Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address: 4 S' �..j
S $2�,-.i.soN,.o, Sr
City: -3v-
Permit#: 1t \8-OC. 4•t-l3
Subdivision/Lot#:
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:
1-441-he ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joi
L� nts lapped 12"at seams and
r q- ending up the foundation walls 12".
Signator 1 — .
� v Date: 1
G.., ::1, ...-'u or Owner-Builder
L BuildmgTormU2ES-MoistureBarriendce 09/13/2016
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: k-k.V- C Jurisdiction: -----,
i
Site Address: 1 62S-S-5 S%—>
Subdivision/Lot#: 4.1
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of fi50
( )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)'
Signature 1 < _
Date: /1 ,2c>
Owner 4"!!` N •tractor/Authorized Agent
Print Name:
' 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:\BuiklineFomns\RES-HighEfficiencyLightiug.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
( .M.S , am the general contractor or the owner-builder
at the following address:
Site Address:
City: --
Permit#:
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 8318.2 is provided for reference].
8318.2 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.
Signatuke�. � ia�_ "'""_ 1
e : ••• -c or Owner-Builder Date: /1/01.0
I:\BmldinfformlRES-Moisti reSrasitivCWood.doc 0925/08
rh 5.7— 0 / — 0 v24-1 3 / GSs s- s[N 13 /rzo sv,,r67 s--
Form 640$2017
Completion Certification—Site Inspection
New Homes Program—Single Family a It- \T
d a
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'William Lyon Homes IIs this payment redirected?: INo
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 ReadyVerifier Incl
Site Information
Development: BM3 Landi River Terrace Lot G t0 i�rrAr 3 Axis ID: I (REM/Rate®ID:
Address: f ?r�� AA\�V A T0rr0�� 'h h�A )��� Nfit
�+�?�� \\\000\V�0000000\\�ti �\\�\yO�O§A
Street Line 2 Multi Family INo City: Sherwood State: OR Zip: 97140
Total conditioned area(sq.ft.): 2,816 House Volume: I 25,238 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 Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&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:I0.3 Total window area: 1470
Cooling Air Conditioning SEER: 0 Model S.
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC48060S17*
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Garage or opeOutdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126231 #of Systems 11
Gallons: I Brand: AOSmith
Water Heater Type Heat Pump EF: 1 Model#: HPTU-80N 130
Water Heating Fuel Electric Location: 'Garage or ope
Ducts and Duct Location Conditioned %ducts inside: %Ali Duct Leakage(CFM) 50Pa: ;",air I e
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.23 I
Ventilation Type HRV/ERV Model:
Ventilation
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr Model:
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: