Report (3) Oregon Residential Specialty Code M1505.4
Balanced Mechanical Whole-House Ventilation System Installed
Permit No.: ills �2�_�� 9 Jurisdiction: / / .�
Site Address: /6 8 7 S. !i Q-It hc‘ Lyx. _ q
Subdivision/Lot#:
C rtZ k St CA-0-.1 cv`` soAk rt U`es- 4 e r rc.c /64-11
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: 7 2 7%23
er/General o nzed Agent
Print Name: g G h S�.y�l�A'T�. ►v
1:113uild ing\Fortes\RES-HighEfficiencyLightingAcknowledge ment_022018
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
PermitNo.: Jurisdiction: ho and
YV1 S� �0�.-003 5� �
Site Address: S-8 7 5 W I hh �-h•
1f
Subdivision/Lot#: cCOL StIL cA11 Sew-}kr+vr' 4-es r GNU, it)* 11
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 NI 107.2)1
Signature:
Date: 7-2 7- 23
• ,. - al Contra,tor/•tithe -.-Agent
Print Name: kG Sw `^4 -�^^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 arc not required to have high-efficacy lamps.
I:13uildingWonmUtEs-HighEfliciencyLightingAclmowl edgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, Ri GIh S wiL, IO 1e..i , am the general contractor or the owner-builder
at the following address:
Site Address: 8 7 S irJ l nh L.✓I,
City: T(nam-
Permit#: ri'S 7- 2Or22- 00359 II_ . L
Subdivision/Lot#: L'•reg..b g., a,ti" S ow`�h et v F.r `-e rcc.c \o`- '\(
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:
ffThe 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:
�S Date: 7-2 /-2�
G- 1- . • tractor or Owne Builder
1.\Buildinglform\RES-MoistureBarrierAcknowledgement_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, A-64 v�N�('I 0,1 , am the general contractor or the owner-builder
at the following address:
Site Address: { 6 $8 7 5�J 11 n5 h.
icrr
Permit#: rvl 5 T 2021-003s
Subdivision/Lot#: C rte.,k sj4., cv`" rt vic 4eir Y'o.cit /04 11
and/or
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: 7 2 7— 3
Intractor or I er-Builder
I\Bu ildingWorm1RES-Mo istureContentAcknowledgement_022018
II
•
Q62
Form 6405 2017
Completion Certification—Site Inspection EnergyTrust
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 ReadyVerilier IA No
She Information
Development S RIVER TERRACE ALLEYS 'Lot lee Axis ID I IREMIRate®IO
Address: l6567 SW DARLING LN
Street Line2 Multi-Family INC City: TIGARO Slate'. OR Zip. 97224
Total conditioned area(sq.ft.): 2,516 House Volume. I 20.255 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 4 Foundation Type: Orewlspece
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 S. Slab Under Insulation R-
Inaulation Framed Floor R- 30 Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade WaN Insulation R-
Flat Ceiling Insulation R- 49 Vaulted Ceiling Insulation R-
Windows Windows U- SHGC:I Total window area: I
Cooling Air Conditioning SEER. 0 Model a:
Pnmary Healing System Details AFUE: Brand Lennox
Type: Gas Furnace HSPF: Model a: ML196UH070XL36B54
Heating Fuel: Gas SEER.
Primary Heat
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM. Model It: I
a of Systems 11
Gallons. I60 Brand: AOSmith
Water Heater Type Heat Pump EF: 12.9 Model Si HPTS-66 200
Water Heating Fuel Electric Location: I Garage or ape AHRI Certificate:7551746 ka.
Ducts and Duct LOcatiOn (Conditioned %ducts inside: Duct Leakage(CFM)@ 50Pa: Po.:
Testing
Infiltration i,Air Changes per Hour(ACH)@ 50Pa: 2.2 I
ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kwhryr 613 Model: GYE22GYNJFS
ENERGY STAR Diswasher RWNyr Model: GDF510PSR5SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I I Showerhead 1 6 GPH I IShowerhead 1.75 GPH I
Notes