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Report Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: is-rQ.0 g ' opvis• Jurisdiction: ` yl Site Address: 14-1C14 S w ...1 `f./1, Subdivision/Lot#: .Mdor 4,e ..&s- a and/or J 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: 1 aIIi a Owner/Gener ntractor/Authorized Agent Print Name: wQ% BQ i 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 R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, 17, ‘..4.15,01(2. 1-a.iv, S , am the general contractor or the owner-builder at the following address: `r,� Site Address: 1 q 9 ill 5 vj -7 r-T 1 Aug.,. City: S Ora Permit#: A&Td-0 12 -000-i V Subdivision/Lot#: ' v '�d 'moi Ps Q 1. f9-, 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: W(The ground surface of the under-floor space is covered by a Class I vapor retarder or other approved materials, with aoints lapped 12 inches at seams and Extending up the foundation walls 12 inches. Signature: / , Date: da-aJJ g General ('• tractor or Owner-Builder I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, !k Q 'cl Q. /V 2.e5 , am the general contractor or the owner-builder at the following address: Site Address: 1 r j g)y S vj 7(9+6 e City: .yam_ _ �1 Cr4 Permit#: /� a o O 4.1 Subdivision/Lot#: .1.4,00512p R1 t Q Lwr a` and/or u 1 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: Date: I ke 11 General tractor or Owner-Builder I:\Building\Form\RES-MoistureContentAclmowledgement_022018 *iOlS*it034 i . . © New i.ifi171rt- .1-;i0r_ "f 44Noic L'-'14 MI Existing Ape sie BACKFLOW ASSEMBLY TEST REPORT - Removed El Replacement Property Riverside Homes, LLC Owner Mailing 17933 NW Evergreen PI. Suite 370 Beaverton, OR 97006 Address Phone:503-645-0986 Assembly 14814 SW 76th Ave Tigard, OR 97224 Address D R.P.B.A. ®D_C.V.A.D R.P.D.A. 0 D.C.DA. a P.V.BA. D S.V.B.A.Q A.Y.B. 0 AIR GAP SIZE: 1" MAKE: Febco MODEL: 850 Water Purveyor Tigard Serial # 83214 Assembly Location: Next to water meter REDUCED PRESSURE ASSEMBLY DOUBLE CHECK PVB.A. I S_V.B.A. INITIAL TEST #1 CHECK INITIAL PRESS DROP (A) CHECK #1 AIR INLET CHECK PASSED ril TEST RELIEF VALVE TIGHT 02 7 OPENED PRESS FAILED RESULTS OPENED AT (B) LEAKED 0 PSID AT DROP DATE MIN 2 PSID DATE nnAA �((]] BUFFER PSDI PSDI 0 i.04 _L9 A-8 = CHECK #2 MIN 3 PSI RELIEF VALVE TIGHT 0 2.6 DID NOT FAILED SYSTEM PSI V OPEN PASS Q FAIL 0 LEAKED ID Q PS0 115 COMMENTS REPAIRS AND/OR PARTS REDUCED PRESSURE ASSEMBLY D.C.VA. P.V.B.A. ? S.V.B.A. TEST AFTER #1 CHECK CHECK #1 REPAIRS AFTER PRESS DROP (A) TIGHT PSID OPENED PRESS REPAIRS RELIEF 0 AT DROP DATE OPENED (B) MIN 2 PSID CHECK #2 PSDI PSDI BUFFER TIGHT PSID A-e = 0 PASSED 0 MIN 3 PSI IN COMPLETING AND SUBMITTING THIS TEST REPORT,THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE RULES AND REGULATIONS OF THE WATER SYSTEM,AND STATE REGULATIONS GAU 4 V TION DATE 12-17-18 DETECTOR METER READING tdrr- T TER SIGNATURE TruScapes 503-707-0213 State Testers Bonifacio Garcia Certification #6693 21600 NW Amberwood Drive Hillsboro, OR 97124Gauge# 12171807 REPORT RECEIVED BY ® SERVICE RESTORED 0 FOUND OFF, LEFT OFF