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Report Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Mb20 2i - coo 33 J Jurisdiction: . 79a`d Site Address: 166� sW T Ll / cVrWi i Goof subdivision/Lot#: — L r Terrace, t-oT : 227- 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 N 1107.2.)1 Sif iature: ' _ _. `2 /r /2 Z. _ Date: / ( a 2 wner/General onta cl:or Authorized Agent Print Name:I � a OBSC SectionN1107.2.I-Iigh-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 al:the final inspection that a minimum of filly percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of40 lumens per input watt. l:\Building\Pormsllili5-Fligh L'^ffic ieucyl_ightiugdoc 07/01/Oft Form 640S 2017 Completion Certification—Site Inspection yTru S t New Homes Program—Single Family 'L`t ti t'1 of Oregon To be completed by Verifier • CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment imoemation Incenllve Payee Company Name: 'Polygon Northwest-WA Ils thispayment redirected?: INo Euilde'or Company. Polygon Northwest-WA Redirect to Name: Verifier Payee Company Name Performance Insulation and Energy Redirect Payee Com Affordable Housing No Solar Ready Builder Incentive: No 'Solar ReadyVerifier lnc4]No Site Information Development RT 4 EASTRIDGC II MED Ito; 1227 Ax s ID: I IREMIRatehh ID. Address: 16661 SW DARWIN LOOP Street Line2 Mi.hi-Family INo City: TIGARD State: OREG0h Zip: 97224 Total conditioned area(sq.14. 3,993 House Volume 43,267 Housing Type: Detached single family Number of Stories. 13 Number of Bedrooms: 5 Foundation Type: Crewispace Electric Provider Portland General Electric Gas Provider NW Natural Gas Solar installed None Solar Installer Name/Company: Blue shaded fields are required for EPS sheet Verification Type Actual Model Equipment q Iment Details Si Notes Slab Perimeter Inca alien R- Slab Under Insulation R- Insulation Framed Floor R. 30 Secondary Framed Floor R- 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: I Cooling Air Conditioning SEER: 0 Model it: 13ACXN042-230-23 Pr mary Heating System Details AFUE: 95 Brand Lennox Type: Gas Furnace HSPF: Model#: ML196UH090XE48C-51 Primary Heat Heating Fuel: Gas SEER: Source Comment: COP. Location. Attic Outdoor Unit(for heat pumps) ECM: No Model IF I AHRI Certificate:4805339 d of Systems 11 Gallons. lee Brand' AOSmith Water Heater Type Heat Pump EF: 13.17 Model II: HPTUE6N 130 Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate: Ducts and Duct Location 'Partial 5 duds inside: Dud Leakage(CFM)@ 50Pa: I195 j,i '4d}''46, Testing Infinratinn Air Changes per Hour(ACH)©50Pa: 1.6 I Ventilation Ventilation Type HRVIERV Model: Supply Side-Air Cycler Airflow measured or why untestablep !Roof Termination Appliances Refrigerator FWhryr 664 Model: GZS22DSJPFSS ENERGY STAR Diswasher rWMp Model: GDF510PSR355 Percent High Efficacy Interior Lighting(%) Thermostat Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I