Report .0
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Ay Ling H U , am the general contractor or the owner-builder
at the following address:
Site Address: I L ' r Z 3vv c1 ili Mi
City: ""rl '14''IZ,y1
Permit#: MSel 2-a i _ b I (6 2—
Subdivision/Lot#: Ro d�-t4 rand/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: i/q/z
eneral Contractor -Builder
I:\Building1Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017
Completion Certification—Site Inspection ner t �ry�i
stNew Homes Program—Single Family ")� t �.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 I Is this payment redirected?: INo
Builder or Company: Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name:,Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVerifier IncrlNo
Site information.
Development: 4 EASTRIDGE Lot `r Axis ID: REM/Rate®ID.
Address: A W,Vki '\04,A
Street Line 2 Multi-Family No City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 1,293 House Volume: I 11,766 Housing Type: Detached single family
Number of Stories: 11 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 are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30.0 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#.
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: 165 Brand: BradlordWhite
Water Heater Type Storage EF: '3.4 Model#: RE250T6-1NCWW
Water Heating Fuel Gas Location: 'Garage or ope AHRI Certificate'9952297
„ ,.,w
Ducts and Duct Location (Partial %ducts inside a���,:�Duot Leakage(CFM)@ 50Pa � TI ' ry�
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.47 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Appliances
Refrigerator kWh/yr 613 Model: GYE22GYNGFS
ENERGY STAR Diswasher kWh/yr Model: GDF535PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, yL u M ne , am the general contractor or the owner-builder
at the following address:
Site Address: Req i t.1 L, {>
City: <-1` r 6141
Permit#: H 2- 0 Z( — 0 0 I B Z-
Subdivision/Lot#: 0 01 e)1.40
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
173'. nt's lapped 12"at seams and
xtending up the foundation walls 12".
Signature: f! Date: z- 9 I Z
neral Contractor Owner-Builder
I:1Building\Form\RES-MoistureBarrier.doc 09/13/2016
, 05`.9
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: wri--zoi ( 00 18 Z Jurisdiction:
Site Address: I Lo 11 Z 5/ „J1 l f , / Q
subdivision/Lot#: ,- ,54JI, 0 ' 3 Le
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: L____7P611 �r Date: 2-1 q/21--
Owner/General C."; •ctor/Authorized Agent
Print Name: 30-0--ti i:'/7.--'7""// tw.,./
'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\Fomu\RES-HighEfficiencyLighting.doc 07/01/08