Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 9),;\43-02..v , am the general contractor or the owner-builder
at the following address:
Site Address: ,i 3 \
City:
Permit#:
m \DO\\L\
Subdivision/Lot#:
' c4\ \
and/or
Map and Tax Lot#: P'')
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:g ..414(
Date: \\.. ".
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
Site Address:
Subdivision/Lot#: \ArIv \
and/or
Map and Tax Lot#: \C�
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: 4/01 Date:
Owner/General Contractor/Authorized Agent
Print Name: �.E'ck t✓
1 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 fmal 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\Forms\RES-HighEfficiencyLighting.doc 07/01/08
PERMIT NO./1 572.0 ] �" ®® I l L1
CleanWater Services
Our commitment is clear. LOT I S S
EROSION CONTROL INSPECTION REPORT
DATE\.0/I 0 / I ( INSPECTOR (i''vY SUBDIVISIONVi11h�Mj ' � 4k
OWNER/PERMITEE _ WA.z4N h C_ P1/4)c-\11t4,(�
SITE ADDRESS \ kol VO(A1VN‘'• SI--
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 PHONE (D 0 1 yon f
_47-
PERMIT NO.Cil,MO i tr," 4 t1) i 1 LI
CleanWater = Services
Our commitment is char. LOT 1 S .S
EROSION CONTROL INSPECTION REPORT
DATE\ Nil) I I , INSPECTOR (S,rvr, SUBDIVISIONSwn\m A ‘ i
OWNER/PERMITEE S' fi'� - \\r r, h _ NA 1 0,4,.\
SITE ADDRESS \ `'k, �, CliCc . Virr.\YN,wN. SA-
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 I IONE U 1- Iko .
Form 640S 2016 , m ,,,
Completion Certification—Site Inspection
New Homes Program—Single Family y f f3
To be completed by Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Pa ent Information
Incentive Payee Company Name: Performance Insulation&Energy Is this payment redirected?:
Builder or Company: Contact Name:
Verifier Payee Company Nam_Performance Insulation&Energy Technician Nam:
Energy Trust Pathway: Percent Improvement Affordable Housing No
Solar Ready Builder Incentive: No Solar ReadyVerifier I No
Site Information
Development: Lot Axis ID: —REM/Rate®ID:
Address:
Street Line 2 Multi-Family No City: Tigard State: OR 97224
Number of Stories 3 Total conditioned area 1965 as#of BRs
Foundation Type Slab Floor 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 -
® 38.0 Insulation Typ Blown-in
Framing Type:Above Grade Wall 21.0 Insulation Typ Batts
Intermediate
Slab 15.0 Insulation Typ Other/Combination
Doors Door 2—
Windows Windows m Elsa.30
Skylights
Window Area(Glazing) 12%1;2111 Total window are. 239
Lighting High efficiency indoor lighting 12111 Dishwasher Brand
Appliances ENERGY STAR Diswasher Yes ®P70
Cooling Air Conditioning SEER —alms
Primary Heat Source/Type: AFUE 92.1 Brand:
Source Gas Furnace HSPF: —Model#
Gas —
SEER
Comment: COP
AHRI Certificate:7126229 Location: 'Outdoor Unit(for heat pumps)
ECM No Model#
Water Heater Type: Gallons: 50 Brand
Electric Storage MO 2.7 Model#
Ventilation Location (AHRI Certificate:7551743
Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requireme Untesta
System Ventilation Requirement
HRV/ERV Model:
Airflow measured or why untestable? Roof Termination
Who Tested? Clover Mateo
Ducts Ducts Inside: No
%ducts inside:
Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the followin Ducts Tested
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: 50Pa: 3.70 17,882
Notes:
Insulation Details
Flat Ceiling R- Insulation Type:
Vaulted Ceiling R- Insulation Type:
Scissor Truss R- Insulation Type:
Above Grade Walls R- 21.0 Insulation Type: Batts
Below Grade Walls R- Insulation Type:
Floor Over Unheated Space R- 30 Insulation Type: Balls
Floor Over Garage R- 30.0 Insulation Type: Batts
Rim Joist R- 21.0 Insulation Type: Batts
Appliances Brand Name
Refrigerator % Model:
Clothes Washer MEF Model:
Dryer % Model:
Showerhead 1.5 GPH 'r.Showerhead 1.6 GPH r mow' %IShowerhead 1.75 GPH ,'R
Showerwand 1.5 GPH -