Report (2) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: �—� Jurisdiction: , .��
Y
Site Address: //lc)
/ ,. ` pew zid
Subdivision/Lot#: 61.31/3244,yand/or
Map and Tax Lot#: ID
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code NI 107.2)1
Signature: Date:
ner/Gene ont ctor Au orized Agent
Print Name: \—M25A%L\ :4*•V:91-042__
ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
I:\Building\Forms\RES-HighEfl`iciencyL ightingAcknowledgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
general contractor or the owner-builder
I, ' �1tT`t/� , am the
at the following address:
Site Address: /S .e4 kt#W
City:
1 /
Permit#: la 2 a2
Subdivision/Lot#:
10 1 S �i4 Z.4,--L4
and/or
Map and Tax Lot#: /0
To conform with the 2017 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 by a Class I vapor retarder or--
other approved materials, with
1 Jo' is lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature:
Date: -;t
General Contractor o wn r-Builder
I:\Building\Form\RE S-MoistureBarrierAcknowledgement_022018
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Ja- L , am the general contractor or the owner-builder
at the following address:
Site Address: l l 3/ s u , l e-tv\AA,y 1,4City: W
Permit#: m .I,, z,ou - 68(S01
Subdivision/Lot#: /ID (AA'Alf
and/or i
Map and Tax Lot#: ED
To conform with the 2017 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 f ht of dry framing members.
Signature: Date: �j
1 /20____/
ner act r- er
1:\Building\Form\RES-MoistureContentAcknowledgement_022018
Ypof\--2-0
Form 640S 2017
Completion Certification—Site Inspection E(� rgyTru s 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 Ilforrrration
Incentive Payee Company Name: !Performance Insulation and Energy I Is this payment redirected? Ives
Builder or Company: Westwood Homes,LLC Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive: ISolar ReadyVerifier IncelNo
Site Information
Development BURTS LANDING Lot "? Axis ID: IREM/Rate81 ID:
Address: 1`�` a5.1ras;a..:M aGrPrl s0.,z,
Street Line 2 Multi-Famiy No City PORTLAND State: OREGON Zip. 97229
Total conditioned area(sq.ft.): 2,475 House Volume: I 22,522 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
VerMatlon Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- Slab Under Insulation R-
Framed Floor R- 38.0 Secondary Framed Floor R-
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: I
Cooling Air Conditioning SEER: 0 Model#:
Prirnary Heating System Details AFUE: 95.5 Brand Bryant
Type: Gas Fumace HSPF: Model#: 9155842060E17A-A
Heating Fuel: Gas SEER:
Primary Heat
Source Comment COP:
Location: Garage or opa Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:5534119 #of Systems 11
Gallons: I Brand: Noritz
Water Heater Type Tankless EF: 1,82 Model#: NRC98DV(GO-C2857W5-FF US)
Water Heating Fuel Gas Location:!Garage or..>AHRI Certificate:NA
Ducts and Duct Location IUncondltioned %ducts inside: ° . ^Duct Leakage(CFM)I 50Pa
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.32
Ventilation Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable?
Appliances
Refrigerator kWlvyr 684 Model: RF22R7351SR
ENERGY STAR Diswasher kWhyr Model: SHEM63W55NI13
Percent High Efficacy Interior Lighting(%) Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowemead 1.75 GPH I
Notes:
ITEMS NOT LISTED IN 640:PLAN,SUBDIVISION,FURNACE,WATER HEATER 8 DISHWASHER MODEL NUMBERS