Report (101) n STREET TREE
TIGARD CER TIFICA TIO
N
I, /6:6 % cfli , owner/agent for l` 'S71:4vO _7771)&151 / _S"�
(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
with the approved site plan.
PERMIT NO.: /I457 / 7-- 6161/?h
STl E ADDRESS: &Z3( S e)44.449P)
SUBDIVISION.• C e,,e LOT#:
SIGNATURE: DATE:
(OWNER/AGENT) ��
RECEIVED & )
VERIFIED BY• --z`
/ (CITIGA
DATE.
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: /r l 5 207_6901Z Jurisdiction: 776.477e4
Site Address: ea 3/ sit) 6440.42.7
Subdivision/Lot#: 411 ey
u espi-Trs
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: Apr/ ✓ Date: 3 /4/-e
O r/General ontractor/Authorized Agent
Print Name: ' 4I��O4J
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
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 40i-k5dit) , am the general contractor or the owner-builder
at the following address:
Site Address: i373! S4.) gehewiti
ST—
City:
Permit#: /17/ 1-301 7 -00/ 16
Subdivision/Lot#: 67946//0 10.7-5
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.
‘0 3-/y — ��1
Signature: `� Date: 'C.J
Gen: . ontractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
IVIS—r.70/7 v/,
Form 6405 2017
Completion Certification—Site Inspection
New Homes Program—Single Family
f�
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: !Performance Insulation and Energy IIs this payment redirected?: 'Yes
Builder or Company Westland Industries Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive: No !Solar ReadyVerfier IncelNo
Site Information
Development Corbin Estates LotittAxis I IREM/Rate®ID:
��: lD:
Address: X71' S ,:.' y
Street Line 2 Multi-Family JNo City: Tigard State: OR Zip: 97224
Total conditioned area(sq.fL): 2,621 House Volume: 1 26,210 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 4 Foundation Type: Half Basement
Electric Provider. Portland General Electric Gas Provider. NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
IVerification Type Actual Model Equipment Details 8.Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wall Insulation R-
Flat Ceiling Insulation R. 49 Vaulted Ceiling Insulation R-
Windows Windows U- 0.30 SHGC:T Total window area:
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 0 Brand FRASER JOHNSON
Type: Electric Heat Pump-Air Source Ducted HSPF: 9 Model#: TG9S060A10MP11 B
Heating Fuel: Electric SEER: 17.5
Primary Heat
Source Comment: COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: No Model# I4A6C7046A3
AHRI Certificate:8936350 #of Systems 11
Gallons: 150 Brand: AOSmith
Water Heater Type Storage EF:1.60 Model#: GCG50400
Water Heating Fuel Gas Location: !Conditioned A AHRI Certificate:8049158
Ducts and Duct Location 'Unconditioned %ducts inside: kik; ,,!Duct Leakage(CFM)@ 50Pa: [75'
Testing
Infiltration Air Changes per Hour(ACH)(41 50Pa: 2.63
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWhryr Model:
ENERGY STAR Diswasher kWh/yr 270 Model: JDB9000CW"
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH T Showerhead 1.6 GPH 1 IShowerhead 1.75 GPH I
Notes:
DB 42