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Form 640S 2017 Completion Certification—Site Inspection
New Homes Program—Single Family gyTrust
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
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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 Com
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVerifier IncelNa
Development NW River Tern Area 1 Townhomes Lat ° ,, :Aws ID: I (REM/Rate®ID:
Address
Street Line 2 Multi-Family Yes --�City: Sherwood State: OR Zip: 97140
Total conditioned area(sq.fl.): 1,529 House Volume: 1 15,291 Housing Type: Townhouse inside
Number of Stories: I3 Number of Bedrooms: 2 Foundation Type: Slab Floor
Electric Provider: Portland General Electric Gas Provider: INW Natural Gas
Solar installed None Solar Installer Name/Company:
shaded Maids fyo uect tdrt sheet
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Slab Perimeter Insulation R- 15.0 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-
Windows Windows U- 0.3 SHGC:10.3 Total window area: 1211
Coding Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Rheem
Type: Gas Furnace HSPF: Model#: R95PA0401317MSA
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:8464998 #of Systems 11
Gallons: 150 Brand: Bradford White
Water Heater Type Storage EF: 1.95 Model#: RE350T6
Water Heating Fuel Electric Location: 'Conditioned A AHRI Certificate:8105439
Ducts and Duct Location 'Conditioned %ducts inside: Duct Leakage(CFM)@ 50Pa: . .-
Testing
Infiltration Air Changes per Hour(ACH)$1 50Pa: 3.85.
Ventilation Ventilation Type IHRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 'Roof Termination
Refigerator 1100A-
kWh/yr Model:
ENERGY STAR Diswasher kWhyr 288 Model: FGID2468"'A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH 1 Showerhead 1.6 GPH I IShowerhead 1.75 GPH 1