Report (31) STREET TREE
TIGARD CERTIFICATION
I� n ?c e' , owner/agent for p t 4o 0
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert i 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.: M572016 -0 00,0
ST 1 k ADDRESS: 130% 5 Irk w..I H,k+ S f.
SUBDIVISION: $W'i�„'f 1Z '4 LOT #: IS
SIGNATURE: DATE: 7/5/17
(OWNER/AGENT)
RECEIVED &
VERIFIED BY' C:110 - 6zei,d,e DATE: 7 - /7
(CITY OF TIGARD)
Tree location verified per approved site plan.
I:ABuilding\Forms\Strcet1reeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, Sin dd c✓ , am the general contractor or the owner-builder
at the following address:
Site Address:
ISM
Slack W,Ir«f- S+,
City:
Permit#:
MST2oI6 -00010
Subdivision/Lot#:
5~0%0%14" R;� L (51
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature:• �f/� Date: 7/5 /7
eneral Contractor or Owner-Builder
1:\Building\Foran\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: A450-6 0co10 Jurisdiction: �5c.�J
Site Address: /30 S$ /3/4k ti✓h 1 K C1 s 4 ,
Subdivision/Lot#: `dJ
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: 7/5/17
wner/General Contractor/Authorized Agent
Print Name:
5GG.n f°Ti.c,,e
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
/hST p.oid 4,06 It)
QA Control Check POSO
Form 640S 2016 ,.
Completion Certification—Site Inspection
New Homes Program—Single Family of Oregon
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: Performance Insulation&Energy Its this payment redirected?: (Yes
Builder or Company: _> _ .,: �� Contact Name:
Verifier Payee Company NamfPerformance Insulation&Energy Technician Nam= �;� .
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive:No Solar ReadyVerifier Ir No
Site information
Development: Lot »e Axis ID: —REM/Rate®ID:
Address:
Street Line 2 Multi-Family No City: TIGARD State: OR 97224
Number of Storie 3 Total conditioned area r s #of BRs
Foundation Type: Crawlspace Housing Type r
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification TYPe Actual Model Equipment Details&Notes
Insulation Flat Ceiling R- 49 Insulation Typi Blown-in
Framing Type:Above Grade Wall R- 21 Insulation Typi Batts
Intermediate R-
Frame 30 Insulation Typi Batts
Doors Door R-
Windows Windows U- SHG( 0.30
Skylights U- SHG(
Window Area(Glazing) % Total window arel
Lighting High efficiency indoor lighting 81.4%%
Appliances ENERGY STAR Diswasher Yes EF: (Moder
Cooling Air Conditioning SEER: Btu/Hr:
Primary Heat Source/Type: AFUE: Brand: BRYANT
Source �� HSPF: Model# 912SC48060817A-A
Gas SEER:
Comment: COP:
, '.''• Location: Outdoor Unit(for heat pumps)
ECM: Model#1
Water Heater Type: Gallons: I 50 Brand: GEOSPRING
Electric Storage EFI Model#(SEE NOTES)
Location: (Garage or o
Ventilation
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation RequiremerlUntestal
System Ventilation Requirement
Supply Side-Air Cycle HRV/ERV Model:(
Airflow measured or why untestable?(Roof
Who Tested?(Tyler Limbaugh
Ducts Ducts Inside: No %ducts inside: I 60.0%
Ducts Insulation: 8 Duct Seal w/Mastic (Yes
If claiming incentive for ducts inside,check one of the followinlDucts Tested
Performance Tasting&Duct System Information
Duct Leakage " Whole House Air Changes per House
(CFM)@ h Leakage Hour(ACH)@ Volume:
SOPa: 50Pa: 3.68 26,135
Notes:
This unit is a model.The water heater is goiong to be installed after retrofitting is finished.
Insulation Details
Flat Ceiling R- 49 Insulation Type: Blown-in
Vaulted Ceiling R- Insulation Type:
Scissor Truss R- Insulation Type:
Above Grade Walls R- 21 Insulation Type: Batts
Below Grade Walls R- Insulation Type:
Floor Over Unheated Space R- 30 Insulation Type: Batts
Floor Over Garage R- 59 Insulation Type: Blown-in
Rim Joist R- 21 Insulation Type: Batts
Appliances
Refrigerator Model:
Clothes Washer MEF Model:
Dryer Model:
Showerhead 1.5 GPH Showerhead 1.6 GPH ; Showerhead 1.75 GPH
Showerwand 1.5 GPH