Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 1—ILd12 fiv4204 , am the general contractor or the owner-builder
at the following address:
Site Address: Le lQ`f'1 -1t �, ,/�/
City: -, � D !U
Permit#: M ST 2-0 Z I — 0 o 2-4O
Subdivision/Lot#: Zo LOr l Le
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.
S Z�
Signature: Date: 5
eneral Contractor or O
._nlez-Beint)--
I:\Building\Fonn\RES-MoishveSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: � — oo2M O Jurisdiction: j-VA z
Site Address: I �� L(t) )
Subdivision/Lot#: 0 N, - 1_,07- ! (2Q
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: Si/.6‘
/ Date: 5/3 / ZZ
Owner/GeneraContractor.I. nt
Print Name: deo L/LL-7 `1
r 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:1Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, -1-pq"1 t "a. fr 0.4,e4 , am the general contractor or the owner-builder
at the following address:
Site Address: I u it L STO "TerL)/1.: ag_
City: Ti D Permit#: M 5'1— Z o Z I — 00240
Subdivision/Lot#: Kci ,4#1... L Di— 1 (g d
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:Ve 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: Z l Date: �I .�l 2—
G��//� /�4
eneral Contractor r O udder
I:\Building\Form1RES-MoistureBarrier.doc 09/13/2016
Form 6408 2017
Completion Certification—Site Inspection E. r Treust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name 'Polygon Northwest-WA Its this payment redirected?: [No
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 ISolar Readyverlfier Inc. No
Site Information I
Development RT 4 EASTRIDGE II MED Lot 1160 leers ID. IREM/Ratee ID:
Address: 16849 SW TOWNSVILLE ST VAAa'1"'w� 'S;
Street Line 2 Multi-Famiy INo City: TIGARD Slate: OREGOh Zip: 97224
Total conditioned area(sq.ft.). 3,993 House Volume: I 37,838 Housing Type: Detached single family
Number of Stones: 13 Number of Bedrooms: 5 Foundation Type: Crawlspece
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- 0.0 Slab Under Insulation R-
InsulationFramed Floor R. 30.0 Secondary Framed Floor R- 59.0
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:I0.3 Total window area: 1470
Cooing Air Conditioning SEER: 0 Model#:
Primary Healing System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HOPE: Model#: ML196UH090XE48C-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location_ Attic Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:4805339 Pot Systems 11
Gallons: I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model#: HPTU-BON 130
Water Heating Fuel Electric Location: [Garage or spa
Ducts and Duct Location IPartlal %ducts inside: Duct Leakage(CFM)8 50Pa: 1181
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.28 [
VentilationVentilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untesteble? [Root Termination
Appliances
Refrigerator kWher Model:
ENERGY STAR Diswasher kWtyyr Model: GDF550PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I [Showerhead 1.75 GPH I
Notes: