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CERTIFICATION
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I owner'a,geritfor G'{
herehy c that the„ llowing location meets
Cii of Ts and land use and pent standards
for street tree installation and is consistent
lath the tfylovved site plan.
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Otegon Residential Specialty Code R31f)
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MO 5,II. TRd r CONTENT ACKNOWLEDPEIVIE/fr FORM
I e #,.`I + 011;1 / ar the o b da
at tiv factering address:
Site. «ria /355 5 Sw • C ,1.(4.10L„ i :/crrk<c
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R318.2 M " Content Prior to the' irderrier ,e,tin b
official shell be writing by arta a uir"asirtive:
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Oregon Residential Specialty Code R408.1
MOISTURE RARIIIER AcIMOINLEDGEIVIEDITi,r0 47`160s1 FOR
, am.the cant/sax or theowner-builder
at the.following s
Site 13 SSS S- w . Cv 14iaa4 C'trace
Peanit#: 01-5r Q16 • oo5 /8"
Subdivisilmitat
N Rtvegfiriete#46- ‘p-r- 6
andiur
Tand ax Lot#
To c+ ' . 2014 Res• ie1 Specialty Code(ORSC),Section8408.1
V • I am notifying the building official thatI have installed the Moisture as
per
Requirement to OltSC Section408.1 end have taker the following steps to meet this
Pi! The ground surface of the under-floor space is covered with 6-mil black polyethylene
tIlloints12"at seams and
he iXindatial WaUS 12".
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L anon .ai alae 09113/2016
a
u Residential Specieity Cede1107.2
I � '�-E jE CX INTERIOR LIGHTING SYSTEMS
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Form 6405 2017
Completion Certification—Site Inspection Ener rus iw.wi.
gy
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Company Name: Iwgkam 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: No 'Solar ReadyVermer Inc4No
Development River Terrace t Lot .. Axis ID: REM/Ratee ID: _
Address
Street Line 2 Multi-Family No City: Tigard State: OR ME
Total conditioned area(sq.ft.): - 2,065 House Volume: MEM Housing Type: Detached single family
Number of Stories: ®Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider. NW Natural Gas
Solar instaNed Mone Solar Installer Name/Company:
'tea _�1.+'."x-mak,.• i'.�w x, ......,;,�� /.). a ,.
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: 1314
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC36040S17`
Heating Fuel: Gas SEER:
Primary Heat COP:
Source Comment:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AI-IRI.Certificate:7126229 #of Systems 11
Gallons: 150 Brand: AOSmIth
Water Heater Type Storage- EF: 1.as Model#: ENT50110
Water Heating Fuel Electric Location: (Garage or ope AHRI Certificate:8083359
Ducts and Duct Location (Conditioned. %ducts inside: Duct Leakage(CFM)@ 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.99
Ventilation Ventilation Type IHRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? IRoofTermination
Refrigerator k1NNyr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2486"`A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I.
,f„S. '.ate