Report (22) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
Site Address:
Subdivision/Lot#:
and/or
Map and Tax Lot#: Lci
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:
Owner/General Contractor/Authorized Agent
Print Name:
' 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
ISTURE BARRIER ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner-builder
at the following address:
Site Address: ?-6
City:
Permit#: MST key - �
Subdivision/Lot#:
and/or
Map and Tax Lot#: 2_,,"
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:
LiThe ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials,with
Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
( i
Signature: A.,%) Date: ' Z 7— let
GAieral Contractor or Owner-Builder
I:\Building\Form\RE S-Moi sture B arri erAcknowl edgeme nt_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ( 3 , am the general contractor or the owner-builder
at the following address:
Site Address: �G w > L (\j
City:
Permit#: t`C\ .. kCk CC—!FD
Subdivision/Lot#:
and/or
Map and Tax Lot#: f%
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: '07—/ Ce
GenerdContractor or Owner-Builder
I:\Building\Form\RES-MoistureContentAcknowledgement_022018
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„.,G!l Local Relationships.National Resources.
USI JB Insulation
14255 SW Galbreath Drive
Sherwood, OR 97140
Installed Insulation Certificate
We certify that the insulation material listed here was installed at the address listed below:
Qther than:. tays4iti only. aluminum foil only
loose fill& i
aluminum foil i
Initial Installed$ 1
Aluminum Foam No.of e..: Minimum Settled AirSpaces' Direetionof
Loose Fill Kraft Unfaced Foil Open/Closed BIBS R-Value Thickness Pkgs I Area( F) Thickness ;No.[Thickness Heat Flow
Attic 0 ❑ ❑ ❑ ❑ ❑ R-49
i
1 �
Ceilings ❑ ❑ 0 ❑ ❑ ❑ R-49 I
Floors ❑ ❑ 0 ❑ ❑ ❑ R-38
Walls ❑ 0 ❑ ❑ ❑ ❑ R-21
Basement ❑ ID ❑ ❑ ❑ ❑
� # I
7 I
Crawlspace El 0 ❑ ❑ ❑ R-38 !
Other ❑ ❑ ❑ ❑ ❑ ❑ I_: .._ .._,: !
Contractor S' -.a vv� .a&2,� Address or Lot Number: 7659 SW Hansen Ln,Lot 24
r" (Signature)
City,ST Zip: Portland,OR 97224
Title Operations Support Specialist Date Installed:
TT.OPS.FRM.010