Report Moisture Content Acknowledgement Form
I, tLL.. �,�M_b51.m the general contractor or the owner-builder at the following address:
Ito(aI 1 51,3 6/0ow Jfft-t,_ S7'
Street address
City
I11\5Tzo141 - 0000 2..
Permit number
If applicable:
A-3 2-32--
Subdivision/Lot and/or Map and tax lot
To conform with the Oregon Residential Specialty Code (ORSC), I am notifying the building official that
I am aware of the moisture content requirement of ORSC Section R318.2 and have taken steps to meet
this code requirement.
R318.2 Moisture content. Prior to the installation of interior
finishes, the building official shall be notified in writing by the
general contractor that all moisture-sensitive wood framing
members used in construction have a moisture content of not
more than 19 percent of the weight of dry wood framing
members.
/ — /-_-
Signature Date
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Mcsr Iq "02_ Jurisdiction: -777.67R-I�
Site Address: j�Q jt.( 5tr) SN01.0 ��L4
Subdivision/Lot#: IT 6}°j Lee 23 2--
and/or
Map and Tax Lot#:
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code N1107.2)1
Signature: ..j _ Date: I" (7 -2.0
wner/General Contractor/Authorized Agent
Print Name: i Gr...„ ' j UP4b J
' ORSC Section N 1107.2. 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.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
L\Building\Fomu\RE S-HighEfficiency LightingAcknowledgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, )1/4.ktt ..TGI`}%DiXX0 , am the general contractor or the owner-builder
at the following address:
Site Address: /LQ 0 ( y 5 SNOB if) RA-4_ � 7--
City: cJ
Permit#: ill
6%2-40(1 ' C o02--
Subdivision/Lot#: ,r, /9"3 ter- 2-32_
and/or
Map and Tax Lot#:
To conform with the 2017 Oregon Residential Specialty Code(ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement
The ground surface of the under-floor space is covered by a Class I vapor retarder or
wher approved materials, with
Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: `;, Date: /— (7 - ZQ
eneral Contractor or Owner-Builder
I:\Building\Form\RES-MoisturcBarricrAcknowledgement_022018
•
Form 640S 2017 7°
Completion Certification—Site Inspection Trust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResulf is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name. (William Lyon Homes Its this payment redirected?: INc
Builder or Company Wimiem Lyon Homes Redirect to Name.
Verifier Payee Company Name: Performance Insulation end Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No I Solar ReadyVerifier lncel No
Bite Information
Development: NE River-Area 3-MedfStd ILo1 1232 Axis ID: 1 IREMIRatelt ID:
Address'. 16614 SW SNOWDALE ST
Street Line 2 Mull-Family INo City: Tigard Stale: OR Zip: 97224
Total conditioned area(sq.I.): 3,719 House Volume: I 33,392 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms. 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: WV Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details a Notes
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Framed Floor R. 30.0 Secondary Framed Floor R- 59.0
Insulation
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R.
Flat Ceiling Insulation R. 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:I0.3 Total window area: 1578
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#. 9125C48060517-
HeatingFuel: Gas SEER:
Primary Heat
source Comment COP:
Location. Conditioned A Outdoor Unit(for heal pumps)
ECM: No Model#: I
AHRI Certificate:7126231 #of Systems 11
Gallons: I Brand: AOSmnh
Water Heater Type Heal Pump EF: I Model#: HPTU-a0N 130
Water Healing Fuel Electric Location: (Garage or ape
Ducts and Duct Location !Conditioned %ducts inside. Duct Leakage(CFM)@ 5UPa 1100
Testing
Infiltration Air Changes per Hour(ACH) 50Pa: 2.08 I
VentilationVentilation Type HRVIERV Model.Supply Side-Air Cycler Airflow measured or why uneatable? (Roof Termination
Appliances
Refrigerator comfy, Model
ENERGY STAR Diswasher kWNyr 268 Model: FGID2466—A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Shawerhead 1.5 GPH I Showerwand 1.5 GPH J Showemead 1 6 GPH I IShowerhead 1.75 GPH I
Notes: