Report (2) •
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ( 201i ( DO 316 Jurisdiction: Ti
Site Address: i i1 6-c5,4 5-vu � 1*j Lai
Subdivision/Lot#: b - Lby 20 5
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 N1107.2)1
Signature: CPeed6111 - Date: 9 2D
C36
Owner/General ntractor/Au
Print Name: v 60 L I LJ 44
1 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 Iumens per
input watt.
I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
1, 114A-(L.o( f l o 242t Spd , am the general contractor or the owner-builder
at the following address:
Site Address: Re 45-1,0 V#4,12AU, / F
City: I £4441a)
Peiniit#: M ST Z 31 g
Subdivision/Lot#:
and/or
Map and Tax Lot#:
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
extending up the foundation walls 12".
Signature: Z. Date: r7
General Contract or O lei flnih 1'
1:\Building\Fonn\R.ES-MoistureBurier.doe 09/13/2016
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, T4V L.Dl2- v&I24 &MAI , am the general contractor or the owner-builder
at the following address:
Site Address: g 9 4 91,0 p.0,Qi 1, / Laop
City: -r1 140
Permit#: 0-4 rr 2002 I - 0 0 316
Subdivision/Lot#: �(,►� LO--- ZOS
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:
General Contract° r Owner-$der
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017 ,
Completion Certification—Site Inspection
New Homes Program—Single Family a " t s �� rust
of Oregon
To be completed by Verifier
CLEAResult 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 and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier InciElNo
Site Information
Street Line 2 11 \\�\\\\tM\ulti Multi-Family ly" N�\ City:
4 EASTRIDGE e \\e,\p\\ \ Axis ID: REM/Rate®ID:
A
ss:
o
TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,703 House Volume: 25,635 Housing Type: Detached single family
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
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R-
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 SHGC:10.3 Total window area:
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH045XE36B-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems 11
Gallons: 166 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or op AHRI Certificate:
Ducts and Duct Location 'Conditioned %ducts inside [p , Duct Leakage(CFM)@ 50Pa r�t., A t.>yr Srrft ,6r r`:k
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.78
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH' I Showerhead 1.6 GPH ' IShowerhead 1.75 GPH I
Notes: