Report (9) STREET TREE
TIGARD CER TIFICA TION
1 Ti-rb D cGtaArowner/agent for 4)(--(6014NIM
(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.
PERMITNO.: 1115r 020/5 - 003/0
SIl E ADDRESS: 13735 ito /75''gAv6"
SUBDIVISION: G(/e,r erl - LOT#: q 4
SIGNATURE:
DATED
: / s (�
(OWNER/)
RECEIVED &
VERIFIED BY: DATE:
(CITY OF TIGARD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
1
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 190N4a 0 A , am the general contractor or the owner-builder
at the following address:
ni
Site Address: ) 3 `3 S, ski / o A U e
City: f ufp
0-0
Permit#: /115T -C)15 — 00 3 Ito
Subdivision/Lot#: p„o r ,e,„ et i—6.1e
R4a, 1:o 1" 61(
and/or
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
shee ing with
lif.
Joints lapped 12" at seams and
Extending up the foundation walls 12".
4WaSignature: Date: 0 -5- `(P
eneral Contractor or Owner-But er
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I,
?,Ly ,o N it)Q.) , am the general contractor or the owner-builder
at the following address:
Site Address: 3136 Sw /7S r hag
City: 45/41244.)o6-P
Permit#: Al 5r a o i 5 • d d 31 (.
Subdivision/Lot#: w t k)cat Gti
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.
/4011
Signature: Date: lo
Ge eral 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.: fyi5f 620 15_ Q 03/ 6 Jurisdiction: /G
Site Address: '3 IS s W /?5111 AA'
Subdivision/Lot#: Ul -3 Av oz 'no
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: /6`s!
caner/General Contractor/Au N. •nzed Agent
Print Name: Thrett 45 D (G1f1'i4AAD
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:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
„lisr- / obg/ ,
Form 640S 2016
Completion Certification—Site Inspection >
f O
New Homes Program—Single Family regon
To be completed by Verifier
Portland Energy Conservation,Inc.(PEC()is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'William Lyon Homes Ils this payment redirected?: 'No
Builder or Company: William Lyon Homes Contact Name:
Verifier Payee Company Name Performance Insulation&Energy Technician Name Clover Mateo
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier II No
Site Information
Development: River Terrace 2 !Lot I 96 Axis ID: IREM/Rate®ID:
Address: 13835 SW 175TH AVE
Street Line 2 (Multi-Family No City: Tigard State: OR Zil 97223
Number of Stories 2 Total conditioned area 2420 sqft#of BRs 4
Foundation Type: Crawlspace Housing Type Detached single family
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 R- 49.0 Insulation Typo Blown-in
Framing Type:Above Grade Wall R- 23.0 Insulation Typi Blown-in
Intermediate R-
Frame 30.0 Insulation Typi Batts
Doors Door R-
Windows Windows U- 0.30 SHG(.30
Skylights U- SHG(
Window Area(Glazing) 14%% Total window area 346
Lighting High efficiency indoor lighting 100.0%% Dishwasher Brand Frigidaire
Appliances ENERGY STAR Diswasher Yes EF: 268 Modek FGID2466**A
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand: Bryant
Source Gas Furnace HSPF: Model# 912SC36040$17*
Gas SEER:
Comment: COP:
AHRI Certificate:7126229 Location' Conditioned Outdoor Unit(for heat pumps)
ECM: No Model#
Water Heater Type: Gallons: .150 Brand: SradfordWhite
Electric Storage EFI.95 Model#RE350T6
Location: 'Garage oro AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requiremer Untesta
System Ventilation Requirement Supply Side-Airycle HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested?'Clover Mateo
Ducts Ducts Inside: Yes %ducts inside: Ii 9,5:a%
Ducts Insulation: 8 Duct Seal w/Mastic 'Yes
If claiming incentive for ducts inside,check one of the followinlVisual Inspection per RTF
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage" Hour(ACH)@ Volume:
50Pa: 100 50Pa: 2.54 21,746
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 Brand Name
Refrigerator i Model:
Clothes Washer MEF Model:
Dryer Model:
Showerhead 1.5 GPH Showerhead 1.6 GPH I JShowerhead 1.75 GPH
Showerwand 1.5 GPH •