Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, VF! � �, �-m , am the general contractor or the owner-builder
at the following address:
Site Address: r
City:
Permit#:
Subdivision/Lot#:
and/or
Map and Tax Lot#:
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
requirement:
p4The ground surface of the under-floor space is covered by a Class I vapor retarder or
!other approved materials,with
&joints lapped 12 inches at seams and
FT % xtending up the foundation walls 12 inches.
Signature: ''' _ \�" — Date: 3—\ 0 _.. 2 c%
General Contractor or a liter -
I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018
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Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ` Jurisdiction:
e>
Site Address:
Subdivision/Lot#:
and/or
Map and Tax Lot#:
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: f\p, Date: - \ -
Owner/General Co ractor/Authon-d Agent
Print Name:
ORSC Section N1107.2.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:\Building\Forms\RES-Hi hFfficiencyLightingAcknowledgement_022018
•
Keep For Your Records
•
Green Energy Solutions, Inc.
23515 NW Clara Lane Suite #15o
Hillsboro, OR 97124
Office: 503-615-4242 • Fax: 503-615-8855 • CCB#: 18720i
R-VALUE THICKNESS MANUFACTURER
Walls
Exterior R23 5.5" CertainTeed
Garage
Basement
Rim Joist R23 5.5" CertainTeed
Knee/High/ Skylight R23 5.5" CertainTeed
Interior/Sound
Floors
Crawl R38 12" CertainTeed
Mid-Floor
Fir Over Garage/Cant R38 12" CertainTeed
Heat Ducts
Water Pipes
Vaulted Ceilings
House Batt
House Loosefill
Shop/Garage Batt
Shop/Garage Loosefill
Flat Ceiling
House Batt R49 15.5" CertainTeed
House Loosefill R49 18.25" CertainTeed
Shop/Garage Batt
Shop/Garage Loosefill
Builder/Homeowner: Bartholemy Construction, Inc.
Job Address: 7304 SW Taylors Ferry Road,Tigard, OR
Four Walls, Inc.
Home Energy Efficiency
PO Box 231062
Portland, OR 97281-1062
CCB#146968
PTCS#2194
Phone: 503-547-7139
ron(a,fourwallsinc.com
Whole House Leakage / Duct Leakage Affidavit
Permit#: Builder: Bartholemy Construction Mgt
Site Address: 7304 SW Taylors Ferry Rd, Tigard OR 97223
Cond. Floor Area (sq ft ): 2954 Source: Plans Estimated Measured
Duct Leakage Test
Air Handler in conditioned space? X Yes No Air Handler present during test? X Yes 1No
Test Method: Leakage to Exterior or Total Leakage
Maximum duct leakage:
Post Construction, leakage to exterior: (floor area x .06) or 75 cfm minimum = 177 CFM @ 50 Pa
TEST RESULT: l 7 l CFM @ 50 Pa Ring: Open
Duct Blaster Location:: ) -c\u1 f1 i i R/A Pressure Tap Location.�-400 6M-1r9 S/A
Minneapolis Blower Door and Duct Blaster w/DG 700 manometer
I certify that these test results are accurate and determined using PTCS testing protocol.
Company Name: Four Walls Inc T ian: Ron Nardozza/Jan Barlow
Technician Signature: ( Date: March 17, 2020
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