Certificate of Occupancy 4
CITY OF TIGARD CERTIFICATE OF OCCUPANCY
g Permit#: MST2017-00438
COMMUNITY DEVELOPMENT Permit Issued: 11/14/2017
T EARL? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB04000
Jurisdiction: Tigard
Site address: 15223 SW THAMES LN
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 38
Project Description: New SF. 6/25/2018: REPRINT permit to add additional laundry room, lay, furnace,vent fans
and gas outlets. 7/2/18: REPRINT to add 2nd A/C unit.
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 38
Owner: POLYGON WLH LLC
109 E 13TH ST, STE 200
VANCOUVER,WA 98660
Phone: 360-695-7700
Contractor: POLYGON WLH, LLC
703 BROADWAY STREET, SUITE 510
VANCOUVER,WA 98660
Phone: 360-695-7700
Fax: 360-693-4442
This Certificate issued 3/6/2019 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