Report Moisture Content Acknowledgement Form
I, NT 12..x.t4101Lbsolim the general contractor or the owner-builder at the following address:
13 5in) I c t5— fvk__
Street address
City
M 5 i 242 - cxvc 7b
Permit number
If applicable:
—r A-) Loam 157
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.
/—/7`20
Signature Date
Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, .2GIL 7a4 flaSt AJ , am the general contractor or the owner-builder
at the following address:
Site Address: is d2- i sW ki.c 71- /1-1/4_
City: LT y,4-g-6
Permit#: Al 7-'26/T- MO 7,15
Subdivision/Lot#: j,- 4_3 _ /ari
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
requiremen •
The ground surface of the under-floor space is covered by a Class I vapor retarder or
of approved materials, with
Join lapped 12 inches at seams and
ruf
Extending up the foundation walls 12 inches.
Signature: Date: ` /7'�
eneral C ntractor or Owner-Builder
1:\Bui Iding\Fonn\RES-Moi sturcBarricrAcknowlcdgcmcnt_022018
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: rn 57 -21,1 _CXx,7 6 Jurisdiction:
Site Address: 12 02,( S(j ice 5--77# "sit
Subdivision/Lot#: tot) - r 5--/
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 N1 107.2)1
Signature: , — Date: /"t7 240
caner/Genera Contractor/Authorized Agent
Print Name: I4JJ IL C L14 b5 )
'ORSC Section N 1107.2.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 lighti
ng fixtures are not required to have high efficacy lamps.
I:\Building\Forms\RES-HighEfficiencyLightingAcknowledgement_022018
Form 640S 2017
Completion Certification—Site Inspection t"`u'�J
New Homes Program—Single Family
t
of Oregon
To be completed by Verifier
CLEAResuft Is a Program Management Contractor for Energy Trust of Oregon,Inc.
PaymentInformttlon'
Incentive Payee Company Neme: I William Lyon Homes I Is this payment redirected?: I No
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: No (Solar ReadyVerifier InclNo
Sits intertnetwn
Development: NE River Area 3-Large Lot 4V .` Axis ID: ! (REM/Rate6)ID:
Address: L. . `.r,,.fo eay!:.`� �a f1ria ur�
°mt
1714
Street Line 2 Multi-Family No City: Tigard State: OR Zip: 97224
Total conditioned area(sq.tl.): 3,736 House Volume: I 35,640 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crewispece
Electnc Provider: (Portland General Electric Gas Provider. NW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fields are,required for EPS sheet
Veneottten Type ; AAtual Model- equipment Details&Notes j.
Slab Perimeter Insulation R- 0.0 Slab Under Insulation (2-
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. 1599
Cooling Air Conditioning SEER: 0 Model#.
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF Model#: 9125C48060517"
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP'
Location: Conditioned A.Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126231 #of Systems 11
Gallons: I Brand AOSmith
Water Heater Type Heat Pump EF: I Model#: HPTU-80N 130
Water Heating Fuel Electnc Location: (Garage nr op
Duets and Ducf Location !Conditioned %ducts inside: ,-": Duct Leakage(CFM)@ 50Pa. WOWS
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa. 2,48 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? [Roof Termination
Appliances
Refrigerator kWhlyr Model
ENERGY STAR Diswasher kWh/yr 268 Model: FGI02466"""A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH! Showerwand 1.5 GPH I Showerhead 1,6 GPH I IShowerhead 1.75 GPH !
Netts: