Report (4) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: I c•C'XQ 5w -r wN sou Sr
City:
Ti GRrd a R
Pennit#: rns7 9O9N I 4 9$
Subdivision/Lot#: River IerCAce. Lof Olt My 1_,
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./2N0
natal Contractor or Owner-Builder
•
I:\Building\Form\RFS-Moi stureS ensitiveWood.dor. 09/2.5/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, pQh K0ehi/ , am the general contractor or the owner-builder
at the following address:
Site Address:
6410 5 w MA/pit/at r- sr-
City: Ti GRrLC
Permit#: e ., Doge
Subdivision/Lot#: Rvr Te c r ftc e tor Mil AP ' 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:
RA The ground surface of the under-floor space is covered with 6-rail black polyethylene
sheeting with
� Joi_nts lapped 12" at seams and
vci Extending up the foundation walls 12".
Signature: e - — — Date: _ 22
Gen_ Contractor or Owner-Builder
1:\Buil din g\Form\RES-Moistnrellarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: (115r go11 —00 L4 g Jurisdiction: GArcC
Site Address: / GG go 5w 7OwN5v:gE Sr
Subdivision/Lot#: Riu<r- Terrace (or ( i c
BOG
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of filly(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: Date: - AG--219,
Owne eneral Contractor/Authorized Agent
Print Name: l7 oh KOeh
'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.
t:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
P (
Form 640S 2017
Completion Certification—Site Inspection �+"^ ^
New Homes Program—Single Family � t" wir#r
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? 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
Site Information
Development 4 FAS':RIDGE. II of 11215 Axis ID: I 'REM/Rate®ID.
Address. 16620 SW TOWNSVILLE ST
Street Line 2 Multi-Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 1,293 House Volume: „I 11,766 Housing Type: Detached single family
Number of Stories: 11 Number of Bedrooms: 3 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 Secondary Framed Floor R-
InsuWlion
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#: ML196UH045XE36B-51
Heating Fuel: Gas SEER.
Primary Heat
Source Comment COP:
Location. Attic Outdoor Unit(for heat pumps)
ECM: Model#: '
#of Systems j 1
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 16fp, Duct Leakage(CFM)@ 50Pa: 1292
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.36 I
Ventilation Ventilation Type HRV/ERV Model.
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
1
Appliances
Refrigerator kWh/yr 664 Model. GZS22DSJWFSS
ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Sltowerhead 1.6 GF'H I IShowerhead 1.75 GPH I
Notes: