Report (3) Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
/ A S"L�/�r'/ , am the general contractor or the owner-builder
at the following address:
Site Address: /66 79 ar /h /n.
City: //y -al
Permit#: AsT.2o,2a'00399 / G
Subdivision/Lot#: creek si4 Sr..)0;j]1 rtitr- -(rrp� (O 7
and/or I,'
Map and Tax Lot#:
To conform with the 2017 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: 9 //�J
Geese r or Owner-Builder
I:\Building\Form\RES-Mo istureContentAcknowledgement_022018
Oregon Residential Specialty Code R408.1
�
M/OISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 0�I i1 S A-d- _(ot si Lf , am the general contractor or the owner-builder
at the following address:
Site Address: !6 7 9 S&J
` L h
City: /( �� (!'v�Permit#: / 'I T20.2.2- CO3 99
Subdivision/Lot#: cicok Se sow, rl vr l..,tc L L q
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
RI Joints lapped 12 inches at seams and
[Y1 Extending up the foundation walls 12 inches.
Signature: ) Date: 9 /l--2J
ontractor iwner-:udder
I:1B uilding\Form\RES-Mo istureBarrierAcknowledgement_022018
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST 202)_O03 y9 Jurisdiction: //�
Site Address: /G(7y S %n�
Subdivision/Lot#: � � / sch4th rl . 1 y
�fFS I I e rro ce
and/or
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 Nl 1.07.2)1
Signature: Date: ! —( /-.2.S
r/Ge • al Co t • - orized Agent
Print Name: /e C 1 t"-.111r IAA c/
'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-H ighEf c iencyLightingAcknowledgement_022018
Oregon Residential Specialty Code M1505.4
Balanced Mechanical Whole-House Ventilation System Installed
Permit No.: n 5-202)_003 99 Jurisdiction: 77 c 1
Site Address: /v '7 3 n /n� /
Subdivision/Lot#: creek „ // ,car//'!/ / /
G� aT Sov��h rr i/'P1^ �C(YG�C2 �-o
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.
Signature: Date: 9-//-.2
0 r/Genera on ractor/Authorized Agent
Print Name: g/G A S / c/
1:1Build ing\Fors\RES-HighEfficiencyLightingAcknowledgement_022018
106
Form 840E 2017
CompletionHomes Certification—Site Family
Inspection E n e rg . Trust
New Homes Program—Single Fam
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Paymem 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 Intel No
Site Information
Development. S RIVER TERRACE ALLEYS !Lot 1106 Axis ID I IREMIRate®ID.
Address. 16679 SW DARLING IN
Street Lam 2 Multi-Family INo City. TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.) 2,516 House Volume 1 26,255 Housing Type: Detached single family
Number of Stories 13 Number of Bedrooms. 4 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 Eq
uipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
InsulationFramed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC:I 0.25 Total window area- I
Cooling Air Conditioning SEER: 0 Model S:
Primary Heating System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model4- MU 96UH070XE36B-54
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model a. I
It of Systems 11
Gallons: I Brand. ADSmith
Water Heater Type Heat Puma EF: ' Model e: HPTU-36CTA 130
Water Heating Fuel EleoMc Location. 'Garage or ope
Ducts and Duct Location (Conditioned %ducts inside: Duct Leakage(CFM)@ 50Pa' 133
Testing
Infiltration Air Changes per Hour(ASH)@ 50Pa: 2 I
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why unlestable7 !Roof Termination
Appliances
Refrigerator NWmyr 549 Model. GYE22GYNJFS
ENERGY STAR Diswasher XWNyr 270 Model GDF510PSR5SS
Percent High Efficacy Intena Lighting(%) 100% Thermostat
Showerheed 1.5 GPH' I Showerhead 1.6 GPH ! IShowerheed 1.75 GPH I
Notes: