Report (21) - OCj`3 ti�0 t 6 3 i /c,n4s /,I
Form 6405 2017
Completion Certification—Site Inspection
New Homes Program—Single Family EnergyTrur
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment infer i alirrn
m
Incentive Payee Company Name:
'William Lyon Homes IIs this payment redirected?: •INC
Builder or Company: William Lyon Homes Redirect to Name:
Verifier Payee Company Name:_Performance Insulation and Energy Redirect Payee Com
Affordable Housing Na
Solar Ready Builder Incentive: No 'solar ReadyVerifier IncelNo
..e .....
Development NE River-Area 3-Alley Lot �;ta�� y Alas ID: I 'REM/Rate®ID:
Address: w -i ✓i
Street Line 2 Multi-Family No City: Tigard State: OR Zip: 97224
Total conditioned area(sq.ft.): 2,065 House Volume. 1 18,495 Housing Type: Detached single family
Number of Stories: I2 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider Portland General Electric Gas Provider: INW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are required terEPS sheet
Verification TY!'#k. 'm • ........ IAA i E ....-.f"
Slab Perimeter Insulation R- 0.0 Slab Under Insulation
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- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:I0.3 Total window area: 1314
Coding Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC36040S171
Heating fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126229 #of Systems 11
Gallons: 1 Brand: AOSmith
Water Heater Type Storage EF: 1 Model#: HPTU-50N 120
Water Heating Fuel Electric Location: 'Garage or ape
Ducts and Duct Location 'Conditioned %ducts inside: Duct Leakage(CFM)5 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)5 50Pa: 3.07
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Refrigerator k'Mr r Model:
ENERGY STAR Diswasher kWh/yr 288 Model: FGID2486"'A
Percent High Efficacy Interior Lighting(%) 100% Themrostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH 1 Showerhead 1.6 GPH I 1Shawerhead 1.75 GPH 1
Not= ..'. .-
g a
New Water Heater Model:
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: kkAS i 20 I - D O 3 0 U Jurisdiction: �^ a���
Site Address: 1 c L CLQ LN--1
Subdivision/Lot#: E (.4 tib rxcCL-fLPrCc
and/or
Map and Tax Lot#: 2—D 4
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: �_ Date: 04/10x/Ag
tI:'' for T uthorized Agent
Print Name: (/'l G t-2,4 l-fi2�S r��lrca-
'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 R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, LA)1/4..�F1fic C' TEJ lsrfJ , am the general contractor or the owner-builder
at the following address:
Site Address: Ha e (S S L Lvt,to„..c rLAsc 1....A1L1�-
City: i-
Permit#:
1/�-c"i 2v 1-4- — 00 ' S o
Subdivision/Lot#:
E- �� t �n O A(k
and/or
Map and Tax Lot#: lP
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 Bather as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
U l ne ground surface of the under-floor space is covered with 6-mil blackolyethylene
sheeting ' p
Joints lapped 12"at seams and
[‘ending up the foundation walls 12".
Signature: / Date: O / o�///g
7.
eral Owner-Builder ---
I:iBuildmgWorm\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, c.AxLCsZ./A CAftp S i"Fli.f S , am the general contractor or the owner-builder
at the following address:
Site Address: to e ( g S L `
aRA S S
City: iQN
Permit#:
v ls-r 201 -Oc) 3 do
Subdivision/Lot#:
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: _ Date: O 7 d l e
�� : S o.�' :• or • er- udder
lABuildingWo m\RES-MoistureSensitiveWood.doc 09/25/08