Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, -�y4 tom 14 o-F l Cri4 , am the general contractor or the owner-builder
at the following address:
Site Address: qi C S V
City: I i L4 ,
Permit#: (� �'! - 00
Subdivision/Lot#: ? Zr-t L.-or I C r/
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
requirement:
l "I l ne ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
[ending up the foundation walls 12".
Signature: �� Date: 1777, /2Z
General Contractor or Owner-BuldsL.T.---
I:1Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: I'1ry- 2,02 ( _ e,62,14 I Jurisdiction: t.
Site Address: ` ( Cl c i '70-1/0/1/4.15 MLLE.,
Subdivision/Lot#: ' O i 1 c n
and/or l� I
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: Date: 22"
Owner/Gener ontract,ornArthorize Agent
Print Name: Se27- t `qJ
'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:\Building\Form\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, 7rty/ti2 oba(8 & , am the general contractor or the owner-builder
at the following address:
Site Address: 1 f q c Cv . --r-b-vi
ki go t ui >.-
City: l 1.41,4112A
Permit#: tl 51 i021 - OO2, I
Subdivision/Lot#: R,O L oy I c
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].
ii
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.
i
Signature: '' t/ Date: ZY 2,,,,
General Contractor Owner- u er
'r`
1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017
Completion Certification—Site Inspection ° ""
New Homes Program—Single Family w° $ ,r� w
f Orey n
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name. 'Taylor Morrison Inc Portland Division Its this payment redirected?. INo
Builder or Company. Taylor Morrison Inc Portland Division Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: Solar ReadyVerifier Inc4
Site Information
Development. RT 4 Eastridge II Innovate Il of _1157 raxu II) I 'REM/RateR ID.
Address: 16695 SW TOWNSVILLE ST
Street Line 2 Multi-Family INo City: Tigard State: OR Zip 97224
Total conditioned area(sq.ft.): 3,693 House Volume: I 33,237 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 6 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation 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.
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH090XE48C-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment. COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:4805339 #of Systems 11
Gallons: I Brand: AOSmith
Water Heater Type EF: I Model#: HPTU-BON 130
Water Heating Fuel Location: 'Garage or ope
' Ducts and Duct Location 'Unconditioned %ducts inside: ,'Duct Leakage(CFM)@ 50Pa: 1174
� Tasting .fa Infiltration Air Changes per Hour(ACH)@ 50Pa. 2.38 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why unlestable? IRoof Termination
4
Appliances
Refrigerator kWNyr Model:
ENERGY STAR Diswasher kWh/yr Model:
Percent High Efficacy Interior Lighting(%) 100% Thermostat
3 Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showemead 1.6 GPH I IShowerhead 1.75 GPH
Notes:
13