Report (41) STREET TREE
TIGARDCERT
IFICA TION
fi
I / A, K , owner/agent f ent or
pc�
(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.: ) o,�' }l -, 2/'7
SI1 E ADDRESS: / 75‘.5 7 Ah,tei,-. �� �- LOT#:
SIGNATURE: DA1E: a:/_� -
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: f DA 1 E: /6//3//
OF ARD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I' / , am theeneral contractor or or the owner-builder
at the following address:
Site Address: ! 7y 'j ,54)
City:
Permit#:
Subdivision/Lot#:
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: /
0(_ -//
General Contractor or Owner-Builder Date:
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: /14r9'74/6- 650/2i/ Jurisdiction:
Site Address: /73(3 56°1 1:ek'
Subdivision/Lot#: ���k �'� /-e�/cr- 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 has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature:
Date:
Owner/General Contractor/Au orized Agent CJ
Print Name: l`�, /„ ://
' 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 fmal 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
111si o// -co r7
Form 640S 2076 � .
a ,. " . !" t
Completion Certification—Site Inspection ,�
New Homes Program—Single Family a Oregon
To be completed by Verifier
Portland Energy Conservation,Inc.(PEC()Is a Program Management Contractor for Energy Trust of Oregon,Inc.
Paymentinformatioan
Incentive Payee Company Name: 'William Lyon Homes Isthis is payment redirected?: No
Builder or Company: oo/4446- :
''Contact Name.
Verifier Payee Company Name:Performance Insulation&Energy Technician Name y1 .l',; .• h,
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site information
Development: e ci f, cf ,
'�jLot@ v Axis ID: 1 REM/Rate®ID:
Address: 4,73 S J cit
74Ui$ Ft •p
Street Line 2 Mufti-Family 1No City: Tigard State: OR Zir 97224
Number of Stories: 21 Total conditioned area 1885 sgfi'#of BRs 4
Foundation Type: Crawlspace HousingType sxr g
YP �7e(ach�sfi 7, i�
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
—
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification`'Type . ; _ Actual Model Equipment Details&Notes':
Insulation Flat Ceiling R- 49.0 Insulation TypE Blown-in
Framing Type: Above Grade Wall R- 23.0 Insulation TypE Blown-in
Intermediate R-
3 0.0 Insulation TypE Batts
Doors Door - R-
Windows Windows U-nAlli SHGC.30
Skylights U- SHG(
Window Area(Glazing) 14% % Total window area 264
Lighting High efficiency indoor lighting ir ,4.; g '% Dishwasher Brand " d 4
Appliances ENERGY STAR Diswasher Yes EF: 268 Model/ (^,i4
Cooling Air Conditioning SEER: Btu/Hr: I13ANA0300NOBEAA
Primary Heat Source/Type: AFUE: 92.1 Brand:
Source
Gas Furnace HSPF: Model it--;',1-::L..,,,%.4.'4:.,,Oatq$01,441.74,';', - -,'":1471''',:,
Gas SEER:
Comment: COP:
AHRI Certificate:7126229 Location: PCinadbAid,,Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 50 Brand: ra irrd /hrie t. p �'
Electric Storage EF.95 Model#. E 'fit P",
Location: 10¢ $t`; AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Tye Meets Energy Trust Mechanical Ventilation Requirements Untestat
System Requirement 8upJ r ;,e-Air q
lr et HRV/ERV Model:I
Airflow measured or why untestable? Roof Termination
Who Tested? (Tyler Limbaugh
Ducts Ducts Inside: Yes %ducts inside:
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the following:'Visual Inspection per RTF
Performance Testing&Duct System Information --
: -,
Duct Leakage 7 1 I Whole House Air IL Changes per House
(CFM)@ : , � ,,,www-..,
\� �� Leakage Hour(ACH)@ IVolume: I
50Pa: 50Pa. l 3.19 16,142
Notes..'
insulation Details
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
Brand Name
Refrigerator % Model: \it ' 7Z;;7:::',7,1,-Z.,,,1', •.Z, .1. :a,
Clothes Washer MEF Model:
Dryer % Model:
Showerhead 1.5 GPH L * Showerhead 1.6 GPH jShowerhead 1.75 GPH 1.7: 5
Showerwand 1.5 GPH