Report (2) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
1, 4-yL floe-0 -A , am the general contractor or the owner-builder
at the following address:
Site Address: I /?Oei ,J u..LIi .
City: `1—l6:0( )
Permit#: V151— Zd2( — CO 2-4-2—
Subdivision/Lot#: R-0*1-I14.. L0r1-- 64;
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
L'_l Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
(Signature:
� /8Z� Date: Z
General Contractor
I:1Building\Form1RES-MoistureBarrierAcknowledgement_022018