ReportForm 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family
To be completed by Verger
CLEAResult is a Prooram Mamoement Contractor for Energy Trust of Oregon, Inc.
W-12,0117 -
13/94 Sw
EnergyTrust
of Oregon
y'
Incentive Payee Company Name: William Lyon Homes
Is this payment redirected?: No
Builder or Company William Lyon Homes
Redirect to Name:
Address:
Street Line 2
Verifier Payee Company Name: Performance Insulation and Energy
Redirect Payee Com
Sherwood
Affordable Housing No
OR
Solar Ready Builder Incentive: lNo
liolar ReadyVerifier Inc No
Development NW River Terr-Area 1-Townhomes
Lot
Axis ID: REM/Rate® ID:
..: �
Slab Under Insulation
Address:
Street Line 2
Multi -Family
Yes City:
Sherwood
State:
OR
Zip:
97140
Total conditioned area (sq. fi.):
1,437 House Volume:
15,292 Housing Type:
Townhouse inside
R -
Number of Stories: 3
Number of Bedrooms:
2
Foundation Type:
Full Basement
R -
Electric Provider: IPortland General Electric
Windows
Gas Provider NW
Natural Gas
Solar installed I None
Air Conditioning
Solar Installer Name/Company:
0
Model #:
Aa»:eh�iaai�-aiL[� ��eu�'ae� rf�
00//10
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Slab Perimeter Insulation R- 15.0
..: �
Slab Under Insulation
,/ ...�: ......... \\ Ott... '
R -
I Model:
Framed Floor
R- 30.0
Model:FGID2466—A
Secondary Framed Floor
R- 59.0
Insulation
Above Grade Wall Insulation
R- 23.0
I Showerhead 1.6 GPH I Showerhead 1.75 GPH
Below Grade Wall Insulation
R -
Flat Ceiling Insulation
R. 49.0
Vaulted Ceiling Insulation
R -
Windows
Windows
U- 0,L SHGC: 10.3
Total window area: 1185
Cooling
Air Conditioning
SEER:
0
Model #:
Primary Heating System Details
AFUE:
95
Brand Rheem
Type: I Gas Furnace
HSPF:
Model #: JR95PA0401317MSA
Primary Heat
Source
Heating Fuel: IGas
Comment:
SEER:
COP:
AHRI Certificate: 6464998
Location: Conditioned A Outdoor Unit (for heat pumps)
ECM: INO Model #:
# of Systems I 1
Gallons:
150
Brand: I BredfordWhhe
Water Heater
Type Storage
EF: 1.95
Model #: RE350T6
Water Heating Fuel jElectric,
Location:
I Conditioned A AHRI Certificate: 8105439
Ducts and
Duct Location Conditioned
% ducts inside:
ffiNDuctL.akage (CFM) @ 50Pa:
Testing
Infiltration
Air Changes per Hour (ACH) Q 50Pa:
13.88
Ventilation Type HRV/ERV Model:
Ventilation
Supply Side - Air Cycler lAirflow measured or why untestable?
I Roof Termination
00//10
t,l ���
Refrigerator kWhyriPm
I Model:
ENERGY STAR Giswasher I kWh/yr
1268
Model:FGID2466—A
Percent High Efficacy Intenor Lighting (%)
100%
Thermostat
Showerhead 1.5 GPH I
IShowerwand 1.5 GPH I
I Showerhead 1.6 GPH I Showerhead 1.75 GPH
00//10
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