Report (25) .41 %7 2 / , -003g
STREET TREE CERTIFICATION
I, Owner/Agent for o 0
(PT PAVE PRINT) 73F 11IT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: \ ( Stfy /154 A v t 5-k r G 0 of
SUBDIVISION: + v P CA.r ,, LOT:
SIGNATURE: / 77
DATE: ilpu7NE /AGENT) lpsi 1
RECEIVED BY: DATE:
(CITY OF TIGARD)
\Building\Forms\StreetTreeCertificate 01/19/07
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, t 1� S 0 r , am the general contractor or the owner-builder
at the following address:
Site Address: ` ; -' 5..}t� -
city: 1-4.-v•Wir0 c�
Permit#: /511-0 "S$
Subdivision/Lot#: a`
and/or
Map and Tax Lot#: Lw
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.
/21
Signature: - __ Date: k 2 I-
eneral Contractor or Owner-Builder
I:\BuildingWorm\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction: A --
Site Address: ? �
Subdivision/Lot#: �---
and/or
Map and Tax Lot#: \ D
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 Ni 107.2)'
Signature: Date: t pc) / ( L
iner/General Contractor/Authorized Agent
Print Name: '-{.v tAA I S U h
' 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.
1:\Building\Forms\RES-1-lighEfficiencyLighting.doc 07/01/08
•
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, gRA, LIV+ i,S'%)v\ , am the general contractor or the owner-builder
at the following address:
Site Address: 1 - �,-c. ,,. A 4 t
City: t .1) Ci
Permit#: M5- ' G 1. - 001-s1
Subdivision/Lot#:
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 Bather as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requireme t:
oThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheetin with
All Jo' is lapped 12"at seams and
Extending up the foundation walls 12".
/ /2
Signature: ,....._ —,. Date: 12I S
eneral Contractor or Owner-B ':er
IABuilding\Form\RES-MoistureBarrier.doc 09/13/2016
pl,S—,01.0c(o 'COI
Form 640S 2016 Ener . ust
Completion Certification—Site Inspection £a ,Tr
New Homes Program—Single Family Of Oregon
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information 6. .
Incentive Payee Company Name: William Lyon Homes IIs this payment redirected?: No
Builder or Company: y m i y itt. ;' '
� „w„ � 'Contact Name:
Verifier Payee Company Name:Performance Insulation&Energy Technician Name everMartre :
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site Infarmatiol►,
Development: Tial'1e "I Lot g(f Ards ID: REM/Rate®ID:
Address: 4371WLtfiiiii,ANE, -,5—:
Street Line 2 Multi-Family INo City: Tigard State: OR Zif 97223
Number of Stories: 21 Total conditioned area 3248 sgfd#of BRs 4
Foundation Type: Crawlspace Housing Type
e
�ta�he(i.stit
Electric Provider. Portland General Electric Gas Provider. NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
UetifloetlonTyP
Actual Modell Equipment0etaii5&i Notes
e'
Insulation Flat Ceiling R- 49.0 Insulation Type Blown-in
Framing Type: Above Grade Wall R- 23.0 Insulation Type Blown-in
Intermediate R_
Frame 30.0 Insulation Type Batts
Doors Door R_
Windows Windows U-40,41SHGC.30
Skylights U- SHG(
Window Area(Glazing) 18%% Total window areal 510
Lighting High efficiency indoor lighting Wifo, % Dishwasher Brand 7 i tl1atreI`
Appliances ENERGY STAR Diswasher Yes EF: 268 ModelP G 66!,4
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/TYPe: AFUE: 92.1 Brand
Source Gas Furnace HSPF: Model#,, .,,,€11204 0005it:.
Gas SEER:
Comment: COP:
AHRI Certificate:7126231 Location: ,Ir';'ditra,ark Outdoor Unit(for heat pumps) _
ECM: No Model#1
Water Heater Type: Gallons: 50 Brand: $ dforelW 'l�
Electric Storage EF1.95Model#• �Location:
..•;, .
Ventilation ( rdigtme AHRI Certificate:8105439
Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
System Requirement
( tpl>r, ki HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? (Clover Mateo
Ducts Ducts Inside: Yes %ducts inside:
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
Pe
Leakage \ Whole House Air Changes per House
(CFM) Leakage Hour(ACH)C Volume:
50Pa: i0(i� 50Pa: 2.37 29,029
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
Nm
r nd Name
Refrigerator Model:
Clothes Washer MEF Model:
Dryer % Model:
Showerhead 1.5 GPH ` Showerhead 1.6 GPH :01a.,* Showerhead 1.75 GPH I
Showerwand 1.5 GPH , ,