HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-3- (2) till SPRINGFIELD ,—HE
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• COUNTY. j DEPARTMENT, LLC
• Exterior Wall Envelope
Self-Certification Form
• f�
I, 2 'r' UC (A) eG),,e,4 Co S-I-Dr, Hv n-cs , am the general contractor or the
owner-builder at the following address: •
370 6103%.- 4-4;, ,ASk, k
•
Street Address
• JJ
City
Permit#
To conform to the 2011 Oregon Residential Specialty Code (ORSC), Section
R703.1.1, I am notifying the building official that I am aware of the exterior wall
envelope requirements of R703.1.1, and hereby certify that the components of
the exterior wall envelope have been installed in accordance with the code
requirements. [Section R703.1.1 is provided for reference on the reverse side of
this form.] •
CSI ��--
Signature
Date •
Shared on'spifs025\dad'T:\Building Forms\2011 Exterior Wall Envelope.docx Revised 10/1/2011 •