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:
�OCaCi
City:
Permit#: D03`8
Subdivision/Lot#:
t3
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:
"I A ne ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
oints lapped 12"at seams and
Eq- -ending up the foundation walls 12".
Signature: -- Date: lZ /�r1
or Owner-Builder
I;1Building4Form1RES-MoisnmeBarrie.doc 09/1 312 0 1 6
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
City: Z `
Permit#:
t'AST 18— c5c:›3 d
Subdivision/Lot#:
13$
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'te:
Date: kz./Lc-//(q
Oct or Owner-Builder
IABuildinglFocm1REs-MoistureSeasitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
C r�1�° _�31f3 t iY
Site Address:
Subdivision/Lot#:
13S
aid/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 N1107.2)1
Signature: ` Date: V7z/aei 1�l
0- tractor/Authorized Agent l
Print Name: .
'ORSC Section N1107.2.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:\BuildineForms\RES-HighEficiencyLightrng.doc 07/01/08
Form 640S 2017
Completion Certification—Site Inspection .,, \
pyTrust
New Homes Program—Single Family g:o
of Oregorg
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 tnis payment redirected?. INo
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: 'solar ReadyVerifier heti
Site Information ''
Development NE River-Area-Alley I Phase 92 'Lot Ir. "q€E € € Axis ID. REM/Ratee ID.
Address � F EE tlint :SE
Street Line 2 Mul4 Family INo City: Sherwood State; OR Zip: 97140
Total conditioned area(sq.ft.) :. 2,065I House Volume: I 18,495 Housing Type: Detached single family I:
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider Portland'General Electric Gas Provider. NW Natural Gas
Solar installed I Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details B Notes.'
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Framed Floor R- 30.t1 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#: 9125036040E17A-A
Heating Fuel: Gas SEER:
Primary Heat
Comment: COP:
Source
Location. Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I -
AHRI Certificate:7126235 #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:oreyeAHRICertificate:
Ducts and Duct Location IConditioned - %ducts inside: 0',„,agiI4Duct Leakage(CFM)@ 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.41 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airllow measured or why untestable? I Roof Termination
Appliances _..
Refrigerator kwh/yr Model: _. ...
ENERGY STAR Diswasher kWh/yr 268 - Model: FGID24661`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--
Notes