Certificate of Occupancy CITY TIGARD CERTIFICATE OF OCCUPANCY
r DEVELOPMENT SERVICES PERMIT #: BUP2004 - 00180
�' . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/2004
PARCEL: 25101 AB - 01604
ZONING: MUE
JURISDICTION: TIG
SITE ADDRESS: 07307 SW BEVELAND RD
SUBDIVISION: GILROY BUILDING
BLOCK: LOT: 016
CLASS OF WORK: NEW
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 85
TENANT NAME: GILROY OFFICE BUILDING
REMARKS: New office building
Owner:
PAT GILROY
5100 SW MACADAM SUITE 240
PORTLAND, OR 97239
Phone: 503 - 225 - 5559
Contractor: 503 - 293 - 1226
DIVERSIFIED CONSTRUCTION COMPANY
12448 SW ORCHARD HILL RD
LAKE OSWEGO, OR 97035
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Phone: 503 - 293 -1226
Reg #: LIC 103025
This Certificate issued 3/28/2006 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with
the • tate of Or - gon S • - Ity Codes for the group, , Pccupa r ncy, 'nd use under which the
re ,e ce • p r it d.
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C ITY OF T I GA R D SEWER CONNECTION PERMIT
°'�,, ,, I DEVELOPMENT SERVICES PERMIT #: SWR2005 -00234
�� fl--I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/14/2005
PARCEL: 2S 109DA -11800
SITE ADDRESS: 12933 SW BLACK WALNUT ST ZONING: R -
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 107 JURISDICTION: TIG
Project Description: New SF sewer connection.
TENANT NAME:
CWS NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1.0
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES
DON MORISSETTE COMMUNITIES, LLC
4230 GALEWOOD ST # 100 Description Date Amount
LAKE OSWEGO, OR 97035 [SWUSA] Sewer Connection Fee 9/14/2005 $2,600.00
[SWINSP] Sewer Inspection Fee 9/14/2005 $35.00
Phone: 503 387 - 7538 Total $2,635.00
Contractor:
REQUIRED ITEMS AND REPORTS
Phone:
Reg #:
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You
may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
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Issued by: - 122 . :74 � Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.