Report (2) Ira
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
t, Cr\ , am the general contractor or the owner-builder
at the following address:
Site Address: -1 �� V I ;n Ln
City: / c.y
Permit#: MST 2C5 ZZ 091 3-7'6
Subdivision/Lot#: Creek SZde 5014L Rtti eteTerrgce cod'- Z
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: }�;ch S.�. ►�e r l &ad Date: 1111 I Z0 2 3
General Contractor or Owner-Builder
t\nu it dingle orm\RES-Mo istureConten to ck nowt edgement_022018
Oregon Residential Specialty Code R408.1
L
MOISTURE
f BARRIER ACKNOWLEDGEMENT FORM
I, 12\CNN Sty, l V\tx-16-h0 , am the general contractor or the owner-builder
at the following address:
Site Address: (6---1, I -9. � A Do j f t yt o Ln
City: T;) c..cA
Permit#: msT 2o27 - ? 9-0
Subdivision/Lot#: 04 V(eV._ St c e a. So U fi• 12:;,1 e l I t y -e ce La r > .. L
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:
EV
The ground surface of the under-floor space is covered by a Class I vapor retarder or
of er approved materials, with
iv(
s lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: 0-.t c S l.A.{h{ rI Art Date: I h ( I / 2O 2 S
General Contractor or Owner-Builder
1.1Building\Form1RES-Mo istureBarnerAcknowledgement_02201 8
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: s-v 20 _or 31/ Jurisdiction: T 5 y A
Site Address: D 0 >n Ln
0.l _ I
Subdivision/Lot#: Crt a
r 1 WAN "icy V re -l.-C L,ari+.d 2
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 N1107.2)1
Signature: 14•1 On St,,( LY-1 C+ Date: (////ZB 2 3
Owner/General Contractor/Authorized Agent
Print Name: �CAN �v-�l t r)Coh-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.
I.\Building\Forms\RES-H ighEffic iencyLightingAcknowledgement_022018
Oregon Residential Specialty Code M1505.4
Balanced Mechanical Whole-House Ventilation System Installed
Permit No.: pL-tsT 2022 0376 Jurisdiction: Ts, cor j
Site Address: 16-7.1-i SW Dai l i nC( Lr },�
Subdivision/Lot#: �1 .1 e r tiriro QQ cc57— Z
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: /////ZO 2-3
Owner/General Contractor/Authorized Agent
Print Name: R Ck-ALui la kl.J.
I:\B ui Id ing\FormslRES-HighEfficiencyLightingAclmowledgement_022018
1 8
Form 640S 2017
Completion Certification—Site Inspection E n e rig .-Trust
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 Ihls payment rediracted2 INo
Builder or Company: Polygon Northwest-WA Redirect to Name.
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive. No I Solar ReadyVeriler lncel No
Site Information
Development S RIVER TERRACE ALLEYS ILot I1oe.. Axis ID: 'REM/Ratet ID.
Address: 16117 SW DARLING LN
Street Line 2 Multi-Family Ice City: TIGARD State: OR Zip. 97224
Total conditioned area(sq.ft.)'. 2,516 House Volume. 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 Equipment Details b Notes
Slab Perimeter 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.10.25 Total window area: I
Cooling Air Conditioning SEER'. 0 Model a: m114xcts036-230c12
Primary Healing System Details AFUE: Brand Lennox
Type: Gas Furnace HSPP: Model e: ML196UH070%E36B-54
Primary Heat Heating Fuel: Gas SEER'.
Source Comment. COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: Model a: I
a of Systems 11
Gallons: I Band: AOSmilh
Water Heater Type Heal Pump EF: I Model e: HPTU-66CTA 130
Water Heating Fuel Electric Location: 'Garage sSr�.ope
Ducts and Duct Location 'Conditioned %ducts inside. rrB% IDuct Leakage(GEM) 50Pa'
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 2.2 I
Ventilation Ventilation Type HRV/ERV Model.
Supply Side-Air Cycler Airflow measured or why urtestable? 'Roof Termination
Appliances
Refrigerator kWNyr 549 Model: GYE22GYNJFS
ENERGY STAR Oiswasher kWMyr 270 Model GDF510PSR5SS
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I I Showerhead 1.6 GPH 1 IShowerhead 1.75 GPH I
Notes: