Report (2) •
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, „'v„ ci,c.//— , am the general contractor or the owner-builder
at the following address:
Site Address: t.1 30 6(4..) A � `
City: 1.174,4C01 02
Permit#: MA 57 2IJ Z I — 00073
Subdivision/Lot#: I <,IU� ,� yy e ,� /� ` (P6'. -A -
and/or V ram/► i' ^J lie- / W /
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.
Signature: mgr. Date: � 7/ i
Gene '1L,untrue fi"•rr 0.. -Builder
I:\BuildingWonn\RES-MoistureSensitiveWood.doc 09/25/O8
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: l A /t goy _/ t(�^ Jurisdiction: r7s
„,,,j
Site Address: //�I3(j //_t /<
Subdivision/Lot#: R (J
I V r/t -P,VV 9-e.e /C, CPr4w
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 NI 107.2)1
Signature: Date: _�y
O mw e+,4 Q.Fre for/Authorized Agent
Print Name: �}4v1 _ c ,`
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.
1:\Building\Forms RF.S-HighEfficiencyl.ighting.doc 07/0I/OK
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 4 Lp# , am the general contractor or the owner-builder
at the following address: kSite Address: /( /. C ! ) n
City: J gia ' -
I
Permit#: 4119 -2i21—
Oa)
Pii
Subdivision/Lot#: 1 \l im/ ±-0-1(Y �5- Y
and/or
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
requireme .
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sh eting wi
Joints lapped 12"at seams and
y"
xtending up the foundation walls 12".
Signature: Date: _30-
General Con t nilder
1:\Building\Form\RF.S-MoistureBarricr.doc 09/13/2016
Form 6d03 2017
Completion Certification—Site Inspection
New Homes Program—Single Family --' ; t
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 I Is this payment redirected7: INC
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 ISoler ReadyVerlfier Inc1INo
SI a Information
Development. R##T 4 EASTRIDGE 11 MED 1 0l [165A Axis ID: IREM/Ratee ID:
Address N4T30¢`W 165TH AVE -..
Street Line 2 Multi-Family INC City. TIGARD State: OREGOP Zip. 97224
Total conditioned area(sq.ft.): 2,572 House Volume: I 22,965 Housing Type: Townhouse end
Number of Stories: 12 Number of Bedrooms: 5 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 Oatalla&Notes
Slab Prmm:Mor l sulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
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:I0.3 Total window area: I
Cooling Air Conditioning SEER: 0 Model k:
Primary Heating System Details AFUE: 95 Board Lennox
Type: Gas Furnace HSPF: Model it ML196UH070)(E36B-52
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat{Sumps)
ECM: No Model it: I
AHRI Certificate:4805339 a of Systems 11
Gallons: 165 Brand: BradfordWhlte
Water Heater Type Storage EF: 13.4 Model ft: RE250T6-INCWW
Wafer Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:9952297
Ducts and Duct Location [Partial Y ducts inside: Duct Leakage(CFM)®50Pa: 141WiNRM. r...».,
Testing
Infiltration Alr Changes per Hour(ACH)Q 50Pa: 3.44
Ventilation Ventilation Type HRWERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Appliances
Relrigerator xwlyr Model:
ENERGY STAR Diswasher kWNyr Model: GDF510PSR3SS
Percent High Efficacy Interior t inkling(%) Thermostat
Showerhead 1.5 GPH I Shuwerwand 15 GPH I Showertread 1.6 GPH I IShowerhead 1.75 GPH I
Notes:
Version
Modeler Jesse P'"' �„��, _ .ITEM Mpdeling
Daily Project II 1 Buildingrvame 1F220322.1_,w.. Builder .Polygon Northwest-WA Trella Name
FileName PNW IND P221400AN 1165A Address 14130 SW 165TH AVE City TIGARD Zip Code
640 FileName 1F220322.1-FINAL 640-PNW IN Electric Utility Portland General Electric Gas Utility :NW Natural Gas
Review FileName 1F220322.1-FINAL REVIEW-PNI Sq Ft 2,572 Volume #N/A Housing Type
REM FileName JF220322.1-FINAL-PNW IND P2 Bedrooms 5 Stones 2
FloorR 30.0 Unheated 'S9 Slab
Walls 23.0 Below Grade 0
Orientation N U-Value '0.3
Attic 49.0 Vault 0 Vault FR?
AFUE or HSPF 95 location .Attic
WH EF 3.4 Locabon Garage of open crawl space Ske ".,,.�
AC Model 0 AC SEER 0
Ducts Partial % 50% Duct Leakage
ACH 3.44 4entilation Supply Side-Air Cyder Vent.Rate
Refrigerator Dishwasher CFL
Redirect DA Redirect Match
NnM> 0
,.„ ,hasicai Information "$
Venfler 'Tyler Furnace Brand Lennox
Builder Polygon Northwest-WA Furnace Model II ML196UH070XE36B-52
Subdivision RT 4 EASTRIDGE II MED Furnace Location Attic
Address 14130 SW 165TH AVE WH Brand BradfordWhite
Lot 165A WH Model# RE250T6-1NCWW
Plan 221400A WH Location Garage or open crawl space .. klw
Orientation N Ventilation Supply Side-Air Cycler
Blower Door 1,315 AC Brand .
Volume 22,965 AC Model Pt
Ceiling Height 9 AC Seer
ACH 344 Dishwasher Brand GE
%Ducts Inside 50% Dishwasher Model GDF510PSR355
Duct Leakage 141 Refrigerator Brand 1., w
Max Duct Leakage 15a Refrigerator Model p
lighting ...-. *'4El
#inside PUG DPW El Form? No
a CFL PTCS Form? No
Percentage #DIV/0!
Target 1¢11DIV/0!
#CFI Needed 1iDIV/01
Adjusted% ` 11DIV/01
Add to get 100%? 4DIV/01
Final Lighting% dDIV/O1