Report (35) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: actl Jurisdiction:
Site Address: (-'1i• ,4 51,) 7 LeAQQ. 1 5111-) Q a!
Subdivision/Lot#:
and/or
Map and Tax Lot#: 15 1 • 5 `( 01-700
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: 1'.- . • Date:
tier/General Contractor/Autho ei Agent
Print Name: 'r? - '�, Ge
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, f►1,vx .Y I Z , am the general contractor or the owner-builder
at the following address:
Site Address: 9 y ` s �
City: 1 i yk•t d O LA-1 )22.5
Permit#:
Subdivision/Lot#:
and/or
Map and Tax Lot#:
51 5 -sr?0®
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:
ir The ground surface of the under-floor space is covered by a Class I vapor retarder or
I�1 other approved materials,with
i 1 Joints lapped 12 inches at seams and
R" Extending up the foundation walls 12 inches.
Signature: Date: 3- /1
eral Contractor or Owner-Builde
I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, w►,•% wit GL(-6 k Z, , am the general contractor or the owner-builder
at the following address:
Site Address: ci Lkof y 3 w "i; - Nv e.
City:
Permit#:
Subdivision/Lot#:
and/or
Map and Tax Lot#: �?aY C L I- 1512.5OG 3)2o 000
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: tn' ) 1
ig.,0_,I,
ral Contractor or Owner-B ilc er
I:\Building\Form\RES-MoistureContentAcknowledgement_022018
PERFORMANCE TESTED
-
..---SYSTEMS" Last Updated April2018
PTCS® Duct Sealing Form (optional)
1) Enter all data on a mobile device or computer at ptcs.bpa.gov using the certified technician's account.This optional
form can be filled out for later entry online.Issues entering data?Submit this form for entry:
• Customers of Bonneville Power Administration(BPA)utilities:email ResHVACC+ibpa.gov,fax to 1.877.848.4074,or call
1.800.941.3867
• Customers of PGE or Pacific Power:email Residentialforms@energytrust.org or call 1.866.365.3526
2) Submit the Registry Installation Report(found online)and additional required documents to the customer utility.
Unless requested by the utility,submission of this form is not required.
Site Information G (,..R ! T-;s C c,`i f r,fil cars,,,„,c f�Zvcr-1c P.�f -I
PTCS PTCS Tech Install Electric
Tech# 10 9- Name ``R lc,ix,, Lc)c 9-—IztDly Date „(,_/7.. 1? Utility 7q/0,1 _
Installation Site Site Site
Site Address 9 ,j(fit 7t./7'7- 7q v6, . e City �'i6 Aye State (/ Zip ci7Z 2Zo
Home Type: C�'Existing Site Built ii Manufactured:#of Sections ❑1 ❑2 El 3 Heated Area: 2 6 0 6 Sq Ft
Foundation Type(Site Built): ❑Crawispace ❑Full Basement ❑Half Basement ❑Slab
Existing Heating System:
❑E ctric Forced Air w/out AC ❑Electric Forced Air w/AC ❑Electric Zonal ❑Air Source Heat Pump ❑Ground Source Heat Pump
Natural Gas FFurr�r�ace(Gas Company: ) ❑Other Non-Electric Space Heating:
Back up Heat: Ly_I None ❑Electric Forced Air ❑Electric Zonal ❑Natural Gas Furnace ❑Non-Electric Space Heating
Location of Duct Work.Ducts are considered to be in unconditioned space when they are in vented crawlspaces,attics,and unheated garages.
Basements are considered conditioned space.The bellies of manufactured homes are considered accessible.
Are at least 30%of supply ducts in unconditioned space and accessible? [Th' ❑N If no,home does not qualify for duct sealing.
Type of Ducts Sealed Select one ❑Seal Existing Ducts ❑New Ducts 1 #Supply 1 #Returns
House Pressurization and Duct Blaster Tests Work must be done to PTCS Duct Sealing Specification found at bpa.aov/aoto/reshvac.
Do either of these conditions apply? Testieg Equipment Used:
ecord Only (No duct sealing done) nergy Conservatory ❑RetroTec ❑Other:
❑PTCS Certification ONLY (Pre-test leakage below requirement)
Duct Insulation (select one): ❑Ducts were not insulated OR ❑Existing duct insulation was re-installed OR ❑New insulation was installed
Houjse Pressurized(Blower Door)to: Duct Blaster Location: Pressure Tap Supply Register Location:
+50Pa ❑Other Pa ❑Return Grille ❑Other:
Existing Home,Site Built Manufactured Home
Pre-test Ring ❑1 ❑2 ❑3 El Open Open ❑ ❑2 ❑3 ❑Open
Duct Leakage Test: 0 ❑M❑L 0 ❑M❑L
DUCT BLASTER CFM READING
with Duct Pressure at OPa W Duct Blaster Fan Pressure Pa Pa
with respect to house and 1'"
Blower Door @+SOPa. Duct Blaster CFM CFM CFM
ti ❑ 2100 CFM,Single Wide
Pre-leakage ❑ 2 250 CFM(>1667 sq ft)
Duct Blaster Fan Pressure: Requirements El >_15%of home's sq ft ❑ 2150 CFM,Double Wide
It is the fan pressure,NOT the ❑ 2 225 CFM,Triple Wide
house pressure. ❑1 ❑2 Open ❑1 ❑2 ❑3 0 Open
(Ex.Ring 1,78 Pa Fan Post-test Ring
Pressure,364 CFM) E]H ['MEL ❑H ❑M❑L
t Duct Blaster Fan Pressure r —� � Pa Pa
tu
Note: F„ '''!!!
CFM leakage is calculated in H Duct Blaster CFM 71./ CFM CFM
the online registry using the 1 ❑ <_50 CFM,Single Wide
ring size and fan pressure. Leakage Reduction Z510%of home's sq ft ❑ 5 80 CFM,Double Wide
Requirements ❑ 2 50%Reduction ❑ 5 110 CFM,Triple Wide
❑ >_50%Reduction
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