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Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY III i • Permit#: MST2014-00102 COMMUNITY DEVELOPMENT Permit Issued: 07/15/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB05400 Jurisdiction: TIGARD Site address: 13217 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 2 Project Description: New SF. Demo credits from BUP2014-00031 for TDT& Parks applied to this permit. 12/16/2014: Reprinted permit to include A/C unit. Placement of A/C must comply with manufacturer's clearance requirements. Class of Work: NEW Type of Use: SF Type of Constr: VB Occupancy Group: R-3 Occupancy Load: Fire Sprinkler Required: Project Name: Sequoia Heights, Lot 2 Owner: LENNAR NW INC 11807 NE 99TH STREET SUITE 1170 VANCOUVER,WA 98682 Phone: 360-258-7900 Contractor: LENNAR NORTHWEST INC 11807 NE 99TH STREET SUITE 1170 VANCOUVER,WA 98682 Phone: 360-258-7900 Fax: 360-258-7901 This Certificate issued 12/19/2014 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 4,■ 11‘ STREET TREE TIGARD CERTIFICATION K( -'V v I, , owner/agent for v . (PLEASE PRINT) (PERMIT HOLDER) do hereby certlft 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.: /f/.S 2aV 00(07/ ST l E ADDRESS: i 37i/� '<'�f� Ze/e SUBDIVISION: cc-ee v 0/ **S. LOT #: SIGNATURE: J/ "1 E: / ?�//S lI / / II RAGE ) DA RECEIVED & VERIFIED BY _ DAT1 E: 19?--/� / Y (CITY OF TTGARD) 1iTree location verified per proved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Ot/oZ-Jurisdiction: ib4a44, Site Address: / 1/7 sciJ 4 Subdivision/Lot #: cs tr o�� r,� /_ r z and/or �VJ, `.Q Map and Tax Lot #: Z S (°? £J OS-?00 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 NI 107.2)1 Signature: LA I Date: / Z/ /S / Owner/ - rp on ea .r u horized Agent 1J l Print Name: ' ORSC Section N1107.2. 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 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM general contractor or the owner-builder #55 , am the at the following address: Site Address: /J0/'J c'J h / e City: Permit#: AA,S' Zi9/c// 000/0�i Subdivision/Lot #: ,'�` i and/or Map and Tax Lot#: C /Doi M ©s* _1 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 of dry framing members. Signature: / V /j., Date: /7-5//Y Genera Con ., Sr or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 regon Backflow ti NEW ❑EXISTING BACKFLOW ASSEMBLY TEST REPORT ❑REMOVED PROPERTY ❑REPLACEMENT OWNER: Lennar Homes PHONE: MAILING 11807 NE 99th St. Suite#1170 ADDRESS: CITYVanCOUVef STATE WA ZIP 98682 ASSEMBLY13217 SW Hazelcrest Way Tigard OR 97224 Lot 2 ADDRESS: STREET ❑R.P.B.A.. D.C.V.A. ❑ R.P.D.A. ❑D.C.D.A. ❑P.V.B.A. ❑S.V.B.A. ❑A.V.B. ❑AIR GAP SIZE: 1.0 MAKE: Wilkins MODEL:35° WATER SERIAL PURVEYOR: NUMBER: A387833 NUMBER: ASSEMBLY LOCATION:By meter REDUCED PRESSURE ASSEMBLY P.Y.B.A / S.V.B.A INITIAL TEST II CHECK I DOUBLE CHECK AIR CHECK PASSED PRESS DROP (A)I CHECK NI INLET FAILED ❑ INITIAL RELIEF VALVE Tl1T TEST OPENED AT (B)IT 2.6 OPENED AT PRESS DROP MIN 2 PSID LEAKED❑ PSI° DATE: RESULTS 1 12/16/2014 I CHECK 42 PSID PSID I TIGHT XI 2.6 DID NOT FAILED SYSTEM60 RELIEF VALVE MD OPEN ❑ ❑ PSI PASS ❑ FAIL ❑ LEAKED❑ COMMENTS REPAIRS AND/OR PARTS REDUCED PRESSURE ASSE1RLY P.V.B.A./S.V.B.A. AFTER REPAIRS II CHECK D.C.V.A. TEST PRESS DROP fA) CHECK N) DATE: RELIEF I OPENED AT PRESS DROP AFTER OPENED (B) TIGHT PSID REPAIRS BUFFER .min (CHECK N2 A•B- ww,.a !TIGHT ❑ PSID PSID PSID PASSED ❑ IN COMPLETING AND SUBMfT(NG THIS TEST REPORT,THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALI.APPLICABLE RULES AND REGULATIONS OF TIE WATER SYSTEM. AND STATE REGULATIONS GAUGE CALIBRATION DATF. 11/07/201 DETECTOR METER READING G�#W44 ' TA 5800 OR/ B5963 WA TESTER SIGNATURE Dave Crosswhite x320 1113u2G042 TESTERS NAME PRINTED 12292 Sw Gala Ct Tigard, OR 97223 503 491-9402 TESTERS ADDRESS Oregon Backflow Testing PHONE COMPANY NAME REPORT RECEIVED BY Pt SERVICE RESTORED (REPRESENTATIVE OF OWNER)