Report (51) • n STREET TREE
TIGARD CER TIFICA TION
G
I, I stc�C JID„,"
, owner/agent for 6,t t ./Q.-) be
(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
4. with the approved site plan.
PERMIT NO.: 2_66 - b2 /e
SI"1 E ADDRESS: 12616 Stu /2/ .
SUBDIVISION: L1%200S-- a LOT#: 2--
SIGNATURE: DATE: l )
(OWNER/ GENT)
RECEIVED &
VERIFIED BY• DA 1 B: l )
(CITY OF TIGARD)
ne Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
--:-7---- mmmmmmm'mmImmmmmmmMM...I
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
i
je'
e f ) , am the general contractor or the owner-builder
at the following address:
Site Address: 12,610 s uj j 2 I A
City: n
ra)
Permit#: 41,s7 ail - 16?
Subdivision/Lot#:
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
I V Joints lapped 12" at seams and
Extending up the foundation walls 12".
Signature:
onDate: q 125/20)7
Ge tractor or O er-Builder
I lEtuildingTorm\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
M at 206 _Mal(e
Site Address: 12.62(0 iZ I
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
r
Signature: \ Date: 3 /23 Iza 7
Owner/General Contractor/Autho e Agent
j •
Print Name: :bac>14 e 0(
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
■
14255 S(5.W03. rDr., rw ,
Phone(503)Galb625-9700eath--Fax She(503)625ood-973OR0
Certificate of Insulation
Contractor: DAVE NIX
Job Name: 12610 SW 121ST STREET-NIX
RESIDENCE Job Number: JB-43099
Job Address: 12610 SW 121ST STREET Customer ID: NIX100
Contractors Telephone: 503-714-0798
Proposal Number: BD-43099
City: TIGARD State: OR Permit Number:
Product Location
Weather Strip prep at crawl accesses
Foam No Expand foam penetrations at crawl
R-30 unlaced bails at post&beam after deck 32"
Foam No Expand Window&Door Polycel
Baffles at eave vents
R-38 unlaced batts at flat ceilings Non Accessible to Blow Combined for R49(Includes Storage
Platform and Upper Floor)
R-11 unlaced batt at flat ceilings Non Accessible to Blow Combined for R49(Includes Storage
Platform and Upper Floor)
R-38 unlaced baits at vaulted ceiling with poly @ Scissor Vault
R-38 unlaced high density batts at vaulted ceiling with poly @ 2x12's
R-38 unlaced batts at garage ceiling Complete Ceiling
R-30 kraft faced baits at sky lights
R-30 unlaced batts at ALL Open knee walls 16"oc(Twine In Place @ Backside FS @ Frontside)
R-30 kraft faced batts at ALL Open knee walls 24"oc
Flame spread poly tented at attic sprinkler pipes
R-19 unlaced batt Twined Under Stairs
Caulk Air sealant package
Sill Seta @ Top Plates Air sealant package
R-11 Kraft faced batts at ALL Interior walls(Media Interior Walls to Get 3"Rockwool)
R-25 unlaced batts at between floor for sound(Daughters Bedroom to have R25 plus 3"Rockwool)
Rockwool 3" @ Daughter's Bedroom Ceiling with R25)
R-11 Kraft faced batts at garage exterior walls
Rockwool 3" Media Interior Walls to Get 3"Rockwool
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE
CELLULOSE R-Value Thickness Bags Footage
•KNAUF JETSTREAM ATTIC OF HOUSE ' I �-� 3
•WENS CORNING L77 ATTIC OF GARAGE
ERTAINTEED INSULSAFEI
•
Authorized Agent: L, • __ s .ate: q a'..,
*The higher the R-Value the greater the Insul.lL1er er.Loose fill insulations vary in thermal performance due to factors such as aging,
mean temperature,conviction,moisture absorption and insulation variation,
Page 1 of 2
R-1 winfaced batt at vaulted ceiling Combined for R49 @ Scissor Vaults
FSK Facing at knee walls @ Unfaced in Front
weather Strip prep at attic access
ClimatePro blowing wool R-49 In attic over living space
ClimatePro blowing wool polar blanket 2x6 exterior walls 9'
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE
ELLULOSE R-Value Thickness Bags Footage
KNAUF JETSTREAM ATTIC OF HOUSE
WENS CORNING L77 ATTIC OF GARAGE
ERTAINTEED INSULSAFE
Authorized Agent: Date:
*The higher the R•Value the greater the Insulating Power.Loose fill Insulations vary in thermal performance due to factors such as aging,
mean temperature,conviction,moisture absorption and Insulation variation.
Page 2 of 2