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Certificate of Occupancy (17) .01 CITY OF TIGARD CERTIFICATE OF OCCUPANCY S ' Permit#: MST2016-00069 COMMUNITY DEVELOPMENT Permit Issued: 04/28/2016 T k ' 1-� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1080001504 Jurisdiction: Tigard Site address: 15361 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: Multiple Project Description: New SF. 6/14/2016: REPRINT permit to reduce bathrooms from 4 to 3. 10/21/2016:Add A/C and 2nd water heater. 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 57 Owner: POLYGON WLH LLC 109 E 13TH ST, STE 200 VANCOUVER,WA 98660 Phone: Contractor: POLYGON WLH, LLC 109 E 13TH STREET VANCOUVER,WA 98660 Phone: 360-695-7700 Fax: 360-693-4442 This Certificate issued 12/22/2016 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 POST IN CONSPICUOUS PLACE