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A .:., r f� .7 s�� Y Y 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page ,1 o f 3) CF-1.R Project Title / f ,[ Date Project'Address T - � Building Permit # Docutrae tation Author rf ,/i Teleph e Plan Check / Date Field Check / Date Compliance Met d (Package or Computer) Climate Zone .EalumcnicnE Xgency use Only GENERAL INFORMATION r (mot Total Conditioned Floor Area fie Average Ceiling Height: 13 ft Conditioned Slab Floor Area fe Building. Type: _ j� - Single Family VeooAddition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: SMANorth / South / East / West / All Orientations (input front orientation in degrees from True North and circle one) Number of Stories „____�_ Number of Dwelling, Units: Floor Construction Type: Stab tied Figo circle one or both) RADIANT BARRIER. (required in climate zones 2 4 8-15) Required for -this submittal!''i yes no BUILDING ENVELOPE INSULATION Component Type Frame Type wd = wood sill - steel Cavity Insulation R-Value Sheathing Insulation ' R Value Total R- Valuer Assembly U-Factors Location/Comments (attic, garage, typical, etc,) wall, f Wall Roof p -�-» .- • Roof Orr Floor R - -~' p Floor Slab Edge c s t u - actor am notLeguireqa wooa-traMeg wall that et C V -Value insulation fgquiremenis for tho Prescriptive Package FENESTRATION • et,�,a;,,�, r,e l �M�ri Compliance Forms August 2001 p,-2 V , MANDATORY MEASURES CHECKLIST: RESIDENTIAL .(Pa. e l of 2) MF-1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked With an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this -checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they ,ire shown elsewhere in the documents or on this checklist only. Instructions: Check or, initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope -Measures: * § 150(a): Minimunt &M coiling insulation, A .- 3 0 X § 150(b): 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 apply to exterior mass walls), , * §150(d): Minimum" raised floor insulation in framed floors. of § 150(1) : Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission sate no neater than 2.0 ermlinch. § 1 I 8: Insulation specified or installed meets insulation quality standards. Indicate type and form, ,... § f 1647: Fenestration Products. Exterior Doors, and Infiltration/Exfiltration 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 Beat Gain -Coefficient (SHGC): and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. § 150(g): Vapor barriers mandataryin Climate Zones 14 and 16 only. • IVIA §150(f): Special infiltration barrier installed to comply with § ISi meets Commission quality standards. N A § 15o(c): installation of Fireplaces, Decorative Gas Appliances.and Gas Logs. 1. Masonry and factory -built fireplaces, have: a. Closeable metal or glass door NIA It. Outside air intake with damper and control' 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. § 150(h): Heating and/or cooling -loads calculated in accordance with ASHRAE, SMACNA or ACCA. . § 150(i): Setback thermostat on all applicable beating and/or cooling systems. § 150U): 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 beater tank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfired -storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external 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 beating source and -indirect hot water tank. Compliance Forms August 2001 A-b U x CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 3) CF-IRA • ar r,,� i1Rif7C.0t2 /&es c "/ -64 Project Title I Date HVAC SYSTEMS Note: input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct.or Heat pump Type (furnace, beat Efficiency. Location Piping Thermostat Configuration um etc. AFUE or 14SPF ducts attic etc. R-Value T e s lit or acka c Cooling Equipment Minimum Duct Heat Pump Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat um ova .coolie SEER attic etc. R-Value T e slit or acka e SEALED DUCTS and TXVs (or AlterM itive Measures) fPt Q Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required) N IA1 0 TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing -and certification and HERS Rater or field. verification required) NA, ❑ Refrigerant-Charge/Air Flow (climate zones 2 and 8.15 only) t (installer testing and certification and HERS Rater or field verification required) OR D Alternative to Sealed Ducts and TXVs (see Package C or D Altemative•Package Features for Project Climate Zone) Climate Zone . Window SHGC Window U-Factor SEER Heating. .�t0 0,7 6 1 0 F. Y. - WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number input (kw Capacity Recovery Standby' Insulation T e Type in System orBtu/hr(gallons) Efficiene -Loss % R-Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75;000 Htu/hr), electric resistance, and heat pump, water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btulhr), list Rated Input, Recovery. Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES (add extra sheets ifnecessary, Package C and D: TXVs, Sealed Ducts; Radiant Barriers (see installation requirements for radiant barriers in. Section 8.13 of the 2001Residential Manual), Package C: thermal mass (thermal mass type, covering, thickness, and description), bX&RIE P. Compliance Forms August 2001 A-g MANDATORY' MEASURES CHECKLIST: RESIDENTIAL <Pa a 2.of 2 MI`-1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used, items marked with an aster i;k M may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in'the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if 'lot applicable. DESCRiPTIC)N DESIGNER •ENFORCEMENT . Space Condltioiling, Water Heating and Plumbing Systern Measures: (continued) * § I50(m): Ducts and Fans 1. All ducts and plenums installed, seated 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 R41 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 18 ), UL 181A, or UL 18I9, If mastic or tape is usedto 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 comptnents 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 platfoms'for air handlers, and plenums defined or constructed with materials 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 sudh tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft 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 shall be suitable for outdoor service e.g.,.protecW 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 78% 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 fitter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Po'ol'system has directional inlets and a circulation pump time switch, 115: Gas fired central furnaces, pool heaters, spa heaterslor household cooking applianeesshave no continuous! bumin . ilot light. Exce tion: Non -electrical cooking appliances with pilot < 15o Btu/hr) N I1 § 118 (i): Cool, Roof material meet -specified criteria Lighting Measures: § 150(k)i : 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 fighting shall be controlled by a switch on a readily accessible lightinE control ane) at an entrance to the kitchen, § 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in § 150(k)2,, and incandescent recessed ceiling fixtures are IC (insulation cover) approved. Air. Rafter Rai San CERTIFICATE OF COMPLIANCE: RESIDENTIAL a e*3 of 3 tI' la .. ) CF lit Project Title Date COMPLIANCE _STATEMENT This certificate of compliance lists the building features and performance specifications.needed to comply.with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them.. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan'to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. .Designer or Owner (per Business and Professions Code) Documentation Author Name: Del V l tl i N..11"d�i Ty- • Name: Title/Firm: Title/Firm: �• Address: 176 4(2r r 81X) �,tJ �� Address: c 66 Telephone: � �L � � �• Telephone: cz2 rli Lic. #: •-& �' (signature) {date (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Compliance' Forms August 2001 A-4 Rolf Denkirto Root docking Method x: Radiant Barrier Attached •Between Truss/Raftars Roof decking s'11 z v+J ,0 4a U rq r1q� • � � O dj 4+ G p cl . o s CV ` U s� 0p s � rn\C 1'r`y O � `d Job no: Date: November 1, 2004 Drawn by: Scale: AS noted Sheet no: Of: 5 sheets ■r1