Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: (V1 GT 2,021 Od z3' Jurisdiction: t 614)
Site Address: Re Brio S v) Rd00,4r L.,,(
Subdivision/Lot#: Ros 4 q t L o-r 2'7 te
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
Z Z 5"
Signature: L jdoieL .�--- Date:
Z
Owner/GenerContract orizecjiAgent
Print Name: 'd L�Gt
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, /'`t tf L t4 v<4 Sttil , am the general contractor or the owner-builder
at the following address:
Site Address: Le U'7 0 0 C4,1MpTsj L /
City: --T-' tqlZID
Permit#: M lot - 0023,
Subdivision/Lot#: R r L 0- - 2-3 Co
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: GAG G. Date: /Z c Z 2-
General Contrac or Owtifuilder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R4O8.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 'j 74vt6.2 M a-1zre'i , am the general contractor or the owner-builder
at the following address:
Site Address: (Q S7 0 .a Roe 1 1,k
City: - 'l A
KD
Permit#: j-�y<r ZDZ( — 0 p Zaj 4-
Subdivision/Lot#: [o k. L.,Di- 2.; L-
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:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
xten ling up the foundation walls 12".
Signature: Date: �` Z
General Con or or Owner-B ' er
I:1Building\Form1RES-MoistureBarrier.doc 09/13/2016
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family . ,C.0 Tru.„„ i
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?: 'No
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 'Solar ReadyVerifier InctINo
Site Information
^ • TT
Development. 4 EAST RIDGE Lot 236 ^ Axis ID: I IREM/Rate®ID:
Address: 16870 SW ROCKHAMPTON LN
Street Line 2 I 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: 3 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields aro required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insuation 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:10.3 Total window area: I
Cooling Air Conditioning SEER: 0 Model it
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: 166 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location 'Partial %ducts inside: wry} Duct Leakage(CFM)t 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.59 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWidyr Model:
ENERGY STAR Diswasher kWh/yr Model GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH '
Notes: