HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-5-21 �iiVIii
SPRINGFIELD [THE
I$UILDING EUGENE
LANE
COUNTY (, j SID€PA�2TMENT, LLC
- OREGON
Exterior Wall Envelope
Self-Certification Form
I N S- 04-1-2-0--CA-637.. /40,-,,.e7 , am the general contractor or the
owner-builder at the following address:
/ .2 � L-upu � t •
Street Address
�/27 k2c 7eild '
city'?
s/3-06 ?01--- .
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.]
�l
Print e
Sign Zre —_�
Date
9 I
Revised: 2/8/2010