Report c
1114
RI STREET TREE
•
TIGARD
CERTIFICATION
C 14'e-la[ owner agent or
(PLEASE PRINT) / g f Q/
I (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.: /f 51;70/h ®6o Z_t)g
SI1 E ADDRESS: /5/ 77 5zJ /5"?Li
SUBDIVISION.• �� LOT#:
SIGNATURE: DA 1E: / ` 7 EWER/AGENT
RECEIVED &
VERIFIE BY: _ -44ti DA"1E:
(CTTY i TIG.1 ' l)
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 4 f„yi �'`�C am the general contractor or the owner-builder
at the following address:
Site Address: 45-7 7-7 4, /5.--y 717
City: -T—
Permit#: ;c' -007-07
Subdivision/Lot#: (if
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
requirement:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12" at seams and
Extending up the foundation walls 12".
Signature: Date: ,-.06,1/4.7
Generalo� ntract fr Owner-Builder
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
£zq -id , am the general contractor or the owner-builder
at the following address:
Site Address: /Y/ 77 57 /51/ 15
City:
Permit#: /151145/.6 ()O
Subdivision/Lot#: t` eg
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 framing members.
Signature: Date: r //6/,�
7
General Co actor or 0 - ut er 6
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
Site Address: /
/5/ 77 15 yi7
Subdivision/Lot#:
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 source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: � Date: 2/i4/, 7
O er/ enera uthorized Agent
Print Name: 5e,-4 ece.46 c ld
1 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
ge?
OEESC 2014 AIR LEAKAGE TEST RESULTS
BUILDER/OWNER:
Polygon
ADDRESS:
Performance Tested
fort SystC141S
15177 SW 154th ave `
DATE:
2-13-17 �011LE$4f
BLOWER DOOR: `'
CFM: @CFM50 ACH50: 2.2
WESTSIDE
DUCT LEAKAGE: * INSIDE
CFM: @CF.M50 % OF SF: v ENERGY PROGRAM
,�
Westside Drywall & Insulation, Inc.
V1 , 205 SE Spokane Street, Suite 300
Trade Ally of
74 Portland, OR 97202
WALL �.A„too Ener!rush 503.238.7486
LL, & 1NS of Oregon
Homeowners Name Date ift sq.ft.
,---
JM Climate Pro® A1000 Fiber Glass Blowing Wool
Your home has been professionally insulated to provide superior thermal resistance.
i
;
Address j 5177 --1A..) )51.11- tje„.. to Lo
City er1/6„,f4-pL- State Ce___ ZIP
RECORD OF INSTALLATION
BLOWING WOOL BAITS BAITS ANDRa..v°ALLSLIIE THICKNESS AREA INSULATED
I *I,COrletroctfoll it Retrofit ,I v.r.4 4: in sci,ft
-.:1 Rettett Depth of PreliGus-Insulallmt 111 C°111111$ in, •
it LIL. Estimated 8.value of Proii°us Illstallat" 1 sq.it frit
Number Of bags Use- yi Wails n
Ii Typesof-PfftfOtIS Insulation in Attm in. sq it
Area Inslliated c. CItZsq t ' ' ' - -
1. ..."
Thickness84iiie4:nt su4nsui a tliatml I a n i 44;5 in. H-ours jebe. in sq.'1
6 mil poly vapor barrier installed in crawl _I' 7 N
CLIMATE PRO A1000 IIESULATION
MINIMUM WEIGHT BAGS PER MAXIMUM NET COVERAGE
R-VALUE MINIMUM INSTALLED SETfLED;IIHICKNESS
PER 1.101IT ARE.A1
1.000 sa.FT. ($0,FTJOAG)**
IIIR•Sa.ftofiBTIJ) THICKNESS(IN.)* 1 N.) lPOLIPIDS/SO.FT.
Minimum number of
To obtain insulation
Installed insulafter long-term settling llisation Expected thickness . Wel'Ochit.nPseuri:fttofnt:all h
bags per 1,000 sq.ft. Contents of is bag shall
shall not be 11
resistance(R)of:
less than: has occured: tanoet be less than: of net area shall not not cover this
than:
be less than:
13 4.75 4.75 0.180 55 182.9
19 635 615 0.266 81 124.2
22 7.75 7.75 0.311 94 106 3
26 9.00 9.00 0.368 11.2 89.6
30 10.25 10.25 0 428 13.0 77.0
38 12.75 12.75 0.555 16.8 59.5
44 14.75 14.75 0.662 20.1 49.8
49 16.25 16.25 0.747 22.6 44.2
60 19.50 19.50 0.940 28.5 35.1
Sae revers°.ta dotennirie adjustment M coverage for Climate Pm A1000 insulation in Minnesota.
*Determined using a tinisul Votu-Matic III blowing machine The machine was set us in 30 gear.with a 759,,'open gate arid a 3hose blowing the wool out Me 10 ft.arc
"Coverage without framing
Insulation Contractor Signature 4i j
/ ' 17 Date /0-/e/C /170 I
Company Westside Drywall&Insulation Inc Address 27 5 Pacific Hwy Hubbard OR Phone 503-620-7036
Home Builder Signature Date
Company Polygon Northwest Address Phone
tAT f Johns Manville
For more information,call 1-800-654-3103. BIC-256 031t4 0 2014 Johns Manville.All Rights Reserved.717 17th Street,Denver,CO 80202