Report (9) : . .4
'PI STREET TREE
TIGARD CER TIFICA TION
I, ‘ \aevA S4-� , owner/agent for :Q9, \Ac.r ,
(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.: 5ra®1(r)- oolaq
SITE ADDRESS: )3 D a5 5vo I(3\ick \J a,\vA tA }
SUBDIVISION.• 1,.�,mN 'R �e.it- LOT #: 15-3
SIGNATURE: ---A -1& DATE: 4 Q1-/�
(OIY/NER/AGENT)
RECEIVED &
VERIFIED BY: DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I:ABuilding\Forms\Streetl'reeCertificatc 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner-builder
at the following address:
Site Address: 3 O a 5 3 e 1 0.c- W a1JA LA S 1
City:
Permit#: )lO Cry' OO 1 aj
Subdivision/Lot#: 6 13::A
�.rnrn ,
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: IiikDate: --a pa,
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.: Jurisdiction:
a0114z.— 00 R9 T a01/44
Site Address: 130 as S‘f\) ‘0.CO 0A\Y
Subdivision/Lot#:
LAX R; ��. lad 15`7
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 hada minimum efficacy of 40 lumens per input watt.
Residential Specialty Code N1107.2
(Oregon
p y )
Signature: `� 1
g � Date: q`�$' 6=
Owner/General Contractor/Authorized Agent
Print Name: R o\oe vk MR.SVt✓
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
/!17 ,2a/ --c2/4R7
Form 640S 2016Trust
Completion Certification—Site Inspection
New Homes Program—Single Family regon
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: Performance Insulation&Energy Is this payment redirected?: Yes
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 li No
Site information
Development: Lot Axis ID: —REM/Rate®ID:
Address:
Street Line 2 Multi-Family No City: Tigard State: OR 97224
Number of Stories 3 Total conditioned area 1965 #of BRs 4
Foundation Type: Crawispace 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 Type Actual Model Equipment Details&Notes
Insulation Flat Ceiling 38.0 Insulation Typ Blown-in
Framing Type:Above Grade Wall 13 21.0 Insulation Typ Batts
Intermediate
—Frame 30.0 Insulation Typ Batts
Doors Door 1
Windows Windows m ram.30
Skylights m_Cl-
Window Area(Glazing) 12%En Total window are 239
Lighting High efficiency indoor lighting 12.Dishwasher Brand
Appliances ENERGY STAR Diswasher Yes EF: 270 .-
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#
Water Heater Type: Gallons: 50 Brand:
Electric Storage 2.7 Model#
Location: AHRI Certificate:7551743
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requireme Untesta
S stem Ventilation Requirement
Y HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? Clover Mateo
Ducts Ducts Inside: No %ducts inside:
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the followin Ducts Tested
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: 50Pa: 3.93 17,882
Notes:
Insulation Details
Flat Ceiling R- Insulation Type:
Vaulted Ceiling R- Insulation Type:
Scissor Truss R- Insulation Type:
Above Grade Walls R- 21.0 Insulation Type: Batts
Below Grade Walls R- Insulation Type:
Floor Over Unheated Space R- 30 Insulation Type: Batts
Floor Over Garage R' 30.0 Insulation Type: Batts
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 1 Showerhead 1.75 GPH
Showerwand 1.5 GPH