Report (42) /4 L "t . I
MST 00051
Form 640S 2017
Completion Certification—Site Inspections
New Homes Program—Single Family EnergyTrus
of Oregon
To be completed by Verifier
CLEAResult Is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Company Name: 'Polygon Northwest-WA Its this payment redirected?: No
Builder or Company Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier Inc4No
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is
Development River Terrace 1 Abs ID: -REM/Rate80 ID.
r,
Street Line 2 Multi-Family Yes City: Tigard State: OR Mill
Total conditioned area(sq.ft.): 1,452 House Volume: 12,141 Housing Type: Townhouse inside
Number of Stones ®Number of Bedrooms: 2 Foundation Type: Full Basement
Electric Provider: Portland General Electric Gas Provider. NW Natural Gas
Solar installed None Solar Installer Name/Company:
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Insulation 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-
Wintlows Windows U- 0.3 SHGC:10.3 Total window area: 1227
Coding Air Conditioning SEER: Model*:
Primary Heating System Details AFUE: 95 Brand Rheem
Type: Gas Fumace HSPF: Model il: R95PA0401317MSA
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model il: 1
AHRI Certificate:8484998... 6 of Systems 11
Gallons: 150 Brand: BradfoMWhae
Water Heater Type Storage EF: 1.95 Modell!: RE350T6-1NCWW
Water Heating Fuel Electric Location:'Conditioned A AHRI Certificate:8105439
Ducts and Duct Location 'Partial %ducts inside: Duct Leakage(CFM) 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)IS 50Pa: 5.12
Ventilation Ventilation Type HRV/ERV Model:
Suppy Side-Air Cyder>. Airflow measured or why unlestable? 'Roof Termination`
.< a a?'� ,?�z,'`a 'IRa
Refrigerator kWhyr Model
ENERGY STAR Diswasher kWh/yr 288 Model: FGID2466"`A
Percent High Efficacy Interior Lighting(%) 100%_. -Thermostat
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH 1 : Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
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I USED A DIFFERENT PLAN NUMBER TO GET THE TOTAL VOLUME,NEW FURNACE MODEL.