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MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Pare t of2) MF-1R
Note: Loarise resiticittial buildings stiNect to the Standards must contain these incasums regardless orthe compliance approach wed.
Items marked s%ith an astcri%k t't ma+ he superseded by more strin=ent compliant rcquirements listed list the C'enificatc or
Compliance. ice. Whell this checklist is Incorporated info the permit docunicttts, tic features noted shall he Considered it-. all parties at,
minimum comptu)cni perrorinanec spccitications for the maudatwt measures s%iicilicr they tin shotin clscliherc in Site docusuent>
or on this checklist 0111y.
Instructions: Check or initial applicable notes when completed or eater NIA if not applicable:.
DESCRIPTION
DESIGNER
ENFORCEMENT }
Building Envelope Measures:
• 0.5-01a): tvfinimarn R-19 ceisnag insutattott
litltbi: Loose fill insulation manufacturer's labeled K-Vaittc.
§150icr Minimum R-1 ±trail insulation in wind framed wail: or equivalent 1.1-Factot in metal frame stalls
(does tint a I% to c%terutr tn3s+ uaft.t
' §130td). A4ittimunt R-1; rai.ed floor insulation to framed fletore.
1 soli! : slab edge insulation - %%atcrr absorption rate net greater than o. 3°o. +rater t apor transmission rats: no
greater than 2.0 Mrinlinch
118. insulation specified or installed mecis insulation quality standards. Indicate type and frrni
116.17 Fenestration Products. Exterior floors. and Inf#luatiottl:sfdtration conitol%
I hors and %%ntdotts betiteen conditioned and unconditioned spaces designed to limit air leakage
Fenestration prctdu:t. ic\.ept fisiJ-fihrieatcdi hate lainl ttnh certified ts-factor. ctrttitcd Solar Heat
Gain Coefficient tSHGO. and infiltration certification.
3 Exicrior doors and %%indotts tteatherstripped: all jotnls slid penetrations caulked and sealed
a t Utg). Vapor harriers ttundaivq in Cllmatc Tones l i and IGriitly.
ISo(ft special infiltration barrier inswiled to dimply%ilh § 131 meets Commission qu3lity standards.
13Utel Installation of Fireplace.:. Decoratitc Gas Appliances and Gas Lugs
1. Masonr} and factors -built fireplaces Rate.
a. Closeable metal or glass door
b. Outside air intake tt fth damper and control
c. Clue damper and control
2. No continuous huming gas pilot light; allotted
1
Space Conditioning, Water Heating. and Plumbing Systems Measures:
110.§ l 13: fie':1C equipment. ttatcr heaters. shotterlitads and faucets certified by she Commission.
t3tlttit: Heating and='or cooling loads calculated in accordance with ASHRAE. SNIACtt=A or ACC'A.
,
IAo(i): Setback thermostat on all applicable beating andtor cooling %)stems.
)sotj)' Pipe and tank insulation
3
).Storage gas eater heaters rated ttith an kntrg) Factor less titan 0.38 must be externally strapped t%tih
insulation having an installed thernt31 resistance of R-12 or greater.
t
2 First 3 feet of pipes ctosest to ttatc( heater tank. min -recirculating systems. insulated IR4 or greater)
3. Back-up tanks for solar system. unfired storage tanks. at other indirect hot stater tanks state R-12
extem3f insulation or R-16 combined inictnal extemal insulation
4 All buried or exposed piping Insulated in recimuiafing section; of hot staler s) stems.
;
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3 Codling system piping belom 55' F insulated
G Piping insulated beis%cen heating source and indirect hot %%ater tank
j
Compliance Forms August 2001 A-S
ril €. Lii?ifi8i #I SF#ALL £'fir. D'£}UGLA`a fill LA�z:i:,'c 1•it H ft;�:tFU � :0, t;l�r'iUX_U 1•'t
;.l...`.6, :,)NLESS OT"iENlfi}Si NOTED ON THE PLkNS, 114E f'`0ti.f.rt�ING MINIMUM GRADES SFi�•� i
'1 L1,
21:4 STUDS. 8Lttlf:a ING i'L�4f'I~5..... GONST1• MIJIUN
PL.AIES... . ....... ...
;X t>FAEPS & BEAMS_ .... ........... ;
Fir, %c tA.ARGE:R BEAMS .......... . n
-,
=i;i &tip POSTS ................. . ,.... .............. ,
Lit•iLESS OTHERWISE NOTED {lea THE PLANS, # i. i.}Uh JOTS: �i1}�'` #3i. .: jt#iil:i D i litil)E't'. ALL
AI € i#()OF #tA� IE.fI`i AN€) FLOOR J015TS ISM-L Est: KOCKLD ki 5L:t'f'u814S AND At 6
N t RSAL.: VkXI UM.
cflE.Ki t;I ILlliii 01SIS RUN t)'IHER T!"I PARALLLI, 1-0 iriL t%=f RAk 1fi:;, ItAi 'i K�i al�rit
f;I ;}ss k1jkCIC wilf�l 2X4 MINIMUM C€ OSS TIES Al =t' D:u AND =AIL TG HAKNS W11H 4 )bd IStAIty
'A.%-S SiV SOIN ANCHORS. LC)CATE RAFTER PES DIRECTLY ABOVE .EILING Jt)$%t;l.
I,iIRUNS USED T13 #DLO UCE kiAF•TE.R SpA.Nr. `s't#=� . 6E wa-i um THE `;AME OE.PTH AS 'iER.'
c,1SRUtI STRUTS SlOiL BE MINIMUM 45 Wfi i THE H RIZONIAt ANO WITH A ;4AJX; SUM
A. f?t fKi.SN AND 04 FOR LE NC -I iiS GREATER THAN 8'
t; i.lrs€ES�1 011i .f{ --iE NOTED ALL tJF,4 Est: Axe 4XA fOR jPLNtNG!) 4 iJR I.ESLi AND 4X6 fOh
€1#'(:,�It (�:t I.r" � Y#•t{ to WIDE,
I Ii;j ill`. SI I€}S{1ft V HANGERS UNLESS 0IHLf; 6i, 1`10 t
<, c=1*;)4'=Li :"UBLE. ti}Ui35 Wirt)ER ks; SEAMS UNIESS 0.
A!,i Ulft1E#LL S7ttJS ;t�D #�fJSIS �.it, i ;IE sCONltliULD :}OWN Iu F(}I.NDAHON SOLID ULLlt,lk Al
r}_:i ts: i i7-Aa
It? Iitij kS 01fl{.= l I` L NO1ED AL? t):;• i Its tit_AM AND I`Otil 1€1 '€'�il.lt� t:Cii+ii'fi l:I==sfti 'it:rtit l t3c
-tfifl SIMPSON STRWC fl[ POST CAP OR P05T BASE OR EQU-Ai
UNI E:SS G1HE-10ISE N(IIELD ON FLOOR PLANS. LAl- TOP NIA,L! ' !- AND PROVIDE lb-- Ili)
?•hill5 [ACH SIDE OF SPUGE.
'.:'. r'3;.i. S1€tU SSA! I.S SIlAiL i3L E3# CED WI1I-i 1 X 6 OR Rf}�'ttiiv" f,II:.IAI "RACES c.UMIPIt,1OLK')
DIAut�"_ BRACE LET INTO TiIE STUDS AT ',!VIWUM 25' U"G.C, AND AT SUCH ANGLE SiJ
fO f;BOSS A MINIMUM Of 4 STUD SPACES. NNL Al STUDS BRACING CAN 6E SUBSTITUTED FOR I
z 6 LET IN SfthCE.
,. Ai.I.. ('it)t,IEILL EtOOf Ft%.I ULRS . ND FLUOR JOISTS ISTS Si tk l DC 11A'i LIN, l'OULIHER W11 H I bin Al
StAGGERED.
AI.I. JOIStS ral�'•ttAL.i HAA MINIMUM U�Itr'�fNG Of I 1/2' ~.r N WOULD ;3it ir#E af`t1 AND f�01 # CeSS
f i'{/�ft? 3` ,)N .3S. NRY
J*L()Of? JOTS I S AND ROOF RArI L i?S 'atifii.L tsE AI; �dI I FtI{�l a' Of I f lf' S fUEi rJr #..Lib .
0
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J if J al. �f�i 7tr}ii It RA. in-4(J 1:0f, r,%,1. r #i irY1I ilsv I4h/V;t! i (l..cii'i IINIxOUN 'STL S = fttOlvk .g41 PIAIL
fly s0U€K,. PLATE). FZ.;z STUD WALLS EXCEEDING 10' HEIGHf USE 2-2x4 i3it 2x6 Stt.It;;:=
# k.Tt,i'001? WA.t. MID, BEARING Wl�: .s I `- V,r. ?4 � Lit ^ • 2L% %' #� � t ;. .:�.+ y �� 1.?1 t, tatr.•.I�L.i)r. Of :#�
=i}L) ilL.€10- NON-OC';~iING WF°S#..:. S ;,1 , �K�` 8F NOTCHED TO A �€�. IIJUM Of 40% OF its:. Sluts
s} A lt=J11 NO! GR AfLH THAN C% O HE S�t�i) illi'i`-i'1 asfia ;�i D�#�a •- .r, Arl'i ;�ivl�..� f..�11S:
,r df G1 ifs•„ STUD D&TH 110Y OE UtYXEa IN NON--'31 AltlttiC STUDS {}R #�' -ANY STUD teti�ll RE
wl.=t:f S UG IS DOUBLED PRN06) NOT KRU>_ t ' 14 =gill 'SfiCf# SIOCCESSWt. XNUMD STUDS KRE
iOF bOR10 tfr' bFNEr�ltli THAN �f0f Ti£ E",F Dom. ti id C € S1i£1 111
€f(;% :If THESsiJ.. i #{ED HOLE S. z i. BE i.t ATEfI AT TIIL SNAIL ON QF TtiE 'iTil#:.•
AS A CM OR NOTC�i.
',t. j, ?� t� r�}*j� 1(" 't, t'r �,} 3�i1 '+i. rr t� r - I ' 't. { � ff1 tyt�. + P.�jt ,r �J i, ` 1,
t1 it.10 6•'n.LIMBINGi HEATING. OR L�tt•tE.f'i r)I•'E INECE'S ?TAIL Ir L SIf #71 tiJ tl �iit 3 Oil t f.�'t,)hs.
I'll ^UT HOLE' OR PLATE tiVa BE VED VY A SIMPSON STRONG If( `S122" TIE S"iRtAP WI7Ii l6d
MANDATORY MEASURES CHECKLIST: RESIDENTIAL wage:! or 2) MF-1 R
Note: f.ttstrt\v nsidetillai tlttiatiittS tiuhlCCt its the �tattd:trd. #ttttsE t tiiliaitt tliC+� ntcasurc regardless tsf Ilse Ctitnplianrc ;ipprts;tClf Uxtd
Reins inarl,ed %t ith aft asicrisk (•) »i.tt be superseded b. shore strik it compliance rcqutrciticrits listed on the t crtiltcalc o
Compliance, When this checklist is ittcorpormcd into life permit docutttctit::. tilt: fi; aturc> noted shall be collsidt: red 11) all parties as
#ttinim#nn component perl:irinance specification., for the tttandalory nic:asures tshetilcr they are shottit clseithetc in llic doctunctib
or on this checklist unit.
Instructions: Checl, or initial applicable notes when completed or enter NfA if not applicable,
DESCRIPTION
DESIGNER ENIFORCEIMENT �
Space Conditioning. Water Heating and Plumbing System itle:asure$: (continued)
' � t �p(m): t)uets aisJ I•ans
,/�
I. Ail ducts and plenum. Installed. sc;iled and nwilatetf tit meet the requirement of the 19" C MC• St.•01011%6o 1.
/j t
603. GIN, and standard 6-3: ducts insulated tit a autinuum installed let el of R-t 2 or enelo.wd enures} its
conditioned space ON -mug, shall IststrileJ %%tilt uet>t1:. ::Ire. aerosol scatanl. or other duct -closure system
that meets the apptt::ahle tcquirententa tit t I I % I 1 l IN I A, or t L 181 B If maattc or tape 1s used to scat
openings greater that% 04 inch. the conihin:nion t11 ist<i.1t; and either owsli at tape shall be used Ru ldmy-
,
cavilica shall not tis. tined for cotltc) nlw: ei•ndnwiw l atl �tiltilw slid SCASfS. ttf duet 5).tCtti, and {heir
'
components shalt not be stated Stith efatt: lt.tA rtil=bct adhesite duel tapes unless such tape is used In
combination ails mastic and drau band,
. Building cat $ties. support ptalfornis tie ins lmn,n: t.:slid picitunis, defined or constructed %t rill 0131erials
i
other than scaled sheet metal. duct board sa ilr\titir Jtr:t ,halt not be used for convc%ing conditioned
i
air building Cat ifics and support platform, ot.tt a.ini;ttit duet? Ducts installed In Cal ate.,and Siphon
S % c- I area o'th des:/,
pl3tforni. shaft not be caitipresscJ tot::Sri,. t., bs,in,n, a: ih: t.rt s. seuiana a t, I t
f
:. Joints and scams ofduct %%stems and 11161 ctun;i,•atctn< ,11.111 ntv be.cafcd t%lilt cloth back rtibhtr
adheslte disci (apes unfe:;e such tape i, ttwtl 114 :tK11111ti.11 hail %t 1111 #ti3stiC and draft hand,
;
4 ENhaust fan s, skins hate back draft ttr aiiloilult, tl:nlsrats
I
$ Grdtily %emilating *stenis sertin�g conJtthttiCJ ,11.1- 11.1%e culler auionl w fir readti) accessible,
f
manualh operated dampers.
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6. Protection of insulation. Insulation shall b. ptoloa:J Itom damage, including that doe to sunfir"ht.
I
1
Moisture. equipment rnaitittrance. and t%tnJ bin iwi liinncti its the folloiting Insulation c\poscd tit
%%eafhor shall be suisablc for outdoor %cf%wc c e . pe,ttc:It J b) aluminum, sheet metal. painted camas.
or. pfastic toter. Cellular foam insulation .li;tit 1%,, print.. t:.I as shot cot panned u till a coating that i>
retardant and pEo0des shielding foam +tifat radiation that can cause degradation of the ntatcria3
-water
k114: pool and Spa Heating Systems and I.ttulp»Icul
I S\ttcui I, Certified Uith 19%dwrorat t•ff1Ctett,\. oil-At+ttbcll kkeutherproof oficratut'u omrocitow, no
`
electric resistance licating and nit pilot Ii:ly
2 Sy stem is installed %\ all
I
a At least 36'• ofpipc &-t%%ecn tiller aitJ livi,l♦•1 I- fort-: ,,slat licalin_
It Co%cr for outd.tor pools o: modtKy ,r.t,
t
3. Pool system has directional inlets and a citculalson ritttip imic Nu ach
t 115: Gas fired central furnaces. pool beater, %pa heifers of household cooklue apphance4 hat c sin
cominuouslt burning pilot light, (Em twin t\owclectrwal cootane a liancec %tilts 12ilot e 130 B111111r)
1 l8 ffi: Cool Roof material meet specified criterw
,
Lighting Measures:
t t{f(k11.: Luminaires for central lighting ill kitchells shalt hate lamps »ah ass rf)icas) nf' i{t hinicns lion
or greater for general lighting in kitchen. Th1s geaerai Itplunle shall etc controlled h% a sit itch oil a readfi.
accessible lichtine control Panel at an cmrance fit the kitchen
1301 W.- Roumt n isi a sho- of or bathtub must hat c either at least one lumiflairc %s nh lamps %%Ith all
cfticac% of 40 lumens %tall or neater sit irelicd at the eatrau:e to the room or one of the aifcniai n cs to Iles
,
F
requirement allotted in l; i 3o(k )2 : and incandescent rcecssed ceiling tistures are IC f insulation cot cr )
Compliance Forms August 2001 A-6
CERTIFICATE OF COMPLIANCE: RESIDENTIAL, (Pagel of3) CF-IR
Proiec Title i Date
4 Ct
Prt}ieCY Address Buildine Pcmtil b
fiirhb r'fo tr n 6'e fu.S' 7! S 3t `l
ninon t'itet:l. � t)aiy
Documentation Author p
Field Check % hate
Compliance Method Packatwe or Computer) Climate Zone Enforcement ; gene; Usc 1)y
GENERAL INFORMATION
Total Conditioned Floor Area fig Average Ceiling Heirttnt:� ft
Conditioned Slab Floor Area fit`
Building Type: -! Single Family Addition
(check one or more) Multi -Family E`istin_-Plus-Addition
Front Orientation: ~ `^ )' ou 1.1 East ! Alest All Orientations
(input front orientation in degrees front True North slid circle one)
Number of Stories
Number of Dwelling Units:
Floor Construction Type: • AaV ailed Floo (circle one or both t
RARIAD T BARRIER trettuiMd in climate zones 2. 4. 8-15) Required for this submittal s -,_,,,nit
BUILDING ENVELOPE INSULA SON
Component
Frunze Type
Cavity
Sheathing
Total R-
Assembly
Location Comments
Type
% d = wood
Insulation
insulation
Value'
U-Factor'
(attic. garage. typical. etc.)
sit = steel
R-Value
R-Value
Wall
V►'aII
Roof
Roof
Floor^''
t
Floor
Slab Edge
'EM VVISCEiplive C m tfa ce. I ritaf 1t-t'afut anti B sr mniv %,-ractor are not It; ut:cu ttis a .ta.uu-i+uu,ry .•.+.....•.....,,... - -.. .. . ----
insulation rgguiremcntcfor the I'rescripIi%i' Aacka C.
FENESTRATION
Shading- Devices
Fenestration
l`ff f epos.
Orien-
Cation
Area
{fit'}
Fenestration
U-Factor
Fenestration
SHGC
Exterior
Shading Alt.
Overhangs
Fins
Front
�-
Front
Left
Left
Rear
Rear
Right
Right
w'G S 7
S , light
Skylight
Compliance Forms August 2001 A-2
CERTIFICATE OF COMPLIANCE: RESIDENTIAL {Anil *e 2 of;) CF-2 R
Prnie& Titip Date
II3'AFC SYSTEMS
Note, Input h.dranic or conrhincd h}dronic data under Water I seating,'+. shims, excitpt Design I Icating Lciad.
Distribution
Heating Equipment
Minimum
Type and
Duct or
Heat Pump
7 j%Jx ff"wre. steal
Efficiency
Location
Piping*
Thermostat
Configuration
urrt . ear1 11
tAFtT. or HSIV)
iducts. attic. etc, I
R-Value
Typeis
Ili ar ckaecs
Minimum
Heat Pump
Duct
Cooling Equipment
Tj=petaireondilionef.
Efficiency
Location
Duct
Thermostat
Configuration
heat pump. exalt. coolinaI
iSEERt
tunic. etc.: - -_-__
R-Value
Tye
unlit or gaekage I
SEALED DUCTS.and TWs [or Alternative R-easttres
Sealed Ducts tall climate zonesf
(installer testine and certification and HERS rater Geld %erificaffon required t
TXVs, readily accessible iclimate zones 2 and 8-Ic only )
(Msiailer testing and certification and HERS Rater or field %crification required I
Refrigerant Charge `Air Floes' tclimate zones 2 and 8.13 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
\VATER HEATING SYSTEMS
Energy' External
Rated' Tank Factor or Tank
Water Heater Distribution Number input (kw Capacity Recovery Standby- Insulation
I. For small gas storage aster heaters (rated inputs of less than or equal to 75.0W Sturhrl. electric resistance. and heat pump water #(eaters. list Energy
Factor. For large gas storage %%'ate r heaters tested input ofgtcater Own 715.000 Stw1uri. list Rated Input. Recown, Efficiency and Sfandbr Loss
For instantaneous gas %rater heaters. list rated input and tecown-effiiciamics.
SPECIAL FEATURES add extra ghee s if necessatl . Package C and D: TXA1`s, 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).
Compliance Forms • August 2001 A-3
CERTIFICATE OF COMPLIANCE: RESIDENTIAL, (Paste, of,)) CF-I R
Pirniart Tint, Date
COMPLIANCE STATEMENT
This certificate of compliance lists file building features and perfortliance specifications needed to comply' with
Title 24, Parts I and fit of the California Code of Regulations, and the administrative regulations to implement
then:. This certificate has been signed by the individual with overall design responsibility`. When this certificate:
of compliance is submitted for a sin
gle► building, platy to be built in multiple orientations- any shading feature that
is varied is indicated its 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 HELLS
rater.
Resigner or Ovvner (per Business and Professions Code)
Name: /4**i+C''0PG A .S f A 91 6 A
Title -firm: ow lyelz
Address: 914 C- C4,-t tL F $T.
Telephone: L- 7j'f)
(signatures (dates
(Enforcement Agency
AsencN: #.:J i vL '14a�
Telephone: � ,�- 7 C}c .. � c>� 9 y
q 4„
,,,.--•+�•- t tom- �.-t,�i �!_�2��o r
(signature ! stamp )
Documentation Author L s
Narrc:
TitleTirsn:
Address:
Telephone, sG t, r ` 3 / Y 19
�- /4 �
(signature t (date)
NO.040889
OF CAL1
Compliance Forms August2001 A-4
SHEET
C�N-1
Of