Report (2) Oregon Residential Specialty Code R408.1
MOISTURE sand BARRIE�R ACKNOWLEDGEMENT FORM
y�t'� MG��( , am the general contractor or the owner-builder
at the following address: / / p
Site Address: I it13 5 T m e v ' //l./ L'Oo P
City: Tf E-l/r1�v
Permit#: M ,yr ZD2 ` 0vbb3
Subdivision/Lot #: ny{ L 07-- / 8 1
and/or
Map and Tax Lot#:
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
"I Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
r Z I
Signature: ! Date: /i /2- Z_
eneral Contractor Own ---
I:\Building\Form\RE S-Mo i stureB arrierAcknow ledgement_022018
i s
Form 640S 2017
Completion Certification—Site Inspection „, _ ��,�,a st
New Homes Program—Single Family E ` '^�
of Oregon
To be completed by Verifier
CLEAResulf 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 (Solar ReadyVerifier Inc4No
ll Site IMormetion
Development RT 4 EASTRIDGE II MED It at I16t. B Axis in) I (REM/Rated/ID'.
Address sa / e` yyc LOOP
Street Line 2 Multi-Family INo City: TIGARD State: OREGOF Zip: 97224
Total conditioned area(sq.ft.): 3,150 House Volume: I 31,500 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 5 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Soler Installer Name/Company.
Blue shaded fields are reouired for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- 0.0 Slab Under Insulation
Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Insulation
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Wlndows Windows U- 0.3 SHGC:10.3 Total window area'. 1470
Cooling Air Conditioning SEER: 0 Model#: I3ACXN038-230-22
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HOPE: Model# MLI98UH090XE48C-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment. COP
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model a: I
AHRI Certificate:4805339 #of Systems 11
Gallons: 166 Brand: AOSmith
Water Heater Type Storage EF: 13.17 Model It: HPTU-80CTA 130
Water Heating Fuel Gas Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location (Partial %ducts inside: Duct Leakage(CFM)@ 50Pa' ties
Testing
Infiltration Air Changes per Hour(ACH)8D 50Pa: 2.31
Ventilation Type HRV/ERV Model'
Ventilation
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
rtefrigeralor KWNyr 664 Model. GZS22DSJPFSS
ENERGY STAR Diswasher kWh/yr Model:
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Shewerwand 15 GPH I Showorhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes:
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: vi 5>rZ LaL r a}(D 3 Jurisdiction:
Site Address: ( .1 33 aw '-Dq4,N j i/01) P
Subdivision/Lot#: eai4r !j p T l 8I
and/or
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 Specially Code N1107.2)1
Signature: jor
Date: / /
•wner/GeneralC ctor/Authorized Agent
Print Name: Yeo77 2 L /L. J (7
1 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.
L•Bu ild in g\F orms\RES-HighEfficiencyLightmgAcknowledgement_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, I ►'f vurie / a , am the general contractor or the owner-builder
at the following address:
Site Address: (o ' 33 D/1iljv/A/ L,)P
City: f h Ail
Permit#: 1-151-2.a11 - O pop 3
Subdivision/Lot#: KO 1-6 L c' 18 l
and/or
Map and Tax Lot#:
To conform with the 2017 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140, 1 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: L// Date: / Z
General Contractor or ner-Builder
I:\B uilding\FormlRES-MoistureContentAcknowledgement_022018