Certificate of Occupancy (42) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2016-00255
COMMUNITY DEVELOPMENT Permit Issued: 11/17/2016
TF G AR0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB03000
Jurisdiction: Tigard
Site address: 15230 SW SEINE DR
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 28
Project Description: New SF. 6/8/2017: REPRINTED to add(1)laundry tray.
•
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 28
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 10/23/2017 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