Certificate of Occupancy ,
CITY OF TIGARD CERTIFICATE OF OCCUPANCY
•
rr DEVELOPMENT SERVICES PERMIT #. BUP2003-
00415
" ,.� I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/1/2003
PARCEL: 2 S 102 C B -0 030 3
ZONING: C -G
JURISDICTION: TIG
SITE ADDRESS: 13165 SW PACIFIC HWY
SUBDIVISION: NORTH TIGARDVILLE ADDITION
BLOCK: LOT: 033
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: A3
OCCUPANCY LOAD: 98
TENANT NAME: LONG JOHN SILVER /A &W
REMARKS: Tenant Improvement
Owner:
POORMAN, JOHN AND MARTHA
14243 NW EVERGREEN ST
PORTLAND, OR 97229
Phone: 557 -1085 FAX
Contractor:
557 -0866
BNK CONSTRUCTION INC
10730 SE HWY 212
PO BOX 66
C Ph 5 - 1 0 8 5 7 F AX
557 - 0866
Reg #: MET 00003941
LIC 107555
This Certificate issued 9/19/2003 grants occupancy of the above referenced
building or portion thereof and confirms that the building has been inspected for
compliance with the _ of Oregon Specialty C es fo th : group, occupancy,
d
and u er whi - / ferenced permit wa - - . ffe, l
)e.,4 A t BUILDING INSPECTOR BUIL I N O Fi CIAL
POST IN CONSPICUOUS PLACE