HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-3- (2) 011'lll �_
SPRINGFIELD 'THE
UILDING —�
EUGENE-
"E
COUNTY. • :DEPARTMENT, LLC
• /
OREGON.
///111111 .Exterior Wall Envelope
Self-Certification Form
I, B i' UCc L) ■ Soon, )-iv n-'es , am the general contractor or the
owner-builder at the following address:
Street Address
tA
ev � V\ C rrti 1 C
City J
13 — Oo 3 L 7
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.]
1/1-k-
Signature
Date
Shared on 'spifs025\dsd'T:\Building Forms\2011 Exterior Wall Envelope.docx Revised 10/1/2011