Report (2) - , (/87
l cgo n Residential Specialty-lty Code R408.i
MOISTURE BARRIER AC KNO LEDGEMENT FORM
1, fob K odk N __-_--_-.._ , am the general. contractor or the owner-builder
at the following address:Site Address: 1l072.9. 5wgoR w k- Lop —City:
Permit#k: h1 CrWAi—00406'
Subdivision/Lot rot River cc, cc 1 !Roc H PIS
and/or
Map and Tax Lot ##: I ( a�
•
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
1Lxtending up the foundation walls 12".
Date: j2,^22 Zy
Signature: __
C oral Contractor or 6-wrier-Bladder
I:ABuildmgAPorn\Rl S-Moistvrel tarricr doe 09/13/201 6
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
Rob KQeh am the general contractor or the owner-builder
at the following address:
Site Address: 1 o72.(. SW OARwif✓ loot
City: 9Acou
Permit 14:
(n$a021 - Qogot,
Subdivision/Lot 11: 7;9 r-_ e4 ROSHAK --__
and/or
Map and Tax Lot #: , 87
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 fiaming members.
•
Signature: Date: 12'9%2''r21—
G eral Contractor or Owner-Builder
•
Atauilding\rorm\REs-Moista eSensitiv¢wood.dor. 09/25/0R
Oregon Residential Specialty Code N110'7,2
HIGH-EFFICIENCY ICIENCY INTERIOR OR LIGHTING SYSTEMS
Permit No.: (>7sr o21- 00 i(OG Jurisdiction: 1T9ArcL
Site Address: ((073,7. 5w DARwiA, Loop
Subdivision/Lot #l: 1
1i9A 1Ge i'c i ' YerrAce 1 Ao5 hip k
and/or
Map and Tax Lot#: f r S7
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: ix-
0 er/General Contractor/Authorized Agent
Print Name: gob KoeH
ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of filly(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 fitly percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
1_AnoilJingV'ormsU2la-IligILEfficiencyLighting.Joe 07/01108
f-
Form 6403 2017
Completion Certification—Site Inspection E ne rgyTrust
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 lntomnadon
Incentive Payee Company Name. 'Polygon Northwest-WA Its 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 I Solar ReadyVerifier lncd No
Site Infamatlon
Development: a CAS-RIDGE !Lot I187B DOWNSTAIFAxis ID. IREMtRate®ID'.
Address: 16722 SW DARWIN LOOP
Street Line 2 Multi-Family INo City. TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.). 1,293 House Volume I 11,766 Housing Type: Duplex
Number of Stories. It Number of Bedrooms: 3 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 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wall Insulation Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC.10.30 Total window area I
Cooling Air Conditioning SEER: 0 Model II: 13ACXND30-230-26
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model ML196UH045XE36B-53
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model a I
#of Systems 11
Gallons: 165 Brand: BradfordWhlte
Water Heater Type Storage EF: 13.4 Model a: RE250T6-1NCWW
Water Healing Fuel Gas Location: I Garage or ape AHRI Certi`icale:9952297
Duels and Duet Location 'Partial %ducts inside: Duct Leakage(CFM)@ 50Pa. 1106
Testing
Infiltration Air Changes per Hour(ACH)(d}50Pa: 3.7
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWWyr 613 Model: GYE22GYNIFS
ENERGY STAR Diswasher kWMyr Model: GOF535PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I 1 Showerhead 1.6 OPM ] IShowerhead 1 75 GPH I
Notes: