Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
l lea S 1 ct St.AS G 4v'-mac,,, 9s
City: t thy'
Permit#:
Subdivision/Lot#:
and/or
Map and Tax Lot#:
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:
RThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
LJo-cats lapped 12"at seams and
r+-extending up the foundation walls 12".
Signatur0. ;: Date: \Z
G.,,: Art• • or Owner-Builder
I•iBuHdmgiForm1RES-MaistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
)4& 5 , am the general contractor or the owner-builder
at the following address:
Site Address:
k lr1 1 ct SW QA,r-A sU..• S
City: — ,
Permit#:
Subdivision/Lot#: 9:g1
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 e: Au j
Date: t4../9.t,.1 /pct
.,r ' ✓... : . or Owner-Builder
1:\13uildinfform1RES-MoistaeSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: _(438 Jurisdiction:
Site Address:
ILQ-1ct SW Cjwv It cr-v-,
Subdivision/Lot#:
a3-1
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 Iighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: Date: A
3/ l�\�
• -•tractor/Authorised Agent
Print Name: l hL e S
1 ORSC Section NI 107.2.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.
I:\BuildinglFoomsiREs-HighEfficieacyLighting.doe 07/01/08
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family ;:,,
of Grogan
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Paymentinformatign
Incentive Payee Company Name: 'William.Lyon Homes IIs this payment redirected?: 1No
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 Inc
Site Information
a I'
Development: ai BM3 Landi River Terrace 1Lot ? Axis ID: : I REM/Ratee.ID.
Address: �• F
k .....;�,.�w s .......€i€tE ....,E_......�•4' „
Street Line 2 Multi-Family No City Sherwood State: OR : Zip: 971401
Total conditioned area(sq.ft.): 2,420 House Volume: 1 21.746 Housing Type: Detached single family
INumber of Stories: 12 Number of Bedrooms: 4 -- Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&NOtes i 1
Slab Perimeter Insulation R- 10.0 Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor - R- 59.0
Above Grade Wall Insulation R- 23.01 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 9:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model 8: 912SD36040E17A-A
Heating Fuel: Gas"' - SEER:
Primary Heat
Source Comment: COP:
Location: Garage or ope Outdoor Unit(for heat pumps)
ECM: No Model 9: I'.
AHRI Certificate:7126235 ft of Systems 11
Gallons: 1.66 Brand: AOSmith
Water Heater Type Heat Pump EF: I•:3 17 Model 9: HPTU-66N 130
Water Heating Fuel Electric... Location: 'Garage:or:spaAHRICertificate:
Ducts and Duct Location (Conditioned'.'.( :'.'.%ducts inside: $(i3u (I Duct Leakage(CFM)@ 50Pa: 1100 F
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.11'.'.
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler "Airflow measured or why untestable? ('Root Termination
Appliances
Refrigerator kWhyr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2466—A
Percent High Efficacy Interior Lighting(%) 100%I' Thermostat
Showerhead 1.5 GPH 1 :Showerwand 1.5 GPH I Showerhead 1.6 GPH II'. " 'IShowerhead 1.75 GPH I
Notes: