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Prescriptive Certificate of Compliance:CF-1R ADD <br />Residential Additions (Page 4 of 5) <br />Site Address: . . Enforcement Agency:Date <br />l 3 11 +KAL AL I A <br />HVAC SYSTEMS - HEATING <br />Duet or Configuration <br />Minimum Distribution Piping (Cenlral, Split, <br />Heating Equipment Efficiency Type and Insulation Thermostat Space, Package or <br />Type and Capacity'·21 3 (AFUE or HSPF)Location4 R-Value Type Hydronic) <br />41 #LL *r ft 15.1 .W 4 LL SET-4\4 <br />Sot •-r u S Ad€- <br />1. Indicate Heating Type (Centra! Furnace, Wail 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 />12 KW or 7,000 Btu/hr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See §151(b)3 exception. <br />3. Refer to the HERS Verification section on Page 3 and 4 ofthe CF-IR-ADD Formforadditional requirements and checkapplicable 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 Verifcation section on Pages 3 and 4 of the CF-JR-ADD Formfor additional requirements and check applicable boxes. <br />3.Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) <br />WATER HEATING <br />Listwater heaters and boilers for bothdomestic hot water (DHW) heaters and hydronicspace heating. Individual dwelling DHWheaters mustbe <br />storage gas or propanefired, non-recirculating, and may not exceed 50 gallons. Ifno natural gas is connected to the building, an electric storage <br />DHW heater iess 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, Recirculating)2 System Capacity (gal)Thermal Efficiency R-Value' <br />645 sNZ.., 1 16 6. 67 2- c S <br />51«2&%,1-s-ED <br />1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) <br />2, Recirculatingsystems serving multiple dwelling units shelli meet the recirculation requirements of §150(n), The Prescriptive requirements do <br />not allow the installation of a recirculating water heating systemfor single dwelling units. <br />3. The water heating tank and 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 />ES 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 />¤ YES [*10 Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. <br />Raised Slab Tnsulation <br />O YES il In Climate Zones 1, 2, 11,13,14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is required <br />, under Component Package D. <br />'r' <br />Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. <br />Registration Number: <br />2008 Residential Compliance Forms <br />Registration Date/Time:HERS Provider: <br />A4arch 2010