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Report re Oregon Residential Specialty Code N1107.2 HIGH—EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: I/14 Sr?-0 I g — ©O? '`/ Jurisdiction: Site Address: ( q/c7 65471"5 ,4 06 Subdivision/Lot#: -r41z-✓- ��fG� /9-3 and/or Map and Tax Lot#: / '53 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 Ni 107.2)1 Signature: CIA Date: I?-.2.1 ^�X Owner/General Contractor/Authorized Agent Print Name: q2oVeril— ORSC SectionN1107.2.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\Fonns\RES-HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM ?o\f/i.:1— , am the general contractor or the owner-builder at the following address: Site Address: 0-( fc/ 4Ki I ( L k City: ar L Permit#: V - r ?.0 i ' 00309' Subdivision/Lot#: J 4,,,, 41 3 and/or Map and Tax Lot#: I To conform with the 2014 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: The ground surface of the under-floor space is covered with 6-mil black polyethylene sheeting with Joints lapped 12"at seams and 71Extending up the foundation walls 12". Signature: TZ Date: I P - / 'a2 0 General Contractor or Owner-Builder I:'BuildingWorm\RES-MoistureBarrier.doc 09/13/2016 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 12bP , am the general contractor or the owner-builder at the following address: Site Address: I asq/ 3 (4 I ( S-Y AV e City: Permit#: 'n , Subdivision/Lot#: ✓ e- /I3 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: 7'hJ --� Date: / P^a eneral Contractor or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 ,tom Form 640S 2017 Completion Certification—Site Inspection p ,ws�. �++ New Homes Program—Single Family w „A A 1\ R ru.71A fi iy of Oregon To be completed by Verifier CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment information Incentive Payee Company Name: 'Polygon Northwest-WA I Is this payment redirected?: INo Builder or Company: Polygon Northwest-WA Redirect to Name. Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn Affordable Housing No Solar Ready Builder Incentive: No 'Solar ReadyVerifier Inc4No Site Information Development River Terrace 2 JLot 1155 ' Axis ID: I IREM/Rate®ID. Address: 12914 SW 16601 Ave Street Line 2 Multi-Family INo City: Tigard State. OR Zip: 97223 Total conditioned area(sq.ft.). 2,572 House Volume: I 25,700 Housing Type: Detached single family Number of Stories: 13 Number of Bedrooms: 4 Foundation Type: Other/More Than One(add comment) 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 Slab Perimeter Insulation R- 15.0 Slab Under Insulation R- Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 59.0 Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R- Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R- Windows Windows U- 0.3 SHGC:10.3 Total window area: 1424 Cooling Air Conditioning SEER: Model#: MXZ-6C48NA Primary Heating System Details AFUE: Brand Mitsubishi Type: Electric Heat Pump-Mini Split Non-Ducted HSPF: 13.5 Model#: PEAD-A36AA7 Heating Fuel: Electric SEER. 30.5 Primary Heat Source Comment: COP: Location: _Attic Outdoor Unit(for heat pumps) ECM: No ��Model#: LMUZ-FHO9NA AHRI Certificate: #of Systems t` Gallons: 166 Brand: AOSmith Water Heater Type Heat Pump EF. 13.17 Model#: HPTU-66N 130 __— Water Heating Fuel Electric Location: "Garage or ope AHRI Certificate: Ducts and Duct Location 'Unconditioned /ducts inside: 10% (Duct Leakage(CFM)@ 50Pa: 1175 Testing Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.55 I Ventilation Ventilation Type HRV/ERV Model: Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination Appliances Refrigerator kWlvyr Model: ENERGY STAR Diswasher kWh/yr 268 Model. FGID2466*"A Percent High Efficacy Interior Lighting(%) 100% Thermostat Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I 'Showerhead 1.75 GPH I