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Report Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: M Z 0 Z I - 0 2Zt? Jurisdiction: Site Address: (1 5 S 4� CM) To-i j J 1 w/z Subdivision/Lot#: $4L L T- ( Ce3 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: �/ 4/ 2 � Date: 5 z Owner/General lZ6n razed Agent Print Name: Teo 77- L l grz=i2.4 . I 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 R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, 1 /(.u1- (- a 4 -fl , am the general contractor or the owner-builder at the following address: Site Address: I le 58 I2revo —�- S V/UJ City: 1 &iC Permit#: HST 2021 — OD 22'7 Subdivision/Lot#: L of 163 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 xtending up the foundation walls 12". lS� Z 2— Signature: Date: General Contract or Owner-Builder I:\Building\Form1RES-MoistureBa rier.doc 09/13/2016 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, / /1 -? I 1 ir-N , am the general contractor or the owner-builder at the following address: Site Address: ( le 5 gjcl sW 1---Dvo,4 ,c(ou..427: r/T City: T 61411 ,() Permit#: NI c 1 - 20 2-1 00 2 2'1 Subdivision/Lot#: cZo< i4 . LD -r I (, 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: c j d:.�✓ Date: A,S7/2 Z General Contractor or Chung I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Form 640S 2017 `s;= `yam Completion Certification—Site Inspection {� } New Homes Program—Single Family rm« Tru 1fw 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?. '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 (Solar Ready Verifier IncdNo Site information Development: RT 4 EASTRIDGE II MED Lot l Axis ID: —REM/Raters ID: Address: ;3 a rw N. .„ Street Line 2 Multi-Family No City: TIGARD State: OREGON Zip. 97224 Total conditioned area(sq.ft.): 3,993 House Volume: I 37,838 Housing Type: Detached single family Number of Stories: 13 Number of Bedrooms: 5 Foundation Type: Crawlspace Electric Provider: 'Portland General Electric Gas Provider: NW Natural Gas Solar installed None Solar Installer Name/Company: Blue shaded fields ere required for EPS sheet Verification Type Actual Model Equipment Details 6 Notes Slab Perimeter Insulation R- 0.0 Slab Under Insulation R- Framed Floor R- 30.0 Secondary Framed Floor R- 59.0 Insulation 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' 1470 Cooling Air Conditioning SEER 0 Model#: 13ACXN042-230-23 Primary Heating System Details AFUE. 95 Brand Lennox Type: Gas Furnace HSPF: Model#. ML196UH090XE48C-51 Heating Fuel: Gas SEER: Primary Heat Source Comment: COP: Location: Attic Outdoor Unit(for heat pumps) ECM: No Model If: I AHRI Certificate:4805339 #of Systems 11 Gallons: 166 Brand: AOSmith Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130 Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate: Ducts and Duct Location 1 Partial %ducts inside: ikkg.ITO Duct Leakage(CFM)@ 50Pa: Ar @ ai,,erg a Sa�:k„i�ar�, Testing Infiltration Air Changes per Hour(ACH)©50Pa: 2.6 Ventilation Ventilation Type HRV/ERV Model: Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination Appliances Refrigerator kWhiyr Model: ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS Percent High Efficacy Interior Lighting(%) Thermostat Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH ' 'Showerhead 1.75 GPH Notes: