Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM U
I, -TQP r1 bt A ' L.Y , am the general contractor or the owner-builder
at the following address:
Site Address: l l of 5( 6A ge L
1 S�
City: ` /` Ot- T 1 22`1
Permit#: M�j l 2.f� ( 1 ..- 00 3[•ll
Subdivision/Lot#: (,i1 L catAJ g p-0o - O S
and/or
Map and Tax Lot#: N/A
To conform with the 2017 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:
14 The ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials,with
Joints lapped 12 inches at seams and
MExtending up the foundation walls 12 inches.
Signature: Date: O3 ` I/2-06)
Gene C tractor or Ownuilder
1:A uiIding\Form1RES-MoislureBarrierAeknowledgement_o22018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, J I2Y gt-4-6 '( , am the general contractor or the owner-builder
at the following address:
Site Address: 1 1 ! S(A) sim��E(, 5 7
City: 1?'CAp b�'712
Permit#: f1511.40 L 00 3 4-1 1
Subdivision/Lot#: tAITJA )LA) OS--
and/or
Map and Tax Lot#: /3/A
To conform with the 2017 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140, 1 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: 646/— Date: or/II
Gener o actor or Owner-Builder
1:\Building\Form\tES-MoistureContentAcknowledgement_022018
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: H5/201 . 3 Lj i Jurisdiction: £ or 16A gp
Site Address: 1 ? -/ ( y �J /'1Dr-a✓ ST— 7 '1/) otz, l^s24
Subdivision/Lot#: �llt.i� gimp, 0 '
and/or
Map and Tax Lot#: lJ A
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code N1107.2)1
//�
Signature: Date: U //////
/
Owne a tarrilitractor/Au rind Agent
Print Name: TDi t P L'
ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
I:1BuildingWormslRES-HighEfficiencyL ightingAcknowledgement_02201 8
Form 6405 2017
Completion Certification—Site Inspection USt
3s ,. Tr
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'Pacific L festyle Homes I Is this payment redirected?: INo
Builder cr Company: Pacific Lifestyle 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 Incr No
Site Information
Development: Willow Brook 'Lot I5 Axis ID. I 'REM/Rate®ID:
Address. 11444 SW GABRIEL ST
Street Line 2 Multi-Family INo Cily. TIGARD Stale. OR Zip 97224
Total conditioned area(sq.ft.): 2,257 House Volume'. I 20,539 [lousing Type'. Detached single family
Number or Stories: 12 Number of Bedrooms 3 Foundation Type Crawlspace
Electric Provider'. Portland General Electric Gas Provider: NW Natural Gas
Solar installed 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-
Framed Floor R- 30.0 Secondary Framed Floor R-
Insulation
Above Grade Wall Insulation R- 21.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGCI0.3 Total window area: 1235
Cooling Air Conditioning SEER: 0 Mode's#. 4TTR30301000NA
Primary Heating System Details AFUE'. 0 Brand Trane
Type'. Gas Furnace HSPF', 9 Model#'. S9X2B060D3PSABAA
Heating Fuel: Gas SEER 14
Primary Heat
Source Comment COP:
Location'. Garage or ope Outdoor Unit(for heat pumps)
ECM'. No Model#. IRP1436AD1
AHRI Certificate.7389783 #of Systems 11
Gallons: I Brand Rheem
Water Heater Type Storage EF: I Model#: PROG50-38NRH 60
Water Heating Fuel Gas Location 'Garage or ope AHRI Certificate.
Ducts and Duct Location IVncondilioned %ducts inside: ID% -'Duct Leakage(CFM)@ 50Pa. $8 = •"S.G$;.`
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3,66
Ventilation Ventilation Type HRVIERV Model'.
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWhNr Model.
ENERGY STAR Diswasher kWhM 270 Model: FGID2476'^B
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH Showerwand 1.5 GPH ' Showerhead 1.8 GPH I IShowemead 1.75 GPH I
Notes: