Report (3) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, Rob K,oe.hd , am the general contractor or the owner-builder
at the following address:
Site Address: f 66 W 4 5w hWN sviuE. 5r
City:
Permit#: (Y15T 9O'At —• D0 42,5-
Subdivision/Lot#: River I errnce Lor
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: (0/2%0 --X9,
neral Contractor or Owncr-Builder
1:\Building\Form\RES-Moisturesensitivewand.dor. 09/25/08
Oregon Residential Specialty Code R408.I_
MOISTURE RE BARRIER ACKNOWLEDGEMENT FORM
M
I, p , am the general contractor or the owner-builder
at the following address:
Site Address: _ I I G tI q 5(// rOWN U[[t r: Sr
City: Tl GRI'd-
Permit#: _((\nO2d— 00 142C-
Subdivision/Lot#: n
Rivtr Terrace LOr h14 prim iry
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:
I V I 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: �� Date: `-�� _ 29
Gen Contractor or Owner-Builder
i:\Building\Form\RES-MoishircHHarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHT
ING SYSTEMS
Permit No.:
pl51' 2,09,1 -pp 47,C Jurisdiction: -r GAPS
Site Address: ( /9(D p. 5w 74wp5t1 u6 Sr
l
Subdivision/Lot#: ,
Riv<r "retrace LOT al(f priory
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: G Date: l�/ _ AG—�,�
Owne eneral Contractor/Authorized Agent
Print Name: 17 oh t oei 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-HighnfficiencyLighting.doe 07/01/08
216.
, .
Form 640S 2017
•
Completion Certification—Site Inspection � y`
New Homes Program—Single Family E ;M TrM s t
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 I Is 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 ReadyVerifier IncelNo
Sits Information
Development 4 EASTRIDGE ILut 1216 Axis ID: I !REM/Rate®ID:
•
Address: 16644 SW TOWNSVILLE ST
Street Line 2 Multi-Family 'No 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&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Framed Floor R- 30.0 SecondaryFramed Floor R-
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:
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH045XE36B-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems II
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: I5% 'Duct Leakage(CFM)@ 50Pa: 1188
Testing •
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.45 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable7 'Roof Termination
Appliances
Refrigerator kWlvyr Model:
ENERGY STAR Diswasher kWl/yr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I !Showerhead 1.75 GPH I
Notes: