Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: BUP2013-00202
COMMUNITY DEVELOPMENT Permit Issued: 09/09/2013
TI( ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Subdivision: WASHINGTON SQUARE ESTATES NO.3 Lot: S
Project Description: Install temporary retail kiosk. Kiosk is located in common area in front of Nordstrom's main
entry.
Class of Work: ALT
Type of Use: COM
Type of Constr: IIB
Occupancy Group: M
Occupancy Load:
Fire Sprinkler Required:
Project Name: Kaiser Permanente Kiosk
Owner: PPR WASHINGTON SQUARE LLC
PO BOX 847
CARLSBAD, CA 92018
Phone:
Contractor: FAUSTROLLEAN FIXTURE CO INC
2665 NE RIVERSIDE WAY
PORTLAND, OR 97211
Phone: 503-735-4469
Fax:
This Certificate issued 12/9/2013 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
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