Report 4 •
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
am the general contractor or the owner-builder
at the following address:
Site Address: ( LL (7 Det '"��j W '�(((.
City: '1'1 41412/0 �7
Permit#: M yr 2.2)21 — 00742,
Subdivision/Lot#: R, It-e.L LOT ( 6-62
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:
General Contract or Own e
IABuildinff onn\RES-MoistureContentAcknowledgement_022018
Ste
Form 640S 2017
Completion Certification—Site Inspection agtb s`�■L.
New Homes Program—Single Family �' 3 ^' �y ��"'"""'"
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 IN this payment redirected?: INo
Builder or Company Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Insulation end Energy Redirect Payee Corn
Affordable Housing No
Soler Ready Builder Incentive: No 'Solar ReadyVerifier IncrlNo
Site Information
Development: RT4 EASTRIDGE II MED but 1156 Axis ID: IREMfRalee ID:
Address: 4_
#67.69SETOWNSVILLE ST
Street Line 2 Mulls-Fanely INo City: TIGARD State: OREGOI 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
Elecbic 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 Modal Equipment Details&Rates
Slab Perimeter Insulation R- 0.0 Slab Under Insulation
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:10.3 Total window area: 1470
Cooling Air Conditioning SEER: 0 Model 6: 13ACXN042-230.23
Primary Healing System Details AFUE'. 95 Brand Lennox
Type: Gas Furnace HSPF: Model 6: ML198UH090XE48C-51
Heating Fuel: Gas SEER:
Primary Heat -
source Comment: COP.
Location Attic Outdoor Unit(for heat pumps)
ECM'. No Modelli: I
AHRI Certificate:4805339 a of Systems 11
Gallons: I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model a: HPTU-80N 130
Wafer Heating Fuel Electric Location: Garage or ope
Ducts and Duct Location 'Partial %duds inside: ,jYP„ Duct Leakage(CFM)r 50Pa: I181
Tenting
Infiltration Air Changes par Hour(ACH)@ 50Pa: 2.97
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cyder Airflow measured or why untestabie7 IRoof Termination
Appliances
Refrigerator kWNyr Model:
ENERGY STAR Diswasher ewNyr Model: GOF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerheed 1.5 GPH I Showerwand 1.5 GPH I Showerheed 1.6 GPH I IShowerhead 1.75 GPH I
Notes: