Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
It Permit#: MST2013-00239
COMMUNITY DEVELOPMENT Permit Issued: 12/02/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S125DC06100
Jurisdiction: Tigard
Site address: 9645 SW SHADY PL
Subdivision: ASH CREEK GATES Lot: 3
Project Description: New SF. 8/4/14, reprinted to add a/c.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Ash Creek Gates, Lot 3
Owner: RIDGECREST CONSTRUCTION CO INC
13565 SW TUALATIN-SHERWOOD RD
SHERWOOD,OR 97140
Phone:
Contractor: RIDGECREST CONSTRUCTION CO INC
6600 SW 92ND AVE SUITE 100
PORTLAND,OR 97223
Phone: 503-246-8808
Fax:
This Certificate issued 8/5/2014 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2011 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
r
txw- I
STREET TREE
TIGARD CERTIFICATION
I, i Z - d'rs , owner/agent for 4 ••• •
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert.ift that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: /41-C7 Zo i 3 - oo
SITE ADDRESS: P6 If 5 0 orIxap 1/ ' 4■ GF
SUBDIVISION: /If j 1...., 7 9 LOT#:
SIGNATURE: /, �. � � -.1 DA1E: 7- 3 / - �f
•"1'T R/AGENT)
RECEIVED &
VERIFIED BY DA"1 E:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
44_ --r,10 i 3_ oo? 3
R:\22122B122122B-p1nGECRBSTSITELLT3-ASH CREEK GATES-RIDGECRESTDWG II 1/11008,I:E'.N B..NT.iN
SITEPLAN NOTES
1. EXCAVATION MATERIAL REMAINING ' - •
4
ON SITE IS TO BE CONTAINED BY
APPROVED SEDIMENT BARRIER.
1 (BUILDER TO VERIFY LOCATION). - -- omm_
2. GRAVEL DRIVEWAY:
8"REQ'D.MIN.20'FT. Foot DrGkeCtiOn fencing
3. DRIVEWAY MAX.SLOPE:
UPHILL 20%
DOWNHILL 13% y'►' 224' a 1
4. GRAVEL SIDE WALK AREAS WITH ,-1,1, o ,L1 a
\ _226 No
MIN.OF 4"INCHES OF ROCK WHEN 02'16'f 222'
— i
REQ'D.BY SITE CONDITIONS. #34
5. PROTECT STOCKPLIES OCT.1-APR.30 +. ,33
PER EROSION CONTROL HANDBOOK. ( a
10'S.D.E.
I
_i_ 1 I
li
o
Boulder Wall
_ -a _ _ Max height 3.
t 0 � Upper T.O.W=226'
A Lower T.O.W.=222"
g
I a -,�C� ` O - i
--- iT'„o TJ_ 2"Maple
I--�► / Street Trer's
III 0 „
g
�\ D 222' Q
UPPER FLOOR / ` \-.
EL=234.
I i F,LOOR i
224'
23 .5'
1
EL.-i2\ 1�•� ,STREET
�\ l d I I I t,IGHT 226'
\ ■ 1, ~■ FIRE
� _
jI HYDRANT
i 4"GONG. � jI rv.DRIVEWAY �},' 4/1 �(3500 P.S.I.) Z �. II 228'
- I 1 - — j ,�/P-I/ N 010176'W T� V
2.33,03' 1. 38.71 ;'.230
PROPOSED \ 0 --685 '
i TREE TO KEEP y.
1 ill
E PU( .PILE. 232'
1 PROPOSED 5'5100/N13(
10 2
TREE TO REMOVE 6"CURE SHADY PLACE
1 1/4"Wirsbo 2"Maple
Water street tree
SCALE • 1" = 20'
■■ AuNMA oaoNGwNTv,,TE ';,,s,NOT LOT 3,ASH CREEK GATES,TIGARD,
WN,EOr TH(POTENTLY OE THE OD f1CAAYHY l212ZB RIDGECREST
...A/(
• rathUiaN n!THEsoEEnfsroNS TN aTHE OREGON
MANY i0 PLACEY O 5T(SIE AND NO NOTIFY if
ANY FILL PLACED ON THE SRf ANA NOTIFY THE
OW!:(AS 0(ANY POTENTIAL fIE:D MOD FIC,�TION$
COLLECT I 0 N RIDGECREST CUSTOM HOMES
DRN 11/9/2007 KRB
3/6 -SPr"
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, f , am the general contractor or the owner-builder
� i.� • Ar a
at the following address:
Site Address: 52gw J ) 11,E q49,
City:
Permit#: ,e/fr7-0/3_ 00239
Subdivision/Lot#: A/geti/../— 44e7 ;f 4 97_
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and
OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight I f dry framing members.
Signature: Date: �'8-//
eneral Contractor Owne t der
I:\Building\Form\RES-MoistureSensitiveWood.doc 09!25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: j1451- zd/3 -00 3 Jurisdiction:
/jGvid
Site Address: 949i/s- s 5 ►1 ft d y 1nc L
Subdivision/Lot#: 49/ C�cE,/ �R /e5
and/or 1, /( f
Map and Tax Lot #: , / 3
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: Date:
Owner/General Coy • or/Authorized Agent
Print Name: t4/A v / / se5
' ORSC Section N 1107.2.High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
41_S•7- 01 3-00
PTCS ._ . ,. , . .
Performance Tested
Comfort Systems
PTCS® Duct Sealing Certification Form
All sections must be filled out by a PTCS-certified Technician at the time of installation, signed and dated. A copy of the
completed form must be promptly submitted to the utility and homeowner in accordance with utility policy. Please
enter online at www.ptcsnw.com or fax to 877-848-4074. Questions?Call 800-941-3867 or email ResHVAC @bpa.gov.
Site Information (Please print clearly)
PTCS l / [� Tech Install Customer's ��
Tech# /O l)' �'i Name NIA rr VN 5 c- , Date 7-3 I-1`1 Electric Utility
Name Site Address* --, �) S LJ S i4 A-D`� 'pi_AC-
Name Site Address* !�O`f
Site Site r/'.,� c Site Zip Customer
City* �I (�!� State* V F Code* ZZ-3 Phone tl ( ) -
*If mailing address is different,record here(#,City,St,Zip):
Home Type(provi e information for just one type,either a Site Built or Manufactured Home):
Site Built Home: ❑Existing New Construction Manufactured Home: ❑Y lif N
e Built Home Foundation Type: #of Sections for a Manufactured Home: Ell ❑2 ❑ 3
rigCrawl Space ❑ Full Basement ❑ Half Basement ❑Slab Super Good Cents? ❑Y El N
LL i `i � Heated Area
Year Built: Heating System: ❑ Elec. Furnace 0 Heat Pump Gas Furnace f�
Energy Star?❑Y ❑N I=1 Other: Gas Company(if applicable):
(sq ft) Required ZQi 6 V
Are at least 50%of the ducts in unconditioned space? Y ❑ N #of supply registers #of returns
If more than 50%of the ducts are in conditioned space,the home does not qualify for PTCS Duct sealing. ) 6 Z
House Pressurization and Duct Blaster Tests
D either of these special conditions apply? (check if"yes")
6 Testing Equipment Used:
Record Only—no duct sealing work done ❑Energy Conservatory 4etroTec
❑PTCS Certification ONLY—pretest leakage too low for BPA program ❑AeroSeal ❑Air Care❑Other:
use Pressurized(Blower Door)to: ct Blaster Location: Pressure Tap Supply Register Location:
rat
+50Pa ❑Other Pa Return Grille ❑Other: U(?5rA j��
Duct Leakage Test:TYPICAL DUCT BLASTER CFM READING with Duct Pressure at OPa and Blower Door @ +50Pa.
DB Fan Pressure:Found using equipment; it is the fan pressure, not the house pressure. (Ex. Ring 1,78 Pa,364 CFM).
Definitions:(D8)=Duct Blaster (BD)=Blower Door (AH)=Air Handler (SW)=Single Wide (DW)=Double Wide (TW)=Triple Wide
New Construction Existing Home,New Ducts Existing Home,Existing Ducts Manufactured Home
Pre-test Ring ❑Open❑1 ❑2 ❑3 ❑Open❑ 1 ❑2 ❑3
Not Applicable Not Applicable
(select one) ❑H ❑M ❑L ❑H ❑M ❑L
y DB Fan Pressure Not Applicable Not Applicable Pa Pa
I--
v DBCFM Not Applicable Not Applicable CFM CFM
Q Pretest ❑?100 CFM,SW
❑>250 CFM(>1667 sq ft)
Requirements Not Applicable Not Applicable ❑?150 CFM,DW
❑>15%ofhome'ssgft
ID(BPA Only) >225 CFM,TW
Post-test Ring ❑Open 1 ❑2❑3 ❑Open❑1 ❑2 0 3 ❑Open ❑i ❑2 ❑3 ❑Open Eli ❑2 0 3
(select one) ❑H�NAM. OH ❑M ❑L OH ❑M ❑L OH DM ❑L
h DB Fan Pressure qi.4 17 Pa Pa Pa Pa
v
, DB CFM 1) ( CFM CFM CFM CFM
O ❑.s 50 CFM,SW
a Certification Req. �6%of sq ft w/AH ❑ <_10%of home's sq ft ❑5 80 CFM,DW
(check all that ❑ <_10%of home's sq ft
apply) ❑ 5 4%of sq ft no AH El ? 50%Reduction 1:1<_120 CFM,TW
❑?50%Reduction
The duct sealing at this site meets program requirements including:plenum,main ducts,takeoffs and boots sealed;a good faith effort
was made to remove existing duct tape and cover with mastic;metal duct connections are secured with screws. ❑ f ❑ N
Last updated:30 November 2012 Page 1 of 2
,__
MST- / e-t50,z
Combustion Appliance Zone (CAZ) Test
ethere any combustion appliances in the home? mbustion Applia ce Type: Fireplace or wood stove
Y ❑N Gas Furnace Gas water heater ❑Other:
Is there a UL-approved and functioning CO detector A carbon monoxide(CO)detector installed in the home is required in all cases
• tolled in the home? where a sealed or non-sealed combustion appliance is located in a conditioned
Y El N space or attached structure i.e.garage. RECOMMENDED CO detector specifications:
UL 2034/CSA 6.19-01,digital display,peak CO memory and recall.
Is a Combustion Air Zone(CAZ)test required by the electric utility? ❑Yes,complete the fields below ❑ No,skip to notes
Baseline Pressure with reference to outside(all exhaust devices Weather conditions on day of test: ❑Calm ❑Windy
and air handler fan off): Pa
With air handler fan ON, record gauge readings: Interior doors open Interior doors closed
Zone Description Reading(Pa) Net(Pa) Reading(Pa) Net (Pa)
Zone 1
Zone 2
Net Depressurization=Net(Pa)=All fans off Reading(Pa)(minus)Air Handler Fan on Reading(Pa)
Example:Baseline reading with all fans off=1 Pa;Reading with air handler fan on=-2Pa. Net Depressurization=1—(-2)=3 Net Depressurization
"Net"equals how much the pressure goes down when the air handler is turned ON(compared to the fan off baseline pressure)
Installation/Technician Notes:
Required Signatures:To be filled out by the electrical utility account holder.This form must be signed by the person whose name appears
on the electric utility account.ENERGY INFORMATION RELEASE:The undersigned utility customer requests and authorizes the specified utility to
release billing and usage information for the account listed below to the PTCS program.With this authorization,the PTCS program can request
billing information for up to two years pre-installation and two years post-installation.The utility customer also hereby releases the utility
company from any and all liability arising from or connected with providing this information.
Electric Utility: pc_,C Account#:
Account holder name:
Account holder signature: Date:
By signing below,technician certifies that this form and any accompanying documentation are complete and accurate, and that all
measures associated with this project were completed as of the signature date below.
Technician /� Installation t Tech Phone#:
name: (/"(/�`rr u�� c Company: 0 0 Nj Sr ti C ( g(Q 3 ) S G Z- -7 g g 9
Technician Signature: ( �l_4,... Date: 1-3 I _ I
PRIVACY ACT STATEMENT
Basic authority for collecting this information is authorized by 16 U.S.C.§§832 et.seq.,and 838 et.seq.,pursuant to Bonneville Power
Administration's Conservation Program system of records established in 46 FR 31700.
This information is primarily intended to further,but is incidental to the performance of,BPA's overall Energy Efficiency Program,the objective of
which is to acquire energy resources through energy efficiency,to determine what cost-effective conservation and direct application renewable
resources measures should be installed or adopted under different circumstances,and to provide incentives for the installation of such measures.
Other routine issues of this information include:aggregation into a public database on energy efficiency;furnished to authorized personnel for
installation/repair of equipment;aggregated into a database for program publicity;and in some instances information regarding buildings will be
made available to subsequent purchasers of the buildings. Your disclosure of the requested information is voluntary,however failure to provide
requested information means that it will not be possible for you to participate in this BPA Energy Efficiency program.
Last updated:30 November 2012 Page 2 o