Report (2) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
'I I, I-10-721 Svot/ , am the general contractor or the owner-builder
at the following address:
Site Address: I lQ lac tQ O Vv Eroilatthve 6 4er a--
City: telK2D
Permit#: M r 2.0 7i' — 00080
Subdivision/Lot#: Rbsibit Of
and/or
Map and Tax Lot#:
To conform with the 2017 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:
/7/8/Z 2-
General Contr or or Owner-Byilbl�---
I:\Building\Form\RES-MoistureContentAcknowledgement_022018
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t Oregon Residential Specialty Code R408.1
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1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
1, y bra- Mra24se , am the general contractor or the owner-builder
at the following address:
Site Address: I (a(y So coo 6204V sth'/t am-sr Jr
City: '7- b P
Permit#: M51-- 202,1
J MO S
Subdivision/Lot#: R o - 0 1 57,
and/or
Map and Tax Lot#:
i
To conform with the 2017 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 by a Class I vapor retarder or
other approved materials, with
l J Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: 6:1#eG/ Date: / /e /2Z..
General Contractor Owner-Buildeem_-- ,..:-.
I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018
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Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: M y 1/t) I moso Jurisdiction:
Site Address: I kg $O avo givni�,/Ali dk j
Subdivision/Lot#: R_g t a 1 6 I-
and/or 17t . 1
Map and Tax Lot#:
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code NI 107.2)1
Signature: ‘2.1ele -- _ - Date: / / 8Z Z
Owner/General Co traff ctor/Authorized Agent
Print Name: 36 oi! zit, �/����c.6.
' ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
• have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
1:\Building\Forms\RES-HighEfficiencyLightingAcknowledgement_022018
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Form 640S 2017
Completion Certification—Site Inspection EnergyTrust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon.Inc.
Payment information
Incentive Payee Company Name: 'Polygon Northwest-WA Is this payment redirected?. INo
Builder or Company. Polygon Northwest-WA Redirect to Name.
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier IncNo
Site Information
Development. 4 EASTRIDGE Ji nl 1152 Axis ID. I I REM/Rate®ID
Address 16650 SitV$LIPSHtNE COAST ST
Street Line 2 Multi Family _ INo City: TIGARD State: OR Zip 97224
Total conditioned area(sq.ft.): 2,023 House Volume: 1 18,609 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 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-
Insulation
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#: ML196UH070XE36B-52
Heating Fuel: Gas SEER:
Primary Heat
Comment: COP:
Source
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model#:
#of Systems J 1
Gallons: '65 Brand: BradfordWhite
Water Heater Type Storage EF: 13.4 Model#: RE250T6-1NCWW
Water Heating Fuel Gas Location: 'Garage or ope AHRI Certificate:9952297
Ducts and Duct Location (Partial %ducts inside: a�"V' Duct Leakage(CFM)@ 50Pa PSI
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 5.04
VentilationVentilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model: GDT645SSN3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH IShowerhead 1.75 GPH I
Notes:
III
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