Report (2) a j
Oreg-on Residential. Spcci.aity Code I LIIO7.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No. (11S(AO�I� 00771 Jurisdiction: 119fIrd- —
Site Address:
f PI 54' 16,5--
Subdivision/Lot#: I e (�OShAK
�.9A id R_�r _Y rrAce,
and/or
Map and Tax Lot #: 217 7
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 N1107.2)1
_ Date: 7 -3r -23
Signature:
OU ex/General Contractor/.Authorized Agent
Print Name: clot
t ORSC Section N1107.2. 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 uiiisimum efficacy of 40 lumens per input watt. Screw-in compact.fluorescent lamps comply with this
requirement.
The building official shall be not died in writing at.. the final inspection that a minimum of fifty percent(lithe
permanernIT installed lighting fixtures ere compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
t\Building V`nuns\BLS-Il ighEn:iemyLighting disc 07/01M
.. r
i•eggon R.Clii.dentiai Specialty Code 11408.1
MOISTURE BA.RB_IE_E A CK.NOWL.EDGEMENT FORM
1, lob K0 eh , am the general contractor or the owner-buiider
at the following address:
Site Address: I L1 p iw 169- . h /i`c
City: 4i
-- ------------
1'errnit#: m 5T0,0A1—00371
subdivision/Lot 14: R pi H osl-q AID
5Ard river rcri4cc ,
and/or
Map and Tax Lot #: 2,177 -- —
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
requiten'ent:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12" at seams and
1 Lxtending up the foundation walls 12".
Signature:
_ Date: 7— 3� 23
G era] Contractor or Owner-ltuilcler
tA(l oil ding\FormARLS-Moisorcl iarrirr-doe ii /I 3/2016
(,,ci 9, 177
Form 640S 2017
Completion Certification—Site Inspection E n e rgyTr u s t
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResuh is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: IPolygon 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 I Solar ReadyVen'er lncelNo
Site Irtformatlon
Development RT 4 EASTRIDGE II MED 'Lot 15177 9i1 7.7 Axis ID: 1 IREM/Ratet ID.
Address'. 14454 SW.165711.9E
Street Line 2 Multi-Family INo City TIGARD State: OREGON Zip: 97224
Total conditioned area(sq.ft.): 2,413 House Volume: I 23,204 Housing Type: Townhouse end
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 tor EPS sheet
Verification Type Actual Model Equipment Details&Nobs
Slap Peameter Insulation R- Slab Under Insulation R-
Insulation Framed 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 Total window area: I
Cooling Air Conditioning SEER: 0 Model#'.
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#' ML196UHOTOXE36B-54
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: CCP:
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 ER 1.92 Model#: EN I-50 130
Water Healing Fuel Electric Location' 'Garage or ope AHRI Certificate:5360608
Ducts and Duct Location !Partial %ducts inside: —,Duct Leakage(CFM)@ 50Pa.
Testing
Infiltration Air Changes per Hour(ACH(9 50Pa: 3.6 I
VentilationVentilation Type HRVIERV Model:
Balance Airflow measured or why untestable? I Roof Termination
Appliances
Refrigerator kWhlyr Muriel
ENERGY STAR Diswasher siNNyi Model' GDF510PSR5SS
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 13 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1 75 GPH I
Nobs:
• . t,Qi 2177
OreoonResidential Specialty Code R318.2
MOISTURE CONTENT ACKI' OWLEDGETVMENT FORM
1 Rob Koehn--_ _ _ ant the general contractor or the owner-budder
at the following address:
SiteAddtcss: ( �tv (' J� i 1..
City: I l yria
Permit #: rf-)2021- 00 -- —
Subdivision/Lot Il:
and/or
•
Map and Tax. Lot 8:
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].
11318.2 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 constnrction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: ��- Date: 7-P-13
G era Contractor or Owner-Builder
LAThi4lmg\Norm\RFS-MnismrcSemeiuvcWoN-1 dnr, o4/1S/on