Report (2) Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
3�31 SA• y2, s�caG c.�v
City:
Permit#:
ab 1 6" Ca0�3
Subdivision/Lot#:
�3Co
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:
I "l j ne ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Rfoints lapped 12"at seams and
tending up the foundation walls 12".
Signaturf. , . .P `., ".__..'.-..• Date: ci
\ G • r
':;� ••:'Tn,� or Owner-B 'der
I:\Building\Form\RES-MoistureBarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner-builder
at the following address:
Site Address:
13 d 3( 5L3
City: •
Permit#:
- �1� — c>c>3?- 3
Subdivision/Lot#:
V3 Co,
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section 8318.2 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: kz/ j 71 c(
-+e entracto or Owner-Builder
IABuildingTorm\RES-MoistureSeositiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 4,018 .00.34.5 Jurisdiction: r Y
Site Address:
13 0 3 \
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: ygt-17c(
_owner tractor/Authorized Agent
Print Name:
'ORSC Section NI107.2.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:\BuildineForms\RES-HighEEfficiencyLighting.doc 07/01/08
Form 640S 2017
Completion Certification—Site Inspection Cl
c . „
Program--SingleNew Homes Family ^^^^ '
of Lr q€Dn
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment informatkrft._a
Incentive Payee Company Name: !William Lyon Homes Its Inis payment redirected?: INo
Builder or Company: William Lyon Homes Redirect to Name: --
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: "'ISolar ReadyVerifier Inc '
Slie.. o_.
oErimtion -' %-
Development NE River-Area-Alley/Phase.92 I Lot Axis ID: I 'REM/Rate&ID.
W
t
Address � Rf *#RIRAOC 1.^i€i tl r` .,..,:• le€i r.._._.
Street Line 2 'Multi-Family INo (City: Sherwood State: OR Zip: 97140
Total conditioned area(sq.ft.): 2,065 House Volume: I 18,495 Housing Type Detached single family
Number of Stories: 12 Number,of Bedrooms: 4 Foundation Type. Crawlspace
Electric Provider: Portland General Electnc " Gas Provider. NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet` s
Verification Type Actual Model Equipment Dets&.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- 6.3 SHGC I0:3 Total window area: 1314
Cooling Air Conditioning SEER: 0 - -- Modelo
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace - HSPF: "'Model#. 912SD36040E17A-A
Heating Fuel: Gas - ',',SEER:
Primary Heat
Source Comment COP:
Location. Conditioned A Outdoor Unit(for heat pumps)
ECM: No -'Model 6: I
AHRI Certificate:7126235 #of Systems 11
Gallons: 166 - "'Brand: AOSmith
Water Heater Type Heat Pump EF 1117 Model#. HPTU-66N 130
Water Heating Fuel Electric "'Location: 'Garage or ope AHRI Certificate:
Ducts and Duct Location 'Conditioned %ducts inside: TNIIIIII1DuctLeaka
ge(CFM)@ 50Pa: , € €�`°i;tk„,,€••'E'EEEE'
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.66"" I
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 I Showerwand 1.5 GPH I Showerhead 1.6 GM I Ishowerhead 1.75 GPH I
Notes: :. .. ..