Oregon BPS
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CBPS compliance Deadline:
Avoid continued penalties or fines by filing your report today!
Application Form
1A. Unique Building ID Number (UBID):
1B. Covered Building Address:
Street Address:
City:
Country:
Zip:
1C. Building Owner Name:
(Building Owner Name or Organization is required – this is NOT the Building Manager name – space for Property/Building Manager info below )
First:
Last:
1D. Organization or Company Name:
Street Address:
City:
State:
Zip:
1F. Building Owner Email:
1G. Building Owner Phone:
1H. Property/Building Manager Name and Organization (if applicable):
1I. Property/Building Manager Address, Email, Phone (if applicable):
1J. Gross Floor Area (GFA) of the covered building in square feet:
2A. Weather Normalized Energy Use Intensity (WN -EUI) (Tier 1 buildings only):
2B. Attached ESPM Weather Normalized Site EUI report a nd shared access to owner’s ESPM account (Tier 1 buildings only)?
Yes
NO
3A. Energy Use Intensity target (EUIt) (Tier 1 buildings only):
3B. Attached copy of EUI Target Tool (Tier 1 buildings only)?
YES
NO
4. Name of Qualified Person (QP) (Tier 1 buildings only):
5A. Electric Utility Company:
YES
NO
5B. Gas Utility Company:
YES
NO
6. Is the building multifamily residential?
YES
NO
7. Is the building multifamily affordable housing?
YES
NO
8. Attached evidence of multifamily affordable housing (if applicable)?
YES
NO
9. Applying for which compliance action?
Energy Benchmarking and Reporting ($0.35/square foot)
Energy Management Plan and Operations & Maintenance Program ($0.05/square foot)
Energy Audit ($0.35/square foot)
Achieving Compliance ($0.10/square foot)
10. Incentive Calculation:
11. Total Incentive Amount (Do not exceed maximum amounts):
12. Attached 12 months of energy usage (Tier 1 buildings only)?
YES
NO
Building Owner Attestation
By checking this box, I attest that all information provided in this application is true and accurate.
Print Owner name
Date
Submit
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