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Report (64) STREET TREE TIGARD CER TIFIc'A TION I, , owner/agent for (�;ve$ick o (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.: M5 t apf-00503 SI]E ADDRESS: 1?..i cto 5w fKaogarkiec SUBDIVISION• (3tr LOT#: I SIGNATURE: G���`�''l DA 1 L: (r (ol8 OWNER/AGENT l l RECEIVED & VERIFIED BY: DA 1 E: 11/161/4 ,( (CITY OF TIGARD) t/I Tree location verified per approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, „vt(S.( pc) , am the general contractor or the owner-builder at the following address: Site Address: I sw er City: -/6 (7.4 Permit#: "Tao -©aSa 3 Subdivision/Lot#: c(c)3(4% L.04(-45 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: Date: 1//G// Gener ontractor or Owner-Builder I:\Building\Fonn\RES-MoistureSensitiveWood.doc 09/25/08 • Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: csv u n -0,501 Jurisdiction: .�ta dtrck Site Address: t -R & SG) d _r ttrki C, Subdivision/Lot#: I�- i Q� lass w'Ic�nj t 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: ft4.# Date: /1 (/f 8 Owner/Gene Cor/Authorized Agent ge t Print Name: Q S 50.6v9A-- 1 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 i#asuzrat tIs t`° � 9& s [J New ..�1--*#t*,,wee*'' Existing BACKFLOW ASSEMBLY TEST REPORT El Removed PReplacement Property Riverside Homes, LLC Owner Mailing 17933 NW Evergreen PI. Suite 370 Beaverton, OR 97006 Address Phone:503-645-0986 Assembly 12100 SW Redberry Ct Tigard, OR 97223 Address Ej R.P.BA. ®D.C.VA.a R.P.D.A. Q D.C.DA.0 P.V,8.A.0 S.V.8A.D A.V.B. El AIR OAP SIZE: 1" MAKE: Febco MODEL: 850 Water Purveyor Tigard Serial# 76270 Assembly Location: Next to water meter REDUCED PRESSURE ASSEMBLY DOUBLE CHECK P.V.BA r$V BA. INITIAL TEST SI CHECK INITIAL PRESS DROP _ (A) CHECK #1 AIR INLET CHECK PASSED 131 TEST RELIEF VALVE TIGHT ®2 7 OPENED PRESS FAILED RESULTS OPENED AT (B) LEAKED AT DROP h1IN2PSID 0 PSID DATE BUFFER P501 PSDI /�/ A•B = CHECK #2 MIN 3 PSI RELIEF VALVE TIGHT ® 3.0 DID NOT FAILED SYSTEM PSI OPEN PASS 0 FAIL 0 LEAKED PSID ❑ ❑ 80 COMMENTS REPAIRS AND/OR PARTS REDUCED PRESSURE ASSEMBLY D.C.V.A. P V.BA / SVBA TEST AFTER #1 CHECK CHECK #1 REPAIRS AFTER PRESS DROP (Al TIGHT psi° OPENED PRESS REPAIRS RELIEF ❑ AT DROP DATE OPENED _{B) _ MIN 2 PSID CHECK #2 PSDI PSDI BUFFER TIGHT PSID A-B MIN3PSI CI ❑ IN COMPLETING AND SUBMITTING THIS TEST REPORT.THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE RULES AND REGULATIONS OF THE WATER SYSTEM,AND STATE REGULATIONS GAU 1• , 1-i,TION DATE 12-19-17 DETECTOR METER READING T--TER SIGNATURE TruScapes 503-707-0213 State Testers Bonifacio Garcia Certification#6693 21600 NW Amberwood Drive Hillsboro, OR 97124 Gauge# 12171807 REPORT RECEIVED BY 0 SERVICE RESTORED ❑ FOUND OFF,LEFT OFF