Fillable 2017 ORSC High Efficiency Lighting Acknowledgment Form (City of Hood River)

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2017 ORSC High Efficiency Lighting Acknowledgment Form (City of Hood River)

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High Efficiency Lighting Acknowledgement Form
*High Efficiency Lighting Acknowledgement form must be signed and provided prior to final
inspection*
I, ____________________________, am the general contractor or the owner-builder at the following address:
__________________________________________________________ _______________________________
Street Address & City Permit #
______________________________________________ _____________ _____________________________
If applicable, Subdivision Lot # and/or Map & Tax Lot
To conform to the 2017 Oregon Residential Specialty Code (ORSC), Section N1107.2, I am notifying the building
official that I am aware of the High Efficiency Lighting requirement of ORSC Section N1107.2 and have met this code
requirement. [Section N1107.2 is provided for reference]
Section N1107.2 High-efficacy lamps. All permanently installed lighting fixtures shall contain high-efficacy
lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting
fixtures have met this requirement.
______________________________________________ __________________________________
Signature Date
Electronic Signatures and Similar Markings are Recognized as a Legal Binding Signature by the City of Hood River and the State of Oregon. ORS 84.0001 to ORS84.061
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2017 ORSC High Efficiency Lighting Acknowledgment Form (City of Hood River)

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Completed 15 July 2020

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