Certificate of Occupancy CITY OF TIGARD TEMPORARY CERTIFICATE OF OCCUPANCY
. Permit #: BUP2009 -00150
COMMUNITY DEVELOPMENT Permit Issued: 08/05/2009
T lc A0/ I )" 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S136DD03800
Jurisdiction: Tigard
Site address: 11675 SW 66TH AVE
Subdivision: WEST PORTLAND HEIGHTS Lot: 7
Project Description: TI
Class of Work:
Type of Use:
Occupancy Group:
Occupancy Load:
Project Name: City County Insurance Services
Remarks: Temporary occupancy for 30 days from 9/14/2009
Owner: CITY COUNTY INSURANCE
1313 COURT ST
SALEM, OR 97303
Phone:
Contractor: BNK CONSTRUCTION INC
45 82ND DR SUITE 53B, PO BOX 66
GLADSTONE, OR 97020
Phone: 503 - 557 -0866
Fax: 503 - 557 -1085
It is understood by the owner /tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use
and /or occupancy of the structure located at the site address listed above (hereinafter "structure "), does not grant or convey
to the owner or tenant any property right or other protectable property interest in the use and /or occupancy of the structure for
any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from
the date of issuance listed above and that the owner /tenant will no longer be authorized to occupy the structure after the
period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the
projects land use case(s) issued by the City's Development Services Department or the County's Department of Land Use
and Transportation and /or the Clean Water Services and all building and related code requirements and any other applicable
requirements have been completely fulfilled and complied with to the City's or County's satisfaction.
r LAA
Building Inspector Building Official
POST IN CONSPICUOUS PLACE