Report ,:,.svutJtlk r+Hr/s1r.rua:r,.s.urrrsrusunrdrrrux4st+Nslfur+w�'�srrr,rraser rnsaratsw,}wsrau.. ..:,,:.;rwhrl.€,... ., •:s.,r r ew..r<..e...uueurutsri:zrrrr�rav seus,vuxreu,.,. •••...,...
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
112I, v'r.'--7 , am the general contractor or the owner-builder
at the following address:
Site Address: "."7 S -*Or e,,5s"\--- \LILA.)
City: - A
Permit#: IA at -0
oO 0 00 0 3
Subdivision/Lot#: rand/or (1.,J,r
Map and Tax Lot#: [0± ? Ng
-
To conform with the 2017 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: 5 - °°1021
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureContentAcknowledgement_022018
Form 640S 2017
Completion Certification—Site Inspection
t
New Homes Program—Single Family �" �. S
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 [Polygon Northwest-WA [Is this payment redirected?. INo
Builder or Company: Polygon Northwest-WA Redirect to Name
Verifier Payee Company Name Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVerifier Incs[No
Site Information
p tiG F ME; lief I262 .;xis ID I
Development IREM/Rate®ID.Address 117297 FOREST HOLLOW ST
Street Line 2 I Multi-Family [No City. SHERWOOD State. OREGON Zip 97140
Total conditioned area(sq.ft.). 2,816 House Volume. I 28,441 Housing Type: Detached single family
Number of Stories 12 Number of Bedrooms 5 Foundation Type Crawlspace
Electric Provider Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company.
Blue shaded flelds are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Framed Floor R- 30.0 Secondary Framed Floor R-
Insulation
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. I
Cooling Air Conditioning SEER 0 Model#- 13ACXN030-230-24
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH045XE36B-51
Heating Fuel: Gas SEER
Primary Heat
Source Comment COP
Location Attic Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons 166 Brand. AOSmith
Water Heater Type Heat Pump EF 13.17 Model#. HPTU-66N 130 _ _ _
Water Heating Fuel Electric Location [Garage or ope AHRI Certificate.
Ducts and Duct Location IPartial %ducts inside C4 , Duct Leakage(CFM)L 50Pa [15f e
Testing
Infiltration Air Changes per Hour(ACH)a 50Pa: 2.01 I
Ventilation
Ventilation Type HRV/ERV Model.
Supply Side-Air Cycler Airflow measured or why untestable? [Roof Termination
Appliances
Refrigerator kWhiyi Model.
ENERGY STAR Diswasher kWh/yr 270 Model. GDT60—M**
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes:
✓subrui✓rtr -rarui✓r i.u.rwrr.irrYVXiXHiNirX>r rfurixrurl Xridrxvimtts✓,er.uuu..✓✓x.u:.r'r rr ieu:u✓frwr.YlXN(X+•+d/f•c'ff6(NlNUA^JlMles ;.e,r„s,.. „,....✓..F r. ..,rutdrruefriuXidetN✓'tXfltUfrtiFbNiLtdallLlfiNfflA/iJlSftilllfilt:lXJbiXiN vyr uderlNUUifi,.,
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ( 3 ,A0 ?-d 0 04)0 3 Jurisdiction:
Site Address: I .7797 JW �Ofej=1"- V4f -1
Subdivision/Lot#: g
and/or
Map and Tax Lot#: Cat �y
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 N1 107.2)1
4
Signature: I Date:
Owner/General Contractor/Authorized Agent
f,
Print Name: P.°1° vow � ^
' 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 fmal 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:\Building\Forms\RE S-HighEfficiencyLightingAcknowledgement_02201 8
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, �p , am the general contractor or the owner-builder
at the following address:
Site Address: 1 ?1l `7 5 w+ 'h r 1- titL14) -
City: —7)`56—
Permit #: 01 51-- D
Ooa 0 j
Subdivision/Lot#: ,„c
and/or
Map and Tax Lot#: tof 9 IY
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:
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
Extending up the foundation walls 12 inches.
rk2
Signature: CL rk)
Date: - '.2:).2/
General Contractor or Owner-Builder
I:\Building\Form\RE S-MoistureBarrierAcknowledgement_0220 18