Report Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Pmt No for cl Jurisdiction: ri6met)
Site mss: t 3 3qL,_„)
s� ot#:
and/or
Map ;i Tax Lot#:
By my ' * tr below,I . Heatsminimum of fifty(50)pof6,�,$tB.:.mi.;��� y
installed °+$3 M. I« fixtures in mentioned building installed with compact or
linear fluorescent or a lighthig source has a minimum efficacy of 40 lumens per input
(Oregon Residential Specialty Code N1107.2)'
Date: 3(s7'( e
Print Name: 7M t t1
O x11072. Y interior ligking systems. A minitenm offifty(50)paten a the
.ykearsrinstalled, } fixturesbe icompact
orlinear i or a
source that
has alnimita efficacypar input Kaµt Screw-in esce� complywith
requirement m�nt
C{SR
notified
�y¢{the .a ..g percent
The��Ylktd tild lY66w_.•official be noti writing at },.�... inspectional ..[ 1 a�Y ` �y of
pens yin fixtures or lin a ani ora ePMti35 cd48dat bol
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACICNOWLEDGEMEN1' FORM
I, ppl.2.1 6 0 N , am the general contractor or the owner-badder
it the following address:
Site Address: <33�
City: 13 EAV Eiefrieki
Penult it r -t -- tai
Subdiv1sion/4ot#: Rtita of 30
andfor
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty ale(ORSC),Section R318.2
and
OAR 918-480-0140,I am notifying the bading official I am aware of the moisture content
Requiranent of ORSC Section R3182 and have taken step to requirement.
[Section R318.2 is provided for reference].
8318.2 Moisture Content Prior to the installation of interior
official shall be notified in writing by the general contractor that all moister itive
wood gin constructioncontenta moisture of not 19
patent bye .. of dry mu members.
S` Date:‘119 3/57
or Owner-Builder
vsubtoultaratimvaistortsatithivewood.dec 09#2,510$
. r
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT EOR
I, PO LNI Goo AI , am the general corttractor or tie owner-builder
at the following add
Site dress: v-�-7,et e s w /= -"b-A-�Ickmac.._ v-�v
City: EV
?emit#: S " e; C9 1.- !,U c 4 u
s v si /raot#: Any Rivefe-itteiteve- „err
and/or
Map and.Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code(ORSC),Section R408,I
Ventilation.I am notifying the buildingofficial that I have installed the Moisture Barrier as per
Requir ne nt in ORSC Section 408.1 and have taken the following to meet this code .
requirement:
PA, The ground surface of the under-floor space is coveted with 6-mil black polyethylene
with
III Joints lapped 12"at seams and
NExtending up the foundation walls 12".
.4111....„. _ ,
Slat : /yam y Date: 3/51i b
k3f@k!tss til W Bu
t f .630 0911312016
Form 640S 2017
Completion Certification—Site Inspection Trust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResigt Is a Program Management Contractor for Energy Trust of 07on,1no.
ypyembtfonnodon
incentive Payee Company Name: 11Afilliam Lyon Homes us this payment redirected?: (NO
Builder or Company: f.Mhtiam Lyon Homes Redirect to Name:
Venfier Payee Company Name: Performance Insulation and Energy Redirect Payee Cam
Affordable Housing Na
Solar Ready Builde Incentive: No 'Solar ReadyVenfier Inc4No
site hiformatluir
Address
Street Line 2 Multi-Family No City Tigard State: OR Zip: 97223
Total conditioned area(sq.fl.) 2,420 House Volume: I 21,748 Housing Type: Detached single family
Number of Stories: 2 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric 1NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are cefluired for BPS sheet
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-Framed Floor 30.0 Secondary Framed Floor R- 59.0
insulation
Abuse Grade Watt Insulation R- 23.0 Below Grade Wat Insulation R
Flat Ceiling Insulation R- 49.0
U- 0.3 SHGC:10.3 Total window area: 1346
Cooling Air Conditioning SEER: 0 Model P:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model 8: 912SC36040S17*
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Coedilioned A Outdoor Unit(for heat pumps>
ECM: No Model#: 1
AHRI Certificate:7126229 of Systems 11
Gallons: 150 Brand: AOSmlth
WaterHeater Type Storage EF:1.95 Model It: ENT50110
Water Heating Fuel Electric Location:1Conditioned A AHRI Certificate:8083359
Ducts and Duct Location IConddo d %ducts insde Duct Leakage(CFM) 5SP
Testing
Infiltration Air Changes per Hour(ACH) 50Pa: 134 1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? IRouf Termination
4vitanc10-
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 288 Model: FGID2488***A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.8 GPH 1 1Showerhead 1.75 GPH 1