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Oregon Residential Specialty Code R.408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, (oh t(oe h,/, , am the general contractor or the owner-builder at the following address: Site Address: 1'(0 L / 011:}m,y 047 L/ City: S ARD ©� - Permit#: fi 9t0 2/— 00,75_ Subdivision/Lot#: PI - crfcc- 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: L-'l The ground surface of the under-floor space is covered with 6-mil black polyethylene sheeting with E)Joints lapped 12"at seams and Extending up the foundation walls 12". Signature: /G .. Date: vi ? Gei al Contractor or Owner-Builder 1A13uilding\Form\RES-Moisturel3arricr.doc 09/13/2016 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS w••MS Permit No.: — Jurisdiction: M ST�Q21-00375 t y4P0 Site Address: I‘ � S iu (3QMN y PAY G,v Subdivision/Lot#: I �1�Cr l ec!'/lce 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 Ni 107.2)1 Signature: Date: l� 0 r/General Contractor/Authorized Agent ?// Print Name: fQh /1 o 6r C- t ORSC Section NI 107.2.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 minimtun 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 ruininhum efficacy of 40 lumens per input watt. 1:\Building\Fotnsm aas-I1ighL ciettcyLighting.doc 07/0 /OR Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM Rob , am the general contractor or the owner-builder at the following address: Site Address: J / /1 5tv T3070 y 119Y City: yARn 0 Permit#: 5r921 - 0037.r Subdivision/Lot#: r ?Qrrncc. 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: 6,- Date: 9/'? Ge ral Contractor or Owner-Builder 1:\Building\Form1RES-Moisture5ensitivewood.dor. 09/25/011 • Form 640S 2017 Completion Certification—Site Inspection New Homes Program—Single Family y �' 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 RT 4 EASTRIDGE II MED IsLot fi f v\Avvv�\Vvpr�\ v rr'Axis ID: I 'REM/Rate®ID: .rr.,r r A� AA r rya R V� rrr��t u i \ z Address: F � °�, � �e`,�.,,�\�.�00���\\0��1\��\r r\ T.\�@. \\\����\\\i��. \a�\\��\\�\\,�)„' Street Line 2 Multi Family INo City: TIGARD State: OREGON Zip: 97224 Total conditioned area(sq.ft.): 3,911 House Volume: I 40,466 Housing Type: Detached single family Number of Stories: 12 Number of Bedrooms: 5 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- Insuation Framed Floor R- 30 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:J0.3 Total window area: I Cooling Air Conditioning SEER: 0 Model#: Primary Heating System Details AFUE: 95 Brand Lennox Type: Gas Furnace HSPF: Model#: ML196UH11OXE60C-51 Heating Fuel: Gas SEER: Primary Heat Source Comment: COP: Location: Attic Outdoor Unit(for heat pumps) ECM: No Model#: I AHRI Certificate:4805339 #of Systems 11 Gallons: I Brand: AOSmith Water Heater Type Heat Pump EF: I Model#: HPTU-80N 130 Water Heating Fuel Electric Location: 'Garage or ope Ducts and Duct Location 'Partial %ducts inside: Ar fir.,:Duct Leakage(CFM)@ 50Pa y\Alp„ A p r.Ac n, Testing Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.51 Ventilation Ventilation Type HRV/ERV Model: Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination Appliances Refrigerator kWlVyr Model: ENERGY STAR Diswasher kWh/yr Model: GDF510PSR3SS Percent High Efficacy Interior Lighting(%) Thermostat Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I Notes: