Report (75) � � I
1
• STREET TREE
TIGARD CER TIFICA TION
, owner/agent for POL'1tw INio()
(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.: 145f oto 114,— DO`{9.5
ME ADDRESS: (13 15. ho 56*t fr #'* A
SUBDIVISION. /U(,�/ / , 'I LOT#: 47.2
SIGNAL: •'�' _ - DATE: (O'/ -/7
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: ` 01P
DAM:
6.1z-(- ( t7
•r OF TIGARD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCectificate 05/30/2012
•
•
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
P01,1(opN MA) , am the general contractor or the owner builder
at the following address:
Site Address: ti 315 Aw 51k&it wA A vc
City: iE-1lkit:011/4)
Permit#: ilf‘yt' a0(ke•• ooLia s
Subdivision/Lot#: j) R\ rpqm. Ler 90
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 Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
2 The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheet' with
Joints lapped 12"at seams and
Extending up the foundation walls 12".
Signature: Date: 4-/*// 7
Gen Contractor or Owner-Builder
I:\Building\Fonn\RES-MoistureBarriendoc doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: m 5f o1C)R 00 4Ias Jurisdiction: 7-7i
Site Address: '-234 5 .560 sing NI+ nu(
Subdivision/Lot#: Wr, ,lvEX. rr2A,te.. hr cR
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
Date:
Signature: �� `f
o 'ea/General '.tractor/Authorized Agent
Print Name: T ' ' 1 L0¢d✓4/0
'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.
1:\Bu neForms\RES HighEff]cimcyLighting.doc 07/01/08
o
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family EnergyTrr7 w+X
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
`."",n`F^a ..
incentive Payee Company Name:
'William Lyon Homes Its this payment redirected? 'No
Builder or Company William Lyon Homes Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No [Solar ReadyVerifier Incl No
Development River Terrace 1 Lot /,?4,41#1.41Axis ID. 'REMIRate®ID:
Address: ,a,,V.i,''.11:12.1f2tfika.4.:i'',40.,e2garlattitaltgitEM
Street Line 2 Multi-Family No City. Tigard State: OR Zip: 97223
Total conditioned area(sq.ft): 3.248. House Volume: I 29,029 Housing Type: Detached single family'.
Number of Stones: 12 Number of Bedrooms: 4 Foundation Typo: Crawispaco
Electric Provider Portland General Electric Gas Provider: NW Natural Gas
Solar installed None ,Solar installer Name/Company:
BNre shaded fields arerequked for BPS St eet
3
�! ��'sr�3�,�.L���.s'7.'i"�� .. ,•'^., .... .,.:: $�.���r��' '.E�Drta'�'..,,,.,.� �����_t-` '�,..#;' Y .....
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:10.3 Total window area: 1510
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 - Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC36040S17*
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model it: [.
AHRI Certificate:7126229 #of Systems 11
Gallons: 150. Brand: BradfordWhite
Water Heater Type Storage - EF: 1.95 Model#: RE350T6
Water Heating Fuel Electric Location 'Conditioned A AHRI Certificate:8105439
Ducts and Duct Location !Partial %ducts inside: WiktaDuct Leakage(CFM)@ 50Pa:
Testing
infiltration Air Changes per Hour(ACH)C 50Pa: 2.92 1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-AirCyger. Airflow measured or why untestsble7 'Roof Termination
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 260 Model: FPID2497"'A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH' Showerwand 1.5 GPH ! Showerhead 1.6 GPH I I Showerhead 1.75 GPH
WHx1