Report (31) 7Y)57-90/7 •- 0 0 a e-Y3 /h 741 sit) A-N•/A-A/D e,---r
Form 6405 2017
Completion Certification—Site Inspection
New Homes Program—Single Family En ergyTru s t
To be completed by Verifier of Oregon
CLEAResu/t Is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: I
BuilderCompany: Its this payment redirected?: I
or Com
Pa Y Wlndwood Construction
Verifier Payee Company Name: Performance Insulation and Energy Redirect to Name:
Affordable Housing No Redirect Payee Coml
Solar Ready Builder Incentive:
'Solar ReadyVerifier Ince'
Site Information
Development ANNAND HEIGHTS Lot
Address: �'� r jw.Iri rN�Abs ID: I 'REMIRate®ID:
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Street Line 2
Multi-Family No City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.IL): 2,119 House Volume:
I 21,180 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 'NW Natural Gas
Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Typo
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- 21 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 38 Vaulted Ceiling Insulation R-
Windows Windows U- 0.30 SHGC:1 Total window area:
Cooling Air Conditioning
SEER: 0 Model#:
Primary Heating System Details AFUE: 0 Brand Trane
Type: Electric Heat Pump-Air Source Ducted HSPF: 9
Model#: TDH76940A9241CB
Primary Heat Heating Fuel: Electric SEER: 14
Source Comment: COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: No Model#: 1RP1436AD1
AHRI Certificate:7889783 #of Systems 11
Gallons: 150 Brand: AOSmith
Water Heater Type e'Stora9
Water Heating Fuel Gas EF. I.60 Model#: GCG50400
Location: 'Garage or ope AHRI Certificate:8049158
Ducts and Duct Location 'Unconditioned %ducts inside:
� Duct Leakage(CFM) 50Pa: "". .. , ;= ,.
Infiltration Air Changes per Hour(ACH)ft 50Pa:
'3.09 I
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 IkWh/yr 268
Model: FGID2466'"'A
Percent High Efficacy Interior Lighting(%) 100%
Showerhead 1.5 GPH ShThermostat
owerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
(Notes:
I
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST2017-00 Jurisdiction: Tigard, OR
Site Address: loi-)24 SW Annand Ct Tigard, OR
Subdivision/Lot#: Armand Heights Lot# 241
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: \cmQ Date: 3I-7/18
Owner/General Contractor/Authorized Agent
Print Name: Matt McBride
1 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
STREET TREE CERTIFICATION
I, L , t e
Owner A np
(PLEASE PRINT) g for te�},
Wt\L1.}C C (cT1 1+(° l
Y�
(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:
SUBDIVISION: tlecry✓1
LOT: Zt6,
SIGNATURE: L.Acatc, C AC /‘c DATE:
(0 ER/AGENT) 7 f
RECEIVED BY: Actf.c).1, 6/4 67r,4,{ DATE: — �;c
(CITY OF TIGARD) `!�
I:\Building\Forms\StreetTreeCertificate 01/19/07
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Matt McBride , am the general contractor or the owner-builder
at the following address:
Site Address: lie`i-r SW Annand Ct
City: Tigard
Permit#: MST2017-00
Subdivision/Lot#: Annand Heights Lot# 2(0
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 L. .cy.3i g, Date: 517 (1
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08