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Report Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: flsf Jurisdiction:Z021 - oo �aQ Aro/ —_ Site Address: /6 , 00 S B Carly Subdivision/Lot#: I 1/4a T rrace La f and/or Map and Tax Lot#: By my signature below, I certify that a minimum of filly(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: ///cylZCZz, Owner/ neral ontractor/Au oriaed Agent • Print Name: cSI iarii 5 C� ORSC Section N 1107.2.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 m niinwn 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\R S-HighEfficiencyLiOiling.doc 07/01/08 Oregon Residential Specialty Code R408.1_ MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, cjYc'cGh o, OrQ,ce , am the general contractor or the owner-builder at the following address: Site Address: jg 6 30 gay Ln _-- City: arc -- - Permit:#: MS 2a2J - 001107 — -- — SubdivisionlLot#: Q itv2r Tire Lpj./�7 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 requirelncn L The ground surface of the under-floor space is covered with 6-mil black polyethylene sheeting -th L Joi. is lapped 12" at seams and Extending up the foundation walls 12". Signature: — — ---— --- Date: 100/ 2 - eneral.Coif actor or Owner-Builder I:\Building\Form\RES-MoishirelBarricr.doc 09/13/2016 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT LEDGE` MENT FORM I, Siarict Cam' , am the general contractor or the owner-builder at the following address: Site Address: /U) Stk) A y &LI Ln City: -r 9 Permit#: 1451-202.1 06 ya9 Subdivision/Lot 4: �yve✓ r rrgc wow.., n'� 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: ©/ ZZ eneral G ntractor or Owner-Builder / 1:\Building\Fonn\RES-MoistureSensitiveWood.doc 09/25/08 Form 640S 2017 Completion Certification—Site Inspection New Homes Program—Single Family k 7' At askrs" 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 Inceko Site Information Development: 4 EASTRIDGE Lot r N1 °r T Axis ID: I I REM/Rate®ID: \':.,Address: 0b�t, '+Pf,,y T A�':rt�\Q�\�\A\\\\�r\\r\gk�h�\\frr\�\\�\e��� Street Line 2 Multi-Family 1No City: TIGARD State: OR Zip: 97224 Total conditioned area(sq.ft.): 2,703 House Volume: I 25,635 Housing Type: Detached single family Number of Stories: 12 Number of Bedrooms: 5 Foundation Type: Other/More Than One(add comment) 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 8 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:I0.3 Total window area: Cooling Air Conditioning SEER: 0 Model it Primary Heating System Details AFUE: Brand Lennox Type: Gas Furnace HSPF: Model#: ML196UH090XE48C-51 Heating Fuel: Gas SEER: Primary Heat Source Comment: COP: Location: Attic Outdoor Unit(for heat pumps) ECM: Model#: ! #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 ope AHRI Certificate: Ducts and Duct Location !Partial °o ducts inside: I r NrDuct Leakage(CFM)@ 50Pa 11,,tagE;ty\\ ,,nVQ';t'r? ritk Testing infiltration Air Changes per Hour(ACH)@ 50Pa: 3.4 I Ventilation Ventilation Type HRV/ERV Model: Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination Appliances ...... Refrigerator kWhiyr 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: