Certificate of Occupancy (42) • -11CITY OF TIGARD CERTIFICATE OF OCCUPANCY
F` Permit#: MST2018-00012
COMMUNITY DEVELOPMENT Permit Issued: 02/05/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB04400
Jurisdiction: Tigard
Site address: 15371 SW THAMES LN
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 42
Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer, dryer,furnace, A/C and(1)lay.
11/14/18: REPRINT to add(1)gas line for outdoor fireplace.
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 42
Owner: POLYGON WLH LLC
109 E 13TH ST, STE 200
VANCOUVER,WA 98660
Phone: 360-695-7700
Contractor: POLYGON WLH, LLC
703 BROADWAY STREET, SUITE 510
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax: 360-693-4442
This Certificate issued 12/26/2018 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2017 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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