Report (2) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: i _ 00 ) Jurisdiction: I l 4 f
Site Address: f - S __ \j3' 1r N
_
Subdivision/Lot#: a A.
t
and/or
Map and Tax Lot#:
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 Ni 107.2)1
Signature: ' Date:
Owner/General Contractor/Authorized Agent
Print Name: IGD�✓� !'��''�` `�_
'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\ICES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
(,‘,/, r--
, am the general contractor or the owner-builder
at the following address:
Site Address: f ` 4( /
City: ll J
5
Permit#: t n e j ` 0 /9 r COO,d/
Subdivision/Lot#: cL--
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:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
FI-Joints lapped 12"at seams and
[xtending up the foundation walls 12".
Signature:
41,5I-11 �" � Date: = al-43;2Q
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, (J WQ (,,/, , am the general contractor or the owner-builder
at the following address:
Site Address: (, (( .5(A) . I.
tiJ
City:
Permit#: Ut l S --P O(Ci —COO c9-9
Subdivision/Lot#: r j.„7.
and/or `-► U 17
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: e to Date: ?-?5
,-1---
eneral Contract r or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017
Completion Certification—Site Inspection
:: i ( Tt $t
New Homes Program—Single Family a 11 i
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?: INo
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: ISolar ReadyVerifier Inccl
Site Information
Development: BM3 Landi River Terrace Lot trItintV Axis ID. -REM/Rate®ID:
Address: m^ '" 'M Sj
Street Line 2 Multi-Family No City: TIGARD State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,816 House Volume: I 25,238 Housing Type: Detached single family
Number of Stories. 13 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-
Windows Windows U- 0.3 SHGC:10.3 Total window area: I470
Cooling Air Conditioning SEER. 0 Model#: 113ANA036-I
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SD42060E17A-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-66N 130
Water Heating Fuel Electric .Location: 'Garage or op-
Ducts and Duct Location 'Conditioned V.ducts inside: 1+, Duct Leakage(CFM)@ 50Pa: '.‘\g V V'.
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 2.42 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 kWhiyr 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 'Showerhead 1.75 GPH I
Notes: