Report (2) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, ✓ _... , am the general contractor or the owner-builder
at the following address:
Site Address: /v , I6 L 1 ot 1 z.v a
City: y u 04
Permit #: qT&2 l- On )Z 40.
Subdivision/Lot#: P, ,
rtS t; )f Z,67Lf
and/or
Map and Tax Lot#: 1
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
requireme :
The ground surface of the under-floor space is covered by a Class I vapor retarder or
of er approved materials,with
Jo' is lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: Date: _ 2
Ge r Co actor or 0 ner-Builder
I:\Building\Form\RES-MoistureBarrierAcknowledeement 02101 R
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: 1V 9[ 4
4/0
City:
Permit#:
67--z i -a)
Subdivision/Lot#: J,/�a_,�� ��Z � L/0 1`1
and/or ' �(� G
Map and Tax Lot#: t�
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: // 72 1
eral Contractor Owner-Builder
1:\Building\Form\RES-MoistureContentAcknowledgement_022018
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Oregon Residential Specialty Code N1107.2
ast
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ///( r2 1` iZ co Jurisdiction: 7 davt
Site Address: -! a ,/ 51 ,t Lackf c-T
Subdivision/Lot#: C;06 / \ (��/�
and/or '�L(/ f
Map and Tax Lot#: A c
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 NI 107.2)1
Signature: Date:
wner/General o tor/Authorized Agent
Print Name:
1 �
' ORSC Section N 1107.2.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 final 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:\Bui Iding\Forms\RES-H ighEfficiencyLightingAcknowledgement_022018
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OTniream-
LISI
Local Relationships.National Resources.
USI JB Insulation
14255 SW Galbreath Drive
Sherwood. OR 97140
Installed Insulation Certificate
We certify that the insulation material listed here was installed at the address listed below:
Other than loose fill only aluminum foil only
loose fill&
aluminum foil
Initial Installed&
Foam No.of Coverage Minimum Settled Air Spaces Direction of
Loose Fill Kraft Unfaced Rockwool open/closed BIBS® R-Value Thickness Pkgs Area(SF) Thickness No./Thickness Heat Flow
Attic e ❑ ❑ ❑ ❑ ❑ R-49
Ceilings ❑ ❑ ❑ ❑ ❑ ❑
Floors ❑ ❑ ❑ ❑ ❑ ❑
Walls ❑ ❑ ❑ R-21
Basement ❑ ❑ ❑ ❑ ❑ ❑
Crawlspace ❑ ❑ R-30
Other ❑ ❑ ❑ ❑ ❑ ❑
Contractor Daniel Serene Address or Lot Number: Lot 15-10404 sw Lucy Ct
(Signature) City,ST Zip: Tigard OR 97223
Title Date Installed: 11/22/21
TT.OPS.FRM.010