Report Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
90\01;11'
, am the general contractor or the owner-builder
at the following address:
Site Address: ( bq 9 Li (3W Li b1 J� S /i
City: - 1 lark
Permit#: i,'tU7-9 ! 7 - 003a5--
Subdivision/Lot#: vt. ( 7Lu/
and/or �Fe.►r !r 1
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: I O Op-®
General Contractor or Owner-Builder
I:\Building\Form\ICES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, ( We V-n , am the general contractor or the owner-builder
at the following address:
Site Address: 1699 S�" (4 . S (A)
City: MS. f�
Permit#: \ TdcI 7 _ 00 3a 5-
Subdivision/Lot#: l�-is J�/-4 or „ 4 3 L* (G1,/
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:
v('The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
E 2 Joints lapped 12"at seams and
R'xtending up the foundation walls 12".
Signature:
�" - Date: g- a /- aO?.J
General Contractor or Owner-Builder
I:\BuildineForm\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1/1S I am??- 003 Jurisdiction:
Site Address: (DGq C.2, 1v-A j)
Subdivision/Lot#: J 4(- �cc_ t (9 7
and/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: b -a ^ ?0
Owner/General Contractor/Authorized Agent
trait Name: 1(20\6
� I
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.
1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Form 640S 2017 0 "�
Completion Certification—Site Inspection ,r
New Homes Program—Single Family D,nef y,*
c':i( .3t'"egon
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 Corn
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier IncEINo
Site Information
Development: NE River-Area 3-Alley (Lot 1194 Axis ID. I (REM/Rate®ID:
Address: 16994 SW LEMONGRASS LN
Street Line 2 Multi-Fani ly INo Gay: Tigard State: OR Zip: 97224
Total conditioned area(sq.h.). 1,885 House Volume: I 16,142 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 8 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:I0.3 Total window area: 1264
Cooling Air Conditioning SEER. 0 Model#: 13ACXN030-230-24
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model#: ML196UH045XP36B-51
Heating Fuel: Gas SEER.
Primary Heat
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: 1
AHRI Certificate:4805339 #of Systems 11
Gallons: I Brand: AOSmith
Water Heater Type Heat Pump EF: I Model it: HPTU-66N 130
Water Heating Fuel Electric Location: (Garage or ope
Ducts and Duct Location (Conditioned %ducts inside: 195% (Duct Leakage(CFM)@ 50Pa: I104
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.05 I
Ventilation Type HRV/ERV Model:
Ventilation
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model: PDT775SYN2FS
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: