Report (5) •
111 . STREET TREE
TIGARD
CER TIFICA TION
I, AcEY. ANic'/ , agent owner/a g f or Vidsr 042r &ME SoCauttit3,_ilce
(PLF:ASF_ PR/X7) (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.: „20/c/- (3OC7 2
SITE ADDRESS: /CV(/' 6C.t7 PEE 6 01-
S UBDII TISION: WNTU■EA- • LOT #:
SIGNATURE: / DATE: 6-2-2o/6--
(O11 7\ER/AGE. '7)
RECEIIzED
VERIFIED BY. DA,1 E:
(cm-OFTIGAIW)
❑ Tree location verified per approved site plan.
1:\Building\Forms\titrcct 1'reeCe tificatc 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, kEjC L& p5 I , am the general contractor or the owner-builder
at the following address:
Site Address: 00 yi0 SL) 7o' P
City:
kA2d
Permit#: 27/C-/— 000 72
Subdivision/Lot#: G�
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 of dry framing members.
Signature: Date: E L"OCV 5
General Contractor or Owner-Builder
1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: f aH- 000 Jurisdiction:
Site Address: joocieg ScA, FOILI FOIL ft#cz
Subdivision/Lot#:
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: .441 Date: 6-2-2c/
Owner/General Contractor/Authorized t
Print Name: kze L,A.B(ANSlC/
' 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 fmal 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.
I:\Building\Fonns\RES-HighEfciencyLighting.doc 07/01/08
/its r ipofq- Ooov
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 or fax to 877-848-4074. Questions?Call 800-941-3867 or email ResHVAC @bpa.gov.
Site Information (Please print clearly)
PTCS Tech Install(,, Customer's (�
Tech 10640 Name Matt Brunsch Date `i I -1` Electric Utility t `� E
Customer Installation / f QV' /l�
Name Site Address* l `f e 64 s 10 r-31 pi-
Site Site /- () Site Zip (� Customer
City* , i l� Q D State* V F- Code* % 7 Z 2 3 Phone# ( ) -
*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 ON
afBuilt Home Foundation Type: #of Sections for a Manufactured Home: ❑1 ❑2 ❑ 3
Crawl Space ❑ Full Basement ❑ Half Basement ❑Slab Super Good Cents? ❑Y ❑N
Year Built: 7 U I Heating System: ❑ Elec. Furnace ❑ Heat Pump Gas Furnace Heated Area
OIN Energy Star?❑Y ❑Other: Go Company Of applicable): (sq ft) Required L 2
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. ( 77
House Pressurization and Duct Blaster Tests
Do either of these special conditions apply? (check if"yes") Testing Equipment Used:
ecord Only-no duct sealing work done ❑Energy Conservatory D RetroTec
PTCS Certification ONLY-pretest leakage too low for BPA program ❑AeroSeal ❑Air Care❑Other:
House Pressurized(Blower Door)to: ct Blaster Location: Pressure Tap Supply Register Location:
J +50Pa ❑Other Pa Return Grille ❑Other:
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:(DB)=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
H DB Fan Pressure Not Applicable Not Applicable Pa Pa
CU h —
v DB CFM Not Applicable Not Applicable CFM CFM
a
Pretest >_100 CFM,SW
❑?250 CFM(>1667 sq ft)
Requirements Not Applicable Not Applicable ❑?150 CFM,OW
❑>15%of home's sgft
(BPA Only) ❑>225 CFM,TW
Post-test Ring 0 Open 1 0 2 0 3 ❑Open❑1 0 2 0 3 ❑Open 0 0 0 0 Open ❑1 ❑2 03
(select one) ❑H�M ❑L 0 0 0 OH OM ❑L OH OM ❑L
DB Fan Pressure I I L\ Pa Pa Pa Pa
or
DB CFM I CFM CFM CFM CFM
O ❑<_50 CFM,SW
4 Certification Req. d 6%of sq ft w/AH ❑ <_10%of home's sq ft ❑s 80 CFM, DW
(check all that ❑ S 10%of home's sq ft
❑ <_4%of sq ft no AH ❑ ? 50%Reduction ❑5 120 CFM,TW
apply) ❑?50%Reduction
The duct sealing at this site meets program requirements including:plenum,main ducts,takeoffs and boots sealed• good faith effort
was made to remove existing duct tape and cover with mastic;metal duct connections are secured with screws. Y ❑ N
Last updated:30 November 2012 Page 1 of 2