HomeMy WebLinkAboutMiscellaneous Compliance Report 2013-10-2 (2) Oct 01 13 02:57p Corp 5417460194 p.3
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Exterior Wall Envelope
/ Self-Certification Form
Ye 74)1/4`7Q-574 4.s7-1 j , am the general contractor or the
owner-builder at the following address:
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Street Address •
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City
Permit#
To conform to the 2011 Oregon Residential Specialty Code (ORSC), Section
R703.1.1, I am notifying the building official that 1 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.]
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Print Name •
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Signature /
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Date
Revised: 2/8/2010