Report (3) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
v'3.� (kl , am the general contractor or the owner-builder
at the following address:
Site Address: 12A1a Sw
V1/420.c4arook.. LA".
City: 1 t N j
Permit#: . _c:301:.3t6
Subdivision/Lot#: I—1
and/or
Map and Tax Lot#:
To confortrwith the 2014 Oregon Residential Specialty Code(ORSC),Section R408.1
Ventilation.I am notifying the building official that I have installed the Moisture Banter as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
�L-7�forms"lapped 12"at seams and
Dcauumng up the foundation walls 12".
�I,l
Signature: ... ., ------- Date: 3 t l
3 )/zi
or Owlet-Budder t
1'JiWdoodaumWf,SMounnt lenge doe 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: 2 Ala S . lam,
V !,-1 n
iS }-✓' -�
Permit e: J
- oo'tg
Subdivision/Lot a: 1"1
and/or
Map and 7sz Lot e:
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 men this code requirement
[Section R3182 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 moistmo-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: gad tfk --- Date: 3 f 30/ZZ
or Owner-Builds 7
I:VMNutranI'S'srwo.6mrnxwootex O9f3et
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ,< `` `�.I-(�Q({ Jurisdiction: t•
om ,
S;mMdraaa: ala son uea,i� 1� ter..
Subdivision/Lot#: 11
and/or
Map and Tax Lot#:
By my signature below,I certify that a minimum of fifty(50)percent of the pamanau]Y
Metalled lighting fixtures in the above mentioned building have beat installed with compact or
linear fluormccat,or a lighting source that has a minimum efficacy of 40 human per input watt.
(Oregon Residential Specialty Code NI 1072)'
Signature: Date: 3/3�wz
6aanect rfAn%boozed Agent
Print Name: /1 i •c (\.42,
ORSC Sector NI1071.High-officiary mmncr lighting oweoa A midem of fifty(SO)paomt o the
pammdr mwlled lid Sanwa aba0 be scalded with concoct or Inver fluorestmet or a lighting source that
he.swan efficacy of 40 htmea per rpm wan. Saew-io maoopart 8uatvicent lams comply with this
requirement
Ths bolding oQical.hall be seabed in writing at the final input on that a minimum of fifty percept of the
pamaaasry analled ligtitmg fume am comp=or how flumes od,or a mu®om efficacy of 40 himrae per li
tape MIR
t'8Ai`N MI"
4)61"'w4a a- s tras��scri "
Certificate of Compliance ti
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: R-38
Walls: R-23 0 Upgrade
Blown in
Rim Joist:
Floors:
Over Garage R-39 BIBS
Crawl Vapor Barrier installed_Y N Sprinkler Tenting 4 mil Poly _Y _N
Loose-Fill Insulation
R-49 using bags of insulation to cover 640 square feet of area at a thickness of 20 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.ft.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: 12979 SW Meadbrook Ln, Tigard, OR. 97224 Lot 17
1/4/22 Carolina Jarquin
Date of Installation Westside Drywall Inc.authorization
3/13/22
Today's Date Building Contractor'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 Tr u s t
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 Its this payment redirectetl?'. INo
Builder or Company. Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Mediation and Energy Redirect Payee Corn
Affordable Housing No
Solar Reedy Builder Incentive: No Isomer ReadyVerifier heel No
Site Information
Development: 3C EASTRIDGE CRESCENT TH 'Lot 117 Axis lD'. 'REM/Rateer ID:
Address: 12979SW MEADBROOK LN
Street Line 2 Multi-Family 'No City: PORTLAND State: OR Zlp: 97229
Total conditioned area(sq.f_)_ 1,540 House Volume: I 14,945 Housing Type: Townhouse inside
Number of Stories: 13 Number of Bedrooms: 2 Foundation Type: Slab Floor
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-
Insu Wtion Framed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 21 Below Grade Well Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- 0.30 SHGC:I Total window area: I
Cooling Air Conditioning SEER: 0 ModelS:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model it: ML196UH045XE36B-51
Heating Fuel: Gas SEER:
Primary Hest
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model S: '
AHRI Certificate:4805339 a t systems '1_
/11
Gallons: 66 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model a: HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location 'Partial %ducts inside: 150% 'Duel Leakage(CFM)iI 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa- 4.2e I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? I
Appliances
Refrigerator kWhlyr Model:
ENERGY STAR Diswasher kWhlyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH1 Showerwend 15 GPH I Showerheed 1.6 GPH ' IShowerhead 1 75 GPH I
Notes: