Report (4) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
11
I, .,f7tc t/ , am the general contractor or the owner-builder
at the following address:
Site Address: '
City: i
i '
Permit#: tiS '2015 — 600 i
/Subdivision/Lot#: "..'7_ , _ . ?
and/or J
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 Bather 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
Q Extending up the foundation walls 12".
Signature: Date: Ilf 117
General Contractor or Owner-Builder
I:1Building\Form\RES-MoistureBa rier.doc 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: �( - ? : cl^ c51 Jurisdiction: - . 4,4
Site Address: 7 n J C W 1 cy 1%.` 4W-
Subdivision/Lot#: �!
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: Date:
Owner/General Contractor/Authorized Agent
f)
Print Name: K1?.tS7t�, 'lt'
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 shallbe 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\Fonns\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
TK
1` 210 S l rte-
City: �1. 4,8-
Permit#: k-$T 2011- 0ao, .` v
Subdivision/Lot#:
1SK 1_ .�
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.
—:1
Signature: Date: t
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Form 640S 2017
Completion Certification—Site Inspection EnergyTrust
New Homes Program-Single Family
of Oregon
To be completed by Verifier
CLEARescit is a Program Management Contractor for Energy Trust of Oregon,Inc.
eynkM�ompany Name 1WJham Lyon Homes —1Is this payment redirected?: 1No
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: 'Solar ReadyVerifer Ince'
�delo ment River Terrace Ro
Slt@'Wcnnatton.
p wshaek ,,s�s�, iyy
Lot �w, Axis ID. I IREM/Raterat ID:
Street Line 2 Multi-Family No City: Beaverton State: OR Zip: 97007
Total conditioned area(sq.ft.): 2,065 House Volume: 1 18,495 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider Portland General Electric Gas Provider: NW Natural Gas
Solar installed J Solar Installer Name/Company:
Iub hlteded telde are required'For EPS sheet"
#arll9c#Io, _i Actual Model ..
Oata0x&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#:
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#: 1
AHRI Certificate:7126229 #of Systems 11
Gallons: 166 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 130
Water Heating Fuel Electric Location: (Garage or ope AHRI Certificate:
Ducts and Duct LocationIConditioned %ducts inside: Duct Leakage(CFM)@ SOPa: ,
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.99 1
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator \kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2466"`A
Percent High Efficacy Interior Lighting(%) 100% Thermostat (
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH Showerhead 1.6 GPH I 1Showerhead 1.75 GPH 1