Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
lig Permit#: MST2019-00139
COMMUNITY DEVELOPMENT Permit Issued: 06/13/2019
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S107AA05800
Jurisdiction: Tigard
Site address: 14209 SW 169TH AVE
Subdivision: ROSHAK RIDGE Lot: 58
Project Description: New SFA. 9/27/2019: REPRINT permit to add fire sprinkler system.
Class of Work: NEW
Type of Use: SFA
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Polygon at Roshak Ridge, Lot 58
Owner: POLYGON WLH LLC
703 BROADWAY ST STE 510
VANCOUVER,WA 98660
Phone: 360-695-7700
Contractor: WILLIAM LYON HOMES INC
703 BROADWAY STREET, SUITE 510
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax:
This Certificate issued 3/26/2020 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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