Certificate of Occupancy (5) CITY OF TIGARD CERTIFICATE OF OCCUPANCY
, . Permit#: MST2017-00322
COMMUNITY DEVELOPMENT Permit Issued: 08/17/2017
Ttt.-.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB01500
Jurisdiction: Tigard
Site address: 15307 SW PEACE AVE
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 13
Project Description: New SF. Transfer SDC fees from voided permit MST2017-00209. 12/20/2017: REPRINT
permit to 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 13
Owner: POLYGON WLH LLC
109 E 13TH ST, STE 200
VANCOUVER,WA 98660
Phone:
Contractor: POLYGON WLH, LLC
703 BROADWAY STREET, SUITE 510
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax: 360-693-4442
This Certificate issued 5/8/2018 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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