Report Form 640S 2017 ..
Completion Certification—Site Inspection 1 ,
U St
New Homes Program—Single Family
of OrecfOri
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment information
Incentive Payee Company Name: 'William Lyon Homes Its 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: Solar ReadyVerifier Inct
Site Information:
Development BM3 Landi River Terrace 'Lot 1 �F I °�a Axis ID: I 'REM/Rate®ID:
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Address: `L `I$ ° f N" 1`...:.:.. ! .......J'. .._..,,E`. ,E(tt€F c.
Street Line 2 Multi-Family INS City: SHERWOOD State: OR Zip: 97140
Total conditioned area(sq.ft.): 2,816 House Volume: 1 25,238 Housing Type: Detached single family
'Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider: Portland General Electric Gas Provider. NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details 8 Notes '
Slab Perimeter Insulation R- I0.0 Slab Under Insulation R-
Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Insulation
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:I0.3 Total window area: 1470
Cooling Air Conditioning SEER: 0 Model#: 113ANA036-I
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace I ISPF: Model#: 912SD42060E17A-A
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
Location: Conditioned At Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126235 #of Systems 11
Gallons: I Brand: AOSmlth
Water Heater Type Heat Pump FF_ ' Model#: HPTU-80N 130
Water Heating Fuel Electric Location: 'Garage or ope
Ducts and Duct Location 'Conditioned %ducts inside: 001,1inifilDuct Leakage(CFM)@ 50Pa: $ /oulil kf Fil(I FE .3 ,;�
Testing ......s Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.28 I
Ventilation Ventilation Type FIRV/ERV Model,
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Appliances
Refrigerator kWh/yr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2466^'A
Percent High Efficacy Interior Lighting(%I 100% Thermostat
Showerhead 1.5 GPH I Showerwaad 1.5 GPH I Showerhead 1.6 GPI-I I IShowerhead 1.75 GPIs I
Notes: