Report (74) n STREET TREE
TIGARD CERTIFICATION
, owner/agent fore +' ,
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certift 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.: /AT = e-U cD f
ST1 E ADDRESS: I I qo 514,1
SUBDIVISION: Jo4 � Q�� LOT#:
SIGNATURE DA1E: t
OWNER/AGENT)
RECEIVED &
VERIFIED BY• + _ DAM: 57% / 7
(cry. _ . :0)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family E n e rgyTr u g t
To be completed by Verifier of Oregon
CLEAResuk Is a Program Management Contractor Mr Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'Performance Insulation and Energy
Builder or Its this payment redirected?: Ives
Company: Westwood Homes,LLC
Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy
Affordable Housing No Redirect Payee ComlPsrfomrance Insulation and Energy
•
Solar Ready Builder Incentive: No ISdar ReadyVerifier InelNo
Site Information
Development Hoggans Park Lot
Address ',' . _ `:- .Axis ID I IREM/Rate®ID:
Street Line 2 Multi-Family No City: 'Tigard
Total conditioned area 'State: IOR Zip: 197224
(sq.R): 1 2 981 House Volume: I 26,829 HousingT
Number of Stories: 12 Number of Bedrooms: 5 Type: 'Detached single family
Foundation Type: CmMspace
Electric Provider. (Portland General Electric
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 a Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insubtion Framed Floor R- 30.0 Secondary Framed Floor R-
Above Grade Way Insulation R- 21.0 Below Grade Wall Insulation R-
Flet Ceiling Insulation R- 49.0 Vaulted CedingInsulation
Windows Windows11-
R-
LL 0.3 SHGC:10.3 Total window area: 1
Cooling Air Conditioning SEER:
Motlsl•
Primary Heating System Detais AFUE: 93
Brand Lennox
Type: I�Furnace HSPF: Model if: ML193DF090XP48C•
Primary Heat Heating Fuel: Gas SEER:
Source Comment
COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: No Model*: 1
AHRI Certificate:4792837 _ •of Systems 11
Gallons: 150 Brand: BradfordVtAite
Water Heater Type
Water Heating Fuel ISt�� EF:,1.62 Model s: RG250T6N
Gas Location:'Garage or ope AHRI Certificate:8105714
Duets and Duct Location 'Unconditioned %ducts inside:
Duct Leaks•e(CFM)CD 50Pa: -.f -
Infiltration Air Changes per Hour(ACH)a 50Pa: 12.84. 1
VentilationVentilation Type HRV/ERV Model:`
Supply Side-Air Cyder . 'Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWu/yr Modal:
ENERGY STAR Diswasher IkVNyyr 270 Model:
Percent High Efficacy IKDTF254E"'
rg Interior Lighting(%) 100% ". Thermostat 1.5 GPH' Showerwand 1.5 GPH I Showerhead 1.6 GPH
I IShonwrhead 1.75 GPH I
'Nobs:.
1
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1 26156.03NJurisdiction:
ti do'
Site Address:
: r1 _/
Subdivision/Lot#: vivo
and/or
Map and Tax Lot#: zee),
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
.771
Signature: _ /1( 7. '7
er/Genera Cooactor +�!'vedA_ t Date:
Print Name: �� 'f'-( ._
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
I, 45,AIN
''.- am the general contractor or the owner-builder
at the following address:
Site Address: g 170 I , ' 1)l
City:
yr
Permit#: i/7-0/4 COS 6 1
Subdivision/Lot#: _ /c3 f6t4,11,
/e5 VC
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: ,. /.;07
eral Contractor or Owner-
•
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08