Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
a Permit#: MST2016-00038
COMMUNITY DEVELOPMENT Permit Issued: 04/13/2016
T i A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001504
Jurisdiction: Tigard
Site address: 15394 SW SEINE DR
Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple
Project Description: New SF. 6/14/2016: Reduce bathrooms from 4 to 3. 8/4/2016:Add A/C and sump pump for
storm water.8/25/16 Add heat pump&2nd water heater. 11/14/2016:Add 4th bathroom.
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 53
Owner: POLYGON WLH LLC
109 E 13TH ST,STE 200
VANCOUVER,WA 98660
Phone: 360-695-7700
Contractor: POLYGON WLH, LLC
109E 13TH STREET
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax: 360-693-4442
This Certificate issued 11/22/2016 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
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