Certificate of Occupancy (21) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2016-00136
COMMUNITY DEVELOPMENT Permit Issued: 06/22/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1060002900
Jurisdiction: Tigard
Site address: 13728 SW 175TH AVE
Subdivision: WEST RIVER TERRACE Lot:
Project Description: New SF. 8/4/2016: REPRINT to add 2nd water heater. 9/21/2016: REPRINT to add 220 sf
patio cover
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 West River Terrace, Lot 104
Owner: ADLV LAND HOLDINGS LLC
7600 E DOUBLETREE RANCH RD
#150
SCOTTSDALE,AZ 85258
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax:
This Certificate issued 4/5/2017 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
POST IN CONSPICUOUS PLACE