HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-5-15 ivi
••� SPRINGFIELD THE ��
i$UILDING EUGENE
""E
COUNTY �DEPARTMENT, LLC
-3
Exterior Wall Envelope
Self-Certification Form
i, 'thave4 - 1-■can , am the general contractor or the
owner-builder at the following address:
35 c14 R.I -E-2 ()kits .
Street Address
`jpi?locinetc
5PR2o( Z- o203
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.]
JON Ni LHam PSON/ •
Print Name
1 Ir
Sig I ature
IS11Zoi3 .
Date
Revised: 2/8/2010