Report N
Oregon Residential Specialty p cialty Code R318.2
MOISTURE CONTENT
ACKNOWLEDGEMENT
FOR1VI
, am the general contractor or
the owner-builder
at the following address:
Site Address:
City: �
Permit#: +�-�+���
Subdivision/Lot#:
and/or \�� 124-yr-A-1-.
Map and Tax Lot#:
101
To conform with the 2008 pre
To c 918-480-0140, I m Oregon
Residential S
OAR
Requirement of notifying buildingSpecialty Code(ORSC),ORSC Section yin the official that I ), Sectionhmoisture
r and
8318.2 is provided for reference]. have takenam aware of the mois
steps to meet this code re tore content
8318.2 Moisture Content: requirement.
official shall be Prior to the installation of interior
wood framing notified in writing by the general contractor
percent by members used infinishes, the building
g ebt odry construction have that tel
framinga moisture content no moisture-sensitive
members. more
than 19
Signature: 4
Date: _ [ (
6 eneral Contractor or Owner-Builder
[ G
I:\BuildingWoma S-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I' V.-42 V v' , am the general contractor or the owner-builder
at the following address:
Site Address: .
City:
r
Permit#:
f't--51- t 6 001-0
Subdivision/Lot#:
V 4.—A t e..1.--T—,--
and/or
Map and Tax Lot#: 1(3
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:
n The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
❑Joints lapped 12"at seams and
n Extending up the foundation walls 12".
Signature:
eneral Contractor or Owner-Builder Date: , lI la
IABuildingTorm\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: AkrffiviJurisdiction:
Site Address:
.4....(- 'Li L.)-11 -7-4.....e.t..fr_d
Subdivision/Lot#:
c----
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 hasla minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code Ni 107.2)
(.(_______
Signature: " ", °
Date: \k / / t I,
Owner/General Contractor/Authorized Agent / /
Print Name: A,.. /V\ _ .!`-) ` l S 0
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.
IABuildingTorms\RES-HighEfficiencyLighting.doc 07/01/08
Form 640S 2016 .;
Completion Certification—Site Inspection
of Oregon
New Homes Program—Single Family
To be completed by Verifier
Portland Energy Conservation,Inc.(PEC!)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: William Lyon Homes
Builder or Company: William Lyon Homes
No
Verifier Payee Company Name.Performance Insulation&Energy Contact Name: IMMENNEMEMEIMEMIIIIIII
EilIMMII
BE�Clover Mateo
Percent Improvement
Affordable Housing 01111.11111.11111111111111
Solar Ready Builder Incentive: 1111111111111111111111111111111111111
Solar ReadyVerifier In No
Site information
Development: River TerraCe'2
Address: 13776 SW 175TH AVE 1 1'Axis ID: —REM/Rate®ID: —
111111111111111211111
NumberofStodes: No City: Tigard
2 State: OR Ing
Foundation Type: Crawlspace Total conditioned area
#of BRs q
Electric Provider: Housing Type
Detached sin
gis f?ntdy
Solar installed IIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Solar Installer Name/Company: IIIIIIIIIIIIIIIIIIIII
Blue shaded fields,are required for EPS sheet
Verification Type
Insulation Flat Actual Model Equipment Details&Notes
Ceiling
Framing Type: Above Grade Wall ® 49.0 Insulation Type
Blown-in
Intermediate 23.0 Insulation Typ:Blown-in
DoorsDoor 30.0 Insulation Typ::-
Windows Windows ®—��
Duo
Skylights m EME•30
1111
High efficiency indoor lighting 16% Total window area
Appliances 100.0% Dishwasher Brand 510
ENERGY STAR DiswasherGSIIIIIIIIIIII
Frigidaire
Cooling Air Conditioning EF' 268 ME FGID2456*•**A
PrimaryHeat SEER: —Btu/Hr:
Source/Type:
Source SEERAFUE: Brand:
Bryant.
Gas �=Model# 912$C48084517"
:
COR
LocCMation: Co
No nddt`tioned OuModel#tdoor Unit(for heat pumps)
Water Heater Type:
E :
MEMGallons: 50 Brand Braafo€dWhite
Storage
mujimm— Model#RE350T6
Ventilation Location: Conditioned i AHRI Certificate:8105439
Energy Trust of Oregon's Mechanical Ventilation
System Requirement Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untesta,
Supply Side.Air Cycler HRV/ERV Model:
IIIIIIIIIIIIIIIIIIIIIIIIIIAirflow measured or why untestable?
Roof Termination
Ducts Who Tested? Eilli
Ducts Inside:
®%ducts inside:
Ducts Insulation: 95.D°I&
If claiming incentive for ducts inside,check of the lfollowing:tc
•
Performance Testing&Duct System Information
Duct Leakage Whole House Air Changes per House
(CFM)@ Leakage Hour(ACH)@ Volume:
50Pa: 100 50Pa:
2.12 • 29,029
Notes:
NEW REFRIGERATOR MODEL=FFHS2622MSYA NOTE:(WHX2)
t
Insulation Details
Flat Ceiling R-
Insulation Type:
Vaulted Ceiling R. Insulation Type:
Scissor Truss R-
Insulation Type:
Above Grade Walls R- 23.0 Insulation Type: Blown-in
Below Grade Walls R- Insulation Type:
Floor Over Unheated Space R- 30 Insulation Type: Batts
Floor Over Garage R- 59.0 Insulation Type: Blown-in
Rim Joist R. 21.0 Insulation Type: Batts
Appliances
Refrigerator % Brand Name
Model: Frigidaire
MEF
Clothes Washer Model:
Dryer % Model:
Showerhead 1.5 GPH Showerhead 1.6 GPH I Showerhead 1.75 GPH ,
Showerwand 1.5 GPH