Report (9) STREET
IR
TREE
TIGARD CERTIFICA
T1O1v
owner/agent for PoLt66.0 N tt)
(PLEASE PRINT)
(PERMIT HOLDER)
do hereby cer4n 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.: p1 5- o l - X60 6
SITE ADDRESS.. 1,-1 85'b .Sw 175 r°` 4 t
SUBDIVISION: fit) i R e �— 66,
LOT#: 98'
SIGNATURE:
RECEIVED e'er (OrR/ac NT)
DATE:
VERIFIED BY:
(CITY OF TIGARD) DA IL:
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I,
Pok,‘i N /V W , am the general contractor or the owner-builder
at the following address:
Site Address: 36`so 54) () S'tf p i8
City: S op
Permit#: Jry� 0 D U S'{
Subdivision/Lot#: 14/55r &woe d a /, l q
and/or I �t!l
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. aming members.
Signature: Date: /0 - f—I(o
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: t45T 02, ,(._ D,0 5,f Jurisdiction: 'rico j)
Site Address: 13F 5 o Sw 17 SD-A
Subdivision/Lot#: WE5? 1 fERRAfr-E' 9 S q d
and/or x'6'1 l
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
/10 Signature: Date: /6- 41-40,
•wner/General Contractor/Authorized Agent
Print Name: Tito/IAA V I Cl/INv vb
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\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, FOLIA , am the general contractor or the owner-builder
at the following address:
Site Address: 1 3 83-0 J /75 V
City: ,5/0.67?kJOOP
Permit#: ni5r 01O16 " 0005T
Subdivision/Lot#: 1.0 C r
pi v e rerese/k6- 4-rq gand/or 6
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code (ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
a Joints lapped 12"at seams and
(FrExtending up the foundation walls 12".
Signature: i Date: /t>"(-1(0
Gen: al Contractor or Owner-Builder
I:\BuildingTorm\RES-MoistureBarrier.doc 09/13/2016
/S '7b1v
Form 640S 2016
Completion Certification—Site InspectionOregon
New Homes Program—Single Family of
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 William Lyon Homes
Is this payment redirected?: No
Builder or Company:
Contact Name:
Verifier Payee Company Name Performance Insulation&Energy
Technician Nam:
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier h No
Site Information
Development. Lot Axis ID:
Address: REM/Rate®ID:
Street Line 2 Multi-Family No City: Tigard
Number of Stones State: OR 97223
2 Total conditioned area 2816 M2#of BRs 1111.0
Foundation Type: Cravllspace Housing Type
Electric Provider: Portland General Electric
Gas Provider: NW Natural Gas
an
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details 8<Notes
Insulation Flat Ceiling m
49.0 Insulation Typ Blown-in
Framing Type:Above Grade Wall 13
23.0 Insulation Typ Blown-in
Intermediate
-Frame 30.0 Insulation Typ Batts
Doors Door 13
Windows Windows m ° Emir.30
Skylights m-112/_
Window Area(Glazing) 17%lall Total window are.
Lighting High efficiency indoor lighting ° 470
Dishwasher Brand
Appliances ENERGY STAR Diswasher YesEF: 268 YYiitii 1tIlIf111
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:7126231 Location Outdoor Unit(for heat pumps)
ECM: No Model#
Water Heater Type. Gallons 50
Brand.
Electric Storage 111
.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
HRV/ERV Model
Airflow measured or why untestable? Roof Termination
Ducts Who Tested? Clover Mateo
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 RT-
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa:
50Pa: 2.94 25,238
Notes:
Insulation Details
Flat Ceiling R- Insulation Type:
Vaulted Ceiling R- Insulation Type:
Sc ssor 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
Refrigerator i Brand Name
Model:
Clothes Washer MEF
Model:
Dryer Model
Showerhead 1.5 GPHShowerhead 1.6 GPH � '-
[ "4 ,; Showerhead 1.75 GPH
Showerwand 1.5 GPH