Report (3) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, *2 klpv;$.e%"" , am the general contractor or the owner-builder
at the following address:
Site Address: \3 v)� " [ (0,
City: -1—` 04
Permit#:
Y\A 5r - 000 "
Subdivision/Lot#: „ .rate, k-3
and/or `�
Map and Tax Lot#: I
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.
`ii4) D te: (�` � 30- 0c2c)
Signature: ` a
General Contractor or Owner-Builder
I:\Building'Form'RES-MoisturesensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
)40(6 4 — p Wye , am the general contractor or the owner-builder
at the following address:
Site Address: ? -7 5 5 t kdE
City: 115a,c1
Permit#: V ' \ 0o v) - coot
Subdivision/Lot#: (1,1 Ar 3
and/or
Map and Tax Lot#: ,f 22
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 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 with 6-mil black polyethylene
sheeting with
I "I Joints lapped 12"at seams and
[Extending up the foundation walls 12".
Signature: Date: 12 30 o
eneral Contractor or Owner-Builder
I:\Building\Form\RES-MoistureBazrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: I 0 ( Jurisdiction: ,,�,�'CL
Site Address: k 3 17 S� t 0ssci- Me
Subdivision/Lot#: J r�
and/or
Map and Tax Lot#: 004— '4 3--3 1
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 Ni 107.2)1
Signature: Date:
Owner/General Contractor/Authorized Agent
Print Name: 1-1001*�
'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 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
I
Form 640S 2017
Completion Certification—Site Inspection '�`'
New Homes Program—Single Family ' ' i � "
of 0regctr!
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: I#N/A Its this payment redirected?- I#N/A
Builder or Company. Polygon Northwest-WA Redirect to Name.
Verifier Payee Company Name Performance Insulation and Energy Redirect Payee Corn#N/A
Affordable Housing No
Solar Ready Builder Incentive. #N/A 'Solar ReadyVerifier Incrl#N/A
Site Information
Development NE River Area 3-Estate Phase 1 "Lot J231 Axis ID I IREM/Rate®ID
Address: 18172$W 18dt f Ave `
Street Line 2 Multi-Family INo City Sherwood State: OR Zip 97140
Total conditioned area(sq.ft.): 2,598 House Volume: I 27,000 Housing Type: Detached single family
Number of Stories. 11 Number of Bedrooms: 4 Foundation Type: Crawispace
Electric Provider Portland General Electric Gas Provider. NW Natural Gas
Solar installed #N/A 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- 59.0
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:I0.3 Total window area' 1610
-
Cooling Air Conditioning SEER: Model#: NTXMMX48A182BA
Primary Heating System Details AFUE: Brand Mitsubishi
Type: Electric Heat Pump-Air Source Ducted HSPF: 13.5 Model It PEAD-A36AA7
Heating Fuel: Electric SEER: 30.5
Primary Heat
Source Comment COP:
Location Attic Outdoor Unit(for heat pumps)
ECM: No Model#: IMUZ-FH09NA
AHRI Certificate: #of Systems 11
Gallons I Brand: AOSmith
Water Heater Type Heat Pump EF. I Model#: HPTU-BON 130
Water Heating Fuel Electric Location ]Garage or ope
Ducts and Duct Location 'Unconditioned %ducts inside I0% 7'Duct Leakage(CFM)@ 50Pa: 1167
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.61 I
Ventilation Ventilation Type HRV/ERV Model.
Exhaust Airflow measured or why untestable? 177
Appliances
Refrigerator kWh/yr Model.
ENERGY STAR Diswasher kWh/yr 268 Model FGID2466"'A
Percent High Efficacy Interior Lighting(%) #N/A Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH .I Showerhead 1.6 GPH I IShowerhead 1.75 GPH ]
Notes: