Report (83) If ,
r
Oregon •
Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, PO Li(to oi A0110 , am the general contractor or the owner-builder
at the following address:
Site Address: 1 �h �r
3 5W 4v� t
City: f3 eAVPVITIA)
Peermt 0: ot5t" 0 7- 0s
sul visian/Lot#: , iii t v i-A ' ,4. .1
and/or
Map arid.Tax Lot#:
To conform with the 2014 Oregon Residential Sp icer Code(ORSC),Section 8408.1
Ventilation.lam notifying the building official that I have installed the Moisture Barrier as per
Revuin er t 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
.t:n t.: with
173Joints lapped 12"at seams and
Emi Extending up the fonnebttion walls 12".
t3L--.--°.----
S' �1/4l�
TABU td lFaam .doc 09/134016
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Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
Pes ,` G 0 t' / , am the general(=tractor or the owner-builder
at the following address:
Site Address:
131
City:
I ID 1 7 — J3s
Pt, 1 `!' �3s
andttor
map and Tax Lot#:
To comms with the 2008 Oregon 'd Specialty Code(ORSC),Section 113182 and
OAR 918-480-0140,I am notifying the building official that I am,aware of the moisture content
Requiranent of ORSC Section 8318.2 and have taken steps to meet this code"mem
[Section R318.2 is provided for reference].
8318.2 Moisture Content: Prior to the installation of interior finishes,the building
official benotified in writing by the general contatotm that all moisture-sensitive
wood framing members used in construction have a moisture content of not mons than 19
percent by dry weight ofd*,framing members.
Signature: GeL Date: zr
or Owntr-Butider
e9ns
Oregon Residential: Specialty Code x1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
v t s' Jurisdiction: r
Site dress:
/3-29/ 51A) At .rc,—rte.
Sulrcirisiiato
• ft#: I' � g WER, retiehie 0 " 3
and/or
Map and Tax Lot#:
By my signature below,I certify that a miium of fifty(50)percent of the permammtly
installed lighting fixtures in ,.-above mentioned buil. ,<have installed with or
fluorescent,or a li a.�, . that • �, um has a efficacy of 40 lumens per input
watt
(Oregon Residential ty Code NI 1072)1
011111.11"
Signature: Date: --3114))S
Print Name: 5/k.1 b# C/4 g
ORSC Section NI107.2.Ifigh,efficiency' i Iig'ting systems. A minimum of fifty(S0)patent o the
permanently installed lige fixtures shall be installed with compact or linear fluorescent,cars a:40,• source that
has a ithicinuun efficacy of 40 lumen per input . Screw-fa convect fluccesetat lamps fly with this
The building official shall be notified in writing atthe `cin that a of fifty of the
p ' tly installed lighting are orlinear fluorescent,or a minis=efficacy of 40lumens per
input watt
7 4
A
Form 640S 2017
Completion Certification—Site Inspection
uf;New Homes Program—Single Family t.
of Oregon
To be completed by Verifier
CLEA Result is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Company Name IWilliem Lyon Homes Is this payment redirected?: 1No
Builder or Company William Lyon Homes Redirect to Name:
Venter Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVerifier Inc4No
Development: NW Rrver Terr Area l'-Med/Std Lot I Aws ID. I �REM/Rate®ID.
j�. II
Street Line 2 Multi-Family No City Tigard State: OR Zip: 97223
Total conditioned area(sq.ft.): 2,420 House Volume: 1 21,746 Housing Type: Detached single family
Number of Stories: I2 Number of Bedrooms: 4 Foundation Type: Crawlspace
Elednc Provider: Portland General Electric Gas Provider. INW Natural Gas
Solar installed None Solar Instalter Name/Company:
6kle shaded,n610•are requ ed tarEPS sheet
x'''1"1914.
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 48.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:10.3 Total window area: 1345
Coding Air Conditioning SEER: 0 Model 9: 113ANA036.1
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC38040517•
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model 9: 1
AHRI Certificate:7126229 #of Systems 11
Gallons: 150 Brand: AOSmlth
Water Heater Type Storage EF: 1,95 Model#: ENT50110
Water Heating Fuel Electric Location:'Conditioned A AHRI Certificate:8083359
Ducts and Duct Location ICondltioned %duds inside: Dud Leakage(CFM) 50Pa: f' y"` "%
Testing
Infiltration Air Changes per Hour(ACH) 50Pa: 284 1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cyder Airflow measured or why untestable? (Roof Termination
ifeelefeetkL
'�; �� � :.r<_.. � ,.ice '� " 'e4 .
Refrigerator
kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2466•11A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH 1 Showerhead 1.6 GPH 1 IShowerhead 1.75 GPH I