Report STREET TREE CERTIFICATIONVic, /f rOO(Z
I, v, (i,, ,\S vv- , Owner/Agent for
(PLEASE PRINT) �"^
(13MIIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: ` 3 i `2 5� t S� v,z
SUBDIVISION: ,,.�,- TT,,27c LOT: 0
SIGNATURE: (% �1 , 72._
DATE: 1 ( C
(OWNER/AGENT)
RECEIVED BY: /� DATE:
/l/Zi/jl
(CI OF TIGARD)
I:\Building\Forms\StreetTreeCertificate 01/19/07
•
Oregon Residential Specialty Code R408.1 •
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, Pr I SDA— , am the general contractor or the owner-builder
at the following address:
Site Address: lf? .-2_ S(„__-, 1 ---s, u
U '
City:
Permit#: //k_5 7,a G CO 1 i k
Subdivision/Lot#:
and/or
Map and Tax Lot#: \ 03
To conform with the 2014 Oregon Residential Specialty Code(ORSC), Section R408.1
Ventilation.I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
r'T i tie ground surface of the ander-
floor space is covered with 6-mil black polyethylene
sheeting_with
El-Join lapped 12"at seams ams and
xtending up the foundation walls 12".
Z-----
Signature: ` - Date: L
eneral Contractor or Owner-Builder
1N3uildineFornARES-MoisnueBarriendoc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.:
�� ( � 6 _w Z, Jurisdiction:
k ?) &\/ Cf.
Site Address: 1 3 L
Subdivision/Lot#:
—: si•eir T.&r r C& C -)--
and/or
Map and Tax Lot#: (0
By my signature below, I certify that a minimum of fifty (50)
installed lighting fixtures in the above mentioned buildihave beentin talled with compof the act or
linear fluorescent, or a lighting source that hast a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature: " l r 6
wner/General Contractor/Authorized Agent
fDate:
Print Name: r\ ‘ S Wk.
' 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 R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
`.,'`" , is O `" , am the general contractor or the owner-builder
at the following address:
Site Address: \'? L1 Z `jt�J (-t
City:
J�"
Irwp0 C'
Permit#: i2-0 k,b _ bO a ,
Subdivision/Lot#: ror-,
and/or
Map and Tax Lot#: l
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: 7
General Contractor or Owner-Builder Date: ((
L\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
I
Form 6405 2016 ' tr
Completion Certification—Site Inspection
New Homes Program—Single Family b :
To be completed by Verifier
Portland Energy Conservation,Inc.(PEC()is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment,infomiation
Incentive Payee Company Name: William Lyon Homes Its this payment redirected?: (No
Builder or Company: Mi fl0tlt .r 1,,Contact Name:
Verifier Payee Company Name:Performance Insulation&Energy Technician Name l •,
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site InfpritiOc n. `:
REM/Rate®ID
�Iefr Lot ,
Development:
,�� I ;�&Axis ID:
Address: 43 4.9x,,
Street Line 2 1Multi-Family 1No City: Tigard State: OR Zif 97223
Number of Stories: 21 Total conditioned area 2816 sqft#of BRs 4
Foundation Type: Crawlspace Housing Type ed ..
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 A
stual htioiikf ... _ l ui merit L1ka1)I#&Note's ''
Insulation Flat Ceiling R- 49.0 Insulation Type Blown in
Framing Type: Above Grade Wall R- 23.0 Insulation Type Blown-in
Intermediate R-
30.0 Insulation Type Batts
Doors Door
R-
Windows Windows U- + FSHGC.30
Skylights U- SHGC
Window Area(Glazing) 17%% Total window area 470
Lighting High efficiency indoor lighting % `"4 t'n Marra
„a�ttfj �l •, Dishwasher Brand
Appliances ENERGY STAR Diswasher Yes EF: 268 Mode
CoolingI I� 0� .... ., , .,,.
Air Conditioning SEER. Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand
Source Gas Furnace °
Gas HSPF: Model#.;"F ` .,. i4`+ titl „, ¢
SEER:
Comment: COP:
AHRI Certificate:7126231 Location: r "
htt" �;Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand' 0jdi 'r '�
Electric Storage 9 EF.95
Model#:,RE300S '.. ...,, � .'.. .�,4*,:''7,,
Location: I o!'tccjtib'i flrtd AHRI Certificate:8105418
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
Requirement
System
iliPPWSIftigtAitOnitit,HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? (Clover Mateo
Ducts Ducts Inside: Yes
%ducts inside: 1:::"';',0,1,-*110 100.0
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the following: Visual Inspection per RTF
Perfarm`ance Tesflng iitouciSystem Info,rmatlan
Duct Leakage le �
* , Whole House Air Changes per House
(CFM) r4T, Leakage Hour(ACH)@ Volume:
50Pa: ..
• „, 50Pa: 2.18
25,238
;1tt
Notes
WHx2
Ins il*tian Detilirt.. �.y ' ... '
•
_. �
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
Appl�snoaa. _. • A �
Refrigerator % Model: ., '
Clothes Washer MEF Model:
Dryer Model:
Showerhead 1.5 GPH ,, Showerhead 1.6 GPH -• . , lShowerhead 1.75 GPH
Showeiwand 1.5 GPH