Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
_ , am the general contractor or the owner-builder
at the following address:
Site Address:
City:
Permit#: -V413`c)v—p()k`b
Subdivision/Lot#: cS
and/or
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code(ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Bather 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 with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
Extending up the foundation walls 12"Jtifill
Signature: t 1 Date: a•'1 l�U
-
Gen- : i t.tractor or Owner-Builder
I
1
I:1BuuldmglForm\RES-MoistureBaaier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
IIIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
kl _454t 1,01.-00tP)
Site Address:
RA9,0 (eq,_
Subdivision/Lot#:
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of fitly(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 NI 107.2)1
Signature: Date: /do
Contractor/Authorized Agent
Print Name: (. (.r .kr: •••---
ORSC Section N1107/.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_
1:1BuildineForms\RES-IlighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
rice rtig , am the general contractor or the owner-builder
at the following address:
Site Address: t L-t ao 3 S� t tact p.0
City: t? �
Permit#: 0s'C VAct- 5.5
Subdivision/Lot#: �1
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 refcieace].
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: a..?JaO
ctor or Owner-Builder `
1:\BuildmglForm\RES-Moistuis5rnsitiveWood.doc 09:25/08
Moffet Energy Modeling
CCB#223372
Phone: 916-342-0742
tylermoffet@moffetenergymodeling.com
Blower Door Test Affidavit
Permit#: Builder: Polygon
1149.03
Site Address: Eastridge Lot 57:44209•SW 169th Ave,Tigard, OR 97224
Conditioned Floor Area (sq.ft.): 1838
Source: Calculated from plans Calculated Building Volume (cubic feet): 17780
TEST RESULTS: 1111 CFM @ 50 Pa
ACH @ 50 Pa ={(CFM x 60)_Volume}: 3.75
Ring: Open DA B
Minneapolis Blower Door and DG 700 Manometer
I certify that these building leakage rates are accurate and determined using standard BPI testing
protocol.
Company Name: Moffet Energy Modeling Technician: Tyler Moffet
Technician Signature: r� �" Date: 3/23/2020