Report (3) •
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: msT2o21— 00gt Jurisdiction: GARp
Site Address: L'
/r ` �w io1 y onr t i"
Subdivision/Lot#::D Qs RtC
Kib¢r refr/3c.z
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 NI 107.2)1
Signature: Date: It "It ^ 22,
Owner/General Contractor/Authorized Agent
Print Name: Pob f 942k t-
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 lmnens 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.
1:1Building\Forms\RES-HighEFficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Rob Koeh , am the general contractor or the owner-builder
at the following address:
Site Address: f / / El 9 w Borp.', (3Ay [N
City: Ti G PRO
Permit#: (Yl Sr 9,O9,j- 00 403
Subdivision/Lot#: nO5t7 K R;vex i e fol ce
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: " la
eral Co tor or Owner-Builder
1:1BnildinglForm1RES-MoisntreSensitiveWood.doe, 09/25/08
Fenn 640S 2017
Completion Certification—Site Inspection Ene
,,, Trus
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAReault 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.: 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 ISalar ReadyVerRer IncitINo
Site Information
Development: 4 EASTRIDGE ILL' I119e Axis ID: I 'REM/Rate®ID:
11
Address: A'�BTI SW BOTANY BAY LN
Street Line 2 , Mimi-Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area lsq,9.1: 1,293 House Volume' I 11,766 Housing Type: Duplex
Number of Stories: II Number of Bedrooms: 3 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Prouder: NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Epullananl Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insuktlon Framed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC:] Total window area. I
Cooling Air Conditioning SEER: 0 Model a'.
Primary Heating System Details AFUE Brand Lennox
Type: Gas Furnace HSPF: Model a: ML196UH045XE3613-53
Heating Fuel: Gas SEER'
Primary Heat
Source Comment: COP:
Location Garage or ope Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons'. 165 Brand: BradfordWhite
Water Heater Type Storage EF: 13.4 Model it: RE250T6-tNCWW
Water Heating Fuel Electric Location. 'Garage or ope AHRI Certificate 9952297 �r
Ducts and Duct Location 'Partial %ducts inside: Dud Leakage(CFM)fo 50Pa' a.C�.
.
heating
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.5 I _
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Root Termination
Appliances
Refrigerator kWwyr 613 Model: GYE22GYNIFS
ENERGY STAR Diewasher kwwyr Model GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowernead 1.75 GPH I
Net..: