Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, --(Ay y'Line. M ir2,R1 L , am the general contractor or the owner-builder
at the following address:
Site Address: I ti(1 1 ' U wu,i
City: fl h
Permit#: - Za 2 I - op art
Subdivision/Lot#: Iw�1-I - f 501
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:
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".
/Si ZZ--
Signature: Date:
eneral ontra r or Owner-B
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 2o2 ( _ 00 2-Lc Jurisdiction: —II (5,144.4
Site Address: I LQ fl CI y A) Tt'wkl 912/
Subdivision/Lot#: g � bpi-- ( 5 c
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
5/ ZZ
Signature: G/ Date: /Owner/ eneral ntractor/Au
�d 11 eL.�tL /
Print Name: 7
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\Fomu\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, �N y tine /1 o .2-.( �n/ , am the general contractor or the owner-builder
at the following address:
Site Address: I L f (7I d )
City:
Permit#: M Ser 2_02 I - oo2L
Subdivision/Lot#: Ro1,14/6_ Lbr. I 59
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: 5 / C/Z Z
Genera]Con otraEt r or Ownertti}
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
_
Form 6405 2017 <^€4
Completion Certification—Site Inspection EnergyTrust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult lee Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: IPoygon Northwest-WA Ile this payment redirected?: INo
Builder or Company: Polygon Northwest-WA Redirect to Name:
Verger Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No (solar ReadyVenfier Inc.No
Site Information
Development'. RT 4 EASTRIDGE II MED ILL) 1159 Axis ID: I IREM/Ratet ID:
Address: 16879SW TOWNSViLLE ST
Street Line 2 Muni-Family INo City: TIGARD Slate: OREGON Zip: 97224
Total conditioned area(sq.h.): 3,150 House Volume: I 31.500 Housing Type: Detached single family
Number of Stories: 13 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 Details&Notes
Slab Perimeter Insulation i R. 0.0 Slab Under Insulation R-
Framed Floor i R- 30.0 Secondary Framed Floor R- 59.0
Insulation
Above Grade Wall Insulation i R- 23.0 Below Grade Wall Insulation R-
.
FlatCeiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:I0.3 Total window area. I470
Cooling Air Conditioning SEER: 0 Model U: ML14XC1S036-230C08
Primary Heating System Details i AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model ft: ML196UHOTOXE36B-52
Heating Fuel: Gas SEER:
Primary Heat
source Comment: COP:
Location: Attie Outdoor Unit(for heat pumps)
ECM: No Model ft:
AHRI Certificate:4805339 F of Systems 11
Gallons: ] Brand: AOSmith
Water Heater Type Storage EF: I Modelk: HPTU-80N 130
Water Heating Fuel Gas Location: 'Garage or ope
Ducts and Duct Location 'Partial %ducts inside: Duct Leakage(CFM)®50Pa: 1152
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.51 I
VentilationVentilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why unteslable' 'Root Termination
Appliances
Refrigerator kWNy Model:
ENERGY STAR DIswasher kWlvy, Model: GDFSIOPSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerhand 1,5 GPH j Showerhead 1.6 GPH I IShawerhead 1.75 GPH I
Notes: