Report (2) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, r / V toK /1int Z-(C kt-/ , am the general contractor or the owner-builder
at the following address:
Site Address: 1 L Q ' )fit 574,N eorts.,__ ,/ `City:
Permit#: M < 1 2,O 2, 1 — oo-o 12-
Subdivision/Lot#: ( 3 i Ko514n-a_
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.
i
Signature: 4' I`�z C s' Date: /zq /zi
General Contractor or • n :Wider
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, Aytcr2 M '24 , am the general contractor or the owner-builder
at the following address:
Site Address: C J A.Lsifivi- 6ierficir
City: L1 ) g'l 22 3
Permit#: r-(s,'" 2,C)Z
Subdivision/Lot#: '51 �� 1
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 Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
e ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
EFIJoints lapped 12"at seams and
xtending up the foundation walls 12".
Signature:'"~ Date: 9/2-4 /2-1
General Contractor or Qw ier-Builder
I:1BuildingWorm\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: M — 2 U I _ -I L Jurisdiction:
Site Address: ( tv J _ o 3 },i 514 Cy.. asi—
Subdivision/Lot#: 1 /L
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 N1 107.2)1
Signature: ge4e- Date: 9/Z
Owner/General onC tracto// ed Agent
Print Name: 1. `. Z—"/ �J �;tf
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.
I:\Building\FormsVIES-HighEfficiencyLighting.doc 07/01/08
- — a - - - `"tl,
Form 6405 2017
Completion Certification—Site Inspection
New Homes Program—Single Family ,„„ e ,"Tr t
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 Com
Affordable Housing No
Solar Ready Builder Incentive: No ISolar ReadyVerifier Inc4No
Site Information
Development:14 EASTRIDGE !t—1137 Axis ID: I (REM/Rate®ID.
Address: 16693 SW SUNSHINE COAST ST
Street Line 2 Multi-Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,703 House Volume: I 25,635 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type' Crawispace
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
i.
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R-
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: I
Cooling Air Conditioning SEER: 0 Model#: ML14XCtS036-230C08
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH045XE36B-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment. COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons: I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model#: HPTU-66CTA 130
Water Heating Fuel Electric Location: !Garage or ope
Ducts and Duct Location 'Partial %ducts inside: I50.4 Duct Leakage(CFM)@ 50Pa: 1144
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.08 I
Ventilation Ventilation Type HRV/ERV Model:
• Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model, GDF510PSROSS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I 'Showerhead 1.75 GPH I
Notes: