Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: BUP2020-00031
COMMUNITY DEVELOPMENT Permit Issued: 3/30/2020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD00850
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 10
Subdivision: None Lot: None
Project Description: TI for new tenant: Renovation for a new pizza bakery. Scope of work includes a new walk-in
cooler and (2)ADA compliant restrooms. No change of occupancy.
Class of Work: ALT
Type of Use: COM
Type of Constr: VB
Occupancy Group: B
Occupancy Load: 49
Fire Sprinkler Required:
Project Name: Domino's Pizza
Owner: D W SIVERS CO
4730 SW MACADAM AVE#101
PORTLAND, OR 97239
Phone:
Contractor: MOE HAUS CONSTRUCTION
7735 NE HWY 99
VANCOUVER,WA 98665
Phone: 360-718-5332
Fax:
This Certificate issued 10/9/2020 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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