Report (2) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ` ( yL-Ne. H Stv , am the general contractor or the owner-builder
at the following address:
Site Address: Rail e z 9-7,0 �,`�r�//i�
1 �l�aZ
City:
Permit It: My ZoZ I — oOd 8.p
subdivision/Lot#: 5 2, � ( RLk )�
and/orA,
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.
zz zI
Signature: Date.: /z_i
eneral Contractor r caner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, �i9-y L1r� H U 4 , am the general contractor or the owner-builder
at the following address:
Site Address: ti j2usta, v" /AAi (1 O s7.--
1 (4(181
City:
Permit#: Pi 2-0Z f - DOO SP_
Subdivision/Lot#: {/ J Z. Q t),15/j914_ (7)v PL/z'7 #644-011/
and/or A6U
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:
e 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: h Date:
General Contraqir or Owner-Builder
I:1Building\Form1RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ti sr Z 01 _ coo so Jurisdiction: ,Tl D
Site Address: ` Lou sca
Subdivision/Lot#: , C Z (I C - - )
and/or DU
Map and Tax Lot#: �J
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: ./il -- Date: /Z ?'2
wner/General ntrs,ctor/AuttjriaeeAgent
Print Name: E./ e 0.7( L/Z,V'�-
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
Form 640S 2017
Completion Certification—Site Inspection '"°'"' .» Trus
t
New Homes Program—Single Family O.)t ,a
0t 0f'et'o tt
To be completed by Verifier
CLEAResuit is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: [Polygon Northwest-WA Its this payment redirected' INo
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 ISolar ReadyVerifier IncelNo
Site Information Development 4 EASTRIDGE If of I_1152 .''Axis ID: I IREM/Rate®ID.
Address 166 -'TTr7Ot:* ST A'
Street Line 2 M ll:Family INS 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-
Framed Floor R- 30.0 Secondary Framed Floor R-
Insulatlon
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: 165 Brand: BradfordWhite
Water Heater Type Storage EF: 13.4 Model#: RE250T6-1NCWW
Water Healing Fuel Gas Location: (Garage or ope AHRI Certificate:9952297
Ducts and Duct Location (Partial %ducts inside: tZ Duct Leakage(CFM)@ 50Pa: rtfi
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.78 I
VentilationVentilation Type HRV/ERV Model.
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWl/yr Model: GDT645SSN3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: