Certificate of Occupancy INCITY OF TIGARD CERTIFICATE OF OCCUPANCY
i Permit#: MST2021-00096
COMMUNITY DEVELOPMENT Permit Issued: 5/18/2021
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA16500
Jurisdiction: Tigard
Site address: 14134 SW 165TH AVE
Subdivision: ROSHAK RIDGE Lot: 165
Project Description: New attached ADU, 2 of 2.
Class of Work: NEW
Type of Use: ADU
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Polygon at Roshak Ridge, Lot 165-ADU 2
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 3/30/2022 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
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