Report STREET TREE
TIGARD I A TION
CERTIF C
/8, Xiviouz-564/ owner a ent oi9 '� 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.: /115x;0/ 'O0 3-1-B
SITE ADDRESS: gOgk 5tj A /tf" 7
SUBDIVISION: (/21_,A//(.) ��7 ' '%eS LOT #:
SIGNATURE: .r 1 DA"1 E: j ' 7 /7
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: DA'1E: /1a2J/4--"7"
l(CITY OD)
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, / � ivatesaftl , am the general contractor or the owner-builder
at the following address:
Site Address: 9�` city
‘4,eiVo(A,
City: 17(511/0
Permit#: m57" // —003
2
Subdivision/Lot#: ( flj ',,cj5��� 5
20r�3
and/or J
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.
Ad
Signature: Date:
7 i 7
Gener Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 4
4 -r-;0/6 Jurisdiction: 66
Site Address: poxa /i ig144,1441 C/
Subdivision/Lot#: /dieA/ LI £574-7-e63
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 Ni 107.2)1
1)
Signature: L Date: 7 -(7
O General Contractor/Authorized Agent
Print Name: 74-4/ni&ot)
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\Fonns\RES-HighEfficiencyLighting.doc 07/01/08
fl- T ztitp-e
Form 640S 2017
Completion Certification—Site Inspection True
New Homes Program Single Family
of Oregon
To be completed by Verifier
CLEAResu/t is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'Westland Industries Its this payment redirected?: 'No
Builder or Company: Westland Industries Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier hal No
Site Information
Development Westland Industries-Ind 'Lot ' -:Axis ID: ' 'REM/Rate®ID:
Address $W BARNUM ST
Street Line 2 Multi-Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,483 House Volume: 1 26,088 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawispace
Electric Provider Portland General Electric Gas Provider NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC:' Total window area: I
Cooling Air Conditioning SEER: 0 Model 9:
Primary Heating System Details AFUE: 95.5 Brand 0
Type: Gas Furnace HSPF: Model#: TG9S100C16MP11B
Heating Fuel: Gas SEER:
Primary Heat
Comment COP:
Source
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:8950171 #of Systems 11
Gallons: 175 Brand: AOSmith
Water Heater Type Storage EF: 1.68 Model#: GAHH-50 100
Water Heating Fuel Gas Location: 'Conditioned A AHRI Certificate:7058046
Ducts and Duct Location 'Partial %ducts inside. I aDuct Leakage(CFM)(§50Pa: 1143,. ,
Testing
Infiltration Air Changes per Hour(ACH)i 50Pa: 4.09 '
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model: SHX5AVL5UC/22
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: