Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Rs , doR - 0O ( 8 (o Jurisdiction:
Site Address: 1 3 - W S(Ai , 5-t, A.Q6
Subdivision/Lot#: V(1/11- 01
and/or
Map and Tax Lot#: Lot ."?a-�
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:
Owner/General Contractor/Authorized Agent
Print Name: '2o1112 "c'r—
'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\'orms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: ' 32,f c/ J (60, 6
City: -now'
o
Permit#: VLl ST- 20 19 - Dd( $(,
Subdivision/Lot#: I qt� � �
and/or
Map and Tax Lot#:
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 Bather as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
PThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
LJ Joints lapped 12"at seams and
Extending up the foundation walls 12".
Si afore: ' Date: oa-f'
General Contractor or Owner-Builder
I:1BuildingWorm\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: 3c2c(cf /„J c
City: ''-)� dJ�-
Permit#: ,sr-x(4) - co( $�o
Subdivision/Lot#:
�t fG/_ ac-e_
and/or
Map and Tax Lot#: / -( ??Y
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: °'` Date: 1
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017 '"i
Completion Certification—Site Inspection a , •. Trust
New Homes Program—Single Family �
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor/or Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name. I William Lyon Homes 'ls this payment redirected?: Iwo
i
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 ReadyVerifier Inch
Site Information
Development BM3 Landi River Terrace Lot 228 T Axis ID. IREM/Rate®ID:
Address: 13244 SW 165TH AVE S _.
Street Line 2 Multi-Family INo City: SHERWOOD State: OR Zip: 97140
Total conditioned area(sq.ft.): 1,947 House Volume: ' 16,624 Housing Type: •Detached single family
Number of Stories: 11 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
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-
Wlndows Windows U- 0.3 SHGC:10.3 Total window area: 1254
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: Brand Mitsubishi
Type: Electric Heat Pump-Mini Split Ducted HSPF: 13.5 Model#: NTXMMX48A182BA
Heating Fuel: Electric SEER: 30.5
Primary Heat Comment: COP:
Source
Location: Other Outdoor Unit(for heat pumps)
ECM: No Model#: IMUZ-FH09NA
AHRI Certificate: #of Systems 12
Gallons: I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model#: HPTU-80 N 130
Water Heating Fuel Electric Location: 'Garage or ope
Ducts and Duct Location 'Conditioned %ducts inside: I95% 'Duct Leakage(CFM)@ 50Pa: 100
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 4.02 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWhlyr Model.
ENERGY STAR Diswasher kWh/yr Model: PDT715SYN3FS
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH' Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes:
1
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