Report (2) STREET TREE CERTIFICATION
I, 1240A � t IS o�
(PI.EASE PRINT) , Owner/Agent for v01 �,,� NDN
(P RAIIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
1 3 1--} x-4-1,.,, A
ADDRESS: - �= -=-
SUBDIVISION: f22.\1
42...r. T-_v-v-o _c_e_ LOT: 9 1--
SIGNATURE:
SIGNATURE: /1 . �.....----
DATE: 0/2 `7 /d
(o TER/AGE1 T)
RECEIVED BY: V-- DATE:
/..
(CITY OF I� ` /1/,-,24 -/
I:\Building\Forms\Streeti'reeCertificate 01/19/07
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ^^A — ,Zo Jurisdiction: C. rr
Site Address: . 3 S te,) - 5 A-voz-
Subdivision/Lot
#: (12..=‘,1 �-t rrc� C
and/or
Map and Tax Lot#: l �
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: J/ -`�
'Owner/General Contractor/Authorized Agent
Print Name:
�- SDik
ORSC Section N 1107.2.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
•
•
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, W t \. 0►,,, , am the general contractor or the owner-builder
at the following address:
Site Address: `^ L,1 -• S Ste" iv.......,
City: 5 csc,-eA
Permit#:
/IA St'ZU‘ b- 0.4. 1207
Subdivision/Lot#:
-�v1-�.r 7s2.t' rel.c-e-
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
requireme :
The gro :i surface of the under-floor space is covered with 6-mil black polyethylene
sheeting ' .
VJoin apped 12"at seams and
xtending up the foundation walls 12".
(#-Z (
Signature: . Date: I/ Z t l;�
eral Contractor or Owner-Builder
I:1BuildineFormlRES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
•
I, 12.-t-v.. W 1 Vs v v , am the general contractor or the owner-builder
at the following address:
Site Address: Ld 3 a 14 54-4, v�
City: S
U�
Permit#: M-ST Zo _ 00 11-b
Subdivision/Lot#: V,J2-)r '&-tCL
and/or
Map and Tax Lot#: ‘r2,-
To
ZTo 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.
/ Z (tet/
Signature: Date:
eneral Contractor or Owner-Builder I
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2016 Li)er-g-yTrtist
Completion Certification—Site Inspection Oregon
New Homes Program—Single Family
To be completed by Verifier
Portland Energy Conservation,Inc.(PEC1)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Pyrfta)it..ilnformn#Ion
Incentive Payee Company Name: William Lyon Homes IIs this payment redirected?: INo
Builder or Company: , tz,,�'Contact Name
Verifier Payee Company Name:Performance Insulation&Energy Technician Name OfffieMite
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site h l rrrittion 4
Development: ���erTB e h 'Lot j Axis ID: I 'REM/Rate®ID:
Address: < W,i1a11,111,
Street Line 2 jMulti Family [No City: Tigard State: OR Zir 97223
Number of Stories: 21 Total conditioned area 3248 sgft#of BRs 4
it
Foundation Type: Crawlspace Housing TypeDeinofied Silt ig ,,
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 , A'to'm Model',...... EquipfkientDetail*IS Netts
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 Ur SHG(.30
Skylights _ U- SHG(
Window Area(Glazing) 16%% Total window areal 510
Lighting High efficiency indoor lighting fOO % Dishwasher Brand `0100104 :
Appliances ENERGY STAR Diswasher Yes EF: 268 Modell
Cooling Air Conditioning SEER: Btu/Hr
Primary Heat Source l Type: AFUE: 92.1 Brand
Source Gas Furnace HSPF: Model#: \� .% , 126„4,Irii60$11k ,,,
Gas SEER:
Comment: COP:
AHRI Certificate:7126231 Location: orrnitiOn Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand: fprdwhit ` .i N
Electric Storage EF.95 Model#: ,)5(111z–,
Location: Icon >AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
�0 �a a:
System Requirement p , _ ,r;
HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? 'Clover Mateo
Ducts Ducts Inside: Yes %ducts inside: 22.;90,,91
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the following: Visual Inspection per RTF
PerforrrofrAfre#104(PUOISiMft6t46t0,f11);1006,11,kki.gff
akage \ f Whole Houses Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: \O 50Pa: 2.31 29,029
Nott .
WHx2
Insulation,[Mails
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
Rtiano ._„ . Brand Name
Refrigerator Model: meq„%i „111.1111!:
Clothes Washer MEF Model:
Dryer � Model:
Showerhead 1.5 GPH 3iiiAiiiiiiiiii7Showerhead 1.6 GPH \` ,,,�;,,1Showerhead 1.75 GPH
Showerwand 1.5 GPH