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Report Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM Pob oe h a. , am the general contractor or the owner-builder at the following address: Site Address: /66 Ic'I /39TANy y LN City: -�9)9PO or Pennit#: OW- 021 - 00 377 Subdivision/Lot#: nn I�;Var -Te 1 r c_ 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: �G Date: 7% G eral Contractor or Owner-Builder • 1:\[3nildineForm\RES-MoisttlreSaisitiveW ood.dor. 0925/08 Oregon Residential Specialty Code R408.1 • MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, Roh Kph4 , ant the general contractor or the owner-builder at the following address: Site Address: ( lnt. 1 t S� 1(36- 1 (3ok LN City: L ea0 1 QC Permit#: L r) Sr 9,9m -90377 Subdivision/Lot#€: e trµe$ Ver 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: 1 The ground surface of the under-floor space is covered with 6-mil black polyethylene sheeting with [1-1 Joints lapped 12" at seams and nExtending up the foundation walls 12". Signature: `� j!ZZ t`/ Date: 9 i Ge era Contractor or Owner-Builder I:\building\Form\RES-Ivloichvebarricr.doc 09/13/2016 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: _ 1�51"ao2# , �� 377 �qnD Q� Site Address: 514' PoTi C.,v Subdivision/Lot#: --L71YL /Prf ce and/oi 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: �i Owne ener Conk actor/Authorized Agent Date: Print Name: f Q/ Koeh. — 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 minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall he 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 of40 lumens per input watt. 1:113uildingToums\RES-High@fficiencyLiyhting.00c 07/01/0g 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 Its this payment redirected'. INS 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 No ISolar ReadyVerifier Inca No Site Information Development: 4 EASTRIDGE ILut 1193 Sass ID: I (REM/Ratecv ID'. Address: 4 (.00TANY BAYLN _ Street Line 2 Multi-Fanny No City: TIGARD State: OR Zip: B7224 Total conditioned area(sq.ft.): 2.703 House Volume I 25.635 Housing Type; Detached single family Number of Stories: 12 Number o1 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 Penmeler 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 ft: 13ACXN042-230-23 Primary Heating System Details AFUE: Wand Lannon Type: Gas Furnace HSPF: Model#: ML196UH090XE46C-51 Heating Fuel! Gas SEER: Primary Heat Souris Comment: COP: Location: Attic Outdoor Unit(for heat pumps) ECM: Model ft: I #of Systems 11 Gallons: 166 Brand: AOSrnith Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130 Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate'. Ducts and Duct Location (Partial %ducts inside: Duct Leakage(CFM)©50Pa. 1194 Testing Infiltration Air Changes per Hour(ACH)t 50Pa: 2.96 VentilationVentilation Type HRV/ERV Model.Supply Side-AIr Cycler Airflow measured or why unleslable? I Roof Termination Appliances Refrigerator keetWr 613 Model: GYE22GYNHFS ENERGY STAR Diswasher kWh/yr Model: GDF51OPSR3SS Percent High Efficacy Interior Lighting(%) Thermostat Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowemeac 1.75 GPI I I Notes: