Report • Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
523\04- , am the general contractor or the owner-builder
at the following address:
Site Address: 1(130 ti 50 6q71- "46
City:
Permit#: 1/1-157-X - 0076'5--
Subdivision/Lot#: DosL(4_,
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:
[ The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
[ Joints lapped 12"at seams and
ratxtending up the foundation walls 12".
Signature: Totie-1\ Date: (0 -1-cA320
General Contractor or Owner-Builder
aBuildineForm\RES-MoistureBarriencloc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
(e.:!-v-i; , am the general contractor or the owner-builder
at the following address:
Site Address: jciti
(6974 4-0(
City:
L
Permit#: VIA(1-- \
Subdivision/Lot#: vta_( (
3
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: VA) Date: /0 —9 902t9
General Contractor or Owner-Builder
1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: M
/1(4 crePOI el —009-05— Jurisdiction: 744- t
Site Address: 1
q3q," ski «An,' A-06-
Subdivision/Lot#: 65t- d-I
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: -72A Date: /0 0,2 0
Owner/General Contractor/Authorized Agent
Print Name: 72eAt.„--1----
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
Completion Certification—Site Inspection E.11 e rpyTrust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEA Result is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name. 1William Lyon Homes us this payment redirected?: 1No
Builder or Company: _William Lyon Homes Red rect to Name:
Verifier Payee Company Name..Performance Insulation and Energy Redlrect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: Solar ReadyVerifier het'
Site information
Development: River Terrace Rowshack 11ot 121 Axis ID: IREM/RateCie ID:
Address: 14394 SW 169TH AVE
Street Line 2 Mule-Family NO City: BEAVERTON State: OR Zip: 97007
Total conditioned area(sq.ft.): 2,065 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 It. HPTU-66N 130
Water Heating Fuel Electric Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location 'Conditioned %ducts inside: 195% ]Duct Leakage(CFM)@ 50Pa: 1100
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.73
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 ShowerNand 1.5 GPH Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: