Report (95) STREET TREE CERTIFICATION
I Lk - �, ,
� , Owner/Agent for i�,:;‘,-cc i.`,«rS Ac
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: 12 Pork
SUBDIVISION: L00Q-,Qs LOT:
SIGNATURE: �' �t �- DATE: 2J 1q I leo
9 WNER/AGENT) r
RECEIVED BY: 4.40.A.!- �' DATE: c9/9.
(CITY• GARD)
I:ABuilding\Forms\StreetTreeCertificate 01/19/07
Form 640S 2017
Completion Certification—Site Inspection kY
New Homes Program—Single Family Er)[e r Trus t
To be completed by Verifier of Oregon
CLEAResult is a Program Management Contractor for Energy That of Oregon,Inc.
Payment information
Incentive Payee Company Name: �Performance Insulation and Energy
Builder or Company: Windwood Construction IIs this payment redirected?: Ives
Verifier Payee Company Name: Perfomtance Insulation and Energy Redirect to Name:
Affordable Housing No Redirect Payee Coml Performance Insulation and Energy
Solar Ready Builder Incentive: No
(Solar ReadyVerifier InctINo
Site Information
Development Otson Woods Lot '
Address ill I Illi f I III!Axis ID: I I REM/Rate®ID:
Street Line 2 Multi-Family No
Total conditioned areas ft.: City: Tigard State: OR Zip: 97224
(q )
38,840 House Volume: I 34,840 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4
Electric Provider: Portland General Electric Foundation Type: Crawlspace
Solar installed None Gas Provider: INW Natural Gas
Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type ' Actual Model
Equipment Details b Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 38 Secondary Framed Floor R-
Above Grade Wall Insulation R- P3
Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows
U- 0.30 SHGC:I Total window area: I
Cooling Air Conditioning
SEER: 0 Model it:
Primary Heating System Details AFUE: 95
Brand Trane
Type: Gas Furnace HSPF: Model It. TDH1B065A9421A•
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:3670536 #of Systems 11
Water Heater Type Gallons: I Brand: Navien
IEF: 1.99 Model it: NPE-240A
Water Heating Fuel Gas Location: (Garage or ope AHRI Certificate:6478772
Ducts and Duct Location I Unconditioned %ducts inside:
Testing Duct Leakage(CFM)(81 50Pa: -
•
Infiltration Air Changes per Hour(ACH)@ 50Pa: I
13.13
Ventilation Ventilation Type !Airflow
Model: 11
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWh/yr -
ENERGY STAR Diswasher IkWh/yr Model:
Model IDB81664
Percent High Efficacy Interior Lighting(%) 100%
Showerhead 1.5 GPH ShowerwandThermostat
1.5 GPH I Showerhead 1.6 GPHI II
Showerhead 1.75 GPH
!Notes:
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST2017-00229 Jurisdiction: Tigard
Site Address: 12851 SW Parkdale Ave
Subdivision/Lot#: Olson Woods Lot 1
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: 3t-, Date: 2/19/18
Owner/General Contractor/Authorized Agent
Print Name: Matt McBride
' ORSC Section N 1107.2.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:\BuildingTorms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Matt McBride , am the general contractor or the owner-builder
at the following address:
Site Address: 12851 SW Parkdale Ave
City: Tigard
Permit#: MST2017-00229
Subdivision/Lot#: Olson Woods Lot 1
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: �` �-�-"C Date: 2/19/18
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08