Report (4) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: (Y►5t z09,1 -0o t 1 Jurisdiction:
GArg
Site Address: 64(0 0 5w sr
TaWNSv;Ut" 7
subdivision/Lot#:
River Terrace Loi a ADO 4,
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: Date: (j--
Owne eneral Contractor/Authorized Agent
Print Name: �oh K4eti,v
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.
1:\Building\Forms\RES-1-lighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACICNOWLEDGEMENT FORM
1, Roh KoLi►d , am the general contractor or the owner-builder
at the following address:
Site Address: 110(06.0 5w rumSVdE Sr-
City: TiGRld 0 Q
Permit#: (rST 9O9,1 00 9.4/
Subdivision/Lot#: Rt v er I errA ce c,cor l?,17 R pv g.,
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: G ✓ Date: (0/X0 ^X9,
neral Contractor or Owner-Builder
1:\Building\Form\RFS-MoistureSensitiveWood.don O9/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, (kph KveIu/ , am the general contractor or the owner-builder
at the following address:
Site Address: i6(06,0 !w ro wN S V iLL I Sr-
City: '("i GRed. _.
Permit#: ("91-9k0 00 y24
Subdivision/Lot#: Rivcr Te rr OCe Lor 12.17 Aix ....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:
[] The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
pq Extending up the foundation walls 12".
Signature: G `� Date: 20 — 22.
Gen Contractor or Owner-Builder
1:\Building\Form\RES-MoistureRarricr.doc 09/1312016
Form 640S 2017
Completion Certification—Site Inspection i,..,„.t t re1TrusL i
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?: INo
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 (Solar ReadyVenfier IncelNo
Site Information
Development: 4 EASTRIDGE 'Lot 1217 B DOWNSTAlAxis ID: I IREMIRate®ID:
Address: 16660 SW TOWNSVILLE ST
Street Line 2 Multi-Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 1,293 House Volume: I 11,766 Housing Type: Detached single family
Number of Stories: 11 Number of Bedrooms: 3 Foundation Type: Crawlspace
Electric Prouder: 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- Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R-
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: I
Cooling Air Conditioning SEER: 0 Model#: 13ACXN036-230-23
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH045XE366-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons: 165 Brand: Bradford White
Water Heater Type Storage EF: 13.4 Model#: RE25OT6-1NCWW
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:9952297
Ducts and Duct Location 'Partial %ducts inside: 15% 'Duct Leakage(CFM)@ 50Pa
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 4.3 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr 664 Model: GZS22DSJWFSS
ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: