Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, ivl P3&l419 -lJ n1 , am the general contractor or the owner-builder
at the following address:
Site Address: St„)
ApPte,___i7 /2--D
City:
Permit#: 10 S7 ZDfy— ( jl2
Subdivision/Lot#: - 2; /,
and/or `�
Map and Tax Lot#:
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:
The ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials, with
L"J Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: 4.2-7/la-- -_____� Date: 2�ll�Z1120
General Contractor or Owner-Builder
I:\Building\Form\RES-Moi stureBarricrAcknowledgcment_0220 18
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: I,nnl S �' _��'2 Jurisdiction: ��en,la-
�
Site Address: �1' 7
Subdivision/Lot#: L1— 2. ,
and/or
Map and Tax Lot#:
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: -- /t-2-e2
Owner/General Contractor/Authorized Agent
Print Name: A /Z yC/4ik-D Si) )
' ORSC Section N 1107.2.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\Form s\RE S-HighEffic i encyLightingAcknowledgement_022018
Moisture Content Acknowledgement Form
I, '(,1t 1?-T— f-Ae am the general contractor or the owner-builder at the following address:
1(S`?2
I - � S t,J AP tv9- fZ
Street address
City
FI5T-20I c1- CVOa
Permit number
If applicable:
L-ur-- 239
Subdivision/Lot and/or Map and tax lot
To conform with the Oregon Residential Specialty Code(ORSC), 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.
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 of the weight of dry wood framing
members.
1-T/kVi1/ � 2- t1- 2-0Z-0
Signature - Date
Form BeDS 2017
Completion Certcation—Site Inspection -'1 '1''.' %),Tru St
New Homes Program—Single Family
of Oreoon
To be completed by Verifier
CLEAReault Is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Gorman)/Name Willem Lyon Homes Its this payment redirected?: 1No
Bunter or Company. Wtllenb Lyon borneo Red:resl to Reese.
VerSes Payee Corope:ry Name. Performance Insulation eon senigy rtedtrecl Payee Corn
Affordable Housing No
Solar Ready Bulkier Incentive No
Development:NE River-Area 3-Aled/Std Lot "19111111. iID 'REM/Rate@ ID:
Add.. ii.r...i1.111:a11111111,5Lth.:31114141ffINIF ititA111,Ti 7' ,,,,(:11111111)
Street Line 2 Multi-Famly No ii City. Tigard Slate: OR Zlo 97224
Total conditioned area(sq.ft.): 4.056 House Volume: 1 37,757 Housing Type Detached single%may
Number ot Stories: I Number of Bedrooms: 4 FoundatiOn Type: Crgtslypgcn
NW Natural Gas
Soler Instollod floor Solar Installer Narne/ComPloff:
Rue iI'rod folds are requIred crESS oboe'
Ad.14,406.1 , .W.o.,01113,tgali4NatiC.....''...... ..`..,...... , ,.,.....::,,,,H,....' ......'''.:;,,:..,,,,,...
Slab Per melon I::nnlal on 10 15.0 Slab Under Insulation R-
lyreilalien Framed Plane P, 50.0
R- 23.0 Bdow Grade Wall Insulation 0-
Flat R- 49 0 Vaulted Ceiling Insulation R..
Winder's Windows U- 63 SHGC:10.3 Total window area: 1660 .
Cooling Air Gonditioning SEER 0 Model a
Primary Hmting SYstliml"-1.1." APLiE azi Brand Bryant
Type: Gas Furnace HSPF. Model k 912SC361)40917(
Heating Fuel: Gee SEER.
Primary Heel
genre. Comment' COP:
Location Conditioned tbOutdoor Unit(for Mat pumps)
ECM: No Model Oh I
AHRI Certificate 7126229 #of Systems 1
1
Gallons: Inn Brand: ii ACGrribh
Water Heater Type Heat Pump EF.13.17 Model it HPTU-ERN 120
Water Heating Fuel Electdc Location 'Garage or ope AHRI Certificate
Dusts end Toot Lnnet:nnIConditionGd %ducts Mode. Norpg Duct Leakage(CFM)@I 50Pa. RIMIDU(514:i.Mbili!..5)1V111ie,11
Testing
Infiltration Air Changes per Hour(ACH)(6)50Pa 1.84 I
...
HRV/ERV Modal:
EupØy Side-Air Cycles Airline measured or why unteeteale? IRon?Tetrrninat:on
POONpses
Refrigerator kW/Wyr Model.
ENERGY STAR Decanter Henhir 26a Model PGIO2466'' A
Percent High Efficacy Intoner Lighting(%) 100% Thsmrnelel
Showerhead 1.5 GPH 1 Showemand'SOPS 1 Showerhead 1.6 GPH 1 1Showerhead 1 75 GRH i