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Report (67) ill-C-ra744/—09/61 Form 640S 2016 r ", u2.., y Trust Completion Certification—Site Inspection New Homes Program—Single Family Oregon C1 t To be completed by Verifier Portland Energy Conservation,Inc.(PECO is a Program Management Contractor for Energy Trust of Oregon,Inc. Payment information Incentive Payee Company Name: William Lyon Homes lis this payment redirected?: 1No an P Y� �fl�k7m i. Builder or Com 4'vt�" \; k :." � ,,,, Contact Name: Verifier Payee Company Name:Performance Insulation&Energy " aii,. Technician Name ©t�rtshmcltkr �� Energy Trust Pathway: Percent Improvement Affordable Housing No Solar Ready Builder Incentive: No Solar ReadyVerifier In No Site Information Development: 1 ) Abs ID: 1 (REM/Rate®ID: �{iXer'i�II�GF:��� Lot 4 Address: 1 867 Street Line 2 1Multi-Family No City: Tigard State: OR Zif 97223 Number of Stories: 21 Total conditioned area 32481sgft#of BRs 1 4 Foundation Type: Crawlspace Housing Type ` fS�tetshettfigle f8rf�illy� Electric Provider. Portland General Electric Gas Provider: NW Natural Gas Solar installed Solar Installer Name/Company: Blue shaded fields are required for FPS sheet Verification ' Type Actual Model:::. Equipment Retails Noten Insulation Flat Ceiling R- 49.0 Insulation Type Blown-in Framing Type:Above Grade Wall R- 23.0 Insulation Type Blown-in Intermediate R_ Frame 30.0 Insulation Type Batts Doors Door R- Windows Windows U SHG(.30 Skylights U- SHG( Window Area(Glazing) 16%% Total window areal 510 Lighting High efficiency indoor lighting M0,014% Dishwasher Brand F riSkiie Appliances ENERGY STAR Diswasher Yes EF: 268 Modell F Cooling Air Conditioning SEER: Btu/Hr: Primary Heat Source/Type: AFUE: 92.1 Brand: r4 Bt1t Source Gas Furnace HSPF: Model# 912SC48Q60817 :mo i Gas SEER: Comment: COP: AHRI Certificate:7126231 Location: 44,/faittdrig. Outdoor Unit(for heat pumps) ECM: No Model el ,.. Water Heater Type: Gallons: 150 Brand: Bra ' Electric Storage EF.95 Model#,Rlt T&` Location: [Coftdilkfne ,AHRI Certificate:8105439 Ventilation Energy Trust of Oregon's Mechanical Ventilation Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements Untestat System Requirement tlppl tele. Cycler HRV/ERV Model l Airflow measured or why untestable? (Roof Termination Who Tested? 'Robert Ashmore Ducts Ducts Inside: Yes %ducts inside: \ ` Ducts Insulation: 8 Duct Seal w/Mastic (Yes If claiming incentive for ducts inside,check one of the following:(Visual Inspection per RTF f Performance Testing&Duct System Information Duct LeakageWhole House Air Changes per House (CFM)@ % Leakage Hour(ACH)@ Volume: 50Pa. \ 50Pa: 1.77 29,029 Notes: • WH X2 Insulation Details Flat Ceiling R- Insulation Type: Vaulted Ceiling R- Insulation Type: Scissor Truss R- Insulation Type: Above Grade Walls R- 23.0 Insulation Type: Blown-in Below Grade Walls R- Insulation Type: Floor Over Unheated Space R- 30 Insulation Type: Batts Floor Over Garage R- 59.0 Insulation Type: Blown-in Rim Joist R- 21.0 Insulation Type: Batts Appliances,. = Brand Name Refrigerator % Model Clothes Washer MEF Model: Dryer Model: f Showerhead 1.5 GPH ••,••'Showerhead 1.6 GPH 1Showerhead 1.75 GPH Showerwand 1.5 GPH