Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2016-00178
COMMUNITY DEVELOPMENT Permit Issued: 05/11/2016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC09300
Jurisdiction: Tigard
Site address: 13749 SW 175TH AVE
Subdivision: WEST RIVER TERRACE Lot: 93
Project Description: New SF. 8/4/2016: REPRINT permit to add covered patio and 2nd water heater. 9/14/16,
REPRINTED to add a/c.
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 93
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 11/14/2016 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