Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, i/Lvi2 kflefizat arty"' , am the general contractor or the owner-builder
at the following address:
Site Address: t 1/0 -Taw vi 1
City. 1 1 —0
} Permit#: M S'r yD 2,1 — op 225�
Subdivision/Lot#: TZ,()A. f10(-- L- - l Le 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: Date: 6 Z /12_
eneral Contractor iu. er
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: M car- Z 0 2,1 o D-7 ZS Jurisdiction:
Site Address: ' ( 7,1 )
Subdivision/Lot#: L .� ( cid
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: /l Date:
Owner/General Contractor/Authorized gent
Print Name: Se° Tr L-I 1-,Tk ✓1
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:\BuildingFonns\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, t i a-P1! , am the general contractor or the owner-builder
at the following address:
Site Address: (111,1
City: ail H►c O
Permit#: ZO Z 1 - o o i 7 S
Subdivision/Lot#: R,pW L 0T 1 L
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
ending up the foundation walls 12".
/ 6 z z 2--
Signature: L i Date:
General Contractor or Oder
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Form 640S 2017 �r•,.�'w
Completion Certification—Site Inspection a
revTrtist
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?: !No
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 InceiNo
Site Information
Development: RI 4 EASTRIDGE II MED L J61 Axis ID: ! !REM/Rate®ID
Address: 16627 SW TOWNSVILLE ST
Street Line 2 Multi-Family !No City: TIGARD State: OREGON Zip: 97224
Total conditioned area(sq.ft.): 3,150 House Volume. ! 31,500 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 are required for EPS sheet
Verification Type Actual Model Equipment Details&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:I0.3 Total window area. 1470
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH070XE36B-52
Heating Fuel: Gas SEER.
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:4805339 #of Systems 11
Gallons: 166 Brand: AOSmilh
Water Heater Type Storage EF: 13.17 Model#: HPTU-66N 130
Water Heating Fuel Gas Location: (Garage or ope AHRI Certificate'
Ducts and Duct Location (Partial %ducts inside: I50% !Duct Leakage(CFM)@ 50Pa: 1146
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 3.06
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWNyr Model: GDF510SR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I (Showerhead 1.75 GPH I
Notes: