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Report s. Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, '� /..07 - OLIL , am the general contractor or the owner-builder at the following address: Site Address: 1 (j < - V.yUilcs-7/j4_4„:: city: —FT L„„v ,® Permit#: M &i 7 0 2, C 0-6 2-Z Subdivision/Lot#: L.or Z I C 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: Z3 2-- General Contractor or Owner-Builder 1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: H r 2-0 z _ z_2ci Jurisdiction: --r—I L„p,12,O Site Address: ( it9 -tio ' JA)tif L1- Subdivision/Lot#: .r. Z I 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 Ni 107.2)1 Signature: Date: /23/ 2 ' Owner/Genet : - .rized Agent Print Name: Yto 1— L/(..1X C67/ '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. I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08 • Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, �i41/LG . M cr1 AZt )1\ , am the general contractor or the owner-builder at the following address: Site Address: t 5 q `'f vU - City: 6-16D Permit#: M 54 Zo 2 I — c)U ZZ Subdivision/Lot#: ©�, � / o r Z f q 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: Te 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". Signature: Date: /z3 Zz General Contrakiin Or Owner-Builder T:\Building\Form\RES-MoistureBarrier.doc 09/13/2016 :, z 0 4 ,,,,,,.. "., Form 640S 2017 "„ Completion Certification—Site Inspection Ene0 `e»'t New Homes Program—Single Family :3A Of Of etq u o 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 ReadyVerifier IncEINo Site Information Development. 4 EAS FRIDGE 'Lot 1214 Axis ID. I 'REM/Rate®ID: Address: 16594 SW TOWNSVILLE ST Street Line 2 Multi-Family INo City: TIGARD State: OR Zip: 97224 Total conditioned area(sq.ft.). 2,703 House Volume: I 25,635 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- 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 10.3 Total window area: I , Cooling Air Conditioning SEER: 0 Model#: Primary Heating System Details AFUE: 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. Model#: I #of Systems 11 Gallons- 166 Brand: AOSmith Water Heater Type Heat Pump EF I3.17 Model#. HPTU-66N 130 Wafer Heating Fuel Electric Location 'Garage or ope AHRI Certificate wA ro Ducts and Duct Location 'Partial %ducts inside- I60 a �'Duct Leakage(CFM)@ SOPa '1yy �v�' ,71 7 V Testing Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.1 I Ventilation Ventilation Type HRV/ERV Model Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination Appliances Refrigerator kWt/yr 613 Model: GYE22GYNHFS 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: