Report (9) f
STREET TREE
TIGARD CERTIFICATION
I, Poo.,, , owner/agent for �. \ Y- o
(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.: M.,Sk OD\af
SITE ADDRESS: 13O �, 21 O A\il
SUBDIVISION: ,,.��,c LOT #: )S--(1
SIGNATURE: :Z((%"4 DATE:
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: DATE:
(CITY OF TIGARD)
❑ Tree location verified per approved site plan.
I:ABuilding\Forms\Streetl'recCertificate 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ms (.316_ 00 .0,3 Jurisdiction:
Site Address: )3CA1 \i\)c&AA. 5�..
Subdivision/Lot#:
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
41k
Signature: //4Date: )0 1 1(a
Owner/General Contractor/Authorized Agent
Print Name. keA
' 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
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 9 4cyY \ e.) , am the general contractor or the owner-builder
at the following address:
Site Address: 130<n .N 'Q;1 qc- \N)41\ 1�
City: ^`�--
i
Permit#: m`�\ 'a0\ -DLJ \AV
Subdivision/Lot#: ,Si,\Nery \ �
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.
14
Signature: Date: ) D - ) .
General Contractor or Owner-Builder
I:\Building\Fonn\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2016 Trust
Completion Certification—Site Inspection
New Homes Program—Single Family of Oregon.
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 8 Energy [Is this payment redirected?: 1Yes
Builder or Company: D.R.Horton Contact Name:
Verifier Payee Company Name Performance Insulation&Energy Technician Name Robert Ashmore
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier Ii No
Site information
Development: Summit Ridge ILot I'., is ID: I IREM/Rate®ID:
Address: 13087 SW BLACK WALNUT ST
Street Line 2 (Multi-Family INo City: Tigard State: OR Zii 97224
Number of Stories 31 Total conditioned area 20811sgf4#of BRs I 4
Foundation Type Other/More Than One(add comment) Housing Type Detached single family
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 R- 38.0 Insulation Typo Blown-in
Framing Type:Above Grade Wall R- 21.0 Insulation Typi Batts
Intermediate R-
Slab 15.0 Insulation Typi Other/Combination
Doors Door R_
Windows Windows U- t.3DSHG(.30
Skylights U- SHG(
Window Area(Glazing) 12%% Total window arei 246
Lighting High efficiency indoor lighting 100.0%% Dishwasher Brand GE
Appliances ENERGY STAR Diswasher Yes EF: 270 'Model a GSD33**K•***
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand. Bryant
Source Gas Furnace HSPF: Model# 9125C48060$17*
Gas SEER: _...
Comment: COP:
AHRI Certificate:7126231 Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand: Geospring
Electric Storage EFI2.7 Model#GEH50DEEJS
Location: 'Garage or o AHRI Certificate 7551744
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requiremer Untestal
System Ventilation Requirement
Supply Side Air Oycle3 HRV/ERV Modell
Airflow measured or why untestable?[Roof Termination
Who Tested?[Robert Ashmore
Ducts Ducts Inside: No %ducts inside
I 5(?.0°la
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: 88 50Pa: 2.25 18,937
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- 15 Insulation Type:
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 I IShowerhead 1.75 GPH
Showerwand 1.5 GPH