Report STREET TREE
TIGARD CER TIFICA TION
owner agent it) L
/ on ►'`1
f
(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.
PERMITNO.: wise 2‘91(0 o cio*
SI.'E ADDRESS: ( m( 1-'a C.J ctAYe Pc)
SUBDIVISION: �-
1 r'�'l J LOT#: ? Z5
---
SIGNATURE: _ DA1h:
i-+' GENT)
RECEIVED &
VERIFIED BY: �. J' DA 11✓: /24/.2-11 )
U TIGARD)
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCeruficate 05/30/2012
•
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: j#1_btr__2_..._AuwJurisdiction:
Site Address: I _64.4s9 ("Yl
Subdivision/Lot#: , '� / z5-
and/or "V
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: ii Date: (V
Own- - •**". Co. sr/Authorized Agent
Print Name: .—
,5e-t2
' 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,
4C77/ am thee
g neral contractor or the owner-builder
at the following address:
Site Address: `1_/ sco J 16,4.8
City: P-CJl WOcid
Permit#: 1440- /6
az, b
Subdivision/Lot#: CW A, `12
n4
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 framin! embers.
Signature: *AranDate:
ontra . .r 0T: ler
I:\Building\Form\RES-Moisn¢eSensiriveWood.doc 09/25/08
•
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 5„0-0,----- , am the general contractor or the owner-builder
at the following address:
Site Address: ( -4, 1 *7 S cf Tom, Le k - P.)
City: cL2A Wz:00)
Permit#: OAST
Z,0 t/
Subdivision/Lot#: /, , ) Q..4A W1-2
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
s eting with
141
ints lapped 12"at seams and
xtending up the foundation walls 12".
Signature: i 1 Date: /2(17/(*
Gen- • �`•'�'Hi'or Own- : •,•
L•\Build ng Form\RES-Moistu eBaaier doc 09/13/2016
00A 7
rN
Form 640S 2016 Tr 't lei
Completion Certification—Site Inspection ' '""),
f
New Homes Program—Single Family Oregon
To be completed by Verifier
Portland Energy Conservation,Inc.(PEC()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
r
Builder or Company: W�fiaffi�,yt5meg�,�-�. Fr �,,,: ,�•• Contact Name:
Verifier Payee Company Name:Performance Insulation&Energy Technician Name Qitieffyla#eo
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier In No
S
�.�Information , " � ;
Development: ftiver`C G " JLot 1i, g�� l REM/Rate®
P ,� i 12 s ID: Rate®ID:
Address: 1717ZSW J0gN•LQUIS-RA .
Street Line 2 Multi-Family No City: Tigard State: OR Zif 97223
Number of Stories: 2 Total conditioned area 1885 sq #of BRs 4
Foundation Type: Crawlspace Housing Type ` d S�#. •.A
"-
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-
30.0 Insulation Type Batts
Doors Door R-
Windows Windows U- (f SHGC.30
Skylights U- SHGC
Window Area(Glazing) 14%% Total window areal 264
Lighting High efficiency indoor lighting % Dishwasher Brand Ftldpir
Appliances ENERGY STAR Diswasher Yes. EF: 268 ModeliF13113266
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: 92,1 Brand: Rn1
Source Gas Furnace HSPF: Model#:1!:
Gas SEER:
Comment: COP:
AHRI Certificate:7126229 Location: Gbn iltoned Outdoor Unit(for heat pumps)
ECM: No Model#'
Water Heater Type: Gallons: 50 Brand �f?Sttl���a> � ;• ?�
Electric Storage EF'.95 Model#.iislis*AMY
Location lore AHRI Certificate:8083359
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat
Requirement
System , • `lade 4Gyaar,HRV/ERV Model:l
Airflow measured or why untestable? Roof Termination
Who Tested? 'Clover Mateo
Ducts Ducts Inside: Yes %ducts inside: l ." 0$,0%'
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the following: Visual Inspection per RTF
Performance Testing&Duet System tnfonilation,
Duct Leakage Whole House Air Changes per House
(CFM) \ mob Leakage Hour(ACH)@ Volume:
50Pa. �j/ ,�, �,•�� o�� 50Pa: 2.21 16,142
Note's.
Insulation.Details
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: %l
Clothes Washer MEF Model:
Dryer % Model:
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Showerhead 1.5 GPH Showerhead 1.6 GPH ;'.• ,% ,; Showerhead 1.75 GPH r :`
Showerwand 1.5 GPH ,„