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Form 640S 2017 �
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Completion Certification—Site Inspection EnergyTrust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResuIt is a Program Management Contractor for Energy Truster'Oregon,Inc.
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Incentive Payee Company Name. William Lyon Homes is this payment redirected? ko
Builder or Company: William Lyon Homes Redirect to Name.
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Soar Ready Builder Incentive: No 'Solar ReadyVerifier Ince'No
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Development River Terrace 1 Lot Axis ID: 1 IREM/Rate®ID:
Address Vii,,,.�.,�,.Fa .,,,.�.v"v��i. ✓�,r���wY.✓,.,r Ali- '�
Street Line 2 Multi-Family No City: Tigard State: OR Zip: 97223
Total conditioned area(sq.H.): 2,420 House Volume: I 21,746 Housing Type: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider. Portland General Electric Gas Provider INW Natural Gas
Solar installed None Solar Installer Name/Company:
Blue shaded fla�ts s,„'¢� required fm sheen
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Slab Perimeter Insulati R- 0.0 Slab Under Insulation R-
Framed Floor R- 30.0 '. Secondary Framed Floor R- 59.0
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: 1346
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas furnace HSPF: Model It 912SC36040517'
Heating Fuel: Gas - SEER:
Primary Heat
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: 1
AHRI Certificate:7126229 #of Systems 11
Gallons: 150 ` Brand: BradfordWhite
Water Heater Type Storage EF: 1.95 Model It RE350T6
Water Heating Fuel Electric : Location: 'Garage or op AHRI Certificate:8105439
Ducts and Duct Location IPamal %ducts inside: ; Duct Leakage(CFM)@ 50Pa: a6@ff((l y jf
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 3.12.
Ventilation Ventilation Type HRV/ERV Model:
Supply Side.-Air Cycler Airflow measured or why unlestable? 'Roof Termination _
vkWtvyr ModelENERGY STAR Diswasher kWh/yrI-
7„
68 Model: FGID2466"'A
Percent High Efficacy Interior Lighting(%) 00% Thermostat
Showerhead 1.5 GPH I howerwand 1.5 GPH 1 Showerhead 1.6 GPH 1 IShowerhead 1.75 GPH 1
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