Report (3) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
City:
tr
Permit#:
Subdivision/Lot#:
and/or
Map and Tax Lot/4:
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:
13The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
[ hoints lapped 12"at seams and
Extending up the foundation walls 12".
Signaturt__( Date: /6/1z
t or Owner-Builder
Li.13uildinifform\RES-MoistureBarner.doc 09/13/2016
•,..
,
1
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Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ( .-c-.\c- c !..- \_..\ (' , am the general contractor or the owner-builder
at the following address:
Site Address:
City:
1 s' --v•-•.,,„.\•
Permit#:
t-AST-1,0A0----
Subdivision/Lot#:
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.
_ ___,
Signatu • ----
_ Date:
,..._
or Owner-Builder
IABuilchaglarra\RES-MomureSensuiveWooct.dix 0925/03
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.:
Jurisdiction:
I Ikts,y-C.\
Site Address:
--C
Subdivision/Lot#:
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: Date: (Z. —1—
Owner fer4C.ointractor/Authoriied Agent
Print Name: ns,
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.
1:\Building\Fcrrms1RES-Hi ghEffici ency gh ring.doc 0 WO I/08
lorsivestririskihtaNtor
�'�\'WIX 1-4 E4 �NSt11:.X►'T\4N
Certificate of Compliance
This document certifies that the fiberglass insulation has been installed in conformance
with the manufacturer's recommendations and requirements to provide thermal resistance value(s)of:
R-value Thickness Coverage Area
Ceilings: R-49 X New Construction
Vaults/Slopes:
Walls: n Upgrade
Blown in R-23
Rim Joist:
Floors:
Over Garage R-38
Crawl Vapor Barrier installed_Y _N Sprinkler Tenting 4 mil Poly x Y _N
Loose-Fill Insulation
R-49 using bags of insulation to cover square feet of area at a thickness of 16.75 inches.
Owens Corning`PROPINK"L77 Loosefill Insulation
Owens Corning will accept no responsibility when the product is not installed in accordance with the product label.Stated R-value is provided by
installing the required number ofbags at a thickness not less than the labeled minimum thickness.Installation of the required number ofbags may yield
more than the specified minimum thickness.Failure by the installer to provide both the required bags and at least the minimum thickness will result
in lower insulation R-value.
R-VALUE BAGS PER MAXIMUM NET MINIMUM WEIGHT MINUMUM
1000 SQ.FT. COVERAGE PER SQ.FT. THICKNESS
To obtain a No.of bags per 1000 sq. Contents of this bag Weight per sq. li.of Installed insulation
thermal resistance ft.of net area: should not cover installed insul.should should not be less
(R)of: more than:(sq.ft.) not be less than:(lbs.) than:(in.)
60 28.0 35.8 0.895 20.00
49 22.2 45.0 0.711 16.75
44 19.7 50.7 0.631 15.00
38 16.7 59.9 0.534 13.25
30 13.0 77.0 0.416 10.50
26 11.2 89.6 0.357 9.25
22 9.4 106.3 0.301 8.00
19 8.0 125.0 0.256 7.00
13 5.4 184.6 0.173 4.75
Property Address: 13078 SW Aubergine Terrace, Lot 1, Tigard, OR
11/08/21 Carolina Jarquin
Date of Installation Westside Drywall Inc.authorization
12/29/21 �,c 4ria, I• -uut-
Today's Date Buildi/Co if ractor's Signature
Taylor Morrison
Company/Customer Name
P.O.BOX 99*HUBBARD,OR 97032*(503)620-7036*FAX(503)624-0599*CCB#71044
Form 640S 2017
Completion Certification—Site Inspection Ene t
New Homes Program—Single Family vo �w
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment IMormttion
Incentive Payee Company Name: (Performance Insulation and Energy I Is this payment redirected?: (Yes
Builder or Company: Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier IncelNo
Bite lnfrmstkan Development: RT 1B EASTRIDGE ROWHOMES Lot r„,!6,4"Z':,1IgN1�.Axis ID: REM/Rate®ID:
Address:Street Line 2 Multi-Family No City: PORTLAND State: OR Zip: 97229
Total conditioned area(sq.fl.): 1,908 House Volume: I 23,000 Housing Type: Townhouse end
Number of Stories: I4 Number of Bedrooms: 3 Foundation Type: Slab Floor
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed Nona Solar Installer NamelCompany:
Blue shaded fields are required for EPS sheet
Veriff¢stion,. Type Astual Model f Equipment Details 6 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 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 urea:
Cooling Air Conditioning SEER 0 Model#:
Primary Heating System Details AFUE 95 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: No Model#:
AHRI Certificate:4805339 #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 op:AHRI Certificate:
Ducts and Duct Location (Partial %ducts inside: Duct Leakage(CFM)@ 50Pa: L;
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 5.51
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Refrigerator kwl✓yr 613 Model: GYE22GYNGFS
ENERGY STAR Diswasher kWNyr Model: GDT510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I (Showerhead 1.75 GPH I