Certificate of Occupancy q CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit #: BUP2009 -00069
COMMUNITY DEVELOPMENT Permit Issued: 10/15/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S136DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Subdivision: Lot: 0
Project Description: Adding mezzanine for storage.
Class of Work: ADD
Type of Use: COM
Type of Constr: IIIB
Occupancy Group: M
Occupancy Load:
Fire Sprinkler Required: Yes
Project Name: Fred Meyer
Owner: FRED MEYER STORES, INC
BY NICKEL & COMPANY LLC
STORE #375
PO BOX 35547
TULSA, OK 74153
Phone:
Contractor: BROCKAMP & JAEGER INC
15796 S BOARDWALK ST
OREGON CITY, OR 97045
Phone: 503 - 655 -9151
Fax:
This Certificate issued 11/5/2009 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2007 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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