Report (24) q STREET
TREE
TIGARD CERTIFICA
T1O1v
I, ►�br�,p, �t c.� o , owner/ g for �GLY Gail/ �K/a ent /� �
(PLEASE PRINT)
(PERMIT HOT DER)
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.: YI15r a 0/1 - &) He 0
STT IJ ADDRESS.. /33'3'7 SGv I? y r`*%9 05
SUBDIVISION.
�\ LOT#: pa
SIGNATURE:
DA1
RECEIVED (OWNER/A ENT)
L. ?-07 7-76
VERIFIED BY•
DATE: �+
(Cr OF TIGA'
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreecertiScate 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 6/5r a 01 19 -DO/ (p 0 Jurisdiction: 7-7 6A.
Site Address: ) 3 83 7 5 f i-OA v5
Subdivision/Lot#: /A)E r / r o
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: if<*--;0111:00.
Date: 7 7'/
Owner/General Contractor/Authorized Agent
Print Name: Throws-A D t c-!A-4,. ,
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.
I:\BuildingTonns\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, POCY6o Ai d
the general contractor or the owner-builder
at the following address:
Site Address: 1 3 8 3 7 5w /7 5-144/4 Ug
City:
.J ►4)000
Permit#: 4\5-rabic,- Ooiceo
Subdivision/Lot#: uit, RIv 'E �
eizi , tr. /id
and/or �R
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: eral l R Date: ( "od 7-/‘
Ge Contractor or Owner- u er
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
r '&' cZl(O
Form 6408 2016
Trust
Completion Certification—Site Inspection '
New Homes Program—Single Family Oregon
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: Polygon Northwest Is this payment redirected?: No
Builder or Company: Contact Name:
Verifier Payee Company Nam€Performance Insulation&Energy Technician Nam:
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier Ir No
Site Information
Development: Lot Axis ID: —REM/Rate®ID:
Address:
Street Line 2 _—Multi-Family No City: Tigard State: OR I 97223
Number of Stone- 2 Total conditioned area 2420 Cid'#of BRs 4
Foundation Type: Other/More Than One(add comment) Housing Type
Electric Provider Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification ,Type Actual Model Equipment Details&Notes
Insulation Flat Ceiling m 49.0 Insulation Typ,Blown-in
Framing Type:Above Grade Wall 13 23.0 Insulation Typ:Batts
Intermediate
—Frame 30.0 Insulation Typ:Batts
Doors Door
Windows Windows m 0.30 81115 0.30
Skylights
Window Area(Glazing) 14%% Total window are- 346
Lighting High efficiency indoor lighting % Dishwasher Brand
Appliances ENERGY STAR Diswasher Yes EF: 268 12...1yr
Cooling Air Conditioning SEER: —Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand:
Source Gas Furnace HSPF: —Model#
Gas SEER:
Comment: COP:
AHRI Certificate:7126229 Location: Outdoor Unit(for heat pumps)
ECM: No Model#
Water Heater Type: Gallons: 50 Brand:
Electric Storage ag.95 Model#
Location: AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requireme Untesta
System Ventilation Requirement
y HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? Tyler Limbaugh
Ducts Ducts Inside: Yes %ducts inside:
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the followin Visual Inspection per RTF
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: 50Pa: 3.06 21,746
Notes:
Insulation Details
Flat Ceiling R- Insulation Type:
Vaulted Ceiling R- Insulation Type:
Scissor Truss R- Insulation Type:
Above Grade Walls R- 23.0 Insulation Type: Blown-in
Below Grade Walls R- Insulation Type.
Floor Over Unheated Space R- 30 Insulation Type: Batts
Floor Over Garage R- 59.0 Insulation Type: Blown-in
Rim Joist R- 21.0 Insulation Type: Batts
Appliances Brand Name
Refrigerator Model:
Clothes Washer MEF Model:
Dryer 0/0 Model:
Showerhead 1.5 GPH ; Showerhead 1.6 GPH Showerhead 1.75 GPH
Showerwand 1.5 GPH %,