Report (6) 11 ": 0
STREET TREE
TIGARD CER TI
FICA TION
I, -F6, c-v& , r owner/a ent oC12 . � 0�
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.: ir '-r-2U b --00 3g/
Sri L ADDRESS: P---+S 5\Ac 5-(t,,,‘,CCA, -- (le
SUBDIVISION: lifer Cfru cl, >__ LOT#: Z
a
SIGNATURE: toi--- DAIL: (— -
�.�►" ';.. _., .4NT �Z /l
RECEIVED &
VERIFIED BY' c"----0 DA 11✓: /� /�
(CITY OF TI RD) I Ql ,` 7
❑ Tree location verified per approved site plan.
T•\R,aA7.,o\Fn.m \CrrP..rTrPP('<.,;A.-,rP nc izn i',n1 o
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, �
oZ-t C CptkvLA rr-N... , am the general contractor or the owner-builder
at the following address:
Site Address: 9- st r t J�1 m 0 L/
City: �- +�V —�
)0 i .)(
Permit#: 17-01( 6060S-38/'Subdivision/Lot#: til- P % /�
�j
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.
C
Sia ature: r" ,i _____,2 Date: Co /2-1q///-
5-n .1 Cbnrractor o t,,ler--::uilder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1i
C A�to —(0 53E" Jurisdiction:
Site Address: A 4
Subdivision/Lot#:
CASs1") "z--
and/or JJ
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
Signa jreft,„„ .1 Date: le `2 •
er enn r .n.'. • • . . • . tent
Print Name: V) rti
I 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.doe 07/01/08
r0oS3'R
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family £ .
of Oregon
To be completed by Verifier
CLEAResuC is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: (Performance Insulation and Energy IIs this payment redirected?: I Yes
Builder or Company D.R.Horton Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVenfer Inc4No
Site Information
Development �&Hentage Crossing Lot €aE �,
4..)-
Axis ID: 1 (REM/Rate®ID:
Address: R;:-:Yd^s;. Lat '.. °• ✓. a„asap
Street Line 2 Multi-Family INo City Tigard State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,612 House Volume 1 22,408 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 5 Foundation Type: Crawlspace
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- 0.0 Slab Under Insulation R
Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 30.0
Above-Grade-Wet Insulation - R- 21.0 -gip Grade Wall Insulation R-
Flat Ceiling Insulation R- 38.0 Vaulted Ceiling Insulation R-
Windowa Windows U- 0.3 SHGC:10.3 Total window area: 1262
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC48060S17'
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM. No Model# 1
AHRI Certificate:7126231 #of Systems 11
Gallons- 180 Brand: AOSmith
Water Heater Type Storage EF: 12.9 Model#: HPTU-66N 120
Water Heating Fuel Electric Location: (Garage or ope AHRI Certificate:7551746 —
Ducts and Duct Location (Partial %ducts inside: Duct Leakage(CFM)@ 50Pa: �� "'•,
Testing ... ,... ,..:
Infiltration Air Changes per Hour(ACH)@ 50Pa. 2.91
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 kWhryr Model:
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH 1 Showerhead 1.6 GPH 1 [Showerhead 1.75 GPH 1
Notes: