Report (39) - %I STREETTREE
TI GARD
CERTIFICATION
r
c4t170—wner/s�P � agent,for
�-. •
m$xAarxoL.nER)
do hereby ceyt6 that thefollowing location meeCity-of Tand land use is
Tigard and development standards
for street tree installation and is consistent -
with the approved site plan.
PERMIT NO.: JA(L.St2Di -- -
SITE ADDRESS: 2-0 SiN) 77c.
SUBDIVISION.
P r �,
SIGN.�gT'U�E; ___ LOT#: C 0
GEArr�~ DATE, ZS
RECEIVED &
• VERIFIED BY: �j "
�'
-�1a DATE: /
Tiee locahio» verified per approved site plan.
1'\Building\Forms\StreetTreeCertificate 05/30/2012
•
Oregon Residential Specialty Code R408.1
•
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, ______,_cdcjw,— th
Sto`q1--
am the general contractor or the
' owner-builder
at the following address:
Site Address: "9-Z ki j L
o:;`, ... cA
City: jr____s _____c3--r2J
Permit#: 7
(44 � - ?JCI - .
Subdivision/Lot#: . r----
A iA Yom( 'a AL(.-
and/or
Map and Tax Lot#: / y
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
requirement
The ground surface of the under-floor space is covered with 6-rail black polyethylene
she _ with
Joints lapped 12"at seams and
zEli,xt .
ending up.the ;undation walls 12".
Signature:
./ di
/
eneral c on...-iii.., ,-,k--m.:
Date: (�
L gToadRES-MoisRaeBa cict doe 09/13/2016
•
Oregon Residential Specialty Code N1107.2•
HIGH-EFFICIENCY INTERIOR LIGHTIN
G SYSTEMS
Permit No.: .
Jurisdiction: T 4se-
Site Address:
Subdivision/Lot#:
/-1 It I\d'i 714
and/or -
Map and Tax Lot#:
By my signature below, I certify that a minimum of50 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: i �.
•wnerlG - Date: I Z S
� • i S orized Agent
•
•
Print Name: _ 1
I ORSC Section N1107.2.High-efficiency interior lighting systems_ A minimum of (50)
permanently installed lighting fixtures shall be installedcompact fifty or
a lightin the
has a minimum efficacy of 40 lumens per input watt Screw-in compact fluorescent lamps comply lighting
t is that
requirement .
The building official shall be notified in writing at the final inspection that a
emxauently installed lighting � minimum of fifty percent of the
fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input pmwett
1.:113uildmgTorms\RES-HighafiicienoyLightiagdoo 07/01/08
•
•
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: 1 rZ im,
City: .02
J
Permit#: bo
Subdivision/Lot#: I A inA
and/or
Map and Tax Lot#:
60
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section 8318.2 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].
8318.2 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 . . .. g members.
Signature: S
en - ;;-?• wilder Date: (iaV112____
L\Buil Form\RES-MoisaueSeositiveWood.doc 09/25/08
Form 640S 2016 a ,,,« ' !
Completion Certification—Site Inspection Oregon
New Homes Program—Single Family
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information,
Is this payment redirected?: INo
Incentive Payee Company Name: (Polygon at Sunset Ridge,LLC I
Polygon at Sunsetlidge,LLC
Builder or Company:Cmrfo jContact Name:
Technician Name RobertAshrnor'e
Verifier Payee Company Name:Performance Insulation&Energy
Energy Trust Pathway: Percent Improvement
Affordable Housing No
Solar Ready Builder Incentive: No
Solar ReadyVerifier In No
Site Information
Development: RiverTerrace 2• 'Lot I 00:Axis ID: 1 IREM/Rate®ID:
Address: 17201 SWJEAN LOUISE Rl} IOR Zid97223
Street Line 2
(Multi-Family INo City: (Tigard 1State:
Number of Stories: 21
Total conditioned area 20651sgfI#of BRs 1 4
Housing Type Detached Single fan
Foundation Type: Crawlspace NW Natural Gas
Electric Provider: Portland General Electric Gas Provider:
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 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- 0.30SHG(.30
Skylights U- SHGC
Window Area(Glazing)
15%% Total window areal 314
Lighting High efficiency indoor lighting 100.0%,I% Dishwasher Brand Frigidaire
Appliances ENERGY STAR Diswasher Yes EF: 268 1ModeFG1D2466""A
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type:
AFUE: 92.1 Brand: Bryant
Source Gas Furnace HSPF: Model#. 912SC48060S17"`
Gas SEER:
Comment: COP:
AHRI Certificate:7126231 Location: Conditioned Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand: AOSmith
Electric Storage EFI.95 Model#:ENT 50110
Location: 1Garageof til AHRI Certificate:8083359
Ventilation Energy Trust of Oregon's Mechanical Ventilationyp
Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
Requirement
System Supply Side-Air Cycler,HRV/ERV Model:1
Airflow measured or why untestable? 'Roof Termination
Who Tested? 'Robert Ashmore
Ducts Ducts Inside: Yes k ducts inside: 1 100.0%
Ducts Insulation: 8l Duct Seal w/Mastic fresl
If claiming incentive for ducts inside,check one of the following:'Visual Inspection per RTF
I
Performance Testing&Duct System information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: 00 50Pa:
3.36 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 I' jShowerhead 1.75 GPH f
Showerwand 1.5 GPH