Report (2) STREET TREE111 II
TIGARD CER TIFICA TI
ON
I, 12, , ), 1s0,„ owner/ for Pol ��, ��
(PLEASE PRINT) ,
ERMTT 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.: /R-STgDI- L- 002,0
STl L ADDRESS: t. 37-- 6 °I s w q/-44A- Lp
SUBDIVISION: �,;,1,fir \ I--0.e,$)_-- LOT#:
, ( d
SIGNATURE: 1 ', . 4!- DATE:
(OWNER/AGENT) ' (‘s/ ` L
RECEIVED &
VERIFIED BY: 4.____‘//v
DATE:
(CITY 0 TIGA iI42-f 7g.#
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreecertificate 05/30/2012
Oregon Residential Specialty Code R408.1
IST RE B • RRIER ACKNOWLEDGEMENT FORM
I, / , ;Lithettg,eneralt_contractor or the owner-builder
at the following address:
Site Address: I ' el. 4 9 c J I City: l
cLi2.4w is o
i) -
Permit#: AiZo\L
-
0CP,D9
Subdivision/Lot#: fl-\‘h-.2,l `-e,Y-Nrc__C
and/or
Map and Tax Lot#: 1\ D
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
requireme :
The round surface of the under-floor space is covered with 6-mil black polyethylene
sheeting lth
Joints lapped 12"at seams and
rc2ri
lxtending up the foundation walls 12".
4 /
Signature: Date:
G eral Contractor or Owner-Builder
IABuildingWorm\RES-MoistureBarriendoc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: L-5T20 l b - n 0L-L Jurisdiction: Cl
Site Address: -_b
5 w (1-1-k L o
Subdivision/Lot#:
C.72
and/or
Map and Tax Lot#: I 1 1
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
4 ,Signature: Date: '( / S r 6
0 er/General Contractor/A Torized Agent
Print Name: j-"\ t 15 Q 1--
I
I 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
I,
I4-4^ U i IS v ''\ am the general contractor or the owner-builder
at the following address:
Site Address: g S 1L'
City: L
Permit#:
44,12 016 - 0 0201-1
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: Date: k \ /15 I b
General Contractor or Owner-B 1 der
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
rtc- .
f
Form 640S 2016uS
Completion Certification—Site Inspection �"
New Homes Program—Single Family Oregon
Ctft
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: William Lyon Homes is this payment redirected?. No
Builder or Company: •, Contact Name:
Verifier Payee Company Name Performance Insulation&Energy Technician Name `"*fi ,J ,
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive:No Solar ReadyVerifier Ir No
site lnformatiod•• '
Development: R Lot f w Axis ID: REM/Rate®ID:
Address: 1
Street Line 2 Multi-Family fNo City: Tigard State: OR Zit 97223
Number of Stories 2 Total conditioned area 3248Isgfd#of BRs I 4
Foundation Type: Crawlspace Housing Type Defated:#Ifarfiily,
Electric Provider: Portland General Electric • Gas Provider: NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verlflcatlari Type
ActualModel
Insulation Equipment Re�Its&�O�s a,.. _ =
Flat Ceiling R- 49.0 Insulation Typi Blown-in
Framing Type.Above Grade Wall R- 23.0 Insulation Typi Blown-in
Intermediate R-
Frame 30.0 Insulation Typi Batts
Doors Door R-
Windows Windows U-, { SHG(.30
Skylights U- SHG(
Window Area(Glazing) 16%% Total window are4 510
Lighting High efficiency indoor lighting
Dishwasher Brand a
Appliances ENERGY STAR Diswasher Yes EF: 268 IModek�)pW„ ``
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand: g4.•
Source Gas Furnace HSPF: Model# `
Gas ,>. ..
SEER:
Comment: COP:
AHRI Certificate:7126231 Location: ediftliVe4 Outdoor Unit(for heat pumps)
ECM: _No Model#1
Water Heater Type: Gallons: 150 Brand: idf tint<
..,,
Electric Storage EFJ 95 Model#
Location: (tio*AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation RequiremerjUntestal
System Ventilation Requirement tivolibigi1.-44,yoleiHRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? Clover Mateo
Ducts Ducts Inside: Yes %ducts inside: 1'6%,
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the followin+Visual Inspection per RTF
Perfoxniance=ta$iing&�
Ductact�rs#�retnftxn�iort �__ _ �' ;
Leakage„7:071%';_ ; Whole House Air Changes per House
(CFM) 7 Leakage Hour(ACH)@ Volume:
50Pa: 'i 50Pa: 2.17 29,029
Note$
WHx2
Ir111►>x+a1 ptils
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
Alqpilenqes ,; ,.....
B Name
Refrigerator Model: 1,
Clothes Washer MEF Model:
Dryer Model:
Showerhead 1.5 GPH Showerhead 1.6 GPH Showerhead 1.75 GPH f 01
Showerwand 1.5 GPH