Report Form 640S 2017 ,
Completion Certification—Site Inspection Ener a" rust
New Homes Program—Single Family
of Oregon
To be completed by Verifier
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Incentive Payee Company Name: W4ham Lyon Homes Is this PaYment redirected?: IN.
Builder or Company William Lyon Homes Redirect to Name:
Verifier Payee Company Name: Pertormance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVenfier Ines'No
Development River Terrace 1 Lotih;"", " Axis ID. 1 IREM/Rate®ID:
Address �tt
Street Line 2 Multi-Family (No City: Tigard State: OR Zip: 97223
Total conditioned area(sq.ft.): 2,420 House Volume: I 21,746 Housing Tyne: Detached single family
Number of Stories: 12 Number of Bedrooms: 4 Foundation Type: Crawlspace
Electric Provider. Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company:
,';_ •ids are,re=shod for EPS sheet
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-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:10.3 Total window area: 1346
Cooling Air Conditioning SEER: Model#:
Primary Heating System Details AFUE: 92.1 Brand Bryant
Type: Gas Fumace HSPF: Model 9: 912SC36040S17*
Heating Fuel: Gas SEER:
Primary Heat
Source CommenC COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#: I
AHRI Certificate:7126229 #of Systems 11.
Gallons: 150 Brand: BredfordWhite
Water Heater Type Storage EF: 1.95 Model 6: RE350T6
Water Heating Fuel Electric Location: (Garage or ope AHRI Certificate:8105439
Ducts and Duct Location 'Partial %ducts inside: k, Duct Leakage CFM 50Pa' isf
Testing
infiltration Air Changes per Hour(ACH)Q 50Pa: 2.61 1
ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? 1Roof Termination
Refrigerator kWhyr 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 I IShowerhead 1.75 GPH 1