Report Oregon Residential Specialty Code R18.2
MOISTURE CONTENT A. WLEDGEM TNT FORM
I, g✓i(A rl (�f'G�G� , am the general contractor or the owner-builder
at the following address:
Site Address: 16 L�/ 1 5 S� W`
�a.r C►_ _too p
City: 77,4,/ra!
Permit it: J► ISir20 — oc I3S
Subdivision/Lot it: 1
Pgi Ire.r TerrA,C42 L.orAt: 222.
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 constriction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: — — /�L /�ZJ
• Date:
eneral Cont or or we .r
1:113niIding\Form 1RES-MoislureSensiliveWood.dim 09/15/I3
•
Oregon Residential Specialty Code R.4-08..
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 8,-, a„ Q e-,Q , an the general contractor or the owner-builder
at the following address:
Site Address: /66/6-- '
City: a..rj
Permit#: M SrZo Z I - OG y 35 __
•
Subdivision/Lot It:
'Ver "re rr -----La tt; 222
and/or
Map and Tax Lot it:
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
requiremc t:
L The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheci.im itlr
Li Joints lapped 12" at seams and
-xtending up the foundation walls 12".
Signature: i' Date: 12/l/ZOZZ
oral Cont or Owner-Bnilder
I:113uilding1Form1RES-MoistumRafrirr_doc 0o/1312016
Oregon Residential Specialty Code 1\11107.2
IIIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: H$rzOz/�,0 91 5- Jurisdiction: Thar'
Site Address: v !� ( 7VV
L do p
Subdivision/Lot#:
T.k V2 f I e rr o C. - Ld i is ZZZ.
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of filly(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 NI 107.2)1
•
Signature: _ Date: i21 I /ZO Z.Z_
fen r/Gen onhactor/Authorized Agent
Print Name: ,Q,h pL 34Ce_
QRSC SectionN1107.2.I-Iigh-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 uu nimtun 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 minimmu of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of<l0 lumens per
input watt.
h\RuildingWomis\Ri5-Ilight.fficieucyLig1tiug.doc 07/01/08
•
II
Form 640S 2017
Completion Certification—Site Inspection � "„ Trust
New Homes Program—Single Family ,
of Oregon
To be completed by Verifier
CLEAResull Is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name. 'Polygon Northwest-WA Its this payment redirected?. 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: No I Solar ReadyVerifier lnc4 No
Site Information
Development RT 4 EASTRIDGF II MED j Lot 1222 Axis ID; . 'REM/Rafe®ID:
Address: 18615 SW DARWIN LP
Street Line 2 Malti-Fa ily IMP Coy: TIGARD State: OREGON Zip: 97224
Total conditioned area(sq.fl.): 3,150 House Volume: I 31.500 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 5 Foundation Type: Crawispace
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 A Notes
Slat Perimeter Insulation R- Slab Under insulation R-
Framed Floor R- 30 Secondary Framed Floor R-
Insulation
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 SHOD:19.3 Total window area: I
Cooling Air Conditioning SEER: 0 Model s: I3ACXN03B-230-23
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model a ML196UH070XE36B-54
Heating Fidel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model I
AHRI Certificate:4805339 R of Systems 11
Gallons'. 166 Brand: AOSmith
Water Heater Type Storage ER 13.17 Modell:: HPTU-66N 130
Water Heating Fuel Gas Location: [Garage or coo Al ual Certificate;
Ducts and Duct Location IPartial %ducts inside: 150% I Dud Leakage(CFM)0 50Pa: 1166
Testing
infiltration Air Changes per Four(ACH)lQ 50Pa: 2,7 I
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Tenni-arc?
Appliances
Refrigerator kWtvyr Model:
ENERGY STAR Diswasher twtryr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwarrd 1.5 GPH ' Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
r .. . ...
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