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Report (2) Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: '15T Z00--W 273 Jurisdiction: d Site Address: / 77 8 Sw ��. C J '� D r 72 7,) Subdivision/Lot#: G(C (& --, and/or Map and Tax Lot#: 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 Signature: Date: ` ,/ Owner/General Contractor/Authorized Agent Print Name: c,. C 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 minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per input watt. I:\Building\Fo ns\RES-HighEfficieneyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, A1,..„, G C L(... r , am the general contractor or the owner-builder at the following address: SiteAddress: 1 -� 7 5 8 5L) 14 _—c C. �� cA Cr c 7 Z City: ' , 6,,ri Permit#: MST 20/5-00 2 3 3 Subdivision/Lot#: Cr C. Ic. G'".' c L O f� and/or Map and Tax Lot#: 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]. 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: S 7i,Vi General ctor or Owner-Builder 1:\Building\Fonn\RES-MoistureSensitiveWood.doc 09/25/08 GL QA Control Check Pass Form 6405 2016 E n e rgyTr u s t Completion Certification—Site Inspection )s New Homes Program—Single Family of Oregon To be completed by Verifier Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment information Incentive Payee Company Name: Pacific Evergreen Homes Is this payment redirected?: No Builder or Company: Contact Name: Verifier Payee Company Name Performance Insulation&Energy Technician Nam: Energy Trust Pathway: Percent Improvement Affordable Housing No Solar Ready Builder Incentive:No Solar ReadyVerifier Ir No Site Information Development Lot Axis ID: REM/Rate®ID: Address: Street Line 2 Multi-Family No City: TIGARD State: OR Zil 97223 Number of Stories 2( Total conditioned area sq f#of BRs Foundation Type: Crawlspace Housing Type 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 Insulation Flat Ceiling R- 49 Insulation Typi Blown-in Framing Type:Above Grade Wall R- 21 Insulation Type Batts Intermediate R- Frame 30 Insulation Typi Batts Doors Door R- Windows Windows U- SHG( Skylights U- SHG( Window Area(Glazing) % Total window are4 Lighting High efficiency indoor lighting 90.0%% Appliances ENERGY STAR Diswasher Yes EF: IModelIWDF520PADM5 Cooling Air Conditioning SEER: Btu/Hr. Primary Heat Source/Type: AFUE: Brand: YORK Source HSPF: Model# TG9S080B12MP11B Gas SEER: Comment: COP: Location: —Outdoor Unit(for heat pumps) ECM: Model#( Water Heater Type: Gallons: I Brand: RHEEM Gas Storage EFI Model#PROG50-38N RH60 Location: (Garage or o Ventilation Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requiremer Untestal System Ventilation Requirement #N/A HRV/ERV Model: Airflow measured or why untestable?(NOT INSTALLED Who Tested?(Tyler Limbaugh Ducts Ducts Inside: No %ducts inside: I #N/A Ducts Insulation: 8 (Yes If claiming incentive for ducts inside,check one of the followini #N/A Performance Testis &Duct S stem Information Duct Leakage Whole House Air Changes per House (CFM)© Leakage Hour(ACH)@ Volume: 50Pa: 50Pa: _ 4.12 20,310 Notes: Insulation Details Flat Ceiling R- 49 Insulation Type: Blown-in Vaulted Ceiling R- Insulation Type: Scissor Truss R- Insulation Type: Above Grade Walls R- 21 Insulation Type: Batts Below Grade Walls R- Insulation Type: Floor Over Unheated Space R- 30 Insulation Type: Batts Floor Over Garage R- Insulation Type: Rim Joist R- Insulation Type: Applianoss Refrigerator % Model: 11111 Clothes Washer MEF Model: Dryer Model: Showerhead 1.5 GPH Showerhead 1.6 GPH Showerhead 1.75 GPH Showeiwand 1.5 GPH