Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
111111 i Permit#: MST2014-00098
COMMUNITY DEVELOPMENT Permit Issued: 08/18/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114BA17900
Jurisdiction: TIGARD
Site address: 9618 SW FERN HOLLOW CT
Subdivision: FERN HOLLOW Lot: 5
Project Description: New SF.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Fern Hollow, lot 5
Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY, STE 370
BEAVERTON, OR 97006
Phone:
Contractor: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY 370
BEAVERTON, OR 97006
Phone: 503-645-0986
Fax: 503-690-2942
This Certificate issued 3/17/2015 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
_ t77 t. 1
STREET TREE
CERTIFICATION
j, ( , agent owner!a g f or cLi v46144-
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certify 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.: "1" 'LClU - 31;ur►a,
SHE ADDRESS: Q1142) $ 1,.1 Cu,r 1,116 0;,r G
SUBDIVISION: LOT#: 5
SIGNATURE: DATE: m u ,bs"
(OIVNER/AGENT)
RECEIVED &°
VERIFIED BY TIGARD or
• DA'1 E: - h/,,
( )
IThe location verified per approved site plan.
I:\Building\limns\StreetTrcc{:crti1icate 115/.11/21112
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: twit 1,0 l y _ 010 Jurisdiction:
Site Address: t- I IP 614 ri 11,1,It U 1-
Subdivision/Lot#: F(.v n )4.011 w 1,17 P
and/or
Map and Tax Lot#:
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: 3 /1 fi
Owner/General Contracto Authorized Agent
Print Name:
g � C��:/-
I 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\Fonns\RES-HighEfficiencyLigbting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 1 J 1 L t► A- (71)11.), , am the general contractor or the owner-builder
at the following address:
Site Address: 9 ltl 1 �- `�v n 14a CL
City: � 5 tAvt)t
Permit#: Ir i 1,C 1 L - (M i t
Subdivision/Lot#: � n /1 `) L✓ I`, j S
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 ' weight of. y• I in members.
lA►
Signature: Date: 3/1 /ice
General Contractor or Owner-Builder
(:\Building\Form\RES-MoistureSensitiveWood.doc 0925/08
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USI
14255 S.W. Galbreath Dr., Sherwood, OR
Phone (503) 625-9700-Fax(503) 625-9730
Certificate of Insulation
Contractor: RIVERSIDE HOMES
Job Name: BASEMENT OPTION LOT 5 Job Number: JB-33502
Customer ID: RIV101
Job Address: 9618 SW FERN HOLLOW CT Contractors Telephone: 503-645-0986
Proposal Number: BD-33502
City: TIGARD State: OR Permit Number:
Product Location
R-21 high density kraft faced balls at exterior walls
R-21 high density unlaced butts at rim Joists
FSK Facing at rim joists
Foam No Expand Window&Door Polycel/Chink
R-15 kraft faced high density batts at basement exterior walls at concrete
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE
CELLULOSE R-Value Thickness Bags Footage
JKNAUF JETSTREAM ATTIC OF HOUSE
OWENS-CORNING PINKPRO ATTIC OF GARAGE
CERTAINTEED INSULSAFE
Authorized Agent:
±t "
3/f 1 f
�'- �- Date: L f f
'Tho higher the R-Value the greater the insulating Power.Looso fill Insulations vary In thermal porformanco due to factors such as aging,
mean temperature,conviction,moisture absorption and insulation variation.
Page 1 of 1
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MINIMUM FRONT YARD: 10 FEET (W) 20' 70' 0 2d' A`
MINIMUM SIDE YARD:5 FEET (E) �"`--- 1_,41\ C v+t,.G,;,r�,- '3 I ��c,
MINIMUM REAR YARD:8 FEET (S) (� _ i
MINIMUM GARAGE: 20 FEET SCALE 1" = 20'
"" FE T - .. N1---FiC)ELOW _
D L ,-.4 x10.0 +• TI GAR D, OREGON
DESIGN GROUP INC. mum LOT 5
14925 SW FARMINGTON RO Rd, » r,4ii r
SAS 270 r 1. 0,03, Project No. RVR001 Dote: 05/17/12
8EA'VERTON,OR 970 . of
(543)644-4628 vows ,7•3+.,-4 I Scale: I •• 20' rawn y D KRF
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S I
14255 S.W. Galbreath Dr., Sherwood, OR
Phone (503) 625-9700—Fax (503) 625-9730
Certificate of Insulation
Contractor: RIVERSIDE HOMES
Job Name: FERN HOLLOW LOT 5 Job Number: JB-34845
Customer ID: RIV101
Job Address: 9618 SW FERN HOLLOW CT Contractors Telephone: 503-645-0986
Proposal Number: BD-34845
City: TIGARD State: OR Permit Number:
Product Location
R-21 high density kraft faced baits at exterior walls
R-30 unlaced baits at garage ceiling
R-21 high density unlaced baits at rim joists
FSK Facing at rim joists
R-21 kraft faced high density bans at knee walls
R-30 Unlaced balls vaulted ceiling with poly
Foam No Expand Window&Door Polycel/Chink/caulk plate
Baffles at eave vents
R-30 unlaced baits at post&beam after dock
Weatherstrip) prep at crawl accesses
Blown-in Fiberglass R-38 In attic over living space
Weatherstrip/ prep at attic accesses
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE
• ELLULOSE R-Valuo Thickness Bags Footage
.KNAUF JETSTREAM ATTIC OF HOUSE
■IWENS-CORNING PINKPRO ATTIC OF GARAGE
■ ERTAINTEEDINSULSAFE
Authorized Aget1 . �� �v� - / Date: -3 /1
"The higher the R•Valuo the realer the Insulating Power,Loose fill insulations vary In thermal performance duo to factors such as aging,
mean temperature,conviction,moisture absorption and Insulation variation.
Page 1 of 1
us'
US1/JB Insulation
14255 SW Galbreath Drive
Sherwood,Oregon 97140
0+503.825.9700
C+503.519.6591
F+503.625.9730
www.USlinc.corn
Building Airtightness Test Form
Customer Information: Riverside Home
Name: Brett Groves Address:
City: State/Zip:
Phone: Email: bgroves @xiversidehomc,com
Building Address: (if different from above)
Street: 9318 SW Fern Hollow Ct
City/State/Zip; Tigard,OR 97224
Building and Test Conditions:
Date: 03/05/2015 Time: 9:00 Indoor Temperature(F): 67 Outdoor Temperature(F): 50
Volume(ft3): 28,450 Floor Area(ft2): 3,126
#Bedrooms: 4(+I) #Occupants:
Wind Shielding: None #of Stories:
Comments: New Construction
Test#1-Depress X Press Fan Model/SN: Minneapolis Blower Door
Pre-test Baseline Pressure: -0.5 (Pa) Post-test Baseline Pressure: -0.5 (Pa)
BAS: CFM50: 2.523 ACH: 5.3 BAS/70%: CFM50: 1.766 ACH: 3.7
Bdlg Press: -50(Pa) Flow Ring Installed: A
Fan Press: 119(Pa) Flow: 1,953(cfm)
Results:
CFM50: 1.953 ACH50: 4.1 Mechanical Ventilation: Recommended
Test#2-Depress_ Press_ Fan Model/SN:_
Pre-test Baseline Pressure:_(Pa)Post-test Baseline Pressure:_(Pa)
BAS: CFM50:_ ACH: CFM50:_ ACH:
Bdlg Press: (Pa) Flow Ring Installed:
Fan Press: (Pa) Flow: (cfm)
Results:
CFM50: ACH50:
ill7144trtidt« 2890 03/05/2015
USI Technician ID Number Date