Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST2022 00448 Jurisdiction:
Site Address: 15103 SW Coolwater Lane
Subdivision/Lot#: River Terrace Crossing lot 55
and/or
Map and Tax Lot#:
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code N1107.2)1
Signature: 444 . Date: 3/28/23
Owner/Ge ral Cont for/Authorized Agent
Print Name: Andy Basford
' ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
1:1Bu i1d ing\FormslRES-H ighEffic iency Lighti ngAcknowledgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
1, Andy Basford , am the general contractor or the owner-builder
at the following address:
Site Address: 15103 SW Coolwater Lane
City: Tigard
Permit#: MST2022-00448
Subdivision/Lot#: River Terrace Crossing lot 55
and/or
Map and Tax Lot#:
To conform with the 2017 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:
7 The ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials, with
V Joints lapped 12 inches at seams and
V Extending up the foundation walls 12 inches.
Signature: 4 5 Date: 3/28/23
General Cartractor o wner-Builder
I:1Building\Form\RES-MoistureBarrierAcknowledgement_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Andy Basford , am the general contractor or the owner-builder
at the following address:
Site Address: 15103 SW Coolwater Lane
City: Tigard
Permit#: MST2022-00448
Subdivision/Lot#: River Terrace Crossing lot 55
and/or
Map and Tax Lot#:
To conform with the 2017 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140, 1 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 R3I8.2 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: 444 lja#uZ Date: 3/28/23
General Oreintractor dr'Owner-Builder
I:1Bu ild ing1F orm1RES-MoistureContentAcknowl edgement_022018
Backfiow Americamii4ORAMWOom 352853736
Assembly Backflow =-.,..DergAIT— V NEW
Test Report TAMING 0 REPAIRS EXISTING
NNTALLA'noN ICVSic
' REMOVED
REPLACEMENT
Property
Owner: River Terrace Crossings Townhomes Lot Phone:
Mailing
Address:
City: State: Zip:
Assembly
Address: 15103 SW Cool Water Portland OR
FR.P.B.A Y•D.C.V.A rIR,PD.A D.C.D A P,V.B.A A V B AIR GAP
Size: 1.0 Make: febco Model: R5o
Water Serial
Purveyor: Tigard Number: hn12421
Assembly
Location: front of nornh I nf walkway
REDUCED PRESSURE ASSEMBLY P.V.RA, S.V.B.A INITIAL TEST
DOUBLE CHECK. AIR INLET CHECK PASSED yi
iI CHEEK
CHECK it I
PRE%DRoP
INITIAL MIN 5 PSID TIGHT 2,9 OPENED AT: PRESS DROP FAILED
TEST TosiO— DATE:
eEsuus RELIEF VALVE LEAKED I__
MID PSID 3/13/2023
OPENED AT MINZTGID---- CHECK#2
T 2.5 DID NOT FAILED SYSTEM 75
RELIEF VALVE
PSI
PASS FAIL __. LEAKED
COMMENTS
REPAIRS
AND/OR
PARTS
REDUCED PRESSUIX ASSEMBLY P.V.B.A/S.V.B.A AFTER REPAIRS
CHECK I DOUBLE.CHECK DATE:
TEST
PRESS DROP
AFTER MIN 0510 ICHTIGHT*1 OPENED AT: PRESS DR°P
REPAIRS PSID
REUEF
OPENED
PSID PSID PASSED
TIGHT ,
IN COMPLETING AND SUBMITTING THIS TEST REPORT,THE TESTER CERTIFIES THAT THE
ASSEMBLY HAS BEEN itS TED AND MAINTAINED IN ACCORDANCE WITH ALL APPUCABLE
RULES AND REGULATIONS OF THE WATER SYSTEM,AND STATE REGULATIONS.
WATER METER# DETECTOR METER READING
Washington CERT*
427783
TESTERS SIGNATURE
Oregon CERT*
Myles Diehl 03162331
TESTERS PRINTED NAME -GAUGE*
American Backflow Services (877)9.50-24€8 11/11122
COMPANY NAME PHONE*
GAUGE CAUBRAnON DATE
5623 SE Center ADDRESS St,PortlancLOR 07206
SERVICE RESTORED V
J WATER FOUND I ON [MEE