Report (20) • . 1j
STREET TREE
TIGARD
CER TIFICA TION
ner a ent or L • ,
SE PRINT)
MERMIIT HOLDER)
do hereby cert?„6 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.: vV t SY 2,0/6„ _ Oct. q
HIE ADDRESS. 3 7-57- 5 c..0 ! sf
SUBDIVISION. � f . , 1//:,L , LOT#: q(
SIGNATURE: DA1E: 12407/
(Oft' '7'/GENT)
RECEIVED &
VERIFIED BY: / DATE
(G'17Y OF GARD) ( �C ���!
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
•
•
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
t m "---- , am the general contractor or the owner-builder
at the following address:
Site Address: 1 375-4- / 15-
City:
Permit#: V14. ST
2r) /40'."0
61
y/, .
Subdivision/Lot#: (A)
Qry- rAF'_A,and/or V k-
Map and Tax Lot#: LI
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
The ground surface of the under-floor space is covered with 6-mil black polyethylene
she with
Joints lapped 12"at seams and
xtending up,the :undation walls 12".
Signature: .
Date: 1 Z--/Z v r
eneral l'On�r... 1�s�7!r�'•
1:\Buiding\Foffi\RES-Moistu eBaaiet_doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 3/974A_ S , am the general contractor or the owner builder
at the following address:
I
Site Address: /3 - ,s qf `J,_
City `S A.e..4 GAJ
Permit#: $T ZO/� — 91
Subdivision/Lot#: 1 . eAl- yt-- •
VV qoAQA I-riify+2e__.
and/or
Map and Tax Lot#: ' 64
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 fr• ,s'I g members.
Signature: / „_ Date: 2 td G
en- - 'ts' e -,- Builder
•
•
•
I:\Building\Form\RES-MoisdaeSensitiveWood.doc 09/25/08
•
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: . uvi Jurisdiction: Ts 4.,,d
Site Address: / ? -7 S
Subdivision/Lot#' tit)
YWI
and/or
Map and Tax Lot#: 66
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: 10 3//'
Wtrac Agent orized
•caner/Ge.-=. � �,
Print Name:
-t-/-
1 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\Fo:ms\RES-HighEffifficiencyLighting.doc 07/01/08
A/(grA/Z,--C6t)9?
Form 640S 2016
Completion Certification—Site Inspection of Oregon
New Homes Program—Single Family
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
Builder or Company: William Lyon Homes Name:
s this payment redirected?: !No
Contact
Verifier Payee Company NamE Performance Insulation&Energy an
Technician Nam�Clover'Mateo
Energy Trust Pathway: Percent Improvement
Affordable Housing No
Solar Ready Builder Incentive:No
Solar ReadyVerifier I No
Site Information
Development: R1ver Terrace 2 (Lot I 41.;Ax ID: 1 IREM/Rate®ID:
Address: 13757 SW.171ST AVE
Street Line 2 (Multi-Family No
Number of Stories 21 ! City: (Tigard (State: IOR Z4197223
Total conditioned area 1730isgf11#of BRs l 4
Foundation Type: Crawlspace
Housing Type Detached'sfngle family
Electric Provider: Portland General Electric
Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Com an
P Y
Blue shaded fields are,required for EPS sheet
Verification Type Actual Model
Insulation Equipment Details&Notes
Flat Ceiling R- 49.0 Insulation Typ Blown-in
Framing Type:Above Grade Wall R-
23.0 Insulation Typ Blown-in
Intermediate
R-
Frame
30.0 Insulation Typ Batts
Doors Door R-
Windows Windows U- 0.30ISHGC.30
Skylights U- SHGC
Window Area(Glazing) 12%% Total windoware4
Lighting High efficiency indoor lighting o` 207
10Clfllo% Dishwasher BrandFrigidaire
Appliances ENERGY STAR Diswasher Yes
EF: 268 (Mode FOlD24£*"q
Cooling Air Conditioning SEER:
Btu/Hr:
Primary Heat Source/Type: AFUE: 92.1 Brand:
Source Gas Furnace HSPF: $ryant
Gas Model# 912SC36040S17*
SEER:
Comment: COP:
AHRI Certificate:7126229 Location: Conditioned Outdoor Unit(for heat pumps)
ECM: No Model#1
Water Heater Type: Gallons: 150 Brand: BradfordWhite
Electric Storage
EFl.95 Model#RE350T6 •'
Location: [Garage or Cr AHRI Certificate:8105439
Ventilation
Energy Trust of Oregon's Mechanical
S stem Ventilation Requirement Ventilation Type Meets Energy Trust Mechanical Ventilation RequiremeriUntestal
y Supply Side-AIr Cycle-HRV/ERV Model:!
Airflow measured or why untestable?!Roof Termination
Ducts Who Tested?(Clover Mateo
Ducts Inside: Yes /o ducts inside:
I 95.0°l0
Ducts Insulation: 8 Duct Seal w/Mastic !Yes
If claiming incentive for ducts inside,check one of the followinjVisual Inspection per RTF
Performance Testing&Duct System Information
Duct Leakage) Whole House Air Changes per House
(CFM)@ (Leakage (HourACH
50Pa: 100 50Pa( )@ I 3.36 IVolume: I 15,416
(Notes:
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' Insulation Type:
Floor Over Garage R 59.0 Insulation Type: Blown-in
Rim Joist R- 21.0 Insulation Type: Batts
Appliances
Refrigerator i Brand Name
Model:
Clothes Washer MEF Model:
Dryer v I
Model:
Showerhead 1.5 GPH IShowerhead 1.6 GPH I JShowerhead 1.75 GPH
Showerwand 1.5 GPH