Report (2) Li ) 27
Oregon Residential Specialty alty Code R4108.1
MOISTURE BARRIER AC KN OWLEDGEMENT FORM
l Rob
/ am the general contractor or the owner-builder
at the following address:/
Site Address: ( lp '794.r Sw nARWiN , SgP
City: Ti 914rIt
Permit it: !n5T7,0 ,1-- 00yQS
Subdivision/Lot li:
,Arc4 River / R pS H Alc
[Off/�CC —
and/or
Map and Tax Lot #: 0 I $7
•
To conform with the 2014 Oregon Residential Specialty Code (ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
[N61 The ground surface of the under-floor space is covered with 6-mil black polyethylene
shcetmg with
[Y Joints lapped 12" at seams and
Extending up the foundation walls 12".
SSignature: _
— Date: (�-- -- 92,
_ �'��- - _ --- -
eral Contractor or Owner-Builder
I-\Building\FOrm\RES-Moistureltarricr.doe. 09/13/20I
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT A.CKJ OWLEDGEMENT FORM
Rob Koadt ' _ , am the general contractor or the owner-builder
at the following address:
Site Address: w Owkivii, Loop
City: pp fd, ---
Permit#I: Q
Subdivision/Lot ll: - tyflf1 RiverTerre)— ocH AK
and/or
Map and Tax Lot 4: S ;i;?/,
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R31.8.2 and
OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318-2 and have taken steps to meet this code requirement.
[Section R318-2 is provided for reference.
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
•
Signature: Date: I %-X/1 9%1N G eral Contractor or Owner-Builder
1:ADliiidingAFansAR65-moistnresensitivewood,dnn 09/25/l8
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: (11S(A421- o0 0� Jurisdiction: i (9Ard-
Site Address:
f of L.
QRAwi,v COOP
Subdivision/Lot#: l r�
_ l 9t9 tver YerrAce RO${1A(t�
and/or
Map and Tax Lot if: 0 137
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: 12.hi,- 7.2,
O� er/General Contractor/Authorized Agent
Print Name: Aoi7 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 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.
l.Attuilding\Forms\RES-HighErriciencyL.igLting.dou tl7/O1/f t
•
IPA ursrn RS
Form 640S 2017
Completion Certification—Site Inspection Energy Trust
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 infonmatlon
Incentive Payee Company Name: 'Polygon Northwest-WA [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 ISolar Ready'Verifier Inc No
She lefwrmficn
Development: 4 EASTRIDGE 'Lot I18111UPSTAIRS Axis lC. 'REM/Rate:6ID'.
Address: 16724 SW,AAHWIN LOOP '
Street Line 2 Magi-Family No City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.). 2,023 House Volume I 18,609 Housing Type: Duplex
Number of Stories: 12 Number of 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
Veritluatlon 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 R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC.I Total window area.
Cooling Air Conditioning SEER: 0 Model H'. 13ACXN036-230-23
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model a: MLI96UH070XE36B-54
Heating Fuel: Gas SEER:
Primary Heat
Source Comment COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model a. I
d of Systems 11
Gallons: 165 Brand: BradfordWhite
Water Heater Type Storage EF: 13.4 Model a, RE250T6-1NCWW
Water Heating Fuel Electric Location: Garage or opa AHRI Certificate:9952297
Duets and Duct Location 'Partial %ducts inside. Duct Leakage(CFM)@ 50Pa.
Testing
Infiltration Air Changes per Hour(ACH)o 50Pa: 4.1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why Unlestable? 'Roof Termination
Appliances
Refrigerate. kWivyr Model:
ENERGY STAR Diswasher kWh/yr Model: GDF516PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I ' Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: