Report (2) " STREET TREE
TIGARD CER TIFIGA TION
I, , owner/agentfor17,L__ o
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cer4ft 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.: 'T )�j/ . HO/571(
e
SITE ADDRESS: S—'
SUBDIVISION: /� � LOT#. /75
1
SIGNATURE: —` DATE: _2 //9
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: DAl E:
(CITY OF TIGARD)
❑ Tree *ication verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, if/r. f`; , am the general contractor or the owner-builder
at the following address:
Site Address: /!> (k ,/�'
City:
Permit#:
, 7/6 ebfgf
Subdivision/Lot#: 47—
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: L Date:
General Con i 'tor 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.: )15.1-20/(_ cc iv'
Jurisdiction: ,.7/ 7
,0/
47
Site Address: /7X8
514.,1
Subdivision/Lot#: .. ,/y- /3
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: Date: _,..„ ____g7/
Owner/General Contractor/Authorized Agent
Print Name: // 4 .._1 .//
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
i 020((61_ / 1/
Form 640S 2016 l'-- ner—o'vTrust
Completion Certification—Site Inspection
New Homes Program—Single Family f Oregon
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment'tnformatIon
Incentive Payee Company Name: William Lyon Homes Is this payment redirected?: 'No
Builder or Company: Contact Name:
Verifier Payee Company Name Performance Insulation&Energy Technician Nam=
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive:No Solar ReadyVerifier Ir No
Site Information
Development: Lot Axis ID: ' 'REM/Rate®ID:
Address:
Street Line 2 Mufti-Family No City: Tigard State: OR Zit 97223
Number of Stories 21 Total conditioned area 2065 sq #of BRs 4
Foundation Type: Crawlspace Housing Type
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
Verification
Actual Model Equipment Details&Notes
Type A
Insulation
Flat Ceiling R- 49.0 Insulation Typo Blown-in
Framing Type:Above Grade Wall R- 23.0 Insulation Typo Blown-in
Intermediate R-
30.0 Insulation Typo Batts
Doors Door R-
Windows Windows U- SHG( 0.30
Skylights U- SHG(
Window Area(Glazing) 15%% Total window are4 314
Lighting High efficiency indoor lighting % Dishwasher Brand
Appliances ENERGY STAR Diswasher Yes EF: 268 IModellMill
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand:
Source Gas Furnace HSPF: Model#
Gas SEER:
Comment: COP:
AHRI Certificate:7126229 Location:-Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand:
Electric Storage EFI.95 Model#
Location:
AHRI Certificate:8105439
Ventilation Energy Trust of Oregon's Mechanical
Ventilation Type Meets Energy Trust Mechanical Ventilation Requiremer Untestal
System Ventilation Requirement HRV/ERV Model
Airflow measured or why untestable?'Roof Termination
Who Tested?'Clover Mateo
Ducts Ducts Inside: Yes %ducts inside:
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the followinlVisual Inspection per RTF
Performance Tasting&Duet System Information
Duct Leakage Whole House Air Changes per House
(CFM) Leakage Hour(ACH)@ Volume:
50Pa: 50Pa: 3.11 18,495
Notes:
Insulation Retails
Flat Ceiling R- Insulation Type:
Vaulted Ceiling R- Insulation Type:
Scissor Truss R- Insulation Type:
Above Grade Walls R- 23.0 Insulation Type: Blown-in
Below Grade Walls R- Insulation Type:
Floor Over Unheated Space R- 30 Insulation Type: Batts
Floor Over Garage R- 59.0 Insulation Type: Blown-in
Rim Joist R- 21.0 Insulation Type: Batts
Appliances .. Brand Name
Refrigerator % Model:
Clothes Washer MEF Model:
Dryer Model:
Showerhead 1.5 GPH Showerhead 1.6 GPH Showerhead 1.75 GPH
Showerwand 1.5 GPH