Report (40) STREET TREE
TIGARD CERTIFICATION
I It*nt 5 I)1 . owner/a ent oeb,..ov N�> r agent
(PLEASE PRINT) (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.: /7151-0201, - 60 ((a �o
HIE ADDRESS: 13 (e 75 fw / 7 tx ✓h A-ve_
SUBDIVISION: fits/ ;0ro ' _' LOT#: 1/45-3
SIGNATURE: / DA IJ. d ki
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: /46., 614 b - 41 DA]is 3- 3 U - 17
(CITY OF TIGARD)
El 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,
141..Y bitiV NW , am the general contractor or the owner-builder
at the following address:
Site Address: 06,75- fW l?a Ave
City: 410/- /C lVta reVaCe
Permit#: /Ylyro2.01t—oo11.(
Subdivision/Lot#: a/t'w Auc.LieggiitE 53
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:
gThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12" at seams and
ii<Extending up the foundation walls 12".
Signature: Date:
`3 -aS17
t eneral Con i actor or Owner-:ui der
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: , yr a_014 - 001 (1 (.0, Jurisdiction: /mop
Site Address: ' 3675 fit) /7
Subdivision/Lot#: Wriir eq,67. rkeikk- - 5 3
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
/,A- _
Signature: / 41111P Date: 3 /,
Owner/General Contractor/Authorized Agent
3 D t e- iv A•
Print Name: �l�o»'IA (/� O
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
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
Pfri-i6eil lV , am the general contractor or the owner-builder
at the following address:
Site Address: 1 3 G i r Sul /7a. 14 vE
City: iw000
Permit#: At 5T a D 1( .. Qv itiv&
Subdivision/Lot#: r le l Veit reA-0= 4- s3
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: - 2c f7
eneral •.. ctor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08