Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
Rob joah v , am the general contractor or the owner-builder
at the following address:
Site Address: !(c f3orh (31±y
L
City: -->•g���
Permit#: n r 9,02,( - QO '7G
Subdivision/Lot#: (V( 72CCAcC'.
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: (0 --20
Genet Contractor or Owner-Builder
\Bun IdingTonn\RES-M oistureSen siti ve W ood.don. 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, RoL Koehu _ , am the general contractor or the owner-builder
at the following address:
Site Address: / 2 (3or'nAl f A.y C. '
City: 7'1 9A r
Permit#: MST 202/- 00376
Subdivision/Lot#: R�ter ?err 134'
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:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
ffiExtending up the foundation walls 12".
Signature: Date: /0 r 18 Z-
eral Contractor or Owner-Builder
1:1BuildingformlRES-MoistureBarricr.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY\CY GN TERI V Rt LIGHTING Il Y G SYSTEMS
Permit No.: mcr,Ozl — oo m, Jurisdiction: T 9Ar'6
Site Address:
(4rc POf RNy BAY L,v
Subdivision/Lot rc •
;ver -rea"Ike
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: ( 0
Date:
er/General Contractor/Authorized Agent
Print Name: R oh 1coah
1 OR SC Section NI 107.2.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.
l:\BuildinglForms\ItES-HighEmciencyLighting.ttoe 07/01/08
Form 640S 2017F , •
Completion Certification-Site Inspection EnergyTr,ust
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?: 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 Ince No •
Site Information
Development: 4 EASTRIDGE Lot -' Axis ID: j REM/Rate®ID:
Address,
Street Line 2 Multi-Family No City: TIGARD State. OR Lip: 97224
Total conditioned area(sq.ft.): 2,703 House Volume: 25,635 Housing Type: Detached single family
Number of Stories: 2 Number of Bedrooms: 4 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-
Insulation Framed Floor R- 30.0 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#: 13acxn036-230-23
Primary Healing System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH070XE36B-54
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM. Model#:
#of Systems 1
Gallons: 80 Brand: AOSmith
Water Heater Type Heat Pump EF: 12.9 Model#: HPTS-80 200
Water Heating Fuel Electric Location: Garage or ope AHRI Certificate:7551745
Ducts and Duct Location Partial %ducts inside: " _ Duct Leakage(CFM)@ 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 3.1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? ]Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kwh/yr Model: GE
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH Showerhead 1.6 GPH Showerhead 1.75 GPH