Report (30) . , 4,
11 STREET TREE
T I GARD CER TIFICA TI
0
ON
h Sowner/agent for tj t- 4
(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.: * 5T Za (Co - ®Q 2 7 C .
ST1 E ADDRESS: C.J 15..e_ Pe)
SUBDIVISION. (,€),,A r--
Vi y j LOT#. Z
SIGNATURE: DA 1 h.
(ou5NE. NT)
RECEIVED 6.) 41111111W-
. VERIFIED BY.• DA'l h: ,2Z/ /da
((.111 • TIGA• till.
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
•
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 144 S 1 zoic - 0)29(Jurisdiction: 7;54.4,e)
Site Address: iv (Z s c 1 J AS / .4 ce R.)
Subdivision/Lot#: j ) 6 ze
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: (Z/Z-/(6.
0 -►e: o+r• "i . Agent
Print Name: 42i-14A—
' 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 R408.1
MOISTURE B - ' ' 1 ' ACKNOWLEDGEMENT FORM
I, j , am the general contractor or the owner-builder _
at the following address:
Site Address: I !/z., sk) .. La o t
se Re)
City: S C,A,-*) 0.3
Permit#: A s l 26(6 0 v 2',(v
Subdivision/Lot#: w 4 fi P4VAr (•-tom (2
and/or
Map and Tax Lot#:
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 Bather as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
shetin with
7Joints lapped 12"at seams and
;21Extending up the foundation walls 12".
I
Signature: I; �r�1.....- Date:
en ►' .tractor o • •'er-Builder
I\Building Form1RES Moistu eBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
5I, 09/4/t— 71/----", am the general contractor or the owner-builder
at the following address:
Site Address: C wt Z3u) P--e)
SCJ
City: 5(AP.' CO e9-CJI-ri
Permit#: k4 gzo l 2.96,
Subdivision/Lot#: ftleit4 y, (2e4
tel/
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: /71- 74‘2____
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
eeP
/ ir'."2,0 —002
Form 640S 2016Energy*Trust
Completion Certification—Site Inspection
of Oregon
New Homes Program—Single Family
To be completed by Verifier
Portland Energy Conservation,Inc.(PECO is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Is this payment t redirected?: INDIncentive Payee Company Name: William Lyon Homes
F.,
Builder or Company: - � 'mos '. '. 1 G� ••..,_ . Contact Name:
Verifier Payee Company Name:Performance Insulation&Energy Technician Name fiiepY-„
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
Site Information
Development: Rlverei1ace JLot 8 A ID: I IREM/Rate®ID:
Address: !?1 t _sW iEJfQU1S
Street Line 2 Multi-Family No City: Tigard State: OR Zir 97223
Number of Stories: 21 Total conditioned area 1885 sqf j#of BRs 3
Foundation Type: Crawlspace Housing Type lffd @. ,
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-
Frame 30.0 Insulation Type Batts
Doors Door R-
Windows Windows U- a',i)',SHGC.30
Skylights U- SHG(
Window Area(Glazing) 14%% Total window area 264
Lighting High efficiency indoor lighting % Dishwasher Brand i rfdaire
Appliances ENERGY STAR DiswasherYes EF: 268 Modeq jp g86" A ,,,, ;
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92,1 Brand Bryant
Source Gas Furnace HSPF: Model#: 912SC38040S17" ;% ;
Gas SEER:
Comment: COP:
AHRI Certificate:7126229 Location: Conditianad',.Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 50 Brand
Electric Storage EFI.95 Model/PENT
`_:'
Location: 192n440#00 AHRI Certificate:8083359
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
Requirement
System ) •.s
R)deµltk Gyd ',HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? (Clover Mateo
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
Perforrirance Testing&Duct System Informatl4n
Duct Leakage
Y � � Y�� � - Whole House Air Changes per House
(CFM) a Leakage Hour(ACH)@ Volume:
50Pa: 100•. . !-. • 50Pa: 3.02 16,142
Notes
Insulation petait
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
Appliances Brand Name
Refrigerator % Model: ✓�': ✓,�? ��, F.,...�. ...
Clothes Washer MEF Model:
Dryer % Model:
Showerhead 1.5 GPH ';', Showerhead 1.6 GPH f= •IShowerhead 1.75 GPH �.
Showerwand 1.5 GPH ,