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HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-3- (2) till SPRINGFIELD ,—HE i$UILDING cuD ri . .LAN • 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 •