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Report l 11,4 ST' T TREE i ff4 , t CERTIFICATION / -1---60vy‘ wipiciAstiol-(:) ititti 1 owner teigetit for POL.i6OA1 (PLEAS8P erreh c ." thfollowinglocation meets ity off`. �'land use and development sta# dlr 4 far.rtreet tree installation and is consistent with the-"s 'roved site plan. 1- PERMIT NO.: rY),51-- C2 . b(4 0 ti SITE ADDESS 113'7 5 5w 5ifitivoto T tL S SUBDIVISION: Ai R.) /� A LOT#: • /a7/ 5I : DATE ' 1 13 17 pi/AIN/Eat/AGE/14v RE . AkVERIFIED 13-Y ,. �: Dom : Com . . TIGARD) - i, . INkuldioskitototAStreetTreeCeitificate 05/30/2012 Oregon Residential Specialty 18.2 MOISTURE CONTEINTT ACICriONMEDGEMENT FORM I, pt,L'14 D*1 ) lc) , am the or the owner-builder at the Flo ad Site Address: 113")5' ,(4/ Shaw 1fA-t c Sr; P ; ' � - 1 ?-000nq Sttbdiviaiox of / ic/ Aver, e 02 and/or hilap and T To .,,, „F.„ with the 2008 OremSpecialty (ORSC),Sedim R318.2 and OAR 18.4 -0140 1 am �the building officialthatI oft a moisture content 'rt_ a of ORSC Section R318.2 and have takento ' reqeen t [Section R3IS.2 is provided fewreference]. 8318.2 Moisture Content Prior to the installation of intador futMes,the building official shall be notified in wilting by the general contractor all wood framing bransused in construdion have a moisture content of not more than 19 3 pacaitby diy vveiglit ofd nuan8 . Imo:: P t3/r7.„,,L., _ ,.....................,...w...09125A1 e • Oregon Residential Specialty Code 84081 MOISTURE BARRIER ACKNOWLEDGEMENT FORM LNI 6 sa A 14) a am the generalcontactor or the at the.fccll ,. address: Site Mdress: 1/'75 5w 5h rn t- 5r utr e Permit*: 5r Q 1- Suic41/. , itie* /c27 sor Map and Tax Lot#: To ooaatm,with the 2014 Oregon.Residential Specialty Code(amp,Section R403.1 Vent:Woe,/,I notifying the building offiaial that I have installed the Moisture Barrier as per Requirement in MSC Section 408.1 and have taken the following steps to meet this requirement The ground ice of the floor spaceis cord with 6-mil° k polYethylimet $)Iiiab_lapped_12"at seems and NE...di.up the fro'walls 12". • Signature: ce, Date: 1017 • L eelA016 Oregon Residential Specialty' Code N1107.2 mGu- m m cY INTERIOR LIGHTING ir4SYSTEMS p arr : l7- Oo o' rtet~ : r ,(6,49e 0 sit: � 11'1375 Ail /*yow rizitHL "r subdisisionitottgiv .g regimioe to /41 and/or bhp and Tax Lot By my . mow,I ' that a ni urn of fi patentofinstalled perman-, i installed �.A�€da5t w ��in men r ,e,�Sk$f have been �compact or linear cent ora ►.o-�� = source has a maim efficacy of 40 lumens per input watt. (Oreip3n Ilesidernial Specialty Code N1107.2)3 Sig tt r �. — ' Dth #'. 7a.. :-x.x: roe ---?"41-7----- Print Name: 0 iviI ./4A/ 1 ORSC Section141107.2.lash-OS`Rsy. A minimum offal?(SO)pemmt to the penemmtly installed li{'ti shell be installed or* compact or linear f w`y or a Seeing ybasa tit{8d 4l AY,., :ofy W40 Nett MT-A/iseavact fuoiesccnt lamps comply*bit this bn +dvag official shall be notified bl witing at the fintd inspecdon the a minimum of fit,peewee of'the yinstalled I ting or linear ora 414th!,.- !8t of 40 hone=par *tinlmt watt. -'+"j ryiy��y��y ViF #R of M owo YY15Tavt7 — vvbv 1a Form 6405 2017 Completion Certification—Site Inspection TM New Homes Program—Single FamilyTri'{"' ' of Oregon To be completed by Verifier CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc : 'vtSfe.G Incentive Payee CompanyName: Wiliam am Lyon Homes Is this payment redirected?: etlnecled?: No Builder or Company William Lyon Homes Redirect to Name. Verifier Payee Company Name: Performance Insulation and Energy - - Redirect Payee Com Affordable Housing No Solar Ready Builder Incentive: No 'Solar ReadyVermer InccNo °MI Akt Development River Terrace 1 Lot nihlL li tll Y irq Iiflhi mos ID' REMIRate®ID. Street Line 2 Muni-Family No City: Tigard State: OR Zip: 87223 Total conditioned area(sq.ft.): 2,420 House Volume: 21,748 Housing Type: Detached single family Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace Electric Provider: Portland General Electric Gas Provider INW Natural Gas Solar installed 'None Solar Installer Name/Company: 4444i/4406 fort" "'1Sg1 ".Af fid ;},, AK, cad.,• ..a,A:.vJ�\ , Slab Perimeter lnsulauon 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: 1346 Cooling Air Conditioning SEER: 0 <Model#: 1.13ANA036d Primary Heating System Details AFUE: 92.1 Brand Bryant Type: Gas Fumace HSPF: Model#: 912SC39040S17•. Primary Heat Heating Fuel: Gas SEER: Source Comment: COP. Location: Conditioned A Outdoor Unit(for heat pumps) ECM: No Model 6: 1 AHRI Certificate:7126229 - #of Systems 11 Gallons: 150 . Brand: AOSmah Water Heater Type Storage EF: .95 1 Model#: ENT50110 Water Heating Fuel Electric Location: 'Conditioned A AHRI Certificate:8083359 Ducts and Duct Location 'Conditioned %ducts inside: Duct Leakage(CFM)g 50Pa: Testing Infiltration Air Changes per Hour(ACH)©50Pa: 3.5 1 Ventilation Ventilation Type HRV/ERV Model: Supply Side-Air Cycler Airflow measured or why untestable? IRoof.Termination Refrigerator „` kWh „. ,. . M Model- ENERGY odel ENERGY STAR Diswasher kWh/yr 288 Model: FGID2466""A. Percent High Efficacy Interior Lighting(15) 100% ` Thernostat Showerhead 1.5 GPH 1 Showerwand 1.5 GPH 1 Showerhead 1.6 GPH 1 - 1Showerhead 1.75 GPH 1 TY1.57‘2,0/7 - b0(3O cr Bend Office (541)330-9155 Geotechnical Office (503)6014250 Carlson Testing, Inc. Sag m Office Office (541)345-0289 Tigard Office (503)589-1252 (503)684-3460 Daily Report of Proprietary Anchors Project:i I /5 ri u. L i r,,.- -7^err e-e ig rr q Address: S 4 44e.h.,A CTI Job#:T 1b S-'5'2 CTI representative Ed Me,re"S h was onsite this date #1 S�r 7 to (inspector Name&Cert No.) perform rm Special Inspection for fl permit DFS#(s) 34•0" S4 c jurisdiction `f 1.5 o v Pir In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION Location of proprietary anchors inspected[to include grid lines,elevations(floors)and drawing details]: 1.Checked in with superintendent or client representative. }l c t ( t LA., I3 c Name: T U� meany: � ,f 5 •'� C4 //f 5 /2K P.V7, t 2.1 13c 3 'Tj.R 5 I t a•.l r t 2.Inspection was"IBC" Continuous Periodic ! �` ° `"�`' ' -'--^st Slit is i S r-r t vt reit w t'4 + ( # C� t rvrn1.. . PROPRIETARY ANCHORS Yes NoN/A. 1.Reviewed previous inspection reports°! 2.Reviewed evaluation report? Verified following items meet manufacturer's REPORT SAY` published installation instructions. 1.Work inspected was: � 3.Verified minimum embedment depth of the !_fi.l Completed �In ProB�= anchors. u 2.Completed work inspected El was Ea*Nortek 4.Verified installation of the anchors. Y in compliance with 5.Verified anchor diameter. k Ea Approved plans and specifications Q Shop drawings 6.Verified steel grade. 0 RFI a Design change 0 SubmittalN/� 7.Verified hole diameter. r. Document#(s) »o Y Dated: S //5-/' f o.Verified type of drill bit used. x St C. �-` 9.Verified hole cleaning method. 3.Noncompliance item(s)were noted this date,details on 10.Verified adhesive application. following Page(s)• ❑ Yes No N/A 11.Verified edge distance. 4.Noncompliance item(s)were reinspected this date,details on following g page(s). Yes No N/A 12.Verified spacing. 13.Verified installation torque. y Conform Ei Remain in progress Evaluation report number&date: Report(s)findings were discussed and left with E a-s`c' "? tql of 16,1'i Name of product being installed S ri?Sart X?2 Batch Number 2 S"ZG. I"6Z Expiration Date L' __.. Based on the Code,approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered.Carlson Testing has no authority to direct work of contractors or subcontractors. Inspector Signature: A A a— See -- See additional report page(s). Q Distribute attachments. Page '= of PmnAnclinra Vera .2/12/2009. 4. Bend Office 41)330-9155 hnicalOfce (503)601-8250• -- IA Testing, Inc. Eugene Office (541)345-0289 Slim Office (503)589-.1252 Tigard Office g (503)684-3460 Daily Report of Proprietary Anchors Project: ii ,,,,, .I`e /. - t ' Address: i ai :! f ; ,, z 3 , ' T } r,_ , _� CTI Job#: C CTI representative � .% .',. 1/ , ` rr , ' _. { ' was on site this date .' C ? i to perform (Inspector Name&Cert.No.) Special Inspection for [ I pmt D DFS#(s) "11:S ' f.•-'t 1 " c._ Cl{r jurisdiction In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION Location of proprietary ancho inspected[to include grid lines,elevations(floor()a" d' wtng details] , 1.Checked in with superintendent or client representative. -- '_,. 'S`-- s :eine: ,.... G ;c ��.� m Corttppy: ,r at .. ... ,w '.. .. 2.Inspetttion was"IBC" 0 Continuous .. , . , ., , Periodic PROPRIETARY ANCHORS Yes NoN/A 1.Riewed previous inspection reports? 2.Rviewed evaluation report? ly I l Verified following items meet manufacturer's REPORT SUMli'IARY published installation instructions. 1.Work inspected was: Eg Completed 0 In progress 3.Verified tminimum embedment depth of the- / anchors. 2.completed work inspected was wan notes " 4.Verified installation of the anchors. • in compliance with 5.Verified anchor diameters Approved plans and specifications 0 Shop drawings 74 6.Verified steel grade. 01 escharge 7.Verified hole diameter. ❑Di� El Submittal 0 N/A >,e Document#(s) 1. ,,., ', , ? / Dated. r'�',-7 i,, 8.Verified type of drill bit used. 9.Verified hole cleaning method. 3 Noncompliance item(s)were noted this date,details on 10.Verified adhesive application x following Page(s)• 0 Yes El No ® N/A 11.Verified edge distance. 4.Noncompliance item(s)were reinspected this date,details 12.Verified spacing. • on following page(s). E3Yes0 No ❑ N/A 134/Verified installation torque. � ' / ❑ Conform 0 Remain in progress "Evalua�on report number&date: ' L. 'j't 4`> e` , F.`; Report(s)findings were discussed and left with C V _- - of1 , ., . Name of product being installed --/ l a r`u 4 Batch Number 'M2./L+ Expiration Date -4[;� I r7` Based on the Code,approval is required from the Buildin;Official before the SPECIAL INSPECTED items noted above'can be covered. Carlson Testing has no au hority to direct-work-of contractors or subcontractors. Inspector Signature: : z.-'^ 4-1-.;-4--.22'..;,,,..,--"--- ,_ iQSee additional report page(s). 0 Distribute attachments. f Page of PropAnchors Ver.1 2/12/2009