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Report Jun. 27. 2013 8:42AM FRED MEYER #093 CSD 360-253-4730 No. 7342 P. 2 , Inexpensive Tree Care & Stumps Be Gone www.InexpensiveTreeCare.com P.O. Box 307 Scappoose,OR 97056 Phone: 503-679-1410 CO3 # 157423 Rod Whitesmith, Arborist Lorin Fielding,Owner/Operator, Certified Arborist Arborist Services .1' June 26, 2013 Marsha Rakhlin RE: 15964 Parker Rd 9375 SW 74th Ave. Lake Oswego, OR 97035 Tigard, OR 97223 ralchlinl@yahoo.com 503-908-7565 503-901-6426 • I was onsite during the fence post hold excavation to assure listed there was no damage to the trees or their root systems. The work was completed in full accordance with International Society of Arborculture standards. For this I will be compensated at my usual contractual services pricing. Said services are due and payable the same day. Thank you for the opportunity. Sincerely, Accepted: II Lorin fielding Marsha Rakhlin Certified Arborist 15964 Parker Rd PN6965A Lake Oswego, OR 97035 Inexpensive Tree Care & Stumps Be Gone • *27s1c.,}9.7101 MST' zo I Z—C 2&t PTC -- - - -- r fur �st�ri �- °�'�zA'r^ r Con ifor I iystern. ,...'s P,**. .p.. PTCS® Duct Sealing Certification Form All sections must be filled out by a PTCS-certified Technician at the time of installation,signed and dated. A copy of the completed form must be promptly submitted to the utility and homeowner in accordance with utility policy. Please enter online at www.ptcsnw.com or fax to 877-848-4074. Questions?Call 800-941-3867 or email ResHVAC @bpa.gov. Site Information (Please print clearly) PTCS 7840 Tech Jim Plantico Install 6/25/2013 Customer's PGE Tech# Name Date Electric Utility Customer Marsha Installation Name Site Address* 9375 SW 74th Avenue Site Site Site Zip Customer City* Tigard state*OR Code* 97223 Phone# (503 )526 -8534 *If mailing address is different,record here(#,City,St,Zip): 11750 SW Timberline Drive, Beaverton, OR 97008 Home Type(provide information for just one type,either a Site Built or Manufactured Home): Site Built Home: ❑Existing Ig New Construction Manufactured Home: ❑Y 0 N Site Built Home Foundation Type: #of Sections for a Manufactured Home: ❑1 ❑2 ❑3 14 Crawl Space ❑ Full Basement El Half Basement ❑Slab Super Good Cents? ❑Y ❑N Year Built: 2013 Heating System: ❑Elec. Furnace ❑Heat Pump 12 Gas Furnace Heated Area Energy Star?❑Y 4 N 0 Other:Cadet Gas Company(if applicable): (sq ft) Required 2324 Are at least 50%of the ducts in unconditioned space? 0 Y ❑N if of supply registers #of returns If more than 50%of the ducts are in conditioned space,the home does not qualify for PTCS Duct sealing. 10 1 House Pressurization and Duct Blaster Tests Do either of these special conditions apply? (check if"yes") Testing Equipment Used: 0 Record Only-no duct sealing work done 0 Energy Conservatory ❑ RetroTec NI PTCS Certification ONLY-pretest leakage too low for BPA program El AeroSeal ❑Air Care❑Other: House Pressurized(Blower Door)to: Duct Blaster Location: Pressure Tap Supply Register Location: la +50Pa ❑Other Pa 0 Return Grille ❑Other: Guest Bath Duct Leakage Test:TYPICAL DUCT BLASTER CFM READING with Duct Pressure at OPa and Blower Door @+50Pa. DB Fan Pressure:Found using equipment;it is the fan pressure,not the house pressure.(Ex.Ring 1,78 Pa,364 CFM). Definitions:(DB)=Duct Blaster (BD)=Blower Door (AH)=Air Handler (SW)=Single Wide (DW)=Double Wide (TW)=Triple Wide New Construction Existing Home,New Ducts Existing Home,Existing Ducts Manufactured Home Pre-test Ring ❑Open❑1 ❑2 O 3 ❑Open❑1 ❑2 ❑3 Not Applicable Not Applicable (select one) ❑H ❑M ❑L ❑H ❑M ❑L D B re Not Applicable Not Applicable Pa Pa I- , v DB CFM Not Applicable Not Applicable CFM CFM u. Q. Pretest ❑z 100 CFM,SW Di>_250 CFM(>1667 sq ft) Requirements Not Applicable Not Applicable El>15%of home's sq ft ❑>150 CFM,DW (BPA Only) ❑>_225 CFM,TW Post-test Ring ❑Open❑1 0 20 3 ❑Open❑1 0 0 3 El Open 0 0 0 3 ❑Open 0 1 0 2 03 (select one) ❑H ❑M ❑L ❑H ❑M ❑L OH OM ❑L ❑H OM ❑L 4.. DB Fan Pressure Pa 76 Pa Pa Pa In DB CFM CFM 137 CFM CFM CFM p ❑<_5O CFM,SW a Certification Req. ❑ <6%of sq ft w/AH ❑ <_10%of home's sq ft ❑5 80 CFM,DW (check all that 1g <_10%of home's sq ft ❑ 120 CFM,TW < apply) ❑ <_4%of sq ft no AH ❑ ? 50%Reduction ❑z 50%Reduction The duct sealing at this site meets program requirements including:plenum,main ducts,takeoffs and boots sealed;a good faith effort was made to remove existing duct tape and cover with mastic;metal duct connections are secured with screws. ❑ ir ❑ N Last updated:30 November 2012 Page 1 of 2 Combustion Appliance Zone (CAZ)Test Are there any combustion appliances in the home? Combustion Appliance Type: ' Fireplace or wood stove O Y ❑N 14 Gas Furnace ❑Gas water heater ❑Other: - Is there a UL-approved and functioning CO detector A carbon monoxide(CO)detector installed in the home is required in all cases installed in the home? where a sealed or non-sealed combustion appliance is located in a conditioned ❑Y Q N space or attached structure i.e.garage. RECOMMENDED CO detector specifications: UL 2034/CSA 6.19-01,digital display,peak CO memory and recall. Is a Combustion Air Zone(CAZ)test required by the electric utility? ❑Yes,complete the fields below ❑ No,skip to notes Baseline Pressure with reference to outside(all exhaust devices Weather conditions on day of test: 17 Calm ❑Windy and air handler fan off): -0.5 Pa • With air handler fan ON,record gauge readings: Interior doors open Interior doors closed Zone Description Reading(Pa) Net(Pa) Reading(Pa) Net(Pa) Zone 1 FIREPLACE -0.5 -1.3 -1.2 -2.2 Zone 2 Net Depressurization=Net(Pa)=All fans off Reading(Pa)(minus)Air Handler Fan on Reading(Pa) Example:Baseline reading with all fans off=1 Pa;Reading with air handler fan on=-2Pa. Net Depressurization=1—(-2)=3 Net Depressurization "Net"equals how much the pressure goes down when the air handler is turned ON(compared to the fan off baseline pressure) Installation/Technician Notes: CO Monitor may be installed prior to move in date. AIR LEAKAGE TEST AT-50 Pa: 1867 CFM50. BAS=2304 CFM50. 70%BAS= 1613 CFM50 Required Signatures:To be filled out by the electrical utility account holder.This form must be signed by the person whose name appears on the electric utility account.ENERGY INFORMATION RELEASE:The undersigned utility customer requests and authorizes the specified utility to release billing and usage information for the account listed below to the PTCS program.With this authorization,the PTCS program can request billing information for up to two years pre-installation and two years post-installation.The utility customer also hereby releases the utility company from any and all liability arising from or connected with providing this information. Electric Utility: PGE Account#: New Construction NA Account holder name: Account holder signature: Date: By signing below,technician certifies that this form and any accompanying documentation are complete and accurate,and that all measures associated with this project were completed as of the signature date below. Technician •I m P l a nt•co Installation Tech Phone#: name: Company: Abacus Energy Solutions, LLC (503 ) 430 - 0640 Technician Signature: JIM PLANTICO Date: 6/25/2013 PRIVACY ACT STATEMENT Basic authority for collecting this information is authorized by 16 U.S.C.§§832 et.seq.,and 838 et.seq.,pursuant to Bonneville Power Administration's Conservation Program system of records established in 46 FR 31700. This information is primarily intended to further,but is incidental to the performance of,BPA's overall Energy Efficiency Program,the objective of which is to acquire energy resources through energy efficiency,to determine what cost-effective conservation and direct application renewable resources measures should be installed or adopted under different circumstances,and to provide incentives for the installation of such measures. Other routine issues of this information include:aggregation into a public database on energy efficiency;furnished to authorized personnel for installation/repair of equipment;aggregated into a database for program publicity;and in some instances information regarding buildings will be made available to subsequent purchasers of the buildings. Your disclosure of the requested information is voluntary,however failure to provide requested information means that it will not be possible for you to participate in this BPA Energy Efficiency program. Last updated:30 November 2012 Page 2 o