Report (47) I 1/1461— 20) 7 — coo Bo
13558 .
Form 640S 2017
Completion Certification—Site Inspection
"`
New Homes Program—Single Family Trus
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
,r4SigetidgE:'. Ant 22.;
Incentive Payee Company Name. William Lyon Homes is this payment redirected?: INo
Builder or Company: William Lyon Homes Redirect to Name:
Verifier Payee Company Name: Perfornance Insulation and Energy Redirect Payee Com
Affordable Housing No
Solar Ready Builder Incentive: No 'Solar ReadyVerifier IncelNo
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Development: NW River Terr-Area 1-Townhomes Lot Axis ID: I IREM/RateR ID:
Address
Street Line 2 Multi-Family Yes City: Sherwood State: OR Zip: 97140
Total conditioned area(sq.ft.): 1,529 House Volume: I 15,291 Housing Type: Townhouse end
Number of Stones: 13 Number of Bedrooms: 2 Foundation Type: Slab Floor
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
ate."sifaded fields are required far EPS ttbe
• Type. ,"..•:. „<,; {/m*0;..
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Slab Perimeter Insulation R- 15.0 Slab Under Insulation R-
InsuWtion Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:I0.3 Total window area: 1211
Cooling Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Rheem
Type: Gas Furnace HSPF: Model#: R95PA0401317MSA
Primary Heat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:6484998 #of Systems 11
Gallons: 150 Brand: BradfordWhite
Water Heater Type Storage EF: 1,95 Model#: RE350T8
Water Heating Fuel Electric Location: 'Conditioned A AHRI Certificate:8105439
Ducts and Ducl Location 'Conditioned %ducts inside: Duct Leakage(CFM)@ 50Pa
Testing
Infiltration Air Changes per Hour(ACH)ID 50Pa: 4.17 I
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Refrigerator IrWh/yr Model:
ENERGY STAR Diswasher kWh/yr 268 Model: FGID2466•`•A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH 1. IShowerhead 1.75 GPH 1