Report STREET TREE CERTIFICATION
I, k., l Esc , Owner/Agent for 'e0 v, N vU
(PT,T ASE PRINT) HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
a
t
ADDRESS: \- yc 9'-i \14114' L o\()
SUBDIVISION: '( , ,,�.r , Y c--Q-- LOT: 1 6 1
SIGNATURE: -- J7 ? DATE: 12 1
(owNER/AGENT)
RECEIVED BY: - DATE: /� /y 4�
(CITY 0 CARD)
I:\Building\Forms\StreetI'reeCertificate 01/19/0?
( 6./Ce
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.:
l`�\A �STZJurisdiction:
� � _ �?C��2Z ��1, ec I ; art/
Site Address:
Subdivision/Lot#:
\�Y
and/or
Map and Tax Lot#: h to
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: 22
/ /'1
Owner/General Contractor/Authorized Agent
Print Name: e vx W A S u VN
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.
L\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
UV \S L i/` , am the general contractor or the owner-builder
at the following address:
Site Address: /'
oo
City:
Permit#: AA 5\
-2 U L co 0-2-
Subdivision/Lot
22-
Subdivision/Lot#:
V-:\vsear1 R r r£1 c At—
and/or
Map and Tax Lot#: \a(�
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: I �-/ gi
eneral Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
6l6e - 0451a. D-
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, f ' 5 0 i� am the general contractor or the owner-builder
at the following address:
Site Address: l 1- g .t,.t,\.) / ,74 z_,...,.„1,
City:
SI-4Q_Ac U/ou�
Permit#: S ZC> l L — Q o k 7:1
Subdivision/Lot
Z 2-
Subdivision/Lot#:
and/or
Map and Tax Lot#: / 0 ,.
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:
Ficiv -
The .ound surface of the under-floor space is covered with 6-mil black polyethylene
sheeting '
li Jo' lapped 12"at seams and
xtending up the foundation walls 12".
7ZSignature: X Date: (`2-/�' L
General Contractor or Owner-Builder
I:1BuildinglFormnR.ES-MoistureBazriecdoc 09/13/2016
Form 640S 2016 Alµ Trust
Completion Certification—Site Inspection ■ r
New Homes Program—Single Family of Oreon
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)Is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment informatiorkFK
Incentive Payee Company Name: William Lyon Homes IIs this payment redirected?: No
Builder or Company: Wilf#1 LAM' ma i' ii Contact Name:
Verifier Payee Company Name:Performance Insulation&Energy Technician Name fail " - ,
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site lntoilniation', '
Development:`ttaci 2° Lot J @t Axis ID: NREM/Rate®ID:
Address: 2W,17414411*
Street Line 2 Mufti-Family No City: Tigard State: OR Zip 97223
Number of Stories: 21 Total conditioned area 3248 sqft#of BRs 4
Foundation Type: Crawls ace Housing Type .
amt
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[ dila d 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-;: r t SHGC.30
Skylights U- SHGC
Window Area(Glazing) 16%% Total window area 510
Lighting High efficiency indoor lighting j (}t%% Dishwasher Brand
Appliances ENERGY STAR Diswasher Yes EF: 268 (Model/FG102 - _
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand f31yf \\\
Source Gas Fumace HSPF: Model#. U12
Gas SEER:
Comment: COP:
AHRI Certificate:7126231 Location: Wsl,cikidne"Outdoor Unit(for heat pumps)
)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand. dford thr
Electric Storage EF.95 Model#;RE35ti' N ,
Location. I(pnd i AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Ty.e Meets Energy Trust Mechanical Ventilation Requirements Untestat
System Requirement Supply ttd, :w Mar;HRV/ERV Model
Airflow measured or why untestable? Roof Termination
Who Tested? 'Clover Mateo
Ducts Ducts Inside: Yes %ducts inside: '\\ ;;p:116.0
it6,u,
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the following:'Visual Inspection per RTF
PetformanCe-Testing&Otat System Infonnat19
Duct Leakage % ' "Whole House Air Changes per House
(CFM)@ r Leakage Hour(ACH)Q Volume:
50Pa: r 50Pa: 2.60 29,029
Note
WHx2
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
A ne.s
: n
ra Name
Refrigerator Model: y ✓ ✓:-. . .
Clothes Washer MEF Model:
Dryer % Model:
Showerhead 1.5 GPH Showerhead 1.6 GPI-I `Showerhead 1.75 GPH .? .
Showeiwand 1.5 GPH