit#: BUP2021-00131
COMMUNITY DEVELOPMENT Permit Issued: 7/12/2021
T I i;A R. 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15875 SW 72ND AVE
Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: TI remodel work to 4126 sf of existing improved space.work includes: selected demo of
nonstructural walls, suspended ceilings, doors/frames, painting,electrical distribution, lighting
and plumbing.
Class of Work: ALT
Type of Use: COM
Type of Constr: IIIB
Occupancy Group: B
Occupancy Load: 28
Fire Sprinkler Required:
Project Name: Northwest Integrative Medicine
Owner: PACIFIC REALTY ASSOCIATES LP
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 9/9/2021 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2019 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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