Certificate of Occupancy (32) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2015-00198
° COMMUNITY DEVELOPMENT Permit Issued: 12/01/2015
T t"2 A B,L-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1060001500
Jurisdiction: TIGARD
Site address: 17191 SW HOLLY RIDGE LN
Subdivision: RIVER TERRACE NORTHWEST Lot: 18
Project Description: New SF-Model Home-12/21/15 REPRINT to change plumbing contractor. 2/4/2016
REPRINT to change address from 17192 to 17191. 4/13/2016 REPRINT permit to add
covered patio.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Northwest, Lot 18
Owner: POLYGON WLH, LLC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695-7700
Contractor: POLYGON WLH, LLC
109 E 13TH STREET
VANCOUVER, WA 98660
Phone: 360-695-7700
Fax: 360-693-4442
This Certificate issued 3/15/2018 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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