Report (4) Form 640S \V�
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To be completed Verifier
Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: Is this payment redirected?:
Builder or Company: Westwood Homes LLC Contact Name:
Verifier Payee Company Name Performance Insulation Technician Name James Hayes
Energy Trust Pathway: Percent Improvement Low Income Incentive No,doesn't meet low income requirements
Solar Ready Builder Incentive: None Solar ReadyVerifier Ir None
Site Information
Development: Lot 1 Axis ID: REM/Rate®ID:
Address: 12588 SW 124th Ave
City: Portland State: OR Zip: 97223
Apt/Suite: Multi-Famil) No Custom No
Number of Stories: 2 Total Conditioned Area: 2971 sqft#of BRs 4
Foundation Type: Crawlspace
Electric Provider: Pacific Power Gas Provider: NW Natural
•
Solar installed None Solar Installer Name/Company:
Electric Meter Number(must be permanent meter number): Gas Meter Number(must be permanent meter number):
32 832 934 9078 4342
Verification Type Actual Model Equipment Details&Notes
Insulation Vaulted Ceiling R- 38 Insulation Type Blown-in
Framing Type: Above Grade Walls R- 21 Insulation Type Blowin-in
Intermediate R-
Frame 30 Insulation Type Batts
Doors Door R-
Windows Windows U- 0.30 SHGC 0.30
Skylights U- SHGC
Window Area(Glazing) % Total window area
Lighting Indoor and Outdoor 96.0 % #Fixtures: 53 #ENERGY STAR fixtures or CFLs: 50
Appliances ENERGY STAR Dishwasher Yes EF: Model;
Cooling Air Conditioning SEER: 13 Btu/Hr:
Primary Heat Source/Type: AFUE: 95 Brand: Lennox
Source Gas Furnace HSPF: Model#: ML193DF090XP48C-57
SEER: Serial#: 1715G10158
Comment: COP:
Location: Conditioned Outdoor Unit(for heat pumps)
ECM: No Model#
Serial#:
Water Heater Type: Gallons: 0 Brand: BRADFORD WHITE
Gas Tankless EF 0.82 Model# RG275H6N
Location: Conditioned Serial#: MJ36745805
Ventilation Energy Trust of Oregon's Mechanical Ventilation Type Meets Energy Trust Mechanical Ventilation Requirements? yes
System Ventilation Requirement Not clear HRV/ERV Model:
Airflow measured or why untestable?
Who Tested? JH
Ducts Ducts Inside: No %ducts inside: 50.0
Ducts in Conditioned Space Ducts Insulation: 8 Duct Seal w/Mastic Yes
If claiming incentive for ducts inside,check one of the followin Tested
Performance Testing&Duct System Information
Duct Leakage Air Changes per
CFMWhole House House
(CFM)@r 103(178 MAX) Hour(ACH)@ 3.5 25,848
5211-a: Leakage 50Pa: Volume:
Notes:
ventilation is exhaust...Air King 2.0 sone fan,switched in Laundry
Insulation Details
Flat Ceiling R- 38 Insulation Type: bib
Vaulted Ceiling R- 38 Insulation Type:
Scissor Truss R- Insulation Type:
Above Grade Walls R- 23 Insulation Type: bib
Below Grade Walls R- Insulation Type:
Floor Over Unheated Space R- 30 Insulation Type: batt
Floor Over Garage R- 30 Insulation Type: batt
Rim Joist R- 21 Insulation Type: batt
Appliances
Refridgerator % Model:
Clothes Washer MEF Model:
Dryer % Model: