Report Oregon Residential Specialty Code N1107.2
g � tY
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: M 1T Z D Z S - 0D 2,53 Jurisdiction:
Site Address: Re p L.4 MA) -fig v f j SIr
Subdivision/Lot#: 2� (/9-> L-Dr 2-2-0
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 N1107.2)1
Signature: 1"/ dZ/ Date: 3 / r /2- 2--
Print Owner/General ntractozlhtrl prized Agent Name:
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.
I:16uilding\Fmms1 ES-HighEfficiencyLighting.dac 07/01/08
Z20
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, - I�3.-y Lo-g M triti-t am the general contractor or the owner-builder
at the following address:
Site Address: I 4 q r 4 i) aA}N '/L(J— )j_
City: —F11)
Permit#: Nl kr LD Z I — OD 25
Subdivision/Lot#: Z �C(L j_..D-r- ZZ 0
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 i
requirement:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
xtending up the foundation walls 12".
Signature: di( " ���� Date:
eneral Contractofor Ownirc-)ceder----
I:\Buildin onn\RES-MoistureBarrierdoc 09/13/2016
�
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
�-12 1(1"-M'Ll , am the general contractor or the owner-builder
at the following address:
Site Address: 1 b ri D L AJ CT
City: j 1 6..flfZ 6
Permit#: S Z o Z ( - OD Z S'Z
Subdivision/Lot#: -Rosi4 LAsr- 2 _0
and/or
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: t�/ Date: 3 /18/iz_
General Con r or-0<er-Builder
1:\Building\Form\RES-Moisture5ensitiveWood.doc 09/25/08
120
Form 640S 2017
Completion Certification—Site Inspection �ne ,,,, �"USt
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust or Oregon,Mc.
Payment Information
Incentive Payee Company Name: 'Polygon Northwest-WA Ile this payment redirected?: INo
Builder or Company: Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier InctilNo
Site Information
Development: 4 EASTRIDGE IL., I220 Axis ID I REM/Rate®ID:
Address: 16704 SW TOWNSVILLE ST •
Street Line 2 Multi-Family I No City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,703 House Volume: I 25,635 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawispace
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&Nuts%
Slab Perimeter Insulation R- Slab Under Insulation R-
Insu latien Framed Floor R- 30.0 Secondary Framed Floor R-
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: I
Cooling Air Conditioning SEER: 0 Model#: ML14XCISO42-230A06
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH090XE46C-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Agin Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons: 166 Brand: AOSmilh
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU86N 130
Water Heating Fuel Electric Location: 'Garage or ape AHRI Certificate:
Ducts and Duct Location Partial %ducts inside: ^'7 Duct Leakage 0FM 7
Testing
Intl Welkin Air Changes per Hour(ACH)(§50Pa: 3.72 I
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWNyr Model:
ENERGY STAR Diswasher FWNyr Model. GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: