Certificate of Occupancy CITY OF TIGARD
CERTIFICATE OF OCCUPANCY
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COMMUNITY DEVELOPMENT Permit Issued: 02/14/2017
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13125 SW Hall Blv .,Tigard OR 97223 503718.2439 Parcel: 28108DB07600
Jurisdiction: Tigard
Site address: 15227 SW SEINE DR
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 74
Project Description: New SF. 5/20/2017: REPRINT to add 152 sf dock. 9/11/2017: REPRINT to add 2nd water
heater. 9/13/2017: REPRINT to add rngation backflow&increase deck area from 152 to 200
sf.
Class of Work: NEW
Type ufUse: SF
Type of Constr: v8
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Polygon at Bull Mountain, Lot 74
Owner: POLYGON WLH LLC
1V9E13TMST, GTE2OO
VANCOUVER,WA 98660
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax:
This Certificate issued 9/15/2017 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