Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, f("PM( N I l DA,i , am the general contractor or the owner-builder
at the following address:
Site Address: ( l4, 501 91,0 Af u I j
City: -fir 61141 D
Permit#: 5''J' Z 1 _ 0 0 20 8
Subdivision/Lot#: ( LA.
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:
ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
xtending up the foundation walls 12".
Signature: Date: /Z_- 17
4V
eneral Contract 0 u er-Builder \.
I:1Building\Form1RES-MoistureBa rier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: P 1 it jo 2_+ — 002,08 Jurisdiction: --'11 a,z
Site Address: (Q 5q t 51,0 goKr,34,A(LMer
Subdivision/Lot#: 4_B 'R t ( ile—
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 N1107.2)1
Signature: j;jeZ/ Date: /Z 7A v '
Owner/Gener ntracto ent
Print Name: CJL 77- L/ T /ze-4-e
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\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, N' O R4 cerd , am the general contractor or the owner-builder
at the following address:
Site Address: Le S 1 Z- 9-i A/ //A/6
City: '-I FIR ,b
Permit#: M 1-0 2-I - DO Z-0
Subdivision/Lot#: , 4 2. 5,1 le-
-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.
Signature: Date: /2_-/V1
General Conha r or Owner- u er
I:\Building\Form\RES-MoistureSensidveWood.doc 09/25/08
..r.u.r.rrlr�rra.
Form 640S 2017
Completion Certification—Site Inspection L.- e Trust
New Homes Program—Single Family
�>a
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: 'Performance Insulation and Energy I Is this payment redirected?: 'Yes
Builder or Company: Taylor Morrison Inc. Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn Performance insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive: 'Solar ReadyVerifier Inc"
S@a Information
Development: RT4EIIM Lot 11,:r,,, �' �`�\f 1 Axis la I 'REM/RaleE ID
Address:
Street Line 2 Multi-Family No City: Tigard State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,540 House Volume: I 25,654 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC:] Total window area: I
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH070XE36B
Heating Fuel: Gas SEER:
Primary Heat -
Source Comment: COP: _
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:4805339 #of Systems 11
Gallons: Brand: AOSmith
Water Heater Type EF: I Model#: HPTU-80N 130
Water Heating Fuel ,Location: 'Garage or ope
Ducts and Duct Location 'Partial %ducts inside: ', Duct Leakage(CFM)@ 50Pa: -i��� „, 'ti �;�\�y����a„ ��,
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.26 1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I 'Showerhead 1.75 GPH I
Notes: