Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Y A S -nD a 7 7 Jurisdiction:
Site Address: ry 3 76
((0 A 6 6
Subdivision/Lot#:
and/or
Map and Tax Lot#: 1,0-f ' 3
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: (2µ7.107 `"---- Date: , /Z-(O— X20
Owner/General Contractor/Authorized Agent
Print Name: Qo itV--esW
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.
1:\Building\Foams\RES-HighEfficiencyLighting.doc 07/01/08
W
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner-builder
at the following address:
Site Address: ( (1,371 C (Gs'ft- ,)6
City:
Permit#: IAAjr 20 fq' - c'0P77
Subdivision/Lot#: ( -3 72,4 S L
and/or
Map and Tax Lot#: C04 (
3.
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:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
6Joints lapped 12"at seams and
(Extending up the foundation walls 12".
Signature: -� Date: P —
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ,' W / , am the general contractor or the owner-builder
at the following address:
Site Address: ( ( 3 2 j C(,J l c g /06
City: '..--r.
ri"
Permit#: IAA5---=
Subdivision/Lot#: rk:73tS
and/or
Map and Tax Lot#: / (
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.
Signature: I4� --�` _.__ Date: I " (0 - 2-o
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017
Completion Certification—Site Inspection
rustNew Homes Program—Single Family '�
4a,.°3
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 [Is this payment redirected?. !No
Budder 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 ReadyVenfier Inch
Site Information
Development. BM ROSHAK-A4-ALLEYS ILut I'13 Axis ID: l !REM/Rate®ID.
Address: 14379 SW 168TH AVE
w Street Line 2 _ u Multi-Family [No City BEAVERTON State. OR Zip' 97007
Total conditioned area(sq.ft.). 2,533 House Volume: J 23,050 Housing Type. Detached single family
Number of Stories. 13 Number of Bedrooms: 4 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:10.3 Total window area: 1424
Cooling Air Conditioning SEER. 0 ,Model#.
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF. Model it. ML196UH070XE36B-51
Heating Fuel: Gas SEER.
Primary Heat
Source Comment: COP.
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
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 •iar�t, DucI Leakage(CFM)@ 50Pa. [100 1
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.41 I
Ventilation Type HRV/ERV Model:
Ventilation
Supply Side-Air Cycler Airflow measured or why untestable? !Roof Termination
Appliances
Refrigerator kwhiyr Model
ENERGY STAR Diswasher kWh/yr Model. GDT605PSM4SS
Percent High Efficacy Interior Lighting)%) 100% Thermostat
Showerhead 1.5 GPH ! Showerwand 1.5 GPH ! Showerhead 1.6 GPH I [Showerhead 1.75 GPH I
Notes:
i