Certificate of Occupancy (40) ill CITY OF TIGARD CERTIFICATE OF OCCUPANCY
; • Permit#: MST2016-00214
COMMUNITY DEVELOPMENT Permit Issued: 06/02/2016
TIGARD
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB07500
Jurisdiction: Tigard
Site address: 15218 SW THAMES LN
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 73
Project Description: New SF. 8/25/16 ADD heat pump in basement. 10/28/2016:Add 2nd water heater.
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 Bull Mountain, Lot 73
Owner: POLYGON WLH LLC
109 E 13TH ST, STE 200
VANCOUVER,WA 98660
Phone:
Contractor: POLYGON WLH, LLC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax: 360-693-4442
This Certificate issued 5/1/2017 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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