Report (3) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 015r MI -00 423 Jurisdiction: GA r`C
Site Address: I' / �.g 5w rowp5v:ug Sr
Subdivision/Lot#: Riv. r rerroce L or 2117 P r smn�
r
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: Gift/ Date: Gi - `�+B"�►`�
Owne eneral Contractor/Authorized Agent
Print Name: 17 oh Koeti
'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-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Rah Voe.h' , am the general contractor or the owner-builder
at the following address:
Site Address: 5,2 5w T wN SV;ILE. $7'
City:
Tt ofrd a O .
Permit#: rn,r 9O9‘t —, oo L.1)3
Subdivision/Lot#: ''
ver I errfce Coy 9,17 Prt eV
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and
OAR 918-480-0140, 1 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: (0/2,0
neral Contractor or Owner-Builder
1:\Building\Form\RFS-MoistureSensitivewaxi.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
1, 2ph (Koehn/ _ , am the general contractor or the owner-builder
at the following address:
Site Address: —_� I s-o u/ 'TOWN S V t[6 S�
City: Tl Gftrot.
Permit#: (Y15T2Q21_ 00 413
Subdivision/Lot#: River re c r Ace c or X 17 Prim"
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 Bather as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
[V The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
®Extending up the foundation walls 12".
Signature: a Date: —X0 — 29,
Gen Contractor or Owner-Builder
I:i uildingWForm\RES-MoishueHarricr.doc 09/13/2016
Form 640S 2017
0'rpm
Completion Certification—Site Inspection Erie r gust
New Homes Program—Single Family
Of 0t. cjon
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 Ile this payment redirected?: INo
Builder or Company: Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier Inc
Site Information
Development Ia EAS 1R1901. l of 217A UPSTAIRS Axis ID: 'REM/Rate®ID:
Address: 15658 SW TOWNSVlLLE ST
Street Line 2 Multi-Family INo City: TIGARD State: OR Zip. 97224
Total conditioned area(sq.ft.): 2,023 House Volume: I 18,609 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 None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details 8 Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulatlon 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.10.3 Total window area: I
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model P. ML196UH070XE36B-52
Heating Fuel: Gas SEER:
Primary Heat
Comment: COP:
Source
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model#:
#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 %ducts inside: 15 ''"Duct Leakage(CFM)@ 50Pa: 104 ,aT 0
Testing
infiltration Air Changes per Hour(ACH)@ 50Pa: 4.95 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWIWr Model
ENERGY STAR Diswasher kWNyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH '
Notes: