Certificate of Occupancy (21) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: MST2016-
COMMUNITY DEVELOPMENT 000ss
T[Ca aA R,L Permit Issued: 08/03/2016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060003000
Jurisdiction: Tigard
Site address: 17109 SW JEAN LOUISE RD
Subdivision: WEST RIVER TERRACE Lot: Multiple
Project Description: New SF
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 43
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 12/27/2016 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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