Oregon Department of Energy
625 Marion St. NE Salem, OR 97301-3737
Phone: 503-378-4040
Phone: 800-221-8035
Fax: 503-373-7806

1.5% for Green Energy Technology in Public Buildings

1 Project name:
 
2 Project address:
Street:
City: 
Zip code:
County:
3 Building owner (public body):
4 Reporting person:
Name:
Phone:
E-mail:
5 Electric utility:
6 Fossil fuel utilities/suppliers:
#1:
#2:
7 Predominant project type:
8 Total contract price. See OAR 330-135-0015 for definition of Total contract price
$   
9 Continue to 10.
$  
10 Min. green energy budget: $ 
11 Does the public body consider green energy technology feasible
AND
appropriate for that location? See OAR 330-135-0015 for definition of terms
12 A review of the away-from-the-site compliance or deferral determination is required.
Date of review request submission:

13 Technical panel determination of appropriateness, cost effectiveness or deferment:
 
14 If public body final determination does not agree with that of technical panel,
all the reasons against technical panel determination must be stated below:
 
15 Will the project be deferred?
16 Provide details of a project to which funds will be deferred and an
anticipated project starting date

17 Provide address of the away-from-the-site location:
Street:
City:
Zip code:
County:
18 Estimated construction start date:
19 Estimated occupancy date of that project:
20 Indicate type of the proposed green energy technology:


21 Total amount spent on the green energy technology
$
22 Proposed green energy technology details. If technology is financed
through alternative financing, list the source and amount.
23 Est. annual production (or savings) of green energy technology system:
kWh           Millions Btu 
24 Estimated annual usage of green energy at the site:
kWh           Millions Btu 
25 Estimated annual value of green energy production:
$
26 Additional new renewable electricity generation (kWh):