HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-3- (2) 01 >llll �SPRINGFIELD T�'If
BUILDING
LANE, Df�Af2TMf NT. LLC \<
COUNTY ✓ f
OREGON ..i i/ � L
Exterior Wall Envelope
f� Self-Certification Form
1, C� '� UCC �`∎ eG1,,e,4 co S4-or, {vmeS , am the general contractor orthe
owner-builder at the following address:
7? n 4- 5 ,n--Iv •
Street Address
City
J � oo3OC
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.]
Signature
•
Date
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Shared on'spifs025\dsd'T:\Building Forms\2011 Exterior Wall Envelope.docx Revised 10/1/2011