Report (50) STREET TREE CERTIFICATION
�' ft(61Q. , Owner/Agent fr Ld,no G
(PLEASE PRINT) rDn (;
(PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ivy o --ao Z-7, 7
ADDRESS:
SUBDIVISION: os;� rQ� LOT: 1b
SIGNATURE: ( ; .` oC ,60 DATE:
(OWNS A NT) i
RECEIVED BY: DATE: I / 8 le
OF TIGARD)
V
\Building\Forms\StreetTreeCertificate 01/19/07
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Matt McBride , am the general contractor or the owner-builder
at the following address:
Site Address: 12976 SW Parkdale Ave
City: Tigard
Permit#: MST2017-00227
Subdivision/Lot#: Olson Woods Lot 9
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].
8318.2 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: k,fdif,vL„:CkCv
General Contractor or Owner- uilder Date: 1/18/18
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST2017-00227 Jurisdiction: Tigard
Site Address: 12976 SW Parkdale Ave Tigard, OR
Subdivision/Lot#: Olson Woods Lot 10
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: A r ,, kU �� Date: 1/18/18
Owner/General Contractor/Authonzed Agent
Print Name: Matt McBride
' 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 fmal 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
r
a
Form 640S 2017
Completion Certification—Site Inspection
gy
New Homes Program—Single Family
En e r" Trust
t
To be completed by Verifier
of Oregon
CLEAResu/t is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'Performance Insulation and Energy -
Builder or Company: Windwood Construction Its this payment redirected?: (Yes
Verifier Payee Company Name: Performance Insulation and Energy Redirect to Name:
Affordable Housing No Redirect Payee Com'Performance Insulation and Energy
Solar Ready Builder Incentive: No
(Solar ReadyVerifier Ince'No
Site Information
Development Olson Woods Lot
Address r,' las'. 4a °' ,Anis ID: REM/Rale®ID:
�,...a,... . :.c,. 1OR Zip:
Street Line 2 Multi-Family �No
City: 'Tigard 'State: 197224
Total conditioned area(sq.ft.): 3,628 House Volume:
36,280 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4
Foundation Type: Crawlspace
Electric Provider: Portland General Electric
Solar installed None Gas Provider: INW Natural Gas
Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model
Equipment Details 8 Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 38 Secondary Framed Floor R-
Above Grade Wall Insulation R- P3
Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows
U- 0.30 SHGC: Total window area:
Cooling Air Conditioning
SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Trane
Type: Gas Furnace HSPF: Model#: TDH1B065A9421A`
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:3670536 #of Systems I1
Gallons: I
Water Heater Type Brand: Navien
t
1Tankless EF:
Water Heating Fuel Gas '9g Model NPE-240A
Location: (Garage or ope AHRI Cee rtificattee::6478772
Ducts and Duct Location 'Unconditioned %ducts inside:
`; - " Duct Leakage(CFM)gg SOPa: ?-41:', _,,S
Infiltration Air Changes per Hour(ACH)@ 50Pa:
13.25
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 199
Percent High Efficacy Interior Lighting Model: ID5636`
9 9(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH
I Showerhead 1.75 GPH I
(Notes: