HomeMy WebLinkAboutReport (3) Oregon Residential Specialty Code R408.1_
MOISTURE BARRIER ACKNOWLEDGEMENT DGEMENT FORM
I, Roh i'oeh v y , am the general.contractor or the owner-builder
at the following address:
Site Address: I 5"714 __P 'R Loop_.__
City: rl► Ca nMn --—
Permit#: °1 ST 91 _, QQ
Subdivision/Lot#: 6t tier f (e
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:
NThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
L�l Joints lapped 1.2" at seams and
Extending up the foundation walls 12".
Signature: — — - — Date: Z3 — 2�
Gen Contra or or Own r Builder
L\BuildingAForm\RES-MoisthreIiarrier.doc 09/13/2016
Oregon Residential Specialty Code 11318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
ROil Ku-AL/ , am the general contractor or the owner-builder
at the following address:
Site Address: /1* /6.c-711 (JJOfiequilx, L9op
City:
Permit#: M 5T 2,0 — 00140
Subdivision/Lot#: '
1 verI er(.4(5
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: —2)1
Ge C ntractor or Owner-Builder
t\BaildingTonn\RES-MoistureSensitiveWoodtioc (19/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING ING SYSTEMS
Permit No.: /1.,L -2O).,I `0° W /0 Jurisdiction: a, pr
Site Address: ( / 5 7 £4 5 w ph R W f N Loot)
Subdivision/Lot#: V�A
_!'i tier 1 ec(44ce
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:
Own en al ontractor/Authorized Agent
Print Name: fo) [\ 96 A,(, —�
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\RFS-11ighEfficiencyLighting.doc 07/01/08
Form 640S 2017
Completion Certification—Site Inspection
1
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 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 Inc1No
Site Information
Development 4 EASTRIDGE 'Lot Axis ID: .I 'REM/Rate®ID:
Address: 4 : . \.It.: r\u x ,��N oA� i A,INI:;
u
Street Line 2 Multi Family INo City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,023 House Volume: I 18,609 Housing Type: •Detached single family
Number of Stories: 12 Number of Bedrooms. 4 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:10.3 Total window area: I
Cooling Air Conditioning SEER: 0 Model#: 13ACXN030-230-26
Primary Heating System Details AFUE. Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH070XE36B-52
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model#: I
#of Systems I t
Gallons: '65 Brand: BradfordWhile
Water Heater Type Storage EF: 13.4 Model 4: RE250T6-1NCWW
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:9952297
Ducts and Duct Location 'Partial %ducts inside. ['AMA Duct Leakage(CFM)@ 50Pa A\AoAyy dr frA w a g
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 5.63 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kW/dyr Model:
ENERGY STAR Diswasher kWldyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(%) _Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH ' IShowerhead 1.75 GPH I
Notes: