Report (2) Moisture Content Acknowledgement Form
I, Oirit, I xe,41/M5 am the general contractor or the owner-builder at the following address:
/05Z$ Sc,J ' D$ty, S7
Street address
67A,2D
City
414 w/4- cosy
Permit number
If applicable:
ten— 2-UL
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.
7,2-/Zo ?-t9
ignature Date
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, Aire.r ? xcm-q-aZ r tiJ , am the general contractor or the owner-builder
at the following address:
Site Address: i u 5.-7_ 137"4-DSUN to 5
City:
.2.4
Permit#: Mcr20/4? _ cCZH1
Subdivision/Lot#: 2
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
other approved materials, with
Joint lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: Al�'�� ���' Date: S /2 Zp 20
g / /
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 41 5,1-204 9- 002 if( Jurisdiction: .& C D
Site Address: I cZtj C _ 1 ef4) 5/ •
Subdivision/Lot#: Log- 2 Z L
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: 41- "4 Date: 02./.o 20
Owner/General Contractor/Authorized Agent
Print Name: 11.1S e.g. g w4 -)
' ORSC 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.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
I:\Bui Iding\Fomrs\RES-HighEfficiencyLightingAcknowledgement_022018
Form 640S 2017
Completion Certification—Site Inspection � ,
New Homes Program—Single Family
ust
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name. 'William Lyon Homes Its this payment redirected?- INn
Builder or Company: William Lyon Homes Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: _. (Solar ReadyVerdier Incrl
Site Information
Development 13M3.Landi River Terrace �C6 Lot I "i n1 tt fl ltt Axis ID: IREMFRatehrlD:
Address: �IIS�� t�..... .``....r..... .. ,t3 .tit.... .......�. E`IF E
Street Line 2 Multi-Family INo City: SIIERWOOD State: OR Zip: 97140
Total conditioned area(sq.ft.): 3,248 House Volume: I 29,029 Housing Type: Detached single family
INumber of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes I
Slab Perimeter Insulation R- 10.0 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 10.3 Total window area: '510
Cooling Air Conditioning SEER: 0 Model#: 113ANA042-C
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace FISPF: Model#: 912SD48080E17A-A
Heating Fuel: Gas SEER:
Primary Heat
Source Comment COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126235 #of Systems 11
Gallons. I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model#: HPTU-BON 130
Water Heating Fuel Electric Location: (Garage or ope
Ducts
sd Duct Location I Conditioned %ducts inside % ,�kR,,F.Duct Leakage(CFM)(0).50Pa: RQO
Testing
Infiltration Air Changes per Hour(ACH)C 50Pa. 3.2
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestabe? (Roof Termination
Appliances
Refrigerator kWh/yr Model
ENERGY STAR Diswasher kWnlyr 268 Model: FGID2466"-A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPIs I
Notes: