Report (2) Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: M$7oi6 - 00249 Jurisdiction: 66,24
Site Address: 12...
yyz s
Subdivision/Lot#: l " tio„r I 5,..4/
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: ./(4044:,41,71 Date: /' Z.-2-0
Owner/General Contractor/Authorized Agent
Print Name: Aka- (1),TC ,z'
1 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\Eomis\RES-HighEffic iencyLightingAcknowlcdgcment_022018
Moisture Content Acknowledgement Form
I, ixrde_ /20_0414)Coskjam the general contractor or the owner-builder at the following address:
f0 SW /C/57rtt P}lL •
Street address
City
N15r 100- on*1
Permit number
If applicable:
€� - f3 1cq
Subdivision/Lot and/or Map and tax lot
To conform with the Oregon Residential Specialty Code (ORSC), 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.
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 of the weight of dry wood framing
members.
_ --- /—s2.— .i)
Sig re Date
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, Osak g,37.1440-0 esie%) , am the general contractor or the owner-builder
at the following address:
Site Address: 12 et`/0 so /,w e
City: /..V GAS
Permit#: A/15-r- ZCi - Do 15cl
Subdivision/Lot#: As
Lor- 15 (
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:
Te ground surface of the under-floor space is covered by a Class I vapor retarder or
other approved materials, with
Joi lapped 12 inches at seams and
Extending up the foundation walls 12 inches.
Signature: ���____Th Date: /— 2-2--2e
eneral Contractor or Owner-Builder
I:\Bui Iding\Form\RES-MoistureBarrierAcknowledgement_022018
Form 640S 2017
Completion Certification—Site Inspection EnergyTrust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResuII is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'William Lyon Homes Is this 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: 'Solar ReadyVerifier Inc
Site Information
Development: NE River Area 3-Estate Phase 1 'Lot 1154 Axis ID: I 'REM/Rate®ID:
Address: 12940 SW 165TH VE
Street Line 2 Multi-Family INo City: Sherwood State: OR Zip: 97140
Total conditioned area(sq.ft.): 2,860 House Volume: 1 29,744 Housing Type: Detached single family
Number of Stories: 11 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:10.3 Total window area: 1470
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: Brand Mitsubishi
Type: Electric Heat Pump-Mini Split Ducted HSPF: 13.5 Model#: MXZ-5C42NA2-U1
Heating Fuel: Electric SEER: 30.5
Primary Heat -------
Comment: COP:
Source
Location: Other Outdoor Unit(for heat pumps)
ECM: No Model#: IMUZ-FH09NA
AHRI Certificate: #of Systems 12
Gallons: 166 Brand: AOSmith
Water Heater Type Heat Pump EF: 13.17 Model#: HPTU-66N 120
Water Heating Fuel Electric Location: 1Garage or spa AHRI Certificate:
Ducts and Duct Location 'Conditioned %ducts inside: 195% 'Duct Leakage(CFM)@ 50Pa: 199
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.1 1
Ventilation Ventilation Type HRV/ERV Model:
0 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 1 Showerhead 1.6 GPH 1 1Showerhead 1.75 GPH I
Notes: