Report (2) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: tOct
City: ` �
Permit#: let_ vOCDgc-k
Subdivision/Lot#: A.U6A
and/or
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code(ORSC), Section 8408.1
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:
Re-The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting_Eloints lapped 12"at seams and
`.--qenciing up the foundation walls 12".
Signatur .. Date: ‘3,( I co 1 c(
G :* orOwnerBujjdeya,
I:1BuildmgWForm\RES-Moishuesarrier.doc 09/13/2016
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, --‘,, , am the general contractor or the owner-builder
at the following address:
Site Address: t Z0.
et SI..)
City:
Permit#:
A\ t .. let-000 i5t-t
Subdivision/Lot#:
and/or
Map and Tax Lot#:
To conform with the 2008 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.
Signatu :: t�---- Date: 1 to
e . C c t or Owner-Builder
1:\BuildineForm\RES-MoisnurSensitivewood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: l Jurisdiction:
Site Address:
It or1C.30-k
Subdivision/Lot#: 4
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 NI 107.2)'
Signature:
--- -�_ Date: 19..../1L0 ftC1.
--.-a a ti .hector/Authorized Agent
Print Name:
' ORSC Section N1107.2.High-efficiency interior lighting systems. A minimum of (50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lightingsource that
has a minimum efficacyof 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.
I:\BuildmgiForms\RES-HighEffcieucyLighring.doc 07/01/08
` v�
1/ )'
Form 640S 2017
Completion Certification—Site Inspection E
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 information
Incentive Payee Company Name: 'William Lyon Homes Its this payment redirected? No
BuilderBuilder 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: No 'Solar ReadyVerifier Inco No
Site Information.
Development: NE River Area 3-Med/Std Lot :Axis ID (REM/Rate®ID:
Address: `s=e, -mi410106ittee -?..:#�,n „ f i✓r,3�„
Street Line 2 Multi-Family ]No City: Tigard State: OR Zip. 97224
Total conditioned area(sq.ft.): 2,420 House Volume: 1 21,746 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
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 Details&Notes
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: 1346
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
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: 1
AHRI Certificate:7126229 #of Systems 11
Gallons: 166 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 120
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:
Duets and Duct Location 'Conditioned %ducts inside: ,'b, ,,, ;-.Duct Leakage(CFM) 50Pa: e
Testing
Infiltration Air Changes per Hour(ACH) 50Pa: 2.43
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? !Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWhyr 268 Model: FGID2466"'A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH 1 Showerhead 1.6 GPH 1 IShowerhead 1.75 GPH
Notes: