Report (50) N STREET TREE
TIGARD CERTIFICATION
t o-s< , owner/agent for P 1 - -
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cerqv 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.: i-1 S[ Z a/6 - 005-60
STl k ADDRESS: g'4,0 .
SUBDIVISION: LOT#:
SIGNATURE: . ; l r DAIS: 9 zVf.
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: A aU-��. C' - G a ka DA I E: J hah 7
(CITY OF TIGARD)
ElTree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, $c 7 rt. frit -, , am the general contractor or the owner-builder
at the following address:
Site Address:
s—6 sJr
City: p
/fir
Permit#: r z 0/6, --
Subdivision/Lot
Subdivision/Lot#: -
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: .` ,�z ---"M-._..._... _ Date: Zl Z-",////
=General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
QST Z�� - ops-bJurisdiction:
Site Address:
g'`S fir/Address: - on.eir Zed
Subdivision/Lot#:
f-epiX Ce. .-ns s% Z t.r._ Z�
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: ,, --Z P , /44". c;., Date: rz Z///'%7
Owner/General Contractor/Authorized Agent
Print Name: S<<o/f" all s.y.Y;
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
111ST�el c - vv Seo
B�Go 5/A.) Schwt,'cf7 Lvo,
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family _
of Oregon
To be completed by Verifier
CLEAResu/t is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: (Performance Insulation antl Energy Its this payment redirected?: Iyes
Builder or Company: D.R.Norton Redirect to Name:
Verifier Payee Company Name: Performance Insulation antl Energy Redirect Payee Com Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVerifier IncelNo
Site Information
DevelopmenP Heritage Crossing ILot Axis ID: I (REM/Rate®ID:
Address. 8586 SW St1HMIDT LOOP
Street Line 2 Multi-Family INo City: Tigard State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,064 House Volume: 1 18,800 Housing Type: Detached single family
Number of Stories: I3 Number of Bedrooms: 3 Foundation Type: Crawlspace
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
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 30.0
Above Grade Wall Insulation R- 21.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 38.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:J0.3 Total window area: 1247
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: Attic Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126229 #of Systems • 11
Gallons: I Brand: Rheem
Water Heater Type Storage EF: I Model#: PROPH65 T2 RH350 D
Water Heating Fuel Electric Location: 1Garage or ope
Ducts and Duct Location IPartial %ducts inside: 1904 ..-,,,ADuct Leakage(CFM)@ 50Pa: let63;,. .a ?
Testing
Infiltration Air Changes per Hour(ACH)l 50Pa: 3.77 I
Ventilation Ventilation Type HRV/ERV Model.
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Appliances
Refrigerator
kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model:
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH 1
Notes•
NEW WATER HEATER MODEL.