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Home My WebLink AboutReport Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, IT ( M�SD71l , am the general contractor or the owner-builder at the following address: Site Address: ( (i ( '1 1 3/0 '-�orkukig '/a-,- City: Ti i`J Permit#: MY toil — 0D252- Subdivision/Lot#: LO� Z( 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 requirement: The ground surface of the under-floor space is covered with 6-mil black polyethylene sheeting with ILE/.ro7mts lapped 12"at seams and xtending up the foundation walls 12". Signature: / __ Date: s/s/LZ metal Contra r or Owner-Build I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Z p z _ 6024-2- Jurisdiction: f Site Address: l I Let." (7 Z Subdivision/Lot#: �� (it b OT 21 O 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)I Signature: C:4 (11/ Date: / S/ z� Owner/General C actor/Authorized Agent Print Name: �6 — L ' 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:\BuiIding\Forms\RES-HighEfficiencyLighting.doc 07/01/08 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, , am the general contractor or the owner-builder at the following address: Site Address: l(4f.� 7 d-t4/ .i V+/fit City: Permit#: 1`11-1-02-1 - coisz Subdivision/Lot#: LOT- Z1 Bj 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. 5/Signature: dC-0, is/, Date: s ZZ General ContractooOwner-B 1:1Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Form 640E 2017 Completion Certification—Site Inspection St New Homes Program—Single Family of Oregon To be completed by Verifier CLEAResulf is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment Information Incentive Payee Company Name: 'Polygon Northwest-WA Its 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 Solar Ready Builder Incentive: No [Solar ReadyVerifier Ince'No Site Information Development: 4 E EASTRIDGE 'Lot 1218 Axis ID: I IREM/Raterti ID: Address. Tn672 5W TOWNSVILLE ST Street Line 2 Multi-Fam:y INo 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: 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 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: I Cooling Air Conditioning SEER: 0 Model e: Primary Heating System Details AFUE: Brand Lennox Type: Gas Furnace HSPF: Model it: ML196UH090XE48C-51 Heating Fuel: Gas SEER: Primary Heat Source Comment: COP: Location: Attic Outdoor Unit(for heat pumps) ECM: Model a. I N of Systems 11 Gallons: I66 Brand: AOSmah Water Heater Type Heat Pump EF: 13.17 Model It: HPTU-66N 130 Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate: Ducts and Dud Location 'Partial %ducts inside: v. Duct Leakage(CFM)@ 50Pa: 1226 Tasting Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.5 I Ventilation Type HRV/ERV Model- Ventilation Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination Appliances Refrigerator kW6'y, Model. ENERGY STAR Diswasher kwnlyr Model: GOF550PSR3SS Percent High Efficacy Interior Lighting(%) Thermostat Showerhead 1.5 GPH I Showerhead 1.6 GPH I (Showerhead 1.75 GPH I Notes: