Report (3) 4
Oregon Residential. Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, _— /j am the general contractor or the owner-builder
at the following address: �/
Site Address: /�3�G �� �"
City:
_____L.,ya a?..„._______
Permit#:
4461 c2f) Z i — 00/,/2"--
Subdivision/Lot#: j_eyvvititt G
_21v,j24
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: _ (o_ _ _ ___ Date: —8_-z 2_
Genet ontrac r U r:Builder
(-1:-------- ____....----
1:\Building\1 oim\R1 S-MoistureSensitiveWood.doc 09/25/O8
Oregon :Residential S. tr:cialty Code N:1.1,07.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: YVi g /) / Jurisdiction: cfis )
Site Address: I1
/341
6
ft/0 _Aka
Subdivision/Lot#:
and/or
Map and Tax Lot#:
By rn.y 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: Date: 6 -g—2 2
O en 1 a;tor/Authorized Agent
•
C-�-
Print Name:
' ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fitly(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 fitly percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of40 lumens per
input watt.
t:\Building\Forms\RES-Hight fticinaryl.i}Ltin,.tor. 01/t)1/Il8
Oregon. .esideni..ial. S.pec:ialty Code .RR408.1.
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, p , am the general contractor or the owner-builder
at the following address:
Site Address: 1 L1 314
City:
7c).Srd -- - --
Permit#:
Subdivision/Lot#: (kAQ4 2173 14 Dt 2,
and/or
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code (OR.SC), Section R40 .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:
Lvj The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
r(r1Joints lapped 12" at seams and
(id Extending up the foundation walls 12".
/�
Signature: --- — — Date: 1�-' —.--
General Con rat r wn . nilcier
I:AI3uildingU ormUtEs-Moish„reilanicidnr 09/t3/2(116
Form 640S 2017
Completion Certification—Site Inspection "" rust
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 'Is this payment redirected?: I No
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 ReadyVenfier IncelNo
Site Information
Development. HT 4 FAS I PIDGF II MFl) jI o�� —I2173 Axis ID: 'REM/Raters ID:
Address: 14346 SW 165TH AVE
Street Line 2 Main-i rmtiiy INo City: TIGARD State: OREGON Zip: 97224
Total conditioned area(sq.ft.). 1,848 House Volume: I 16,753 Housing Type: Townhouse end
Number of Stories: 12 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- 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: I
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 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: No Model#: I
AHRI Certificate:4805339 9 of Systems 11
Gallons: 185 Brand: BradfordWhite
Water Heater Type Storage EF: 13.4 Model#: RE250T6-1NCWW
Water Heating Fuel Electric Location: 'Garage or ope Al 1RI Certificate:9952297
Ducts and Duct Location 'Partial %ducts inside: I50% 'Duct Leakage(CFM)@ 50Pa: I186
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 4.1
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWlvyi Model:
ENERGY STAR Diswasher kWlvyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH
Notes: