Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ' V s (C _ 0 4 -19 Jurisdiction: -Th1
, l U�
Site Address: 1 3q ( tAi t �7 ' A 6
Subdivision/Lot#: {) L(,
and/or [\
Map and Tax Lot#: tot 1 t-/
By my signature below, I certify that a minimum of fifty(50)percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: ' Date: I a' 7-
Owner/General Contractor/Authorized Agent
Print Name: \201 �ro �
'ORSC Section N1107.2.High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
� vJ
at the following address:
Site Address: 3 I 5 IN 1 u0�`� 1 T",1,i
1
City:
,JJ
Permit#: 1N.ST a��- Oaat-I
Subdivision/Lot#:and/orVIDSLA
Map and Tax Lot#: t q
To conform with the 2014 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:
KThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
xtending up the foundation walls 12".
Signature: L Date: I a 7—gt°
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: G� S ( °X' 6
City:
Permit#: 1 4\CF o f ci - 00 d-I LI
Subdivision/Lot#: RoSLe-
and/or
Map and Tax Lot#: 1.��
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and
OAR 918-480-0140, 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.
[Section R318.2 is provided for reference].
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 by dry weight of dry framing members.
Ro\‘`\-kt
Signature: Date: ( "
General Contractor or Owner-Builder
1:\BuildinglForm\RES-MoistureSensitiveWood.doc 09/25/08
•
Form 640S 2017
Completion Certification—Site Inspection F:nerwT Tres
t
New Homes Program—Single Family
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: I William Lyon Homes I Is this payment redirected?: 'No
Builder or Company: William Lyon Homes Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: (Solar ReadyVerifier Ince]
Site Information �,
Development: BM ROSHAK-A4-ALLEYS )Lot YT_114 Axis ID: (REM/Rater)ID:
Address: 14391 SW 16STH AVE
Street Line 2 Multi-Family INo City: BEAVERTON State: OR Zip. 97007
Total conditioned area(sq.ft.): 2,071 House Volume: I 23,392 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 3 Foundation Type. Other/More Than One(add comment)
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
Slab Perimeter Insulation R- 15.0 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: 1382
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model it: ML196UHO70XE36B-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: •Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:4805339 #of Systems 11
Gallons: 166 Brand: AOSmith
Water Heater Type •Heat Pump EF: 13.17 Model It: HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location 'Conditioned %ducts inside Duct Leakage(CFM)@ 50Pa: I100
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.33
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model.
ENERGY STAR Diswasher kWh/yr 270 Model: GDT60"*M"'
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH ' Showerwand 1.5 GPH I Showerhead 1.6 GPH I 'Showerhead 1.75 GPH I
Notes: