Certificate of Occupancy (42) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT Permit#: MST2016-00254
Ti(-3 A R`.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit Issued: 11/17/2016
Parcel: 2S108DB02900
Jurisdiction: Tigard
Site address: 15252 SW SEINE DR
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 27
Project Description: New SF. 8/3/2017: REPRINT permit to add 4th bathroom.
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 27
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 2/15/2018 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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