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Report Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: t/S r20 _00 yEra_ Jurisdiction: Q Site Address: 78&S S GA/ /lia✓ - Cr Subdivision/Lot#: er us tor y and/or Map and Tax Lot#: By my signature below, I certify that all of the permanently installed lighting fixtures in the above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement. (Oregon Residential Specialty Code NI 107.2)1 Signature: `_� t_--- Date: 61&94:z Owner/General Contractor/Authorized Agent Print Name: SGO ORSC Section N1107.2. High-efficacy lamps. All permanently installed lighting fixtures shall contain high- efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement. The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures have met this requirement. Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps. 1:\Building\Forms\RES-HighEff iciencyLightingAcknowledgement_022018 Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, cc.09 ZTgass.044.0.-vz , am the general contractor or the owner-builder at the following address: Site Address: 78 .- S Gti i c.- CT City: e p.�ref Permit#: it4SY,. Z© Z,/—GO '/9 Subdivision/Lot#: S LoT e.ee.r, us and/or Map and Tax Lot#: To conform with the 2017 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 by a Class I vapor retarder or other approved materials, with Joints lapped 12 inches at seams and gl_Extending up the foundation walls 12 inches. Signature: Date: 6724074 Z General Contractor or Owner-Builder I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, o 7 # I 'sS ,..cc , am thegeneral contractor or the. �' � owner-builder at the following address: Site Address: ?gas- s64/ N�a..ie. Cr- City:: __ Permit#: a$r zinu -co Ifs Z Subdivision/Lot#: �e e"enuc 64, 7" et and/or Map and Tax Lot#: To conform with the 2017 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/aoA Z General Contractor or Owner-Builder 1:\Building\Form\RES-MoistureContentAcknowledgement_022018 Oregon Residential Specialty Code M1505.4 Balanced Mechanical Whole-House Ventilation System Installed Permit No.: STZaZ.I' 1182- Jurisdiction: ' D Site Address: ?8 SS. 5 CA) cw4.. Cr- Subdivision/Lot#: -Ce•fc..t GC CST and/or Map and Tax Lot #: By my signature below, I certify that the Mechanical Whole-House Ventilation System has been installed at the address listed above per the requirements of the Oregon Residential Specialty Code and Section M1505.4. Signature: Date: 0,04 Z Owner/General Contractor/Authorized Agent Print Name: ,cc©0 "4 BACKFLOW EXISTING REMOVED PREVENTER REPORT X NEW REPLACED REPAIRED OLD SIN: PROPERTY NAME D.R. Horton Serenus Lot 4 PHONE CONTACT NAME PHONE, MAILING ADDRESS 7835 SW Mara Ln ' CITY Tigard STATE OR ZIP 97224 PREVENTER ADDRESS 7835 SW Mara Ln Tigard, OR 97224 WATER SUPPLIER City of Tigard, Oregon SERIAL# HF 62195 LOCATION Across sidewalk from water meter MAKE Febco MODEL 850 SIZE 3/4" TYPE n RP fl RPDA Q RPDA-II IXI DC n DCDA U DCDA-II I I PVB I .I SVB AVB n AG HAZARD PROTECTED) n PREMISES ISOLATION IN IRRIGATION C1 FIRE SYSTEM I_1 BOILER L__i OTHER APPROVED: I�SI ASSEMBLY Igf INSTALLATION IxI ORIENTATION n AIROAP PIPE SIZE in sr PHYSICAL in REDUCED PRESSURE ASSEMBLY PVRA/SVBA INITIAL TEST DOUBLE CHECK AIR INLET CHECK VALVE PASSED X CHECK#1 CHECK#1 TYPE II I I omen AT: PRESS DROP: PRESS TIGHT t"J FAILED 11 DROP: IMTIAL MIN S PSID 1 .4 TEST RELIEF VALVE LEAKED I I MDI I PMD MIN I PSID MIN I MUD DATE 06-17-22 RESULTS OPENED AT: OPENED MIN Z PSID CHECK#t FULLY r 1 FAILED SYSTEM PSI 10 5 RELIEF VALVE: TIGHT ICI DID NOT I I DETECTOR METER PASSED n PAI.P,D I I 1 .8 OPP)I n READING: LEAKED ri MIN I PM NOTES REPAIRS PARTS REDUCED PRESSURE ASSEMBLY PVBA/SVBA TEST CHECK#1 DOUBLE CHECK AFTER REPAIRS PRESS CHECK#1 DROP: TYPE II AIR INLET CHECK VALVE REPAIR MIN 5 PSID TIGHT ( 1 OPENED AT: PRESS DROP: RESULTS RELIEF VALVE DATE OPRNE.D AT: CHECK R2 MIN 1 1 WO MINI PSID MIN I Ps1D RRi.IRPVALVE MIN 2PSfD TIGHT n GAMEDil MELT PASSED PASSED ri PAWED I I MINI PSID GAUGE S/N 04141250 MAKE/MODEL Mid-west Instruments 845 CALIBRATION DATE 11-12-2021 In completing and submitting this test report,the tester certifies that the assembly was tested and maintained in accordance with all applicable rules,laws,codes and regulations of the state and water system using approved testing equipment and approved testing procedures. INITIAL TEST TEST AFTER REPAIRS 066108 TESTER SIGNATURE: TESTER SIGNATURE TESTER CURT# Jordan Thomas Ashland 503-849-0237 _ TESTER NAME(PRINTED) 111N1ER NAME(PRINTED) PHONE# 2153 Molalla Rd Woodburn, OR 97071 Jordan@ablandscapes.net TESTER ADDRESS 'JESTER ADDRESS EMAIL Ashland Brothers Backflow Testing, Repair&Install COMPANY NAME. COMPANY NAME WATER RESTORED? I FOUND OFF,LEFT OFF REPORT RECEIVED BY(REPRESENTATIVE OP OWNER) RIIPORI'RI1R1VIID BY(REPRESIIKrATIVE OP OWNER)