Certificate of Occupancy (18) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
111 Permit#: MST2016-00251
COMMUNITY DEVELOPMENT Permit Issued: 11/17/2016
T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB02600
Jurisdiction: Tigard
Site address: 15260 SW MISSOURI AVE
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 24
Project Description: New SF. 8/17/2017: REPRINT permit to add 4th bathroom. 9/28/2017: REPRINT permit to
add 210 sf deck and deck 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 Bull Mountain, Lot 24
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 11/6/2017 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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