Report (113) Form B40S 2017
Completion Certification—Site Inspection +
New Homes Program-4ingle Family EnergyTrust
of Oregon
To be completed by Verifier
CLEAResuft is a Program Management Contractor for Energy Trust of Oregon,Inc.
a, ra
Incentive Payee Company Name: IWIfiern LyonrHomesIs this payment redirectedT: INO
Builder or Company. Wife 4n Redirect to Name:
Verifier Payee Company Name: Performance insulation and Energy. Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No ISolar ReadyVenfier Inc No
Development: River Terraca 1 Lot A>as ID: REMIRate®ID:
Address:
Street Line 2 Multi-Fatuity Yes City: Tigard State: ORt=.12
Total conditioned area(sq.ftJ: 1,542 House Volume: 13,107 Housing Type: Townhouse end
Number of Stories: 3 Number of Bedrooms: 3 Foundation Type: Full Basement
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar instated None Solar Installer Name/Company:
Slab Perimeter Insulation R- 0 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-
Fiat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U. 0.3 SHGC:0.3,.Total window area: 195
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 =Brand Bryant
Type: Gas Fumaw' HSPF: Model#: 912SC3006gS14A-A
Primary HeHeatingFuel: Gas SEER:
at
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#
AHRI Certificate:7128228 #of SystemsI I
Gallons: 160 Brand: ISradfordMite
Water Heater Type Storage EF: .95 Model#: IRE35OT6
Water Heating Fuel Electric Location:I Conditioned A AHRI Certificate:6105439
Ducts and Duct Location 1partial %ducts inside: Ducl Leakage(CFM) 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 14.95:-
Ventilation Ventilation Type HRV/ERV Madel:
Supply Side-Air Cycler jAirflow,measured or why untestable7 lRoofTernanstion
Refrigerator W-,Yr Madel:
ENERGY STAR Diswasher kWrdyr 268 Madel: FGID2486*"A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH Showerwand 1.5 GPH Showerhead 1.6 GPH 1Showerhead1.75GPH
I USED A DIFEIENT PLAN NUMBER TO GET THE TOTAL VOLUME.
M15T401b - 0014611