Report (3) Oregon Residential Specialty Code M1505.4
Balanced Mechanical Whole-House Ventilation System Installed
Permit No.: MS-r 2_472z-OC7 -s Jurisdiction: �octrci
Site Address:
qzsisidoLictv\ill
Subdivision/Lot#: � -tq L V ' -s
and/or
Map and Tax Lot#:
By my signature below, I certify that the Mechanical Whole-House Ventilation System has been
installed at the address listed above per the requirements of the Oregon Residential Specialty
Code and Section M1505.4.
K
Signature: Date: 6l1l7-3
Own General Contracto th 'zed Agent
Print Name: -Q—o Lo,g 4r-a -f-
I:1Building\Forms\2ES-HighEfficiencyLightingAcknowledgement_0220I8
•
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: msr 20;_z S Jurisdiction:�Ia r(S
Site Address: �Z- S WaV Cry �r
Subdivision/Lot#: I(-4 Vi
and/or T�
Map and Tax Lot#:
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code N1107.2)1
/.� / J
Signature: Date: g/ 7/ z
O ner/General Contractor/Aut -.i. gent 6
Print Name: SQ, ro vL f'
1 ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
1:1Building\Forms\RES-HighEfficiencyL ightingAcknowledgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, T1GzWl_a_`. fi C , am the general contractor or the owner-builder
at the following address:
Site Address: qZS) 5 W WGver jlq
City: 'Ttert
Permit#: M - 00 S
Subdivision/Lot#: Ha
and/or
Map and Tax Lot#:
To conform with the 2017 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 by a Class I vapor retarder or
other approved materials, with
Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: Date: EM/2-
G neractor or 0 er iiilder
I ABuilding\FormlRES-MoistureBarrierAcknowledgement_022018
MST 2 2- a03/
INSULATION CERTIFICATE
Building Number: ye,
Number and Street: 723/ 5w Wet Al Dtr Cit : 17 2*r0 c
(VJ Y l V-2•y
Contractor:
Insulation Type: 1)u„> i w Brand Name:
Thickness added(inches): NI Thermal resistance added(R-Value):
Total Thermal Resistance(R-Value): ! Insulated area: I8061 ft2
2.CEILING Dense pack:❑ Loose fill: ❑
Insulation Type: Brand Name:
Thickness added(inches): Thermal resistance added(R-Value):
Total Thermal Resistance(R-Value): Insulated area: ft2
3.EXTERIOR WALL
Cavity frame type: 2"x4"❑2"x6". Dense pack:❑Loose fill: ❑
Other: 1Se4
Insulation Type: iSc.,` 1— Brand Name:
Thermal resistance added(R-Value): -p-.-Z-( Total Thermal Resistance(R-Value):
Insulated area: Z ft2
4.FLOOR
Insulation Type: 111,"t-{'-' Brand Name: OvV e_ri S.
Thickness added(inches): Thermal resistance added(R-Value):
Total Thermal Resistance(R-Value): ZU Insulated area: C ft2
S.RIM JOIST(Perimeter)
Insulation Type: -13es,T r Brand Name:
Thickness added(inches): G Thermal resistance added(R-Value):
Total Thermal Resistance(R-Value): 2, Insulated area: I$O ft2
6.FOUNDATION WALL
Insulation Type: T•—s 01 ca., w, Brand Name: OA eA IS
Thickness added(inches): 3 Thermal resistance added(R-Value):
Total Thermal Resistance/(}R-Value): I S Insulated area: 35 o 112
I, V 4 /l4b1-e—S cw a4 CERTIFY THAT THE RESIDENCE IDENTIFIED ABOVE WAS INSULATED
AS SPECIFIED ON THIS CERTIFICATE AND THE INSTALLATION WAS CONDUCTED IN CONFORMANCE TO
APPLICABLE CODES,WEATHERIZATION STANDARDS AND PROGRAM REGULATIONS.
( &/./Q Ca�„<.v(� ut«rh 6fm.1)
Item#s Signature Date Installing Subconi Mctor or Wx Subgiitee
Item#s Signature Date Installing Subcontractor or Wx Subgrantee
Item#s Signature Date Installing Subcontractor or Wx Subgrantee