Report (9) 711 STREET TREE
TIGARD
CERTIFICA T
ION
,,
owner/ag ,f agent or DA 14c,,r. 0
(PLEASE PRINT)
(PERMIT HOLDER)
do hereby cert that thefollowing locationCity of�' and land use meets
Tigard and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: 1157-2-016
aort
SITE ADDRESS:
13137 w
l&e.k w.,t K.,a- 54
SUBDIVISION.
1� )
SIGNATURE: LOT#: /5
Py
(01*'NER/AGE��T) DATE: ��/y�/6
RECEIVED &
VEKIFI BY:
(CII I'OF TIGARD) DATE: I l0 1
Tree location verified per approved site plan.
I:ABuilding\Forms\Street recCertiFcate 05/31)/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1,
am the general contractor or the
owner-builder
at the following address:
:::: ess:
Addre
a�nc1 .t •
-
Permit#: qr� Og 77Z2
Subdivision/Lot 2016 °01 I
Lot#; So`+"i►+t tl' .
and/or �,� c / 2
Map and Tax Lot#:
To conform with the 2008
To cR nform .0140, 100am Oregon Residential SpecialtyO
Code
[Section ORSC Section building official that I am o f theen moisture
8.2 and
R318.2 is provided on R 18.2 an have taken
steps to aware of moisture content
p meet this code requirement.
R318.2 Moisture
official shall be Content: Prior to the installation of interior
wood notified in writing the orthat finishes
framing members used i t co by general contractor
percent by dryconstruction all ' the building
weight of dry framinghave a moisture content ntent of Sensitive
not more than 19
Signature:
eneral Contractor or Owner-Builder
Date:
t•\Building\Foran\RES-MoistureSensitivewood.doc 09/25/08
Oregon Residential Specialty p lty Code N1107.2
HIGH_EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.:
/151-2 4 t 6 - oal Jurisdiction:
Site Address:
13 17 51.., tack wa.I w,.-{--
Subdivision/Lot#:
and/or
Map and Tax Lot#:
By my signature below,
gratin , I certify that a minimum of fifty
installedar lighting
or fixtures in titin e above (50)have beeneent installedf the
mentioned buildingpermanently
lin
(Oregon fl Residential a lighting
source that has a fcy 40 with compact or
Specialty Code N1107.2)1 minimum efficacy of lumens40per input watt.
Signature:
. --o.-ATA
Date: / /0 /
i er/General Contractor/Authorized Agent
Print Name: -Sea-,x fo-H-
1 ORSC Section N1107.2.High-efficiency interior lighting
permanently installed lighting7.2.H
has a efllled of 40 u ens s ures hall l be installed wi h com systems. minimum of ssce t o
has a minimum compact t linear fluorescent, or a lighting wth source that
put watt. Screw-in compact fluorescent lamps comply with this
reqThe building official shall be notified in
permbuedily installed lighting fixtures are
compact or linear fluorescent,or a minimumy percent of the
L\Building\Forms\RES- efficacy of 40 lumens
High EfficiencyLightin d per
g. oc 07/01/08
r\-r(9_aIC _ bb ( /3
Form 640S 2016
Completion Certification—Site Inspection
of Oregon
New Homes Program—Single Family a
To be completed by Verifier
Port/and Energy Conservation,Inc.
(PECI)is a Program Management Contractor for Energy Trust of
Paymrentintormaton
Incentive P 9°�Inc.
Ore
Payee Company Name Performance Insulation&Energy
Builder or Company:
Verifier Payee : r#
mu
Company Nam:PerformanceerIs this
Insulation&Energy payment redirected?:
Contact Name: cted?;
Energy Trust Pathway: Percent Improvement
Solar Ready Builder Incentive:No Affordable OioverMateo
Housing No
Solar ReadyVerifier I No
Site Information
Development: SumttiitRi
Address: Sumfn Lot
J CAf.K ALNUT:` • 462 Axis ID:
Number of Stone-11111111110
_REM/Rate®ID:
illilms
Foundation Type: No
Crawlspace Tigard 11111
MIIMIIII.
::::s:a::
p areaortland General Elmmuss
Housing Type 2081 #of BRs 11111
Gas Provider: DetEt M to lane
W/IJ � .x
Solar Installer Name/Company:
UIIIIIIIIIIIIIIIIIIIIIII
Blue Shaded fields are required for EPS Sheet
Verification hype
Insulation
Flat Ceiling Actual Model
Insulation
Framing Type:Above ® Equipment pa
IrarmiTte Grade Wall tails$Nates
ci 38.0 Insulation TyP,Blown-in
21.0 Insulation Typ
Doo—
Door ®Windowsaiiiiiiiiiii
� 0 Insulation Typ;
Windows
Skylights m
Window Area(Glazing) m_�
High efficiencyr-
indoor lighting Total Window are.
MEM ENERGY STAR Diswasher 1170.0°6
Air Conditioning wil Dishwasher=
Primary Heat Source/Type:ype' ®_®
r.
®Brand:
MaiiiiiCommen raliallt=Model# ;$ M
COP. 912$ 56040$17"
Location: Alttc
Model
Outdoor# Unit(for heat pumps)
Type: N
Storage Gallons:
Elecillealls
50 Brand:
Ventilation °
IIIIIIIIIIIIIIIIIIIIIIMMIIMIII
Location.enalialinsiModel#CPFi50L7F)r)rFt#
Energy Trust of Oregon's Mechanical +��..
System Ventilation Re
quirsme c Ventilation Type
Sup,` Sr Meets Energy Trust Mechanical Ventilation
"'�±rCYgrO'HRV/ERV Model: Requireme
Ducts Untesta
Airflow measured or why untestable�
Who Tested? Clover Mateo Roof Termination
Ducts Inside:
Ducts Insulation; No
asime%ducts inside:
If claimingctsIs lationtive for ducts inside, Duct Seal WI 50.0%i
Mastic
check one of the followin Ducts Tested
House
tem Information Air Changes per Volume:
110
g,putt Sys y , Whole House Hour(ACH)@
Performanceesting Leakage 3.08
Duct Leakage 50Pa:
(CFM)@ , ', `.,, .
50Pa:
Notes:
Insulation Type:
flgulattOn Details WillInsulation Type:
Flat Ceiling Insulation TYPe
Vaulted
Scissor TrCeiling uss
21.0 Insulation Type
0.1111111111111111111111111111111111111
Below Grade Walls
Insulation Type
FloorVOI
Over Unheated Space WI
Above Grade Walls Insulation Type:
30.0 Insulation Type:
® 30 Insulation Type: Brand Name
liall
Battri
Fbor Over Garage 21.0
App
Rim Joist
Model:
Clothe aces Model
Refrigerator ® Model
Clothes Washer Showerhead 1.75 I.vGPH
M.
Dryer Showerhead 1.6 GPH
Showerhead 1.5 GPH
Showerwand 1.5 GPH