Report (7) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: en 57-2,0 0 0 Ll Jurisdiction: l l GARn
Site Address: I 1
/(F76 Loop
Subdivision/Lot#: _AL Vet'' errAee
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: Date: — _
Owner/General Contractor/Authorized Agent
Print Name: (doh [`OeJ 4,
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.
1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R.408.,_
MOIST U _'. BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: --I 605" 76,
5 /1 u/ l Q oo
City: TiGoRP or 9722cL
Permit#: m Srn On,1 _, 00 L,'_( ! -
•
Subdivision/Lot#: R_off
1t/�
VCef l'RC C�_
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:
Ni The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
LJoints lapped 12"at seams and
[Extending up the foundation walls 12".
Signature: Date: � 23
eral Contractor or Owner-Builder
I:\Building\Form1RES-MoistureRRarrier.doc 09/13/2016
1
Oregon Residential Specialty Code R.318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I., Rob KOekr� , am the general contractor or the owner-builder
at the following address:
Site Address: j / 7 76. 5 /I��nh 1 t k L oo
City: t' I V"
Gf oc972gL
Permit#: �cr90 91 00 t
Subdivision/Lot#: Q t Ve` T.-
err/w-and/or
Map and Tax Lot#:
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: G4✓' Date:
G eral Contractor or Owner-Builder
L\Building\Form\RFS-MoistureSensitiveWood.dor, (19/25/O8
•
Form 640S 2017
New Homes
CompletionProg Certifaml—Sing e F mlll�Inspection t ,r\ \T S
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 IncelNo
Site Information
Development 4 EASTRIDGE Lot 1204
k e ,rri#Axis ID: 'REM/Rate®ID:
Address: * tenor 11rMMA ariatt O,
Street Line 2 Mulh-Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 1,293 House Volume: I 11.766 Housing Type: Detached single family
Number of Stories: 11 Number of Bedrooms: 3 Foundation Type: Crawlspace
Electric Provider Portland General Electric Gas Provider: INW 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-
Insuation 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:I0.3 Total window area: I
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#: '
#of Systems 11
Gallons: 165 Brand: BradfordWhite
Water Heater Type Storage EF 13.4 Model#: RE250T6-INCWW
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:9952297
Ducts and Duct Location 'Partial %ducts inside: rikATADuct Leakage(CFM)@ 50Pa �r•� h\; WV h;.,;
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.54
Ventilation Ventilation Type HRV/ERV Model.Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWhJyr 613 Model: GYE22GYNHFS
ENERGY STAR Diswasher kWNyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%( Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: