Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
CA-A. 3*� 2,�. � , am the general contractor or the owner-builder
at the following address:
Site Address:
t Le(..e 3 S L3 Sc•-. • ••$-
City:
ti c�
Permit#: -
4
Subdivision/Lot#: 4-4C)
and/or
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 Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
IR-fix ground surface of the under-floor space is covered with 6-mil black polyethylene
sheer�tiing��with
D pints lapped 12"at seams and
(-qxtending up the foundation walls 12".
�
Signator i« �a, Date: t /w (l 9
G •: :,l •a -atj or Owner-Builder
I\Building\FormlRES-MoistunBarrier,doc 09/132016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
City r k l Y'
Permit#:
‘,%:/.0k8 -00,g-.410
Subdivision/Lot#: ZD
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.
Si f �..
i • :)or Owner-Builder Date: t v�/ 1`1
I:\Build neForm1RES-MoistureSeasitiveWood.doc 0925/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: t?)_6x),�. 7 Jurisdiction: —--�
.cLDSite Address:
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: k.2-(Zcil c1
_Owner t . 1 .tractor/Authorized Agent
Print Name: , r . ( 3 t„
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:\Buildmg\Forms\REs-HighEffciencyLighting.doc 07/01/08
P./ D
Form 6405 2017
Completion Certification—Site Inspection p
New Homes Program—Single 6amity ..n � ," �itie
of Oregon
To be completed by Verifier
CLEAResua ra a Program Management Contractor for Energy Trust of Oregon,arc.
Payment informaften
Incantisetcayee Company Name': 139tsam Lyon Hames Ile thFS payment redirected, Jtta ry
Builds Company: WNlam Lyon Homes Red act to Name
Verifier Payee Company Name Performance laudation and Energy Redirect Payee Corn
Affordabre Hoosarg No
5olat Ready Budder Incentive. No --TSotar ReadyVeriher m0 t4o
we Information
Development NE Rica Area 3 MedlStd Lotpa7AXVN, ASI0 ID 1 1REMtRatet ID:
Address rr Kn .y, ,va F�\
Street Line 2 Multi-Family No City Tigard State OR Zip 97224
Total conditioned area 1s5.ft.1: 2,816 Mouse Volume. 1 25238 Housing Type Detached single famity
Number of Stories 12 Number of Bedrooms. 4 Foundation Type Crawtspace
Electric Provider jPomarrd General Electric Gas Provider. mm NW Natural Gas
Solar installed None Solar instate;Name/Company.
Blue shared sett arc required far EPS sheet
Verification Type.. Actual Mader Equipment Oemta b Nate. ,.
Slab Perimeter Insulation R- 0.0 Slab Under insulation R-
Inauialion Framed Floor R- 30.0 Secondary Framed Floor R- 59 0
Above Grade Wad Insulation R- 23.9 Below Grade Wait Insulation FL
FlatCeding Insulation R- 49 0 Vaulted Ceiling Insulation R-
Windows Windows LI- 0.3 SHGC.10.3 Total window area. 1470
wi
tooting Air Conditioning SEER 0 ,Model t13ANA036-t
Primacy Heating System Details AFUE: 92.1 ,Brand Bryant
Type:. Gas Furnace HSPF'. Model a. 9125048060577'
SCattrt1 Find: Gas SEER'.
PrimaryHeat ,_..._,.,,....._,_..___. ,_, ___._.....„_ ,4-.._._ .....,.....,„_,..__
Source Comms m: COP.
Location: Conditioned A Outdoor Ued!for heat pumps) _..._.. ,..,._....._.._,.,...,..,,,,�.„.__...._,..,,,,,...
ECM No Modeta: 1
AORI Certificate.7126231 a of Systems 11
Gallons: I Brand: AOSrrdth
_, ._.d
Water Neater Type Heat Pump EP. Model it HPTU-0014 130
Water Heating Fuel Etectnc Location'!Garage or eye
Ducts and Duct Location icerue Toned %duets InsIde: 0%1 Duct Leakage ICEMt la 50P4. agymaiettiav
Tearing
Inertnation At Changes per How)ACHi a SOP. t 91 1
Vemiiatton Ventilation Type HRRVtERV Model:
Supply Side-Ab Cycler Arnow measured or why untestable7 !Root Termination
Refrigerator CotI:yr Model.
ENERGY STAR Diswasher awn* 260 Model: FGID24661`1A
Percent High Efficacy intortor Lighting(%) I0001 Thermostat
Showerhead 1.5 GPO 1_____ �. Showerwand 1.5 GPO 7—Shaererhead 1.6 GPH 1 IShowerhead I.75 DPH F------
,