Report 111 STREET TREE
TIGARD CER TIFI A
c TIo1v
I, p.,�u m' , owner/agent for L=�:,1/4v;r > ,. ,
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert 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.: 4,15-1 `).. )jam 0019 s
SITE ADDRESS: X75- sw e....64.4.)-7 s 7.
SUBDIVISION: 0/9- e .,5. LOT #: b
SIGNATURE: ' DATE: 67ZU//‘
(OWNER/AGENT)
RECEIVED &
VERIFIED BY' _ DATE: U 2 %/
CITY OF TIGARD)
❑ Tree location verified per approved site plan.
I:ABuilding\Forms\StrcetI'recCertificatc 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
t115-1 96;s._ coie,s
Site Address:
Ldr.;.e.%i
Subdivision/Lot#:
and/or
Map and Tax Lot#:
/c7
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: 6 A-4G
Owner/General Contractor/Authorized Agent
Print Name: (UivZl - r'
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.
L:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, aaal /i 4 /eft/ , am the general contractor or the owner-builder
at the following address:
Site Address:
-3S4- z-v. 4 us-3 sr.
City:
Permit#:
Y''IS"z gc+/S`-o0 MIS
Subdivision/Lot#:
c-K cres7 /li