Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
9)\)--f`'' , am the general contractor or the owner-builder
at the following address:
Site Address: ( (CJ 970 CA.;
5 5
City:
Permit#: V1079.B — WO
Subdivision/Lot#: to-f (G,
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.
Signature: Date: y-p 7- �D
General Contractor or Owner-Builder
1:\BuildingWorm\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
fs±— ( ' x'� , am the general contractor or the owner-builder
at the following address:
Site Address: 40 q70 sou (3,.,r3 6
City:
Permit#: NEIVO ($ _ 00009
Subdivision/Lot#: i ,4 (c
and/or l•�
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:
FT-The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
[ Joints lapped 12"at seams and
Extending up the foundation walls 12".
Signature:
Date: ? 7- .
eneral Contractor or Owner-Builder
I:\Building\F'orm\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: S ( 9,0( —Do O v 9 Jurisdiction:
Site Address: j 70, La��4�^) /
J lam'
Subdivision/Lot#: (hi PS-
Iand/or
Map and Tax Lot#:
By my sigrature 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: T2) "' Date:
Owner/General Contractor/Authorized Agent
Print Name: (tea Vh v ( v-O
'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
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family ° 1,
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 Its this payment redirected?: INo
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: No !Solar ReadyVerifier Inc4No
Site Information
Development: NE River-Area 3-Alley Lot VISSEM Axis ID: -REM/Rate®ID:
iritkVirg
Address: .,r. a„ .:, tz m, .,, raeN„
Street Line 2 Multi-Family No City. Tigard State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,065 House Volume: ] 18,495 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- 0.0 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: '314
Cooling Air Conditioning SEER. 0 Model#: XC13N036-230-09
Primary Heating System Details AFUE. 95 Brand Lennox
Type: Gas Furnace HSPF: Model it ML196UH045XP36B-51
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:4805339 #of Systems 11
Gallons. I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model#: HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or ope
Ducts and Duct Location 'Conditioned %ducts inside: k ACM Duct Leakage(CFM)@ 50Pa
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 3.14 '
Ventilation Type HRV/ERV Model:
Ventilation
Supply Side-Air Cycler Airflow measured or why untestable? 1Roof Termination
Appliances
Refrigerator kWh/yr Model.
ENERGY STAR Diswasher kWh/yr Model. GDT605PSMOSS
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
Notes: