Report Oregon Residential Specialty Code N1107.2
IIIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: kkc ---- 41)ZA -0 0 31-1 Jurisdiction:
Site Address:
1 Gs- -1 c-1 S
Subdivision/Lot#:
\c1.01
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
Signatuir: ( — Date: VI Agent /7-'2-
tractor/Authoriiad
Print Name: r\A
ORSC 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 So-urce 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.
1:\BuildineFormORES-HigliEffioierzyLighling.doc 07/01/08
Form 640S 2017
Completion Certification—Site Inspection E n e rg—,:Tru s t
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 I Is this payment redirected?: 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 ReedyVerifier lne No
Site Information
Development. 4 EASTRIDGE ILut I1B9 Axis ID. I IREM/Rate®ID.
Adcress: '19:*A4.... t':6AY IN
Street Line 2 Multi-Family No City: TIGARD Stale: OR Zip: 97224
Total conditioned area(sq.ft.): 2,703 Hesse Volume: I 25,635 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crewlepace
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: I
Cooling Air Conditioning SEER: 0 Model 13ACXN042-230-23
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace iHSPF. Model#: ML196UH090XE46C-51
Heating Fuel: Gas .SEER
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons: 166 Brand: AOSmh
Water Heater Type Heat Purity EF: 13.17 Model#: HPTU-66N 130
Water Heating Fuel Electric Location 'Garage�or ope AHR:Certificate:
Ducts and Duct Location (Partial %ducts inside: par"% (Duct Leakage(CFM)(450Pa: 1173
Testing
Infiltration Air Changes per hour(ACH)@ 50Pa: 2.52
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable2 I Roo£Termination
Appliances
Refrigerator kWh/yr 613 Model: GYE22GYNHFS
ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS
Percent High Efficacy Intoner Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerhead 1,6 GPH IShowerhead 1.75 GPH I
Nobs:
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: t cs=1/4-4,A.A.-( t—L
City:
t P1,3-3-tr
Permit#:
a..C> - c
Subdivision/Lot#: CA CA
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:
Ca' -e ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Dig;Ints lapped 12"at seams and
Ending up the foundation walls 12".
: -2—
Signatur Date tO t. Iowa
6-0 Mr, or Owner-Builder
1:113nilding1Form1RES-MoisareBarrdoc 09/13/2016
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
k , am the general contractor or the owner-builder
at the following address:
Site Address: s-
City
Permit#:
0 0 k
Subdivision/Lot#•
• Cl
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.
Si 4e
gna :
Date: 10 k
traeIgr or Owner Builder
\BuildintForm‘REs-moistureSensitivcwood.doc 09/2M18