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Project Title Date Project Address gy 17 Building Permit 4 � .,._,...r ,.,p^l..d.�7l"^""� % Doeumenta.ti?n Author Telephgne Plan Check /Date Field Check / Date Compliance Method (Package or Computer) Climate —Zone Enforcement Agenev OsZonlv &LiERA:i;, WORMATION Total Conditioned Floor Area ft2 Average Ceiling Height `�.,; ft Conditioned Slab Floor Area atft� Building Type: Single Family Addition (check one or more) Multi -Family Existing -plus -Addition Front Orientation: North / South East West / All Orientations (input front orient m degrees from True North and circle one) Number of Stories Number of Dwelling Units: Floor Construction Type: (Sia#Raised Floor (circle one or both) RADIANT HARMER (Uguired in climate zones 2, 4, $-15) Required for this submittal_ yes no BUILD)CNG ENVELOPE INSULATION Component Type Frame Type wd = wood stl steel Cavity Insulation R-Value Sheathing Insulation R-Value Total R- Value' Assembly U-Factor' Location/Comments (attic, garage, typical, etc.) Wall VI., s ;7t ., Wall Roof 'All . Roof Floor Floor Slab Edge 'For re ive co is c Total R-Vale And Assembly U-Factorare not required for a wood-fwn wall that meets cavity R-value insulation requirements for the Pre P�kagg FENESTRATION Shading Devices Fenestration #/T /Pos. Orie� n- - tation Area fie Fenestration U-Factor Fenestration SHGC .Exterior Shading Att, Overhangs/ Fins Front i..,.. Front Left 5QU Lr 'a `t r' t , Left Rear Rear / t" Right Ri t 'i. , 44 ra"? i' $LJ S light Alight Compliance Forms August 2001 A-2 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 3 CF-1R t 1 i Project Title Date HYALSYNTEMS 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, heat Efficiency Location Piping Thermostat Configuration LUMP, etc AFUor H5PF ducts attic, etc. R- ape s lit or acka e `,�E ! (Value/; Cooling Equipment Minimum Heat Pump Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pmnp,evap, cooling) SEER attic etc. R-Value T e (split or Rackage EALED DUCTS and TXVs, or Alternat've Measures ❑ Sealed Ducts (all climate zones) (installer testing and certification and HERS rater field verification required) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) ❑ Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) OR ❑ 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 WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation T e Type in S stem or B r) (gallons -Efficiency,Loss % R-Value V 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btulbr), electric resistance, and heat pump water heaters, list Energy Factor, for large gas storage water heaters (rated input of greater than 75,000 Btallir), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies, $PECML FRATURESIa4d xtra sheets if . Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in. Section 8.13 of the 2041Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). Compliance Forms August 2001 A-3 CERTIFICATE OF COMPLIANCE: RESIDENTIAL. (Page 3 of 3) CF-1R tsit,+ Project Title Date T COMPLIANCE 61ATEMENT 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 held verification by an approved HERS rater. Resigner or Owner (per Business and Professions Code) Documentation Author Name: .. A Vb . 6 , Name: �a�®� � � �t� «� ��•F r£ ��;; Title/Firm: 1#t R;;:-(� tr ei f<' `= 4 Tit le/FiiYia: Address �°•A Vk, $ j Address: t� Rai F qy 0 t�� „.y3 4Y 74 Telephone. ( 71"' t�. Telephone: Lic #;. M jr (si ) (date) (signature) (date) i Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Compliance Forms August 2001 A-4 r p V3, r klt Po R w li Z V)�,. i VyeW� y��.ry pp f° `.d p i 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 treasures 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 not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: * §150(a): Minimum R-19 ceiling insulation. § 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 fdr.N does not a to exterior mass walla . 4*" * §150(d): Minimum R-13 raised floor insulation in framed floors. § I SO(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no g_rcqtpr than 2.0 inch. ,✓ §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfittration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except fieid4abricated) have label with certified U-Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped, all joints and penetrations caulked and sealed, § I50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. § 150(f): 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: a. Closeable metal ouglass door b. Outside air intake with damper and control' c. Flue damper and control 2. No continuous buming;gas pilot lights allowed, Space Conditioning, Water Heating and Plumbing System Measures: §110-§l 13: HVAC equipment; water heaters, showerheads and faucets certified by the Commission. + §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACIVA or ACCA. t § 150(i): Setback thenturstat on all applicable heating and/or cooling systems. §150(i): Pipe and tank insulation 1, Storage gas water heaters rated with an Energy rector less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R42 or greater. 1 First 5 feet of pipes closest to water heater 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 intemal/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 betweep heating source and indirect hot water tank. Compliance Forms August 0,61 A-6 MANDATORY 1VIEASUItES 'CHECKLIST- RESIDENTIAL a e 2 4;). 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 Iisted 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 not applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) * § 150(m): Ducts and Fans I • All ducts and plenums installed, sealed and insulattxl 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 sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 S. 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 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 draft or automatic dampers. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, 9 - 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„ 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 de tion of the material. § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78*/a 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. § 115: Gas fired central fuinams, pool heaters, spa beaters or household cooking appliances have no - continuously burning pilot light. (Exception: Non -electrical cooking a liances with pilot < 150 Btwbr § 118 (f): Cool Roof material meet specified criteria l Lighting Measures: § 150(k) l .: Luminaires for general fighting 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 tin accessible li " control panel 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 40 lumens/wattor greater switched at entrance to the room or one of the alternatives to this requirement allowed in § 150(k)2.; and incandescent recessed ceiling fixtures are 1C (insulation cover) approved.