Report (3) •
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, AA\,..` a , am the general contractor or the owner-builder
at the following address:
Site Address: rr- b' a
City:
Permit#:
Subdivision/Lot#:
and/or
Map and Tax Lot#:
To confonrwith 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
7oints lapped 12"at seams and
[xtending up the foundation walls 12".
Signature: ' _ =,_ Date:
{�
cnerai'luc�C•�ctgT�(?wtrar-Burl�rs
hattaidmjlFamVtFSMaim+at wrier 09/13'2016
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
c •' { �'�ttiti e , am the general contractor or the owner-bwlder
at the following address:
Site Address: (-7 0-70
-.erg• �'a-^$� l i�
City:
Permit#:
Subdivision/Lot#:
and/or
Map and"ax Lot#:
To conform with the 2008 Oregon Residential Specialty Code(ORSC),Section R3I 8.2 and
OAR 918-480-0140,1 am notifying the building official that 1 am aware of the moisture content
R qurment econ R318.2of is provided
Section R318.2 and have taken steps to meet this code requirernent-
provided for reference].
R3I 8.2 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: 3/ZZ
tJ let ¢ncy or Owner-Auilder Date: Z�-
Ltawtaaff°run/US-Muuturc5mi men wood.Ooc 09,25 3t
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Pecnut No.: — Jurisdiction:
L.
Site Address: ^1 c,
5(^-'
Subdivision/Lot#:
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 budding have been installed with Compactor
linear fluorescent,or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code NI 107.2)`
t
Signature: Gthmer;b4 ..... - Date: '001A01-,
ConnactonAuthonzed Agent
Print Name:
ORSC Section NI 101,2.High-efficiency intenor lighting systems A mminium of fifty(SO)percent o the
permaneady installed lighting fixtures shall be installed with compact or linear flumement,or a lighting sou that
hagm 011111Malli efficacy of 40 lumens per input watt Screw-in compact fluorescent tamps comply with this
rapawanent
The bauldieg official shall be notified in vrntuig at the final impaction Mat a muumum of fifty patent of tbe
permanently nastalled besting fixtures are compact or Lulea fluorescent,ore aunisaum efficacy of 40 lumens pa
input wan
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Certificate of Compliance
This document certifies that the fiberglass insulation has been installed in conformance
with the manufacturer's recommendations and requirements to provide thermal resistance value(s)of:
R-value Thickness Coverage Area
Ceilings: R-49 X New Construction
Vaults/Slopes: R-38
Walls: R-23 0 Upgrade
Blown in
Rim Joist:
Floors:
Over Garage R-39 BIBS
Crawl Vapor Barrier installed_Y _N Sprinkler Tenting 4 mil Poly Y N
j Loose-Fill Insulation
R- using_bags of insulation to cover All Batts square feet of area at a thickness of 20 inches.
Owens Corning`PROPINK"L77 Loosefill Insulation
Owens Corning will accept no responsibility when the product is not installed in accordance with the product label.Stated R-value is provided by
installing the required number ofbags at a thickness not less than the labeled minimum thickness.Installation of the required number ofbags may yield
more than the specified minimum thickness.Failure by the installer to provide both the required bags and at least the minimum thickness will result
in lower insulation R-value.
R-VALUE BAGS PER MAXIMUM NET MINIMUM WEIGHT MINUMUM
1000 SQ.FT. COVERAGE PER SQ.FT. THICKNESS
To obtain a No.of bags per 1000 sq. Contents of this bag Weight per sq.ft.of Installed insulation
thermal resistance ft.of net area: should not cover installed insul.should should not be less
(R)of: more than:(sq.ft.) not be less than:(lbs.) than:(in.)
60 28.0 35.8 0.895 20.00
49 22.2 45.0 0.711 16.75
44 19.7 50.7 0.631 15.00
38 16.7 59.9 0.534 13.25
30 13.0 77.0 0.416 10.50
26 11.2 89.6 0.357 9.25
22 9.4 106.3 0.301 8.00
19 8.0 125.0 0.256 7.00
13 5.4 184.6 0.173 4.75
Property Address: 17070 SW Lemongrass Ln. Tigard. OR. 97224 Lot 21
1/4/22 Carolina Jarquin
Date of Installation Westside Drywall Inc.authorization
3/13/22
Today's Date Building Contractor's Signature
Taylor Morrison
Company/Customer Name
P.O.BOX 99*HUBBARD,OR 97032*(503)620-7036*FAX(503)624-0599*C B#71044
Al
Form 640S 2017 Completion Certification—Site Inspection Er ergTrus R}
r
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: 'Taylor Morrison Inc-Portland I Is this payment redirected?: INo
•
Builder or Company: Taylor Morrison Inc-Portland Redirect to Name:
•
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: 'Solar ReadyVerifier Inc
•
Site Information
Development IRT 30 Eastridge Crescent TEl 'Lot 121 Axis ID: 'REM/Rate®ID:
Address: 17070 SW LEMONGRASS LN
Street Line 2 Multi-Family 'No City. Tigard State: OR Zip- 97224
Total conditioned area(sq ft.)•. 2,157 House Volume. I 20,358 Housing Type. Townhouse inside
Number of Stories: 14 Number of Bedrooms: 3 Foundation Type: Slab Floor
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 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#: ML196UH045XE36B-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:4805339 #of Systems 11
•
Gallons: ' Brand: AOSmith
Water Heater Type Heat Pump EF: ' Model#: HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate.
Ducts and Duct Location IPartial %ducts inside: 150% 'Duct Leakage(CFM)@ 50Pa. 1259
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 5.32
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? IRoof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 270 Model: GDF51***J*""
Percent High Efficacy Interior Lighting(%( 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH ' Showerhead 1.6 GPH I jShowerhead 1.75 GPH
Notes: