Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
PermitNo.: MST t4- 0a33 5 Jurisdiction: /� ',r7 �� 1
I"1J V r Ci
Site Address: \log 5 su �5 Q,11 C\)e -
Subdivision/Lot 1#::
v t QAG c. ,54 /654-44-4-5 A5 , h cc1)-2
and/or
v
Map and Tax Lot#: (, , 5
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 Ni I07.2)1
Signature: Date: 7 I
Owner/General Contractor/Authorized Agent
Print Name: j f 15�'1 G rti 54-0 I N\
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.
1:\Building\Forms\RES-HighEfficiencyLightingAcknowl edgement_022018
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, 8\f\t o,A C" , am the general contractor or the owner-builder
at the following address:
Site Address: 00 u 5 5W A-.rair t( y�1- be•
City: T-9c,c
J
Permit#: i%--0.....`(�_ 0033 5
Subdivision/Lot#: c /&s - 0,5 0\4- v l
.ta
and/or J
Map and Tax Lot#: W 5
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
/A
other approved materials, with
Joints lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: 'D- Date: 7^ ( 7— Lc�
eneral C ractor or Owner-Builder
1:\Building\Form\RES-MoistureBarrierAcknowledgement_02201 8
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, elClS•F‘Uv\ SA- c,1V , am the general contractor or the owner-builder
at the following address:
Site Address: U 115 $,V Aver\
City: \ v
\ (�
Permit#:
M*)-0 00 33 5
Subdivision/Lot#: V leek r .1"/�G WA* �� eAn 70t G—
and/or fl 4 J
Map and Tax Lot#: � 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: U l'1-General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureContentAcknowledgement_022018
Form 640S 2017
Completion Certification—Site Inspection EnergyTrust
New Homes Program—Single Family
U\e,�,r)GCe5{- y A 0 of Oregon
To be completed by Verifier IjQ'�"�� QK r\�`�- Msr�f�I—W 33 S
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'Performance Insulation and Energy Its this payment redirected?. 'Yes
Builder or Company: Westwood Homes,LLC Redirect to Name
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com Performance Insulation and Energy
Affordable Housing No
Solar Ready Builder Incentive. ISolar ReadyVerifier Inc'
Site Information
Development: Viewcrest Lct [5 Axis ID. I 'REM/Rate®ID-
Address. 12045 SW ASPEN RIDGE.DR
Street Line 2 1 a rM v it,.f`arr:y 'IN'c City. TIGARD State: OR Zip- 97223
Total conditioned area(sq.ft.). 3,741 House Volume: I 36,468 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 5 Foundation Type: Crawtspace
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
Slab Perimeter Insulation R- 15.0 Slab Under Insulation ,R-
Framed Floor R- 15.0 Secondary Framed Floor R- 15.0
Insulation
Above Grade Wall Insulation R- 21.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGQ I0.3 Total window area: 1531
Cooling Air Conditioning SEER. 0 Model#:
Primary Heating System Details AFUE: 95.5 Brand Bryant
Type: Gas Furnace HSPF: Model#: 9155B60100E21A-A
Heating Fuel: Gas SEER:
Primary Heat •
Source Comment. COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:5584119 #of Systems it
Gallons. 175 Brand: BradfordWhite
Water Heater Type Storage EF: 1.68 Model#. RG2PV75H6N
Water Heating Fuel Gas Location: 'Conditioned A AHRI Certificate:8108884
Ducts and Duct Location 'Partial %ducts inside: sAq, fel,/Ift.4 Duct Leakage(CFM)@ 50Pa '_f fdfll/d eg g,/, ,a1,
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.37
Ventilation Type HRV/ERV Model:
Ventilation .
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kW r/yr Model.
ENERGY STAR Diswasher kWh/yr Model.
Percent High Efficacy Interior Lighting(%) 1% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: