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Certificate of Occupancy (5) CITY OF TIGARD CERTIFICATE OF OCCUPANCY IN ' Permit#: MST2016-00189 COMMUNITY DEVELOPMENT Permit Issued: 05/17/2016 T f C;A li 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC11400 Jurisdiction: Tigard Site address: 17372 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 114 Project Description: New SF. 9/26/2016: Mechanical and electrical for A/C were issued under separate permits. 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 West River Terrace, Lot 114 Owner: ADLV LAND HOLDINGS LLC 7600 EAST DOUBLETREE RANCH RD, STE SCOTTSDALE,AZ 85258 Phone: Contractor: WILLIAM LYON HOMES INC 109 E 13TH STREET VANCOUVER,WA 98660 Phone: 360-695-7700 Fax: This Certificate issued 9/26/2016 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 POST IN CONSPICUOUS PLACE