HomeMy WebLinkAboutPermit Form 2019-02-11I 'MMEMM
DEVELO
PME
NT,SERXICES D]�PA
, SERVICES pEp RTMENT
DEVELOPMEN,TA
225 FIFTH STREET"
SPRINGFIELD, OR 97477
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PHONE '-(54#726-,V53
FAkAJ541-jik-43886
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HIGH
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,SOREGON RESIDENTIAL SPEI�Lj C(2017
ORSP)--.
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Permit No
Site Addre'SK;'
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Subdivision/iLoi..
and/or
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Map and Tax koh '39
By MY signature below, I certify that all* of the permanently installed lt-ghfing fixtures in the aboVe"�4-'
mentioned building have been installed with high efficacy lamps,. (Oregon residential Speci#yode G
NI 107.2)
ZIP
'-e-flof icacy lamps.
A maximum of two interionand two exterior fixtures may have A
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DEiIELOPMENT SERVICE'S DEPARTMENT {
225 FIFTH STREET
: SPRINGFfELD,.OR 97477
(549) 726-3753.
Moisture Content�Acknowlgd errlent FormI, r am the : ener ,
HON1S g al contractor or the ownee=Builder
at the following address K
y`p
Street Address
City
Permit# t
If applicable:
1015 tsar "S8
Subdivision/Lot and/or Map and Tax Lot :
To conform with the Oregon Residential Specialty Code!(ORSC), Section R318.2 I
am notifying the building official that I am aware of their oisture content
requirement of ORSC Section R318.2 and have taken steps to meet this code
requiremerit. f Section R318.2 is provided for refer&nce E9
- -
Section R018.2 M,oisfpre content. Prior to issuance of the insul tion/vapor barrier
is approval required by.R104,1.5.2, of this code::
(A) All moisture -sensitive woad framing members used in construction shall have a moisture content 4
of not more than 19 percent of the weight of dry wood framing members.
(B) The general contiactor.or the owner who was issued theystructural permit shall notify the building
official on a division -,'approved form that -the contractor or the owner wlio'was' issued the structural
permit is awareV and has taken steps to meet the requirement in paragraph (A).
..
P''rint Name
o
Signature
Date
n� w
4' `,` 1.\B.6ildin� forms
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SPRINGFIELD T
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Exterior Wall Envelope
Self -certification Form
I' am the general contractor or the
owner -builder at the following address ' N
5u VI T
Street Address
Spe t ;.
City
Permit#
To conform to the Oregon Residential Specialty Code (0RSQ Section R703.1.'1,1
am notifying the building official that I am aware of the exterior wall envelopb
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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Signatulre .
Date
i a {
A,4, •�l I III
` Sated on 'spifs025\dsd' T:\Building Forms\Exterior Wall Envelo e.docx
*' P Revised 10/1/2011