Report (3) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
t44. , am the general contractor or the owner-builder
at the following address:
Site Address: 'q/5-g6r,of/ '®` 4tAE,
City:
Permit#: /44. 26 - 000
Subdivision/Lot#: I\ �4e1111._At
9 1 &G A Da 2`
and/or V
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: Date: Li'
Gene '1i/ont ae . •r O.- . -Builder
I:\Building\Fbrm\RES-MoistureSensitiveWood.doc 09/25/08
Oregon. Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: I4 A9-- 1 00/1 _//00 Jurisdiction: T
5)")
Site Address: (W 1 58 /(90
Subdivision/Lot#:
fk)
x✓ 44.e 216.6 AO a 2,
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
Signature: —��.�► Date: —« 22-
e+:+ kir+ , for/Authotized Agent
Print Name: 514 ci4
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 ininuuu.m 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:A Building\Forms\RES-HighPfficiencyl.ighting.doc, 07/0I/08
Oregon Residential. Specialty Code R408.1.
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner-builder
at the following address:
Site Address: ti 5T" , 6(4) /( 5-r Apte
City: gfr o)
Permit#: /JLT2 )21- o
Subdivision/Lot#: RA'`24 ,.pIy` 2 1496 Oa- 9
and/or
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code (ORSC), Section R.40$.1
Ventilation. I am notifying the building official that I have instilled 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
NjJoints lapped 1.2" at seams and
Extending up the foundation walls 12".
Signature: -- Date: —1 ' lq-- )
General Con•a t t wti, wilder
I:AI3rrildrg\ForniARE;-Moistnrer3arrier.doc 09/13/2016
Form 640S 2017
Completion Certification—Site Inspection « ■ r
New Homes Program—Single Family * ■ru t4..
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 I Is this payment redirected? I 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 ReadyVerifier IncifINo
Site Information
Development. HT 4 4 ASTRIDGE II MED 1 or 12166 Axis ID: I 'REM/Rate®ID:
Address: 14158 SW 165TH AVE
Street Line 2 Muui-Family 'No City: TIGARD State: OREGOh Zip: 97224
Total conditioned area(sq.ft.): Number 1,848 House Volume: I 16,753 Housing Type: Townhouse end
Number of Stories: 12 of Bedrooms. 3 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: INW 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- 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: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 It: I
AHRI Certificate:4805339 if of Systems 11
Gallons: 165 Brand: BradfordWhite
Water Heater Type Storage EF: 13.4 Model#: RE250T6-1NCWW
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:9952297
Ducts and Duct Location 'Partial 9,0 ducts inside- 16O% Ayr Duct Leakage(CFM)@ 50Pa: l'123
Testing '
Infiltration Air Changes per Hour(ACH)@ 50Pa' 3.92 I
Ventilation Ventilation Type HRVIERV Model:
—
Supply Side-Air Cycler Airflow measured or why untestable? IRoof Termination
Appliances
Refrigerator kWrvyr 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 [ IShowerhead 1.75 GPH I
Notes.