HomeMy WebLinkAboutMiscellaneous Form 2014-08-12c
UILDING
EU[tE1VE
DEPARTMENT, LLC
Exterior• q -
Self -Certification•
I, J—)qw � PN/P_C/A am the general contractor or the
owner -builder at the following address:
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Street Address
City
Per���
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To conform to the 2011 Oregon Residential Specialty Code (ORSC), Section
11703.1.1, 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.]
Trim ivame
Signature
=>�-iy
Date
Revised: 2/8/2010