Report (112) V*-A C) lo- 0 0 -5 5'(p
Form 640S 2017
Completion Certification—Site Inspection �w
New m[
Hama-Progra —Single Family ■
of Grogan
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: Nwharn Lyon Homes Is this payment redirected?: No
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Builder or Company. NMlamiyon Homes Redirect to Name:
Verifier Payee Company Name:jPerlormancelnsulationaad Energy Redirect Payee Com
Affordable Housing Nd
Solar Ready Builder Incentive: No I Solar ReadyVerifier Inc No
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Development: River Terrace 2 Lot As ID: REMIRate®1O:
Address:
Street Line 2 1 Mufti-Famgy IYes City: ITigard State: OR I Zip: 97223
Total conditioned area(sq,ff.): 1,542 House Volume: 131107 Housing Type: Townhouse end
Number of Stories: 3 Numher of Bedrooms: 2 Foundation Type: Full Basement
Electric Provides Portland Geo IElaeUic Gas Provider. INW Natural Gas
Solar installed lNone Solar Installer Name/Company:
Slab Perimeter Insulation R- Slab Under Insulation R-
Insulation Framed Floor R- Secondary Framed Floor R-
Above Grade Wall Insulation R- 23 Below Grade Wag Insulation R-
Flat Ceiling Insulation R- 49. Vaulted Ceiling Insulation R-
Windows Windows U- SHGC: Total window area:
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Furnace HSPF: Model#: 912SC3606S14*
Primary Heat
HeatingFuel: Gas SEER:
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: IN. Model#:
AHRI Certificate:7129230 #of Systems I 1
"60Brand: BradfardWhite
Water Heater TypeModel#: RE350S8
Water Heating Fuel Electric AHRI Certificate:8105418Ducts and Duct Location Partial DuctLeakage(CFM) SOPe:
Testing
Infiltration Air Changes per Hour(ACH)Q 50Pa: 3.89"
Ventilation Ventilation Type HRV/ERV Model•
Supply Side-Air.Cycler jAirflow measured or why untestable7 Roof Termination
1,
Refrigerator WA/yr I Model:
ENERGY STAR Diswasher IkWhtyr 268 Model: FGI62466"'A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH Showerwand 1.5 GPH Showerhead 1.6 GPM 18howerhead 1.75 GPH
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