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Prescriptive Certificate of Compliance: <br />Residential Additions <br />Site Address: <br />(3 11 +KAGALIA <br />CF-1R ADD <br />(Page 4 of 5) <br />Enforcement Agency:Date <br />HVAC SYSTEMS - HEATING <br />Duet or Configuration <br />Minimum Distribution Piping (Central, Split,Heating Equipment Efficiency Type and Insulation Thermostat Space, Package or <br />Type and Capacity'' 2.3 (AFUE or HSPF)Location#R-Value Type Hydronic) <br />41 ALL *rft 1 5 % 4 4 LL 4 / SET-4\4Zot .1. U S Ad€- <br />1. indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) <br />2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i,e., if total capacity <br />£ 2 KW or 7,000 Btu/hrelectric heating is controlled by a time-limiting device not exceeding 30 minutes). See §151(b)3 exception. <br />3. Refer to the HERS Verijicationsection on Pages 3 and 4 of the CF-IR-ADD Formforadditional requirements andcheckapplicable boxes. <br />4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) <br />HVAC SYSTEMS - COOLING <br />Configuration <br />Cooling Equipment Minimum Distribution Duet or Piping (Central, Split, <br />Type and Capacity'·2 Efficiency Type and Insulation Thermostat Space, Package or <br />(SEER/EER or COP)Location'R-Value Type Hydronic) <br />1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc) <br />2. Refer to the HERS Verification section on Pages 3 and 4 of the CF- 1 R-ADD Form for additional requirements and check applicable boxes. <br />3.Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) <br />WATER HEATING <br />List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be <br />storage gasor propanefired, non-recirculating, and may not exceed 50 gallons. U no natural gasis connected to the building, anelectric storage <br />DHW heater less than 50 gallons with an energy factor greater than 0.90 may be used. Hot water pipe insulationfrom the DHW heater to the <br />kitchen(s) and on all underground hot water pipes is required in all component packages in all climate zones. <br />External Tank <br />Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation <br />Type'(Standard, Recirculatingy System Capacity (gal)Thermal Efficiency R-Value <br />649 1 15 6.6-1 2- C '5 <br />S-r«2*%,rL S -ED <br />1. Indicate Type (Storage Gas, Heat Pump, instantaneous, etc.) <br />2. Recirculatingsystems serving multipledwelling units shallmeet therecirculation requirements of §150(n). The Prescriptiverequirements do <br />not allow the installation of a recirculating water heating systemfor single dwelling units. <br />3. The water heating tankand pipes shall be insulated to meet the requirements of §1500) <br />SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These <br />items may require written justification and documentation and special verification. Applicable special features shall be marked with a YES and be <br />specified within the plans. <br />Radiant Barrier (Roof) <br />YES O NO Required in Climate Zones 2,4, and 8-15 for additions larger than 100 ff. <br />Slab Edge (Perimeter) Insulation <br />O YES | *O In Climate Zone 16 under Component Package D, R-7 insulation is required, <br />Heated Slab Insulation <br />O YES 90 Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. <br />Raised Slab insulation <br />O YES ,j In Climate Zones 1, 2,11,13,14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is requiredunder Component Package D. <br />Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Perfonnance Approach. <br />Registration Number: <br />2008 Residential Compliance Forms <br />Registration Date/Time:HERS Provider: <br />March 2010