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Certificate of Occupancy (42) CITY OF TIGARD CERTIFICATE OF OCCUPANCY Permit#: MST2016-00255 COMMUNITY DEVELOPMENT Permit Issued: 11/17/2016 TF G AR0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB03000 Jurisdiction: Tigard Site address: 15230 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 28 Project Description: New SF. 6/8/2017: REPRINTED to add(1)laundry tray. • 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 28 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 10/23/2017 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