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Report (2) Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Y V`J Jurisdiction: Site Address: ' 3 rq r 5( 6 5 A J5 Subdivision/Lot#: \J v- and/or Map and Tax Lot#: (/ a 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 N1 107.2)1 l � a0 Signature: � Date: is-? .07(' wner/General Contractor/Authorized Agent Print Name: �� µ-•r -- o 1.--ic 1 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. 1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, `to , am the general contractor or the owner-builder at the following address: Site Address: ( 3 i l c/ $ (( 3 7L ,40 6 City: 7-) k Permit#: rip-- do(9 — 00 (W 7 Subdivision/Lot#: fc l fA a__ 4-3 and/or Map and Tax Lot#: (of.* a--2Q 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: VThe ground surface of the under-floor space is covered with 6-mil black polyethylene sheeting with LJ Joints lapped 12"at seams and Extending up the foundation walls 12". Signature: llit�` Date: ( 2 ( - )O,20 General Contractor or Owner-Builder I:\BuildingTorm\RES-MoistureBarrier.doc 09/13/2016 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, c"--4beF — c.Js-�-� am the general contractor or the owner-builder at the following address: Site Address: 13 f ( 1.1 C ki C C City: Permit#: Y l gr a I Ql " ©o l 8 7 Subdivision/Lot#: Je,„F 4tircaa.--- 4 3 and/or Map and Tax Lot#: lot 3 0 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. C-4tSignature: Date: f 02- General Contractor or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Form 640S 2017 Completion Certification—Site Inspection - New Homes Program—Single Family , ust 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 Its this payment redirected?. INo Builder or Company. Polygon Northwest-WA Redirect to Name. Verifier Payee Company Name. Performance Insulation and Energy Redirect Payee Comm Affordable Housing No Solar Ready Builder Incentive: No 'Solar ReadyVerifier IncelNo Site Information Development: NE River-Area 3 Med/Std !Lot 230 (Axis ID: I I REM/Rate®ID: Address: 11194 SW'186Mt 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 Crawlspece Electric Provider Portland General Electric Gas Provider: NW Natural Gas Solar installed None 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- _ Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 59.0 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: I610 Cooling Air Conditioning SEER. Model# NTXMMX48A182BA Primary Heating System Details AFUE: Brand Mitsubishi Type: Electric Heat Pump-Mini Split Non-Ducted HSPF: 13.5 Model#: 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 12 Gallons: I Brand. AOSmith Water Heater Type Heat Pump EF: I Model#. HPTU-80N 130 Water Heating Fuel Electric Location' Garage or ope Ducts and Duct Location 'Unconditioned %ducts inside [0%.t ;1Duct Leakage(CFM)@ 50Pa: Testing Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.66 I Ventilation Ventilation Type HRV/ERV Model. Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination Appliances Refrigerator kWh/yr 645 Model' GSE25GSHPCSS ENERGY STAR Diswasher kWhlyr 240 Model. GDT6**F*** Percent High Efficacy Interior Lighting(%) 100% Thermostat Showerhead 1.5 GPH I Showerwend 1.5 GPH I Showerhead 1.6 GPH I JShowerhead 1.75 GPH I