Report /66,7 sW 13irdSay cf 61,29'/
Form 6405 2017
Completion Certification—Site Inspection EnergyTrust
New Homes Program—Single Family
of Or:tetlort
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Company Name.
'William Lyon Homes I Is this payment redirected?:
I
Builder or Company: William Lyon Homes ': a Redirect to Name:
Verifier Payee Company Name: ,Performance Insulation and Energy ::Redirect Payee Corn
Affordable Housing ,Nb
Solar Ready Builder Incentive Ne 'Solar ReadyVenfier Inc4No
Development NE River Atea 3 McMIStd `Lot ' c� I r- Axis ID. J -J REM/Ratem ID
Address
Street Line 2 Multi-Family :No :`City Tigard : 'is State OR Zip. 97224
Total conditioned area(so.fL) 3,24E!House Volume: I 29,039.Housing Type: Detached single family
Number of Stories: 12 :Number of Bedrooms: 4 Foundation Type. Crawlspace
Electric Provider Portland General Electric Gae Provider: -NW Natural Gas
Solar installed None :Solar Installer Neme+Company
i 1 1
Slab Perimeter insulation R 6,6 Slab Under Insulation R-
Insuleticn Framed Floor _ R- 30S Secondary Framed Floor R- 59.0 - :>
Above Grade Well Insulation R- 23.0 Below Grade Wall Insulation R
Flat Ceiling Insulation R 49,0 Vaulted Ceiling Insuation R- ..�..
Windows Windows _ - ll- 0.3 'SHGC:10,3 Total w)r low area: 1510
Cooling Air Conditioning... <- — SEER, 0 Model 0:
Primer i-latent System Details AFUE: 82,1 Brand Sryant.
Type: Gas Furnace HSPF. Modal if: 912504E050S17'
Heating Fuel: Gas - SEER'
Primary Heat Co - _ _ _
SpurCe mment
COP:
tecation �y,pydelpng{t A Outdoor Unit(tor heat pumps)
ECM: No Modal#: 1—
AHRI Certificate.7126231 #of Systen s t -
_
Gallons,.„,1 ... grand: IAOSmlthl a
Water Heater Type .r..-.. ....EF._` ,...
. ! Nobel 0: HPTU-EDN 120
Water Heatin Fuel
ULocation. Patap¢qr site
Ructs and Duct Location Cortdttoned w. -. Or du is a du =' � Dust Leakage(CFM)�)60Pa ." iio : n.�u 7p.a ipx 5a3F'
Testing
.. .. .. . .
Infiltration Air Changes per Hour(ACN)@ 50Pa: 258
Ventilation
Ventilation Type HRVIERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? rRoof Tann}nat on
Refrigerator uWhryr Model:
ENERGY STAR Diswasher oWhM 298 ';:Madel: FGID2466'""A
Percent High Efficacy Interior Lighting(%) 100% -Thermostat
Showemead 1.5 GPH I ''. Showerwand 1.5 GPH Showerhead 1.6 GPH h. 1Showerhead 1.75 GPH 1
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Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: STborO _ 00gqi Jurisdiction: 7-1 c
ol<r
Site Address: ( (0 S , I 73Cr �l
Subdivision/Lot#: INc Gj
and/or
Map and Tax Lot#:
By my signature below, I certify that all of the permanently installed lighting fixtures in the
above mentioned building contain high-efficacy lamps. Screw-in compact fluorescent and LED
lamps comply with this requirement. (Oregon Residential Specialty Code N1107.2)1
Signature: I , / Date: (C 7` 1
Owner/General Contractor/Authorized Agent
Print Name: g , / -sows_
ORSC Section N1107.2.High-efficacy lamps. All permanently installed lighting fixtures shall contain high-
efficacy lamps. Screw-in compact fluorescent and LED lamps comply with this requirement.
The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures
have met this requirement.
Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps.
I:\Building\Forms\RES-HighEfficiencyLightingAcknowl edgement_022018
i •
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, j2. M M1`- �-,p , am the general contractor or the owner-builder
at the following address:
Site Address: I Co (OS'? 6,) i'otit
it
City:
reL
Permit#:
714,S 7aI $ -OOP-0
Subdivision/Lot#: ` _ �O r 1--eL_—(rr� „5—f— �t�a
and/or (,�
Map and Tax Lot#:
To conform with the 2017 Oregon Residential Specialty Code (ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
xi The ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials,with
Joints lapped 12 inches at seams and
17 Extending up the foundation walls 12 inches.
Signature: /lA �✓ , )�o Date: /0-71'
General Contractor or Owner-Builder
I:\Building\Form\RES-Moi stureBarrierAcknowledgement_022018
• •
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, (Y`-r0� -- W4--e--r , am the general contractor or the owner-builder
at the following address:
Site Address: /((p 5-7 1/451) ,'1160/
City: I✓ J
Hulk
Permit#: V c- a0 ' — 0091/
Subdivision/Lot#: . (.4\ ^
' J0,1- 4CseY4r `6 A3
and/or G
Map and Tax Lot#:
To conform with the 2017 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: T° Date: /0 ' G 9
General Contractor or Owner-Builder
1:\Building\Form\RE S-Mo istureContentAcknowl edgeme nt_022018