HomeMy WebLinkAboutMiscellaneous Compliance Report 2010-11-24
SPRINGFIELD
:THE
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i~UILDING
:DEPARTMENT. LLC
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Exterior WaDI Envelope
SelfaCertification Form
I, /~fvkF.i 1b>>1ct,
owner-builder at the following address:
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, am the general contractor or the
Sut 5 "7flh 51-
Street Address
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Permit#
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To conform to the 2008 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.]
~~~
Signature .
/1-dC/-/O
Date
-'i'
Revised: 2/8/2010