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p CITY OF TIGARD IIIICERTIFICATE OF OCCUPANCY
= Permit#: MST2021-00069
COMMUNITY DEVELOPMENT Permit Issued: 5/12/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA13900
Jurisdiction: Tigard
Site address: 16671 SW SUNSHINE COAST ST
Subdivision: ROSHAK RIDGE Lot: 139
Project Description: New primary dwelling with(1)ADU on separate permit.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Polygon at Roshak Ridge, Lot 139-Primary Dwelling
Owner: POLYGON WLH LLC
703 BROADWAY ST STE 510
VANCOUVER, WA 98660
Phone:
Contractor: WILLIAM LYON HOMES INC
703 BROADWAY STREET, SUITE 510
VANCOUVER, WA 98660
Phone: 360-695-7700
Fax:
This Certificate issued 12/30/2021 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2017 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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