Certificate of Occupancy (4) 11111 a CITY OF TIGARD CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT Permit#: MST2015-00314
I '# L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit Issued: 01/27/2016
Parcel: 251060002900
Jurisdiction: TIGARD
Site address: 13715 SW 171ST AVE
Subdivision: RIVER TERRACE NORTHWEST Lot: 1
Project Description: New SF. Model home. 12/20/2016: REPRINT to add A/C.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
FireSprinkler Required:
Project Name: Polygon at West River Terrace, Lot 38
Owner: ADLV LAND HOLDINGS LLC
7600 EAST DOUBLETREE RANCH RD, STE
SCOTTSDALE,AZ 85258
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax:
This Certificate issued 1/18/2017 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2014 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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