Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 01,�'7'?o (� 00 a $- Jurisdiction: �
Site Address: r i q S l(� f
Subdivision/Lot#: ( 0 "�,
and/or "
Map and Tax Lot#: Let—
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: �' �0�1 � Date: / a — 7--.7o
Owner/General Contractor/Authorized Agent
Print Name: 1)--1§0 -p✓.�->/
1 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:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
r am the general contractor or the owner-builder
at the following address:
Site Address: ( l 1 5 IA M E
City:
#-J\
Permit#: lAz\c-r- 1p' , 0 Dal
Subdivision/Lot#: 90SL-L
and/or
Map and Tax Lot#: (j(
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:
(XThe ground surface of the under-floor space is covered with 6-mil black polyethylene
sheetingng with
L'J Joints lapped 12"at seams and
Extending up the foundation walls 12".
Signature: okit Date: la '7u-oZo
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
'-e"-f ( vim i , am the general contractor or the owner-builder
at the following address:
Site Address: , VI 01 1 (0-3 'm ^ut
city:
Permit#:
�s1_` ao - opaI5
Subdivision/Lot#:
and/or
Map and Tax Lot#: Lp±
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.
Signature: _ Date: 12— 7—c 20
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017
Completion Certification—Site Inspection "*
New Homes Program—Single Family , Trust
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 [Is this payment redirected?: 'No
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
.• Development. BM ROSHAK-A4-ALLEYS [Lot I rs Axis ID. 'REM/Rate®ID:
Address: 14419 SW 168TH AVE
Street Line 2 Multi-Family INo City: BEAVERTON State: OR Zip. 97007
Total conditioned area(sq.ft.): 2,533 House Volume: I 23,050 Housing Type: _Detached single family
Number of Stories: 13 Number of Bedrooms: 4 Foundation Type: Other/More Than One(add comment)
•
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- 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: 1424
Cooling Air Conditioning SEER: 0 Model It:
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH070XE368-51
Heating Fuel: Gas SEER.
Primary Heat
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:4805339 #of Systems 11
Gallons: 166 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130
• Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location [Conditioned %ducts inside Duct Leakage(CFM)Q 50Pa: _i10&
Testing
•
Infiltration Air Changes per Hour(ACH)Q 50Pa: 2.66
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Appliances
Refrigerator kWhlyr Model.
ENERGY STAR Diswasher kWh/yr Model: GDT605PSM4SS
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I 'Showerhead 1.75 GPH I
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