Report (92) Form 640S 2017 m
Completion Certification—Site Inspection T #
New Homes Program—Single Family L
of Oregon
To be completed by Verltler
CLEAResult Is a Program Management Contractor for Energy Trust of Oregon,Inc
Incentive Payee Company Name: 'William Lyon Homes IIs 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 IncelNo
•\ P ......:14
SItIk611Pftliilaett vn R -e 4 -
Development NW River Ten-Area 1-Med/Std Lot Axis ID: 1 'REM/Rate®ID.
Street Line 2 Multi-Family No City: Tigard State: OR Zip: 97223
Total conditioned area(sq.ft.): 2,375 House Volume: 1 21,432 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 3 Foundation Type: Crawlspace
Electric Provider 'Portland General Electric Gas Provider. INW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fid ate ksfEPS�
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: 1420
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC36040517`
Heating Fuel: Gas SEER:
Primary Heat Comment: COP:
Source
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:7126229 #of Systems 11
Gallons: 150 Brand: AOSmith
Water Heater Type Storage EF: 1.95 Model#: ENT50110
Water Heating Fuel Electric Location: 'Conditioned A AHRI Certificate:8083359
Ducts end Duct Location 'Conditioned %ducts inside: Duct Leakage(CFM)@ 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.59 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
.,.:••ate ;..• ...,.. .:; -: ,.. ...: ..�...
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2466***A
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
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Oregon Residential Specialty_Code N 107.2
MGH-EFFICIENCY INTERIOR LIGECTING SYSTEMS
Pennit No.: 79 J ri6thea
Site Address:
►1���4, t.
54J Frieg
Su isisennt#t ai r 0
andiar
Map and Tax Lot :
Bym sig Wow,I cirffY Mat a minim=office 000)Patent of .
•. •
lighting fixtures in the above mentioned building have been installed with compact or
lineartluorescmt,or a lighting source that has a minimum of 40 l+m is per input
(Oregon ideatia1 Specialty N11072)
Signature: Date: /-0 /r
"Name: Ti;tvt
i' C Affreo
loRsc N1147k,2. Aoki:mum of fifty'(S o the
pu installed '#& installed: or rftut a u
has aefficacy o � input att i Inc fluorescent comply with this
requinumint
The,linalithm be unified in writing at the final inspection that a of the
pennanently installed lighting fixtures are compact or fulmar. fluorescent Ora Milliof 40 lumens per
Minn watt
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Oregon Residential Specialty Code R408.1
MOISTURE BAR R AC NO LIDGE FORM
POI:1401a , am the general contractor or the owner-builder
at the following address:
Site Address: / 3/� •%1 AW`
L. PRsut. Tt�.
Cztp:' e
iivEtioni
Permit#: o 1-co1 y1
Subdivisiot : Aik Rive . , e,brr (,-2
and/or
Map tuld Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code(ORSC),Section R408,I
Ventilatimt.I am notifying the building ofacitd thatIhave installed the Moisture Barrier as per
u r eat is ORSC Section 408.1 and have taken the foUowing steps to meet this code
requirement:
The ground surface ofthe floor space is covered with 6-mai].black polyethylene
rw , with
r.13Joints lapped 12"at seams and
NExtending up the four".walls 12".10
S : Tie: /�/i8
i ri'6x,.d kjf}N MRA7 or Ow ut
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VeteldiegTomieltES44thrtataartier.doc 09/13(2016