Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, cn'- , am the general contractor or the owner-builder
at the following address:
Site Address: /4./qv-3 / 54
City:
Permit#: CJ1-71) l8 CAD 7/ c
Subdivision/Lot#: A"/ j b
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
s eting with
7/
Joints lapped 12"at seams and
7nr
Extending up the foundation walls 12".
Signature: ! iiiilr!—�� Date: l( /I lip 26
Ge. s , i! or or 1�i er-Builder
I:\Building\Form1RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: k4 57/8. q[ Jurisdiction:
Site Address: /17/4(//3 ( j4
Subdivision/Lot#: �/ �&
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 N 1107.2)1
Signature: � �_.i Date: (i/( 1/Zi)a)
0 ens • Contrac Authorized Agent
Print Name: 54RA- 5e-t9
1 ORSC Section Ni 107.2.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 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.
I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
+44 S , am the general contractor or the owner-builder
at the following address:
Site Address: /1/t//{ /', 1 /(0
City:
Permit#: UV, S ) ( 4 D O f
Subdivision/Lot#: '(� -
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: [(,/i Ge)
G C c or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08