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V Ni. zS S' +. w' G c y IL : s : z r t t , TE OF COMPLIANCE : RESIDENTIAL (Page I of 3} CF-1R - f CERTIFICATE , C E RESIDENTIAL Pa e 2 of 3) CF-1R MANDATORY MEASURES CHECKLIST: RESIDENTIAL ,Page i of MF-I CERTIFICATE OF COMPLIANC (Page MANDATORY MEASURES CHECKLIST: RESIDENTIAL {Page.xof2) MF-IR 0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF-IR 4i r` roach used. x x i ` t) �' ore: i owrise resfdendat builain s sub'ect to the Standards must contain these measures regardless of the compliance approach T , 4-t Note: Lowdse residential buildings subject to the Standards must contain lase measures regardless of the compliance roach used. �' , i� i _ f 1 6 N g ! n J nta t 8 P approach Da w -- > � �' " q� t 7jI Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Items tnarked with an asterisk (•) m be s erseded b more strip ant com fiance re uittments listed on the Certificate of i Project Tit e G .5 W Projie Building Permit # Tale hop Plan Check / Date Docume ration Autho P Q --. Field Check / Date r Protect Title Dat x ' ' ' . ' Project Title D t�.e ..T, Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as Compliance. When this checklist is incorporated into the permit documents, the features noted shalt be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents HVAC SYSTEMS ,� or on this checklist only. �-� ` � Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. or on this checklist only. COMPLIANCE STATEMENT Distribution Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. Instructions: Check or initial applicable boxes when completed or enter NIA if not applicable. Heating Equipment Minimum Type and Duct or Heat Pump .... ,...r .. rrrtoreemem regency vac .,,,, Comptuance Method (racxage or wmpt,tar/ �...... y Type (furnace, heat Efficiency Location Piping Thermostat Configuration ' . t, ....:. ; This certificate of compliance lists the building features and performance specifications needed to comply with um , etc.) (AFUE or HSPF) ducts attic etc.) R-Value -Type (split or cka e Title 24, Parts I and 6 of the California Code of Regulations, and the administrative regulations to implement r✓ I,- 1 v lt)(� i them. This certificate has been signed by the individual with overall design responsibility. When this certificate GENERAL INFORMATION 8 of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that Average Ceiling Height: _ ft Total Conditioned Floor Area fi`g Cooling Equipment Minimum Duct g1? Heat Pump is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using g -�'� Conditioned Slab Floor Area 0 W Type (air conditioner, Efficiency Location Duct Thermostat Configuration duct sealing and. TXVs requires installer testing and certification and field verification by an approved HERS Building Type: Single Family Addition heat gum , eva . coolin (SEER) (attic, etc.) R-Value Ty2e (split or package) rater. (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: p(ort /South /East /West /Ail Orientations Designer or Owner (per Business and Professions Code) Documentation Author input front orientation in degrees from True North and circle one) Number of Stories � SEALED DUCTS and TXVs (or Alternative Measures) ' Name: �'-�-- ei I-. �� Name: L. Number of Dwelling Units: Floor Construction Type: Stab aised Floor (circle one or both) �.'yp�' 0 Sealed Ducts (all climate zones) Tiile/Fitm: {4u t1 t �, . A Jt Title/Firm: �� tz i �C ,L� �� («a& i { Required for Xyes ( Installer testingand certification and HERS rater field verification required) _1__• t RADIANT BARRIER (required in climate zones 2. 4. 8-15) this submittal _no Address: Q Address: �t� cf Z•• � � l�'� t..... 1-`'. FZ J TXVs, readily accessible (climate zones 2 and 8-15 only) BUILDING ENVELOPE INSULATION (installer testing and certification and HERS Rater or field verification required) Component Type Frame Type wd = wood sit = steel Cavity Insulation R-Value Sheathing Insulation R-Value Total R- Value, Assembly U-Factor, Location/Comments (attic, garage, typical, etc.) Walt Roof - �-- `- Roof Floor -- _ ... Floor Slab Ede :.l Refrigerant Charge/Air Flow (climate zones zand 8-15 only) Telephone: r 4. '5 -1 --- Teleph n : 0� 9L Sb (Installer testingand certification and HERS Rater or field verification required) Lic. k i OR (signature) (d e) (date) Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window U-Factor SEER Heating Enforcement Agency r r' iv co i c -V A r coo wit • t t: cavity R-v 1 ems_ Nam rt ` For nt Prescriptive, insulation requirements for he Packag e Title_. FENESTRATION WATER HEATING SYSTEMS Agency: k Shadinz Devices Energy' External tepho e: -1 / Fenestration #/T a/Pos. Orien- tation Area ft2 Fenestration U-Factor Fenestration SHGC Exterior Shading Att. Overhangs/ Fins Front e Front Left C 6 "' C Left Rear Rear Right Right Skylight Skylight Rated Tank Factor or Tank Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation T e Type in System orsturhr(gallons) Efficiency Loss % R-Value Nigna ure /stamp) 1. For small gas storage water heaters (rated inputs of less than or equal to 75.000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss: For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant ° Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). .� i ')1 _ .+•- in _ ..-.. f? A i-, r•-, , N'"' w, . ,w..'.t A--•^ � h t•-?-,._4 A ( � !•+ ! . DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: • §150(a): Minimum R-19 ceiling insulation. - §l50(by Loose fill insulation manufacturer's labeled R-Value. • §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U-Factor in metal frame walls does not apZly to exterior mass walls), • §150(d): Minimum R-13 raised floor insulation in framed floors. § 150(1) : Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 milinch. §t 18: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and Infcltration/Exfiltmtion Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U-Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. _ ; 3. Exterior doors and windows weatherstripp°d; all joints and penetrations caulked and sealed. J / § I50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: n a. Closeable metal or glass door �) / b. Outside air intake with damper and control 4s.i c. Flue damper and control ` 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment water heaters, showerheads and faucets certified by the Commission. ij r §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.- .t . §i50('t): Setback thermostat on all applicable heating and/or cooling systems. §t500): Pipe and tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-I2 external insulation or R-16 combined internallexternat insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55° F insulated. 6. Piping insulated between heating source and indirect hot water tank. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued.) §150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be seated with mastic, tape, aerosol sestam, or outer duct -closure system that meets the applicable requirements of UL 181,131. 181A, or UL 1818. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials i other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross -sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back dmtt or automatic dampers. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 6. Protection of insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: insulation exposed to weather shalt be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. §114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 780/. thermal efficiency, on -off switch, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § i 15: Gas fired central fumaces, pool heaters, spa heaters or household cooking appliances have no j continuously burning pilot light. (Exception: Non -electrical cooWg appliatim with pilot < 150 Btwbr) §i I8 (f): Cool Roof material meet specified criteria / Lighting Measures, §150(k)l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. § 150(k)2.: Rooms with a shower or bathtub must have either at heart one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this ( A requirement allowed in §I50(k)2.: and incandescent recessed ceiling fixtures are IC (insulation cover) approved.