Report (5) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, Wick 51/IA er MI)at , am the general contractor or the owner-builder
at the following address:
Site Address: l/ -/ 9 514
Dar I rl_ 4N,
City: -Ti g of
Permit#: NEST 2_022 — 60 3 (A
Subdivision/Lot#:
(--re-cV-�; L� cA- SOUS RNItr 1r-Aru-ac,e, Ga i li 12
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
o er approved materials, with
Joi lapped 12 inches at seams and
ivir
Extending up the foundation walls 12 inches.
Signature: Date: b//3/2C2_3
eneral Co actor or Owner-Builder
I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: IM5
.r215 „ a3 4/./ Jurisdiction: 7,9ard
Site Address: (05.(=.1 sW � ` rAr 1-. 0
Subdivision/Lot#: .4`rte. I de c 61,34n R3t.r 1 tvrr'ace I-ot' ; )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: Date: 03/2c3 2 3
ner/ or/Authorized Agent
Print Name: ��eh S c&.r'.GYl\
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-HighEfficiencyLightingAcknowledgement_022018
Oregon Residential Specialty Code M1505.4
Balanced Mechanical Whole-House Ventilation System Installed
Permit No.: Ms&2022 _06 24q Jurisdiction: 7-7, Q y_1
Site Address: l (n. ,
Subdivision/Lot#: 1
C Ili je( ttvrace. LoTT:/2
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: /i3/20.2
Owner/ eneral Contracto zed Agent
Print Name: VI Ch
I:\Building\Forms\RES-HighEfficiencyLightingAcknowledgement_0220I 8
C1eanWater Services PERMIT NO. /IN 12022- ckY3(31
LOT i �
EROSION CONTROL INSPECTION REPORT
M.,ec .ce.:«cc
DATE L/7 f-L) INSPECTOR 0„4,5 � ).tk SUBDIVISION
OWNER/PERMITEE 1-`,/1bc ear asoN
SITE ADDRESS 1b S b' Su 9 0.c1,^s (A
APPROVED
FINAL INSPECTION
THIS SITE MEETS THE POST-CONSTRUCTION
EROSION CONTROL REQUIREMENTS SET
FORTH IN CLEAN WATER SERVICES
RESOLUTION AND ORDER
NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING
EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION,
THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE
OR PERMANENT GROUND COVER IS ESTABLISHED.
A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE
FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES
THE RESPONSIBILITY FOR MAINTENANCE,REPAIR AND REMOVAL.
OTHER
THANK YOU FOR YOUR COOPERATION!
INSPECTOR -L� /�., PHONE Sa3 Sri cnC5