Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: !7 1 st-& J-� 1 Jurisdiction: _/
� C�
Site Address: if L/3 70
Subdivision/Lot#: pc&,l.rrlr )4-rr,Qf Q L, 1- 7r , / 77 2
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 N1107.2)1
Signature: > Date: 1/ / /2U77
Own er Contractor/Authorized Agent
Print Name: c cwlr1,; /0Ya �--L-
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.
]:\Building\FormslRES-H ighEfficiencyLightingAck nowledgement_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, 'cury1GL Bra�� , am the general contractor or the owner-builder
at the following address:
Site Address: )ti 2zo s j 6S H A ve.
City: /'ard
t
Permit#: ,keZ21 _ DO !Lf i
Subdivision/Lot#: fitVir l Q✓ract L01"* = 17Z,
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: f//WZOZZ
aic eral C or or caner-Builder
I\Building\Form\RES-MoistureContentAcknowledgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
GA... grace_ , am the general contractor or the owner-builder
at the following address:
Site Address: /2/ 70 5 A
City:
Permit#: �T
wl S f 202i — 00141
Subdivision/Lot#:
QiJ �rraC�2 6ot /
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:
E The ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials, with
LJ Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: �' Date: /l/0/402
al Col or4 or Owner-Builder
C\Building\Form\RES-MoislureBarrierAcknowl edgement_022018
Form 640S 2017Co
New Homes n Certification—Site Inspection t- n �rus
New Homes Program—Single Family �` 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 lie this payment redirecte0?: INo
Builder or Company: Polygon Northwest-WA
Redirect to Name.
Verifier Payee Company Name: Performance Insulation end Energy Redirect Payee Corn
Affordable Housing No Solar Ready Builder Incentive' tin _ 'Solar ReadyVeriber incq No
Site Infommtbn _--
Development: RT 4 EASTRIDGE II MED fot 1172 Axis ID: I 'REM/Rate®ID'.
Address: 14320 SW-705TH AVE
Street Line 2 Multi-Family ]No City: TIGARD State: OREGON Zip: 97224
Total conditioned area(sq.Cl:, 3,434 House Volume: 1 34.683 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 5 Foundation Type'. Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
Btue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
InauWlion Framed Floor R. 30 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:I0.3 Total window area: '
Cooling Air Conditioning SEER: 0 Model ft:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model tt: ML196UH110XEBOC-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heal pumps)
ECM: No Model#. I
AHRI Certificate:4805339 f of Systems 11
Gallons: ' Brand: AOSmith
Water Heater Type Heat Pump EF
t Model 7l: MPTU-BON 130
Water Hea0ng Fuel Electric Location: 'Garage or ope
Ducts and Duct Location IPartial %ducts inside: Duct Leakage(CFM)@ 50Pa: ilea
Testing
In0ltration Air Changes per Hour(ACH)@ 50Pa: 2-5
Ventilation Ventilation Type HRV/ERV Model: —
Supply Side-Air Cycler Airflow measured or why unlestable? I Roof Termination —
Appliances
Refrigerator kWNyr 664 Model: GZS22DSJPFSS
ENERGY STAR Diswasher kWh/yr Model. GDT535PSROSS
Percent High Efficacy Interior Lighting(%) Thermostat
Sbowerhead 1,5 GPH' Showerwand 1.5 GPH I Shewerhead 1.6 GPH I IShowerhead 1.75 CPU '
Notes: