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MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page t`of 2) MF-1R
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Tage 1 of 3) CF®1R
1 .f -.,.
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
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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.