Report Oregon Residential Specialty Code R318.2
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MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 6cad esA , am the general contractor or the owner-builder
at the following address:
Site Address: I t.( 11,0
1 /L
City: " itl 6
Permit#: I ct (X) 1 1 1
Subdivision/Lot#: gas\vvit_ 4. e. f- tt_Ce
and/or
Map and Tax Lot#: (� Lira � (i,5
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 dry weight of dry framing members.
Signature: Date: _ 101 / I
General Contractor or • r-Builder
I:\Building\Form\RES-MoistureContentAcknowledgement_022018
Oregon Residential Specialty Code N1107.2
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HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: i,ar) et 60 i -i Jurisdiction: 0c
Site Address: Atc
Subdivision/Lot#: At_ 1Z , - i at f
and/or
Map and Tax Lot#: 3 c\ SV‘ctK TC,,frge k-
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 N1107.2)1
Signature: ' Date: j- )1 q/i 4
Owner/General Con --.r/ uthorrize;Agent
Print Name: 6Cci iv
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-HighEfficiencyLightingAcknowledgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
1, e r ti , ,-t41 t , am the general contractor or the owner-builder
at the following address:
Site Address: N 0 Sti\di i 1,N ia
TO-
City: "N f,,r
Permit#: h13V [4 -
4 _ i l
Subdivision/Lot#: _s\A ark 1‘,, `7r-stcQ_ L I _
and/or O
Map and Tax Lot#: giv?,r-TN-1-7,1�-,
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:
1'' The ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials, with
Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: t-- ,rait� Date: , al I i 14'
General Contractor or�wner-Budder
I:\Building\Form\RES-MoistureBarrierAcknowledgement_022018
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Form 640S 2017
Completion Certification—Site Inspection E -, Trust
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 infotmatkM
Incentive Payee Company Name: (William Lyon Homes Its this payment redirected?: INo
Builder or Company: William Lyon Homes Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: Solar ReadyVerifier Incel#NIA
Stfe InfonnMFon -', - :", .
Development River Terrace Rowshack LotAxis ID: I (REM/Rate®ID:
Address: v a .n e. � .} '4
Street Line 2 Multi-Family No 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: Crawispace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed - - . Solar Installer Name&CompanY:
Blue Shaded fields are required for(EPS sheet
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:(0.3 Total window area: 1264
Cooling Air Conditioning SEER: 0 Model#: 113ANA030-G
Primary Heating System Details AFUE: 92.1 Brand Bryant . _.
Type: Gas Furnace HSPF: Model#: 912SC36040S17`
Heating Fuel: Gas _ .. SEER:
Primary Heat _....
Source Comment: COP:
Location Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model 8: l....
AHRI Certificate:7126229 It of Systems 1'--
Gallons: 68 � Brand: AOSmith
Water Heater Type Heat Pump• EF 3.17 Madel 8. fIPTU-66N 130
Water Heating Fuel Electric Location Garage or ape AHRI Certficate
Ducts and Duct Location [Partial 11 %ducts inside f, Duct Leakage(CFM)@ 50Pa:
Testing - -'
Air Changes —1—'1.'1'
-'s.� 1
Infiltration per Hour(ACH)).�50Pa 3.12
Ventilation Type HRV/ERV Model:
Ventilation ... .. _. .. ..... - __ _..
Supply Side-Air Cycler Airflow measured or why untestable? !Roof Termination
Appliances d
Refrigerator kwh/yrs Model:
ENERGY STAR Diswasher kwh/yr 268 Mode! FGID2R86"°"A
Percent High Efficacy Interior Lighting(!) 100% Thermostat
Showerhead 1.5 GPH Showerwend 1.5 GPH --x Showertread`1.0 GPH . IShowerhead 1.75 GPH I