Report (29) 0 . STREET TREE
TIGARDCErRTIFI
CA TION
I, owner/� e nelson
(PLEAr/agent for MISS ,O f l�o�l c> AA).-)
(PERMIT HOLDER)
do hereby cer4A 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.: r s -- 'O 17 ._ 00 35-41
SITE ADDRESS: // Ll
SUBDIVISION. 5 t'o ✓►'l e_A-c.iow
LOT#:
SIGNATURE: �_lr� —
DA 1 B
'4
(OWNER/AGENT)
RECEIVED &
VERIFIED BY:
DATE: �C//e
(CITY 0 TIGARD)
❑ Tree location verified per approved site plan.
1:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R408e1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
h0"e.5 /111.,—) , am the general contractor or the owner-builder
at the following address:
Site Address:
City:
I i r�
Permit#:
1()1sf ae 17 -- 0 0 3 5'1
Subdivision/Lot#:
Lof
/
and/or
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code(ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12" at seams and
xtending up the foundation walls 12".
Signature: Date: ) �l g
General C.- tractor o Own-"Builder
I:\Building\Fonn\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: L 7 ® Q®3 Jurisdiction:
Site Address: � CC
Subdivision/Lot#:
f3 ("0 vc - o(,).3
and/or
Map and Tax Lot#: O± g.
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: �-
Owner/teneral C C.i tractor/Authorized Agent Date: '-
Print Name:
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.
1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08