Report (3) Nw 9.S 33102)
Nisi-2016? -0066(0
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family
st
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Company Nanta: Polygon Northwest-WA Is this payment redirected7: No
Builder or Company: Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name: Performance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier Inc4No
Development: Inc 1=1.11.111-REM/Rate®ID:
11111111111/
=CIMuBiFamily ®City: Tigard Slate:
Total conditioned area(sq.ft.): 11111111111111111111111111723111=MEMMII Housing Type: Townhouse inside
Number of Stories: ®Number of Bedrooms: E11111 .1111111 Foundation Type: Full Basement
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
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 Wag Insulation R-
Flat Ceiling Insulation R- 48.0 Vaulted Ceiling Insulation R-
Windows Windows U. 0.3 SHGC:10.3 Total window area: 1227
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Fumace HSPF: Model#: 9125C3606514•
Heating Fuel: Gas SEER:
Primary Heat
Source Comment: COP:
«'.Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: 1
AHRI Certificate:7126230 #of Systems 11
Gallons: 150 Brand: BradfordWhite
Water Heater Type Storage.. . EF: 1.95 Model#: RE350T6-1NCWW
Water Heating Fuel Electric Location:'Conditioned A AHRI Certificate:8105439
Ducts and Duct Location 'Partial %ducts inside: Duct Leakage(CFM)@ 50Pa:
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 5.381
Ventilation Ventilation Type HRV/ERV Model:
Supply Side Air Cyder IAir low measured or why untestable7 '•Roof Termination
Refrigerator kwhyr Model:
ENERGY STAR Diswasher kWh/yr 288 -'Model: FGID2486"'A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH 1 Showerwand 1.5 GPH 1 Showerhead 1.6 GPH '', 1Showerhead 1.75 GPH
I USED A DIFFERENT PLAN NUMBER TO GET THE TOTAL VOLUME,NEW FURNACE MODEL:.