Certificate of Occupancy CITY OF TIGARD CERTIFICATE OF OCCUPANCY
f9 : Permit #: MST2013 -00003
COMMUNITY DEVELOPMENT Permit Issued: 01/28/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109DA14400
Jurisdiction: Tigard
Site address: 15211 SW GREENRIDGE PL
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 63
Project Description: New SF. 4/29/13, adding a /c. Placement of a/c must comply with manufacturer's clearance
requirements.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Arlington Heights, Lot 63
Owner: STONE BRIDGE HOMES NW
16869 SW 85TH AVE #505
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7577
Contractor: STONE BRIDGE HOMES NW LLC
16869 SW 65TH AVE # 505
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7577
Fax: 503 - 387 -7615
This Certificate issued 4/29/2013 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2011 State of Oregon Specialty
Codes for the group, occupancy, and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: —� Jurisdiction:
Iv(5T —0000
Site Address:
Subdivision/Lot #: 3 LO
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)
Signature: Date: 4 7 — e2_9 - `3
Owner /General Contractor /Authorized Agent
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Print Name: I0 Ke l 19 5-
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
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
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I . 11-A , am the general contractor or the owner - builder
at the following address:
Site Address: r- 2 I 1 Su) C- l ie -e,vAl,t� Fc
S
City: -11-
Permit #: o2- 0 l 3 - ovo p
Subdivision/Lot #: l `i r�q --)-D �� is) II 7-s 3 �o 1- 3
,J
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:
General Contractor or Own er- Builder
I: \Builcling\ Form \RES- MoisturcSensitiveWood.doc 09/25/08
STREET TREE
TL,A
CER TIFICA TION
I, 1 4(-t - p , owner/ agent for v,� V v`‘Jc.� e,5 1l) ..■I,�
(PLEASE P NT) (PERMIT HOLDER)
do hereby certiji 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.: IV S 3 - b 0 b 0 3
SITE ADDRESS: l 5 (( S c,,, �— ��,� 1 PL
SUBDIVISION: r 1 litt—b�, � - —S 3 LOT #: 3
SIGNATURE: : DATE: I/ — 29 - / 3
(OWNER/AGENT)
RECEIVED & /
VERIFIED BY DATE:
(. I . IGARD)
Tree location verified per approved site plan.
I:\ Building \Forms \Streetl'reeCertificate 05/30/2012
e ea rth 5ustalnat(e 8e.''t Ing anti Climate Si olwors I earthadvantage org
,x.tr.mk,gfiirtstitule 808 SW 3rd Ave Su to 800, Portland OR. 97204 I 503 968 7160
Inspection Date: 4.
Address: 152.11 SW GY xnr► dy. P
City: "r►cletrd
Blower Door Test Results
Maximum Allowed ACH: 5.0 (for Earth Advantage) /4.0 (for ENERGY STAR)
Actual CFM: 1114
ACH: 3.6 A c,N
Verifier Signature boa.
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