HomeMy WebLinkAboutBuilding Miscellaneous 2013-12-30 llr�lll
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SPRINGFIELD
(BUILDING EUGENE
COU TY r j DEPARTMENT, LLC
OREGON
Exterior Wall Envelope
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Self-Certification Form .
I, Jo , am the general contractor or the
owner-builder at the following address:
7O%k Mm j4-
Street Address
City
81I- S)°!2Zviz 0U s 9 •
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.]
Atli! •
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Signk re
Date
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Shared on'spifs025\dsd'T:\Building Forms\2011 Exterior Wall Envelope.docx Revised 10/1/2011
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SPRINGFIELD -
EIT.YOF SPRINGF/ELD 'OREGON. ; : . } , ._ 1
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
PHONE (541)726-3753
FAX (541)726-3689
www.ct springfeld.or.us
HIGH-EFFICIENCY LIGHTING SYSTEMS •
OREGON RESIDENTIAL SPECIALTY CODE (ORSC)
Permit No.: 5- 17\ - 5�Al 12- — 00 8 I5 Jurisdiction St Ft- n / /
Site Address: /D3 b A 1 Gln Sf•
Subdivision/Lot:
Map and M and Tax Lot: / 7C, 2- 3 OO S O /
By my signature below, I certify that a minimum of❑ fifty(50)percent, *[4venty-five (75)percent, of
the permanently installed lighting fixtures in the above mentioned building have been installed with compact
or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon
Residential Specialty Code N1107.2)1
* Check the 75%box if the additional measure selected to comply with ORSC N1101.1 and Table
N1101.1(2) requires 75% of lighting fixtures to have energy efficient lamps.
Signed: Date: — 03
ner/General Contractor/Authorized Agent
Print
Name: UCLA) 62EC/
Contractor's CCE # Expiration Date:
1 ORSC Section NI 107.2. High-Efficiency Lighting Systems. A minimum of fifty(50)percent of the pemnanently installed
lighting fixtures,seventy-five(75%)percent, if the selected additional energy code measures in the Table N1101.1(2)requires
greater lighting efficiency,shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of
40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement.
The Building official shall be notified in writing at the final inspection that a minimum of the required percentage of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per input watt.
C:\Righ-Efficiency hner.dac
SPRINGFIELD +-•+••
C/TYOF SPRINGFIELD, OREGON
Y' may..?n S f i
DEVELOPMENT SERVICES DEPARTMENT /
V%�I/ 225 FIFTH STREET
SPRINGFIELD,OR 97477
PHONE (541)726-3753
FAX (541)726-3689
www.ci.springfield.or.us
MOISTURE-CONTENT ACKNOWLEDGEMENT FORM
I, J 6 vv p/QQy , am the general contractor or the owner-
builder at the following address:
o% (*NIAih . '
Street Address /
S 2 (w\`� }l.P.�at
City �J
ifs— s zzcnz— do (5x)
Permit #
If applicable:
/ 7o1 3S3/ 0090/
Subdivision/Lot Map and Tax Lot
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2, I am notifying
the building official that I am aware of the moisture content requirement of ORSC Section R318.2 and
have taken steps to meet this code requirement. [Section R318.2 is provided for reference.]
Section 8318.2 Moisture content. Prior to issuance of the insulation/vapor barrier approval
required by R109.1.5.2 of this code:
(A)All moisture-sensitive wood framing members used in construction shall have a
moisture content of not more than 19 percent of the weight of dry wood framing
members.
(B) The general contractor or the owner who was issued the structural permit shall
notify the building official on a division approved form that the contractor or the owner
who was issued the structural permit is aware of and has taken steps to meet the
requirement in paragraph (A).
Sign to Date
IAMoisture Content Acknow Form.doc