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Report (32) /fl i2O/"2 •- © v 2 r9 / v L'j 6 y S L U #4-/-/,4' 4N[) cr Form 640S 2017 ' Completion Certification—Site Inspection New Homes Program—Single Family E Ii e rgy ru St To be completed by Verifier of Oregon CLEAResult Is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment Information Incentive Payee Company Name: I#N/A IIs this payment redirected?: INN/q Builder or Company. Windwood Construction Redirect to Name: Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com#WA Affordable Housing No Solar Ready Builder Incentive: #WA (Solar ReadyVerifier Iner!#N/A Site Information Develo•menta 0 Lot ' Address: i :k Axis ID: REM/Rate®ID: Street Line 2 Multi-Family No City: TIGARD Total conditioned areas.a.: I 2,172 House Volume: I State: OR Zip: 97224 (q ) 21,720 Housing Type: (Detached single family Number of Stories: I2 Number of Bedrooms: 4 Foundation T Electric Provider: Portland General Electric Type: Crawlspace Gas Provider. JNW Natural Gas Solar Installed None Solar Installer Name/Com Pany: Blue shaded fields are required for EPS sheet Verification Type Actual Model Equipment Details&Notes Slab Perimeter Insulation R. Slab Under Insulation IR- Insulation Framed Floor R- 30 Secondary Framed Floor R- Above Grade Wall Insulation R- 21 Below Grade Wad insulation R- Flat Ceiling Insulation R- 38 Vaulted Ceding Insulation R_ Windows Windows U- 0.30 SHGC:I Total window area: 1 Cooling Air Conditioning SEER: 0 Model It Primary Heating rem Details AFUE: 0 Brand Trane Type: ctric Heat Pump-Air Source Ducted HSPF: 9 Model#: TDH1B040A9241CB Primary HeatHeating Fuel: ctric SEER: 14 Source Comment: COP: Location: Garage or ope Outdoor Unit(for heat pumps) ECM: No Model#: IRP1436ADt Al-IRI Certificate:7889783 #of Systems I1 Gallons: 150 Brand: IAOSmah Water Heater Type Storage EF: .60 Water Heating Fuel Gas I Model GC Location: (Garage or ope AHRI Certificate: rtificate:e:8049 8049158 Ducts and Duct Location 'Unconditioned %ducts inside: Testing Duct Leakage(CFM) 50Pa: x, v ^r.°i `_ infiltration Air Changes per Hour(ACH)©50Pa: 12.91 I Ventilation Ventilation Type 'Airflow Model: Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination Appliances Refrigerator kWh/yr ENERGY STAR Diswasher IkWh/yr 268 Model: Model: F Percent High Efficacy Interior Lighting(%) #N/A Thermostat I Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH IGID2466"'A IShowerhead 1.75 GPH I !Notes: it 1 STREET TREE CERTIFICATION , Owner/Agent forj)1,, <a -) Ccf � (PL EASE PRINT) T �l (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: kfr,-°vc PtY ;'� LOT: z� SIGNATURE: i \(,;6;-:C kVik-) DATE: (OWNER/AGENT) RECEIVED BY: .- DATE: 3 - / 2 2c18 (CTrY 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: ILA SW Annand Ct City: Tigard Permit#: MST2017-00 Subdivision/Lot#: Annand Heights Lot# 21 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: Li\AV(. l ^% �-- � -� Date: 5/'7� 1� General Contractor or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: MST2017-00 Jurisdiction: Tigard, OR Site Address: • SW Annand Ct Tigard, OR Subdivision/Lot#: Armand Heights Lot# 2� 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: Or-CCIAai-C_, Date: 3:0 it Owner/General Contractor/Authorized Agent Print Name: Matt McBride 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 fmal 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