Report (3) i Y
Oregon Residential Specialty Code 11318.2
y
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
cciy, , am the general contractor or the owner-builder
at the following address:
Site Address: 711 51'
City:
Permit#: WI 9- v" 7 / r e00113
Subdivision/Lot#: im 4€4,17-46e_
0 !?Y pPi nl9ry
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.
Signature: Date: 6-3 2
Genei ontrac r 0 -Builder
1:1BuildingTotm\R.ES-MoistttreSensitiveWood.doe 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACC:{NOWLEDGEIVIENT FORM
V.-=I, 1Q,,,4 �p , am the general contractor or the owner-builder
at the following address:
Site Address: IW 3 vi 6 5
City:
Subdivision/Lot#: k w f :4 €L__ Dand/or
Map and Tax Lot#: -
To conform with the 2014 Oregon Residential Specialty Code (ORSC), Section 1:408.1
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
Joints lapped 12" at seams and
V Extending up the foundation walls 12".
Signature: `r Date: _ Ca-2 2
General Con•a t wn• wilder
I:UBuildingU ornAnEf",-Moisnire13anicr.dnr. 09/13/2016
Oregon Residential Specialty Code N1.1.07.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: V(1i1 -fy go I _ �}9 ) Jurisdiction:
Y I Ts,va9
Site Address: k7*
ire
Nry
Subdivision/Lot#: •
-Q,vV 44.e 01711 Poevey
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)t
Signature: ��. Date: -T3-2
O Tr'en- Cfrr, for/Authorized Agent — -
Print Name:
I ORSC Section N1107.2.IHigh-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 he 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.
t:ABuildingAForms\RtS-HigtIrftirirunyl..ightinc.duc 07/01/08
L
Form 640S 2017 _.
Completion Certification—Site Inspection Enerpyrrust
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?: INe
Builder er 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 (Solar ReadyVerifier IncelNo
Site Information „ .7
Development: RT 4 EASTRIDGE II MED Lel Axis It) REM/Patel))ID
Address: 14374 SW 185TH AVE U
Street Line Multi-Famiy No City: TIGARD State: OREGON Zip: 97224
Total conditioned area(sq.ft.): 2,572 House Volume: I 22.965 Housing Type: Townhouse end
Number of Stories: 12 Number of Bedrooms: 5 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: I
Cooling Alf Conditioning SEER: 0 Model p:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH070XE35B-52
Heating Fuel: Gas SEER:
Primary Heal
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model 5: I
AHRI Certificate:4805339 9 of Systems 11
Gallons: 165 Brand: BradfordWhile
Water Heater Type Storage EF: 13.4 Model#: RE250T8-1NCWW
Water Heating Fuel Electric Location: (Garage or ope AHRI Certificate:9952297
Ducts and Duct Location (Partial %ducts inside: Duel Leakage(CFM)@ SOPS: VA3
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.3 li
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why unlestable? (Roof Termination
Appliances I,
Refrigeetor kWNyr Model:
ENERGY STAR Diswasher kWNyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwand 15 GPH I Showerhead 1.8 GPH I IShowerheac I.75 OPH I
Notes: