Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2O16'00604
COMMUNITY DEVELOPMENT
Permit Issued: 01/23/2017
T[C:A RD 13125 SW Hall Blvd. Tigard OR 97223 503718.243e Parcel: 28105DC00400
Jurisdiction: Tigard
Site address: 17064 SW ROCKY RAMBLE LN
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 4
Project Description: New SEA, Building/Unit 5.4
Class of Work: NEW
Type of Use: SFA
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Polygon at West River Terrace, Lot 4
Owner: WILLIAM LYON HOMES INC
BY POLYGON WLH LLC
ATTN GAST, FRED
109 E 13TH ST
VANCOUVER,WA 98660
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360'685'7700
Fax:
This Certificate issued 9/27/2017 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
1
POST IN CONSPICUOUS PLACE