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Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY I s Permit #: BUP2013 -00173 COMMUNITY DEVELOPMENT Permit Issued: 08/06/2013 T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S136DA00800 Jurisdiction: Tigard Site address: 11538 SW PACIFIC HWY Subdivision: PFAFFLE PLAZA CONDO Lot: 2 Project Description: Replacing existing expresso drive up building with new building less than 10% larger and new ownership. 11/20/13, reprinted to correct address from 11540 to 11538 SW Pacific Hwy. Class of Work: NEW Type of Use: COM Type of Constr: VB Occupancy Group: B Occupancy Load: Fire Sprinkler Required: No Project Name: Black Rock Coffee Bar Owner: HIGH HAT RESTAURANTS, INC 11530 SW PACIFIC HWY TIGARD, OR 97223 . Phone: Contractor: PORTLAND ROAD & DRIVEWAY CO INC 10500 SE JENNIFER ST CLACKAMAS, OR 97015 -9511 Phone: 503 - 650 -5006 Fax: 503 -650 -8022 This Certificate issued 11/21/2013 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the 2010 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 POST IN CONSPICUOUS PLACE