Report (2) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
am the general contractor or the owner-builder
at the following address:
Site Address: /M P( c5„ �) LCiJ
ty: avu‘r4
Permit#: M 2� ,.r(1)�a 2
Subdivision/Lot#: 6(ic f7
and/or
Map and Tax Lot#: C�
To conform with the 2017 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: Date: (7j
eral Contractor or Owner- uilder
I:\Building\Form\RES-MoistureContentAcknowledgement_0220I 8
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: pq
711 6to LoLy C�
/►T-
C>ty: 1--%
VIA
Permit#:
fig' ibZl- 00/ Z
Subdivision/Lot#: / k'Cri
( 4eaji
'�
and/or
Map and Tax Lot#:
To conform with the 2017 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 by a Class I vapor retarder or
other approved materials, with
[T] Joints lapped 12 inches at seams and
1-1 Extending up the foundation walls 12 inches.
Signature: Date:
C -cr Ow o ner-B ir7er /
I:\Building\Form\RES-MoistureBarrierAcknowledgement 022018
m rp
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Agrz0- onAJurisdiction: Ttot4
Site Address: l6 Efll1 6t0
Subdivision/Lot#: Y�
aark
,5 C�ea f� C t4—Pand/or ''
• Map and Tax Lot#: e i
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code NI 107.2)1
Signature: ed Date: yiz_____C/ J
General Con actor/Authorized Agent
Print Name: _tk"-- .\...., VU/62t.9
' ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
1:\Building\Forms\RES-HighEfficiencyLightingAcknowledgement_022018
I
Form 640S 2017
Completion Certification—Site Inspection T
rust
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 (Performance Insulation and Energy Its this payment redirected?: IYes
Budder or Company. Westwood Homes,LLC Redirect to Name.
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive (Solar ReadyVerifier IncriNo
Site Information
Development BURTS LANDING (Lot I�, f ;1.,7r./. Axis ID: I (REM/Rate®ID:
Address-
Street �. tr
Line 2 Multi-Family i No City. PORTLAND State: OREGON Zip. 97229
Total conditioned area(sq.k.): 2,431 House Volume: I 24,553 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 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-
Framed Floor R- 38.0 Secondary Framed Floor R-
Insulation
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. 1
Cooling Air Conditioning SEER 0 Model#:
Primary Heating System Details AFUE: #N/A Brand 0
Type; Gas Furnace HSPF. #N/A Model# 0
Heating Fuel: Gas SEER: #N/A
Primary Heat
Source Comment. COP: #N/A
Location: 0 Outdoor Unrt(for heat pumps)
ECM #N/A Model#. I#N/A
#WA #of Systems 11
Gallons: I#N/A Brand: 0
Water Heater Type Tankless EF: I#N/A Model#: 0
Water Heating Fuel Gas Location: 10 #N/A
Ducts and Duct Location Unconditioned %ducts inside rrmals Duct Leakage(CFM)@ 50Pa PrIMBISW/fRIMM141
Testing
Infiltration Air Changes per Hour(ACH) 50Pa. 4 18
Ventilation Ventilation Type HRV/ERV Model.
0 Airflow measured or why untestable? I
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model.
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 J
Notes:
ITEMS NOT LISTED IN 640:PLAN,SUBDIVISION.BLOWER DOOR TEST ONLY
r'
r
..
..
, C.
TruTeam IJ'SI
ii local Relationships.National Resources.
USI JB Insulation
14255 SW Galbreath Drive
r
Sherwood. OR 97140
Installed Insulation Certificate
We certify that the insulation material listed here was installed at the address listed below:
Other than loose fill only aluminum foil only
loose fill&
aluminum foil
Initial Installed&
Foam No_of Coverage Minimum Settled Air Spaces Direction of
Loose Fill Kraft Unfaced Rockwool Open/Closed BIBS® R-Value Thickness Pkgs Area(SF) Thickness No.(Thickness Heat Flow
Attic 0 ❑ ❑ ❑ ❑ ❑ R-49
Ceilings ❑ ❑ ❑ ❑ ❑ ❑
Floors ❑ ❑ ❑ ❑ ❑ ❑
Walls ❑ 0 ❑ ❑ ❑ ❑ R-21
Basement ❑ ❑ ❑ ❑ ❑ ❑
Crawlspace ❑ ❑ 0 ❑ ❑ ❑ R-30
Other ❑ ❑ ❑ ❑ ❑ ❑
Contractor Daniel Serene Address or Lot Number: Lot 17-10474 sw Lucy Ct
(Signature)
City,ST Zip: Tigard OR 97223
Title Date Installed: 11/22/21
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