Report STREET TREE
TIGARD CER TIFICA TION
I, co , owner/agent for (.01- °
(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.: SrZ1( 15
SIM E ADDRESS: 17-3,9,5 -u A Al tk (v,p,-Cie
444",(--
SUBDIVISION: Pie+ LOT#:
SIGNATURE: DAM: I( Nao
s . R/ ,f NT)
RECEIVED &
VERIFIED BY• ,
/ (Cr1 Y 0 TIGA
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, _ : am the general contractor or the owner-builder
at the folio • • ess:
Site Address: i`' (' & 6 -
City:
4 7 J WOO,
Oj Q
Permit#: Pgr. 20(6, 00(9,
Subdivision/Lot#: e r 51
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 • : ng members.
Signature: Date: t{/q//6
G :uilder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner-builder
at the following address:
Site Address: /732.c 3 C.0 6 - -e–t- Zeki
• City: 60&ad
Permit#: 114 S XV&— oc)17g
Subdivision/Lot#: RAI
g/
and/or
Map and Tax Lot#:
Specialty Code (ORSC), Section R408.1
To conform with the 2014 Oregon Residential
Ventilation. I am notifying the building official that I have installed the Moisture Bather 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 wi
Joints lapped 12" at seams and
Extending up the founda'•n walls 1 ".
Signature: ��� ' Date: 1(/91/
eneral 'o a � w�;�!vr-Bui 'r
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: U4s—r-
�J` (•tJ 2/( /ter► " Jurisdiction:
Site Address: 6,14.„Z,41
()
Subdivision/Lot#: i t I4 �
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 s. ce that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialt, ."-ode N110 "i)1
r �►
Signature: `•� ��i Date:
O _ General =-' ..�. -" gent
Print Name:
I 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
1#,)s7 A'z,-00/9b
Form 640S 2016 t c g ,,Trust
Completion Certification—Site Inspection
New Homes Program—Single Family f 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: IWilliam Lyon Homes Is this payment redirected?: INo
Builder or Company: William Lyon Homes Contact Name:
Verifier Payee Company Name:Performance Insulation&Energy Technician Name RobertAshmora
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site Information
Development: River TetraOe2 'Lot L 81`A>dsID: I IREM/Rate®ID:
Address: 17325 SW ANNE GRACE LN
Street Line 2 Multi-Family No City: Tigard State: OR Zii 97223
Number of Stories: 2 Total conditioned area 2065 sqft#of BRS I 4
Foundation Type: Crawispace Housing Type Detached Single fanny
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed 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 Type Blown-in
Framing Type: Above Grade Wall R- 23.0 Insulation Type Blown-in
Intermediate R-
3 0.0 Insulation Type Batts
Doors Door R-
Windows Windows U- 0.3O SHGC.30
Skylights U- SI-IGC
Window Area(Glazing) 15%% Total window area 314
Lighting High efficiency indoor lighting •1010.0%% Dishwasher Brand Fiigtdaire "
Appliances ENERGY STAR Diswasher Yes EF: 268 IModelf PGiD24S8T'A
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand: ,Briant"
Source Gas Furnace HSPF: Model#: 9125048060517* ,
Gas SEER:
Comment: COP:
AHRI Certificate:7126231 Location: Conditioned Outdoor Unit(for heat pumps)
ECM: No Model#:
Water Heater Type: Gallons: 50 Brand: BradfordWhite
Electric Storage EF.95 Model#:RE350T6
Location: (Conditioned,AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
Requirement
System Supply Side-Air Cycler'HRV/ERV Model:I
Airflow measured or why untestable? I Roof Termination
Who Tested? Robert Ashmore
Ducts Ducts Inside: Yes %ducts inside: I 100,0%'.
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the following:(Visual Inspection per RTF
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: 100 50Pa: 2.09 18,495
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- Insulation Type:
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 Model:
Showerhead 1.5 GPH ;Showerhead 1.6 GPH K . IShowerhead 1.75 GPH I
Showerwand 1.5 GPH