HomeMy WebLinkAboutMiscellaneous Compliance Report 2010-10-15 (2)
THE
'I
:BUILDING
, I)
iDEPARTMENT, LLC
" :...:...!--._--------~,.._-----_..._._--~,_......__._-"-"----
Exterior Wan Envelope
SelfaCertification Form
I, ~~dR/1 /ftl'1t"s <
owner-b ilder at the following address:
. am the general contractor or the
~5g ,<) L/1,JII fL
Str;.et Address
jPdl'{l.J(t>I~
Citl
S-l6_~~(,
Permit#
To conform to the 2008 Oregon Residential Specialty Code (ORSe), 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.]
- ~/44-
/0-6-/0
Date
Revised: 2/8/2010