Certificate of Occupancy V CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2021-00196
COMMUNITY DEVELOPMENT Permit Issued: 12/1/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA17600
Jurisdiction: Tigard
Site address: 14408 SW 165TH AVE
Subdivision: ROSHAK RIDGE Lot: 176
Project Description: New attached ADU (1 of 2).SDC FEES HAVE BEEN PAID. 5/16/22: REPRINT to add fire
sprinklers. 1/31/23: REPRINTED to correct address.
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 176 ADU 1
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 8/4/2023 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2021 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