Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
(LoiL , am the general contractor or the owner-builder
at the following address:
Site Address: 1 LI qt-16/ S t,j t
City:
Permit#: c-r-
subdivisiorilLot#: 9-, Skk4
and/or
Map and Tax Lot#: Cot (01
To conforrn 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: I 0,- I 5-- P-0 P-17
General Contractor or Owner-Builder
BBuildingTorm\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
L C-120\41/7t- td4A'r-- , am the general contractor or the owner-builder
at the following address:
Site Address: I Li(Nel J ( (01 11/.. j_06:
City:
Permit#: 1A^31- 003
Subdivision/Lot#: qossL,,
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 Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
1-2(The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
I-- "Joints lapped 12"at seams and
r7r&tending up the foundation walls 12".
Signature: (12.itA‘)4`' Date:
General Contractor or Owner-Builder
I:\Buildingorm\RES-MoistureBaniendoc 09/13/2016
_
Oregon Residential Specialty Code N1107 2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1/11,57—,9-0 — coo 3 ei(-/ Jurisdiction:
--Dlitsret
Site Address: j Ljf(/L/ stA) ( ort 4-4)
Subdivision/Lot#:
and/or
Map and Tax Lot#: tiOlL S
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: (--QP11-1-k Date:
Owner/General Contractor/Authorized Agent
Print Name: c---2cA0 A./c(
1 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 factures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
*,,,
Form 640S 2017 "'IN
Completion Certification—Site Inspection
New Homes Program—Single Family EnEl„rgyTrust
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?: 1No
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 Inc
Site Information
Development: River Terrace Rowshack It X 119 ' ..Axis ID: 1 IREM/Rate®ID:
,
Address: •114444•SW 169TH AVE • .
'
1 Street Line 2 Multhhamily rE City: BEAVERTON State: OR Zip. 97007
Total conditioned area(sq.ft.): . 1,885 House Volume: 1 16,142..Housing Type: Detached single family
Number 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
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 Ft-
.
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation _R-
• Windows Windows 'Ll- 0.3 SHGC:10.3 Total window area: 1264
Cooling Air Conditioning SEER: 0 Model#: .13ACXN030-23024
,
Primary Heating System Details AFUE: 95 Brand Lennox
Type: ,Gas Furnace HSPF: , Model#: ML196L1H045XE3613-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: .COP: .
Location: .Conditioned A Outdoor Unit(for heat pumps)
ECM: •No Model#: 1
AHRI Certificate:4805339 ,#of Systems 11
Gallons: 166 Brand: .A0Smith
Water Heater Type Heat Pump ,EF: 13.17 Model#: HPTU-66N 130
—
Water Heating Fuel Electric ,Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location !Conditioned %ducts inside: Duct Leakage(CFM)@ 50Pa: 101_J/_____
Testing
..
Infiltration Air Changes per Hour(ACH)@ 50Pa: ,3.04 1
Ventilation Type HRV/ERV Model:
Ventilation
Supply Side-Air Cycler Airflow measured or why untestable? IRoof Termination
Appliances
Refrigerator .kWh/yr Model: .
ENERGY STAR Diswasher kWh/yr Model: GDT665SSN2SS
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I I Showerhead 1.75 GPH I
Notes: