Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2021-00131
COMMUNITY DEVELOPMENT Permit Issued: 5/3/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
9 Parcel: 2S107AA16700
Jurisdiction: Tigard
Site address: 14190 SW 165TH AVE
Subdivision: ROSHAK RIDGE Lot: 167
Project Description: New detached dwelling. NO FINAL INSP UNTIL FEES PAID FOR SDCs DEFERRED TO
OCCUPANCY.
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 167
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 3/29/2022 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
POST IN CONSPICUOUS PLACE