Report ,
Oregon Residential Specialty Code N1107.2
HIGH—EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: V\ALS ( .... 001 tO9 Jurisdiction: A r
Site Address: ( cri ,S(1` (poi 11- Ati
Subdivision/Lot#: 120
and/or
Map and Tax Lot#: (Ail— I
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
( 0 — 202a
Signature: 72 \g- k Date: 10-
Owner/General Contractor/Authorized Agent
Print Name: WO 171-
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 R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, ko vvç..o , am the general contractor or the owner-builder
at the following address:
Site Address: ci 2/ ,5(/‘ VAT( 1(06-
City: \
‘Tral
Permit#: rAcroo 00(09
Subdivision/Lot#: 1).04,.Afr
and/or
Map and Tax Lot#: (Of
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: _ (5---go.90
General Contractor or Owner-Builder
1:\Bui1dingWorm\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: I y Li sti3 (09 7t, Au
City:
Permit 4: (11k.cr (2--0 ( —
Subdivision/Lot 4:
and/or
Map and Tax Lot#: C '
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:
17(The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
E?1.7-oints lapped 12"at seams and
Xxtending up the foundation walls 12".
Signature: To\64-4— Date:
General Contractor or Owner-Builder
IABuilding\Form\RES-MoistureBarriendoc 09/13/2016
- . . . . - " ‘ . IsailissOMMMISMireat,
%‘t.0
Form 640S 2017
Completion Certification—Site Inspection 1:,------
New Homes Program—Single Family n e rryTrust
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?: INo
Builder or Company. William Lyon Homes Redlrect to Name.
Verifier Payee Company Name. Performance Insulation and Energy .Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: Solar ReadyVerifier!nor
Site Information
Development River Terrace Rowshack ---1-17-----7-3— Axis ID I 1REM/Rate®ID.
Address. 14474 SW 169TH AVE ,iI)
Street Line 2 Multi-Family —Ir-o---City. BEAVERTON State. OR Zip. 97007
Total conditioned area(sq.ft) 2065, House Volume. I 18,495 Housing Type. Detached single family
Number of Stories. 12 Number of Bedrooms 4 .Foundation Type Craw!space
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- 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: 1314
Cooling Air Conditioning SEER 0 Model#. 13ACXN030-230-24
,
Primary Heating System Details AFUE. 95 Brand Lennox
Type: Gas Furnace .HSPF: ,Model#: ML196UH045XE36B-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 166 Brand: AOSmith
Water Heater Type Heat Pump EF. 13.17 Model If: HPTU-66N 130
Water Heating Fuel Electric Location. 'Garage or ope AHRI Certificate:
, ,ok -.j,,
Ducts and Duct Location 'Conditioned %ducts inside. [96 14 L, : Duct Leakage(CFM)@ 50Pa. [100
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 2.49 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. GDT665SSN2SS
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:
_