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Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 5/ Zl ^003.35._ Jurisdiction: �� 4 Site Address: ,66 c�< , , ( //a/i/f'! Zcop Subdivision/Lot#: (Vey )erraz. Zof0-, 22 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 N1107.2)1 Signature: - Date: //�61O Owner/Gent ontractor/Authorized Agent Print Name: V'f atz8�_ ,�� 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 minimwn 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. 1:\Building\Forss\RES-HighEfficiencyLightingdoc 07/01/08 Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEI)GEMENT FORM I, gx/i,o44 a a , am the general contractor or the owner-builder at the following address: Site Address: 16627 M W f f7 loop City: Permit#: - 33 Subdivision/Lot#: /�, --remze, m 22 3 and/or Map and Tax Lot#: To conform with the 2014 Oregon Residential Specially 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: I t I A ne 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: //,//O/ o2Z metal i caner I:1Building\Form\RES-Moist ireRarricr.doc 69/13/2016 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ,r j , am the general contractor or the owner-builder at the following address: Site Address: ��-� &A) P 6V/� /Oor City: 1 / curd Permit .Permit#: '-1S✓r2oz( 33� Subdivision/Lot�#":� Rivel7 1-errace 60/ / 223 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: i/A/ er acto - ut er • 1:\Building\Form\RES-MoistureS en siti ve W ood.dor. 09/25/08 Form 640S 2017Co ^, , New Homes nP ogrCertification—Sitemi Inspection 4 > "TtauS L New Homes Program—Single Family d� of Oregon To be completed by Verifier CLEAResuU is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment Information Incentive Payee Company Name: 'Polygon Northwest-WA Ifs 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!menthe. No 'Solar ReadyVeraier lnc�No Sea Information Development RT 4 LASTRIDGC II MED ILu: 1223 :i..Anis IL). I (REM/Rate®ID: Address: .16627 SW DAR W IN LOOP Street Line 2 Multi-Family INo City: TIGARD State: OREGOF Zip: 97224 Total conditioned area(sq.ft.): 3,993 House Volume I 43,267 Housing Type. Detached single family Number of Stories: 13 Number of Bedrooms: 5 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 q pmenl Details&None Slab Perimeter Insulation R- Slab Under Insulation R- Insulelion 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 Ft- Windows Windows U- 0.3 SHGC:10.3 Total window area I Cooling Air Conditioning SEER: 0 Model 0: 13ACXN042-230-23 Primary Healing System Details AFUE. 95 Brand Lennon Type: Gas Furnace HSPF: Model#: ML196UH090XE48C-51 Primary Heat Heating Fuel: Gas SEER: Source Comment: COP: Location: Attic Outdoor Una(for heat pumps) ECM: No Model it: I AHRI Certificate:4805339 #of Systems 11 Gallons: 166 Brand: AOSmith Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130 Water Heating Fuel Electric Location: 'Garage crepe AHRI Certificate: WQpe Ducts and Duct Location Partial %ducts inside: T1 Duct Leakage(CFM)@ 50Pa' J2ir Ott ifett Testing Infiltration Air Changes per Hour(ACH)©50Pa: 2.4 Ventilation Ventilation Type HRV/ERV Model. Supply Side-Air Cycler Airflow measured or why untestaole? 'Root Termination Appliances Refrigerator kWNyr 664 Model: GZS22DSJPFSS ENERGY STAR Diswasher kwwyr Model: GDF510PSR3SS Percent High Efficacy Interior Lighting(%) Thermostat SShowerhead 1.5 GPH I ShOwerwand 1.5 GPH I Showerhead 1.6 GPM I JShowerhead 1.75 GPH I Notes: