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5�CTION X 41, --1 1 -01 1
I-aP DOWN MCH 51M OF-
5f*lW&I,5 rML5
111ICK9 N FOOTING A5 KWUM2
For, 13af WpeI2wwmm
NO HOW DOWN MQUIFr,19 FOR rMle
MWJK1648" IN WPM
5n 12MI, 4/ P
ANCHOP, POLT 5MC5.:
NM 5 / 811 x 10" 1,01\16 A0. W/
71, WItIMNIT INfo CONIC.
W/ 2%2&/ 16 MiV5
@ 481, O.C, & 121, MOM COP. M MR)
00 40 1-fAMP\
(D
(N),4y,6 1-c"AMP,
W 2x6 C.J.
ON)40 VMP\
(�) €fAMP
ItAPEP\
10
(N) 2x6 P.P. @ 16" O
5fA\V&I,5 PWL5
1/ 2 Ct2X 5n\ CT I PLYM
W/ 8d @6:12 O.G.
W/ 2 1,AM6 L911
PAM\ OM,
2:1
(%
HOW DOWN MCH 51M OF Pftl,
fHICKN FOOM6 A5 R�QUIIV? FOP\ nf
W KING P05f
I - I io
01, -1
NO HOW DOWN r\WuIlalW For, MI, KI, i
�XMIANC, 4811 IN wim 0
PMI, (N) KING POST'
5M I)MI, 12/
f- 4:12 POOP PlfCH # 12 # 4:12 POOP PIfCH
FIMPLAa
10
FAA
m5f �l
51IMP501\1 5TP\AP
C&IFORNIA FMINC4
V�3
4 WN�l
VZ�
20 5fUL95 @16" O.C.
FKAMINOMMA96"
Hatt -
co
*AIW
Mo
I
I
A f,
Lois,
wi
........... . . . . . . . . . .
tie t
=721
t.
2" -Cox PL'Y*v W/ 8A v(7t6a O.C.
V
RVIAW13A ft,
W1 2 X Uf LOOCK
I, P4 00 ��O--w
266A,61f Imly
CoNc,
2--j M
0161, O.C.
2X 4 TOP PtAlf
POLYMEW I&MM
1/2 It (VX MYWV
W/
2x RX @ 161, OL
O.N.
PLAT
t6 J @ 6" O.C.--j
I DO P11A11
TOP MAt
LAP FLAT
0 MUF6 @ 161, O.0
2 X4 TOP PM
& LAP PLATS @ COUR5
W MOCK @ MR hT. tv"15
-()It or, ALL it
or WXL5 8 ON elva
(OaN
MR 1N W1G tC 2x 4 �
War, HIT OLOCK @ MIR Ht.
2x4ozm5
71t a WALLS 61 - 0I I OR
4y4eACH51M +4 EACH 5M over, IN Itlow
9 PA 4 5T1.1P5 Ole O.C.
17VA SfE JS 2 X 4 P.T. PAc-t
16" O.C.
19 GOWN MCH We
OP PANEL Or VANU
'011
W1tt MGM
u5� 5f -22 5f PW
@ qa" O.C.---\ 51M
wim
12 KING___ P051
2,A 9rLIP5 @16' O.C,
Nvw 1/ att YI0"L-ON6,A.P,W/
71, c- MROMf INTO CoNc,
W/ AW9116 WA15V5
26 6"C4.1.
weer 5m, ep -11, THIUCONC.
I" 7JAO
W/ bxbx-loxlo wwM
2" 5410 FILL MIN,
: qm, Paymm Aw
2-2x4 TOP RAR
4U. PLA%'(A
2x PA5CIA
W/ 2-16 6&v
NAI1,5
5fucco
TO MATCH U15'r(A
9fAV,AU ftef,
kAf 10 2:1
2-A06f
6-.4
MV
2% k.k. @ 16" Q.C.
W1 8d NAIL5 @6"h"-12"
r7- m /VVI Ir m I 1 1-11 1z I
@ -16,
P-D IN51L,
20 5111195 @ 1611 0,C.
FAV� Mf,
U5� 5T-22 5TPAP
— A01t /I /-
4'- ^ K'N.
6F PFfAL
I�AAJ 71 LW46.O
I -ON LOW
cmur"12 5PUC Pr-1
z
I
NM �/ 811 x 10" LONG A, P, W/
I I I �. mvc 19mt mf INTO cowc
W/ 120/16 WA5V5
4' O.C.
A" THICK CONC.
=f--5w W/ abx-ioilo ww-M
2" 5AW I'U MIN.
POLYMM M1 MWM�
2 NO, 4 @ f0P & Wff-
O
CONCRM 5aN6K
12" 25flo P51, @ 28 PAY5
5AMfe19 501L 1811
POOR TO CoNalleit
FOOMCA P�f&
Nm I exl%w
#4190VL5
24" Low @ 2-v O.C.
e -MO. comc.
%AO W/ 6X6X-IOXIO W-W-M
21, 5AW FLI, MIN.
roiyefiiaw
2 � NSW fo �xi51'INcA
opau. Fm5
& PA,,-'K W/ EPDXY
20 WTf0M PM
-2x,4 %105 @ 1611 O.C.
4" 'NICK. CONC,
A-55 eACH 5IM %V W/ 6W-1040 WRM
211 5AW PILL MIN.1
T4
NON-P�ARINCA W&L
P05T c?,
POL, 911V5
H02A OP IV5A-
59TI31 6 For, w2A
C? 55TO20 POP, W5iA
PLATe MA6VrAM NGIY,: H01,1212OWN EACH 5112t 9 MI,
rC)?, W2A Wif H 5 / 8" 5f UP ft;V M(XIM5 fHICrTN rOOTIN6 A5 MQUM9 I'M Paf
A 1/ 4" X 21/ 2" X 21/ 2" nAt- WA5V emmt9ww19emH
POP W5A WITH 3V 4" 51UP Oaf MQUIM5 No How PowN maint? PC? FAM
A 9116" X 23/ 4" X 2 5/ 4" PLAT Wit, MRAN6 481, IN WIP*1
HOW POWN
SHEET
Of
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Fare I ofz) MF•-I R
Note.
1 oeerise residential hitildin-g- suhiect to the Standards must contain thee; mt:asures regardless of the C01111 811ce a(lpr 11 cal used.
Reins marked a%ith all astcrisk 01 tnai he superseded k% more stringent cuinpli (net: requirements listed till the C'erti}icate of
Compliance. When this checklist is in(forporated into the permit d(lcun)e}lts the Icatttlres oared skit## he ctfiisitic;ed lit all pasrttc: its
lllinin)un) colliponctit performance spccilicatiow. for the nlandator� measures whether the% are shown clscslhcre it% site doctullents
or tin this check€iA OWN, -
Inctr}te•tir%nt- Chi-ek or initial arinlicab#e boxes when completed or enter NIA if not applicable.
DESCRIPTIONDESIGNER
ENFORCEMENT 1
Building Envelope Measures:
' § 13Gtar hlininiunt R-19 ,:dating insrlaltntn
I iotbi: Loose fill insulation mul,tttactuter•- labeled R"'atite.
• 15ihct• ltlinm)um R-I3 \ratl insulation in %uald tainted ira!!s otequnalent (;-Factor in metal frame wails
(does not ap2h it, cleaner 111a„ %tall,(
• § I54(d). Minimum R-13 raised floor insulation in framed fioora.
150tl! : Slab edge insulationn - \+aler ahutrptn\n rate no greater uiaa 0.30o. baler -allot transmission rate no
f
greater than 2.0 ILemilinch
I I I.. insulation specified Or installed netts lllsntatuifl qualit% standards. indicate t}pc and torn)
1 16-17 Fenestration prodoct5. Fxterior Writs. and lnf ltratioti-*Lxfiltration C'Qntrol:.
I Doors and -.t endow, bent cell eondst toned and uncondfisOned spacer designed Io limit air leaka-ec
2 Fenestration pmdu.ls teacept 1`10J-1abricaledl hate label etch Certified 1.1-Facior• certified Solar prat
(/!�
Main Coefficient iS1tC;C). and infiltration Certification.
3 Exterior door, and %%todows a%catltmlrippcd. all joint., and pentyratiotla caulked and scaled
barriers ittattdatoq in Clinlatc 7.oles 1•I and l6 omh.
i Soho!. Special infiltration 63rder ttistulled iQ L•tlnnpte' \t ill, § 151 meets (onimi»inn quattt} standards.
150tt) Installation Qf f'trtpl3.ts, Decorative Gas Applfanec, and Gas Lot,
1. hfasonr} and factor) -built iittp13Ccs haec.
a. Ctoscable metal or glass door
b. Outside air intake a ith damper and conth-.1
c. Flue damper and control
2. No continuous burning gas pilot light; alhw\ed
i
Space Conditioning. Water Heating and Plumbing System Measures:
110-> 113: HV.-W equipment, %eater heater,. showerheads and faucets certilied b4 the Commission.
ISttilil. Heating and=or cooling loads Calculated in accordance ieith ASHRAE. SMACNA or ACC'A.
3
a
l5o(i): Setback thermostat oil all appticabit heating andtor cooling S+stems.
I5OljI- Pipe and tank insulation
1. Storage gas %%aict heater, ralcd w till an Engrg% Factor less than 0.58 must be externally w rapped %\ Ith
insulation having an installed themal resistance of R-12 or greater-
2 First 5 feet of pipes closest to water heater tank. non -recirculating s,\ stems. insulated (R-4 or greater)
3. Back-up tanks for solar s�stcm. rnFred storage tanks. of other indirect hot water ranks hate R-12
c!(lcmal insulation or R-16 combined internal'exterr)al insulation
t All buried or expo, ed piping insulated in recirculating section,, oftiot rater s-tem+•.
5 Cooling sk stern piping bchm 55'' F insulated
6 Piping insulated bes%%ccn heating source and indirect hot \%ater tank
Compliance Forms August 2001 A-b
i.t:.l..`.#3. :)id; t S;i ^I; Ii�YISi NOTED
ON tEiE pLP,xS, 114E FOiLC�ihNG MINIMUM
al'�l�f
7 �( STUDS. r1Lt,1t;KIN(( CO V`S i U(; # #t}#�
,inn
?'n 1 'TI_RS ' JI�IST5.....
ii)' & t.AIGER BEAMS .................... �r
,i i bs POS1 S.............. • .............. it f
;`. €.;)��.#.Sti t1TliER�lSE: #�t}Tfl� Ola THE PUNS, ()()R J01STS SIi�� tag .:ut!t3t.t#� U#•i1)�rij >zIEL
All. Roo, Ft,�.F lE.Rr, AND €=;.. OR JOISTS SM ' fi3k bLt)(:)i? #) At Si.l'#3vi�i5 AND Al ti
Nit.ift?ALS MAXIMUM.
c tt4HE W CEILING' f }#;i1 S RUN OTHER fliAl' PAliAt €. L 1. 11'00f RAt F E14`i> IlAi ' LK:� �i tat 1
I,IACK gull 2X4 mINiMUM CROSS TIES Al tt' 0 ;: AND NAIL To ltAfLRS Whit 4 16d NA11-:1,
`#} RSON ANCHOR. LOCATE RAFTOR TIES DIRECIL A80Vf �E#L.INi� ,#i}�?sT�.
l'i.t lUNS USED Ti3 nEUCE RAFTER SPAN BE VINli, WA THIE SAME DEPTH AS W
AND t)LIftL;i1 S=tf;E{}�?S Si# li.�{U�i MSl/i`41MUM 45! 'W!ill Tad#[: t#iO'�TilrZj�Q�l�IAL ANO WITH A A:t€-MLIM I_�:�lGf#,
,t! i•' ''`fT: f,1)44 PUKLINS AND 04 FOR LENGI- ;,t1.ATETt itWnt Lit
oliit.l�'9'6E NOVED ALL HUP E. t.3 >'ih't 4n9 t•csR ;.tt'L'lvlPti:�S 4 ))#7 t.LS:i MD 4X6 WN
OPENINGS L:' r riYti4 b` YrfT�E-
l`t t}tt'si). lte#Siti{}1I ..U. HANGERS UNLESS U#€iLfl,ViiSt- h#t}it i3
,v, •:il'•r ti:. r, UBLE 5WUS UriI'DER 411-L L?L.WS UNLESS OtHi'..leifISE 4,Jli ,.
a3 t.t DUi.18LE SJ'U.}S AND POSIS •,rv4.'L BE t;ONIiNULD DOWN I() i 0611i:)00N SOLID BLUCK Al
EVELS
'ss <INi LSS iiNi.RWISE NOIE.I.€ ALL Kr i IQ d1~AM RNLI I"Otii R,' ?t.ti%)lf L;(ll+tltEi:fitt)t� `;ir'.rka i 8t
IrII SimPSON STRM* (it: POST CAP OR POST BASE Oft EQ41lAL
UNIESS 01HERWISE l~D()IED ')N ('LOOP I=LN6, � TOP Nt_�«1E� � :;` ANll PROVIDE 16Ise
NAIL S E-ACH Af OF SPIJCE .
'. , .4.. STUi1 WALLS sHA.i.1. BE. BRACED Wlfl-i 1 x t# OR la3+Pf(UYL!) I�ft 1At €iIt•ii)tS Ct�Ni#Ni3(tt.1a
;i4l
IJ#AC;UI u E3Rl1tMI It.l�ly Of INTO 4 STUD SPACES *r �L�tAT STUDS URACNG C N BE S1J8ST{TUTED FOR
l'(} ikOSS AN �
X b LET IN 30CE.
(�s
13. Ai.l. 0OUBLL RUM W I ERS . ,ND FLUOR JOI I S sly i HE I4N! LL' I i)W l #E R V-dl l I i I lit; AI
! f)'ti.(,' �TAGGCRED.
i
Ji,}151 S Sl,iALlr RAVE !
i,Fll�iJMl!# I#E u�ll�lG OF t 1 / � ° }�t t}Utt Ox MOAL L ANV W01 LLSS
gjAe4 ON I&,SONIV
l 0Q1? JISTS #) 1 (?(;fi f AREif;s 13#IAi.1 8LAf: 't?111N1%t 4" (}I 11lL STLIEI i3Ll..tt .
Omni
i Rbfm
bm 2
7C K 0
'O
DNS
°9Q
tea.
a -
ir, stoic. tf<t 0-f-IN I-RA!fiNG FOR Al, 1. tCiPtN fry)!iN4 riVv?tfS it14lfOU3 -;f Ur)S: ;(IOW v±LI P!Al b,
W j01J6 { PLVL}, f=i STUD WALLS EXCEEDING 10 t-#061,11 USfu `?_ jX4 OR )(6 Sh)1';? ti N C.'
s.1.1lxt _ Z�i't ;tit}+ (k " + t• l -s ; t ,:'.
` t X ILftiful2 wj..Ll. AND KAR#t-Q WAtUf S 1U ::i MA? df !at}fi, H1t'0 IMUW 01ZZ A t`) ihi
(JEFIR Nt.11iN-•• $c - O#tita WAI - .� n iDS U& 8F t&-4L 1 GHG0 TO A 1.3.E XIMUIM OF 40% OF Ttit. S I00
_? A )(()Lc NO. ()4dx.A IR 11-JAN C% OF fHE SWO UEP 41 M9 fit: BON'
iifl OF THE ST0 fyE4'Tli 110Y BE WWAED iN NON -HEARING STUDS OR IN STUD WHERE
S; t 4 S -1 '.0 IS DOUBLED FRNI D htcl flora-R�- : ' � `I CO -SuEH SI.1C`:CESISAX. 1?r,�'ilS�.ED STUDS KRE
134 SK&L TVA E. � ziE t iiE #iflftE;y tit3f t ilf. #�tfi tf #i FNn* tt fr tl' Tt`) it t
t)iJ! ;f Ili! St'ts.0, f3U'r0 tiLiLa S~<LL NT uc. .0"Tlwil AT iIIL4E St.CFIN TFfL 'iii#li
'WtfE,IiL ?'iUMBING, HEAkfING, UrR 0-'K& PiPE:a 40AIiE ``,L _.t.)IIING Of, '.BOLLS UR PIAJEb,
#1 UT lord..£ OR PLATE c� 8E t`•'EG Eff A Swr-jUtl Sl't{goal; tt( 'S122 TIE STi��' 1tllTli ltic-.
:#!
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Pa„r 2 (If 2) WAR
_ _. .. .... _ •` • •3titir-.a Fe�alydlcaS ill' 1IiC clam tianrt: d ;tt:tcl) tt�ed
Note: l.on-.rise residential huiltiul Ws sui�iert t<i the `it fnd:srds r)tttst curet tin olio. t tart, . _ p psi
items narked %% ith if, astcri-,k (*) inn} be superseded b% more strint:ciit compliance requirements livied till the C ertiticauc of
C'uflip#iatitce. %k llctl this cl)cckha is itictrporatcd into tilt' permit doctlowlltti. the is murex no d shall he cons!\(.red 11% all pa rlics as
minimum grim oneni p erliVitlatnt'e SPeciticutions I'm tire inanda}tort pleasures %%hethtcr tile\ Aire sht)wn ciNcOic}1 to the doctunent'N
P
or tin this checklist olll\.
instructions: Clieck or initial applicable boxes wheal completed or enter NfA if not applicable.
DESCRIPTION
DESIGNER ENIFORCEINIEN71'
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
r
• � 15t$m1f' Duval and 1•aw,
1. All ducts and plcoutils Installed. sealed and lu.al:udtl tit r)lect the a-quiremxnr of the 1998 C''%IC Sections r101.
603, W4. and Standard (r•3., duct, m,ulateJ e. a minimum ismalled lc%ci of R-i? or cnclo.cd cntnek 'is
couditiolled Space tlpennigs shall he ,carted %\ tilt oriNts., tatpe. aerosol sealant. or other duet-clo%fire ,� stem
that nivets the appl'r:able requiratiw nt, of t t 1 t 1 1 ! 191 A. to i t. 191 t3 tf nl3ats� of tape is used t\\,ta1
openins.4 greater than 1-A inch. the Cd{n#+its:itf,+tt t+l ma,ttc and either nlccli or 13pC shall be ttsed Ruildinz
ravine, shall no! tit- used for cone%tng comintonc l .iu ittuu: grid se ms ofdw s� sieflt. and their
components shall nol he scaled w itb elsett: #+.it! ruhhcr aldhesi\c duct iapes unless suds tape is used in
combination -..tilt mastic and drawhamd,
i
'. Building ca-./ties, support platforms li.r:ttt tf.ustil, s, asid plenums defined or constnlctcd \\fill material,
1
Other than Sealed slice) metal. duct board of fIc\1I\l, dn.i ,11..111 not he used for eonve\ ing conditioned
i
air Building cat itiew and support plathtrilt, 111---onlatts ducts Ducts installed ill cadre , and support
-
platibrios sitall not be Coinprc,.,cd fto a:Iu+: fi+i.t.tr.ot. tr: the Crt\,t-sectional area of the titt,i,
:. aOt}ils Gild SCa,iit Qfdnc! s� 59Cin, a(tId !licit .i.ifta+.+okapi, ,I III fit\( be scaled \%till cloth back ruhher
t
adhestie duct tapes unie3a such lapc 1, u,ct! It, .+•:ulwuason %-.fill al3,iic and dr k%band,
t
S Exhaust fan restcros We back dead or atitosmsit. datnlivs>
!
5 Grit%it} %entilatin_ s}stem% scr%ing coaJnssm.d ,!\,,_; h.t%t+ cfiher auitimau. or reads!\ ucCen,ihle_
_
nlanu3ll\ opetato d d3riiperS.
#
6, protection of Insulation. tnsulatton abaci he pet=tca J trout dantage, including that due to,mniselli.
1
s
nioisturc. equipnicnt maintenance. and %\imJ bet 41.it lnus)ctl it. tote follo%\ing !mutation ciposed it,
\\cattier shall be suitable for outdoor scr\ we c _ . p}ttic. W b} afulllmum. sheet inclad. paullcd call\as.
or plastic co%er. Cellular fQaill lniriautin shall I\c pro+lcct:J as abo%c or panned \\ tilt a coaling_ that 1-
water retardant and roe ides stsieldine 1i.sils .olar t.tdiatton that call cause degradation of, tilt material
114: Pool and Spa licating Systems and Lilrlptne it
I 5\ tae'.m 1s Certified \\loll Ingo thevin tt \\Catherpttulf opctatiun tn.trtietlteili no
electric resistance )seating and net pilot Itch'
2 S\stem is installed atilt
a At least 36" of pipe Iletwtco filter and #lrillct 1e+1 tu1111. +isl;tt healul�
1
It Co%er for outdoor pool., or otfidot•t ,p,=,
3. Poor st stem has directional inlet-, and a cactiLifbtit puitip fIniC .\\ itch
§i 15: Gas fired genital furnaces. pool heater, spa hailers tit household cooking Appliance., !laic tit+
continuous!\ bunting ilmt tight. (Exception ?situ-elcetricad conking a lianas with Pilm < I art Blullu I
I Ill (f!: Coo) Roof material meet specified criteria
Lighting Measures:
-4
*150tk)t.: luminaires for general fighting in Litchens shalt ha%c lamps %\sill an ctlicac" of•f() talmiens \tits
or greater tot general lighting in kitchens Tilts general ttallune shall be Controlled b\ a m.%ac11 nit a rcadtl.
accessible lighting control panel at an cntrantx to life kitchen
:15Utk l2,: Room, i%ith 3 shower of bathtub luusl hate either al Ica,t one ltimiltaire wnh 1a1111ps -.%fill an
eflicat:) of 46 lumen, \\art or S%%iteheJ at the efuramie to the roolil or one Of the ahcrn.ttl%c% it, tilt.,
i
_i'reattir
i• ! a+ [, t\C ' i, oft r ' � ftl.tiai ! ••, arc l • incandescent •scentrtt . 1:ctltn ftituresar
requirement gill \eta in Zl• U(ki_ . gild tit dt recessed _
approxcj
' ---.
Compliance Forms August 2001 A-b
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of')) CF-IR
Pet+#ec;Title t Date
Project Ad Tess fiuilding Pcirinil a
hre i`a.5 S !Ilan C`ttti t k ' 17i
ltic
DocumenRlation Author Telephone
y field check., . Date
(Paolo a� car
Climate Zone
GENERAL INFORMATION I t
Total Conditioned Floor Area--------f Average Ceiling Height:
Conditioned Slab Floor Area
Building T} pe: Single Family Addition
(check one or more) Multi -Family Existing -Plus -Addition
Front Orientation: ! South ! East ! Alest All Orientations
i input -.rant orientation in degmts ii(+tit Tate North and circle one!
Number of Stories
Number of Dwelling Units:
Floor Construction Type: la !Raised Floor teircte one or both!
RAIDIAi "T BARRIER. (rewired in climate zones 2. 4_ 8-t ) Required for this subntitta# s no
BUILDING ENVELOPE INStxiA`TION
Component
Type
France Type
Ord = wood
SO = steel
Cavity
Insulation
R-Value
Sheathing
Insulation
R-Value
Total R-
Value'
Assemb#v
U•Factorl
Location Comments
(attic. garage. typical, etc.)
Wall
Wall
Roof
v✓
R-1 7
Roof
Floor
Floor
Slab Edge
.• _s
._., i , , it .1,� .+•ar\ Q-1•.1111t•
t F r re$Cri live C m Itant't'. t ti of to -value n2 lat'l tz ..... , •.•..- .•.-., ,•- .._- "--- -
insulation ranuirementt for the t'm. SEinti%t Packaat.
.FENESTRATION
Shading DeWices
Fenestration
ff rypeTos.
Orien-
tation
Area
(W)
Fenestration
U-Factor
Fenestration
SHGC
Exterior
Shading Att.
Overhangs
Fins
Front
a nfiN
Front
. 4
Left
Left
WG$i
41'frr�
P
Rear
Rear
Soirty
;.Z 07
�a
.
Right
Right
fi
16 i J7
Skrligill
Skt•lisht
Compliance
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pa re 2 oft)
CF-IR
Pmject Title
Date
HVAC SYSTEMS
Note: Input h�dr()nic or combined li%dronie datiat under Water i lentin,, Sl Atolls, except Doign I leasing! Load.
Distribution
Heating Equipment Minimum Type and
Duct or
Heat Pump
Type tfucriace, twat Efficiency Location
Piping Thermostat
Configuration
in . s:tc.l (AWF or lISIIN iducts. attic. tic. i
R-Value Tvge
is tit or ckaac)
Cooling Equipment Minimum Duct
Heat Pump
Type tairemiditioner. Efficiency Location
Duct Thermostat
Configuration
heat pump, era . cowling) tSEER) tanic. etc.!
R-Value Type
is lit or in ck&acf
1,15 'n'tS1"�
SEALED DUCTS anti TXVs or Alternative Measures
Sealed Ducts tact climate zones)
(Installer testing and certification and HERS rater field %trif(cation required )
TXVs. readily accessible (climate zones 2 and 8.15 onl% )
(Installer testing and ceniffeation and HERS Rater or Geld %erification required)
' Refrigerant Charge'Air Flow tclimate zones 2 and 8-15 onl% )
(Installer testing and certification and HERS Rater or field verification required)
M
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
Energ„r' External
Rated' Tank Factor or Tank
Water Heater Distribution Number Input (Lw Capacity Recovery Standby' Insulation
r.- t • „x - --. - --
1. For snial) gas storage %rater heaters trated inputs of less than or equal to 75.000 Stulbr). electric resistance. and heat pump Crater heaters, list Encrg�
Factot. For targe seas storage water heaters (rated input of V ater than 75.000 Stulbrl. list Rated Input. Recoe ere Efficiency and StandM loss
For instantaneous gas water heaters. list rated input and rewwru efficiencies.
SPECIAL FEATURES Ladd extra sheets if necessart,•), Package C and D: TX�rs, 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 (Page 3 on))p CF-I R
rlrniart'ritt.. Date
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications heeded to comply %vitlt
Title 24, Parts I and 6 of the California Code of Regulations, -and the administrative regulations to implement
them. This certificate has been sighed 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)
Name: 4 61P 4 SA G,42-A n
Tit#e:Titznt: OWrY'4`IZ
Address:
Telephone:
i-!c. -.
r poS W • fc ertV 7" 4
gAAl i-A AlVA- A '72 7,)4
(signatures tdatcl
Enforcement Agency
Documentation Author
Name:
Title?Firm: 57 ('12 C/V%' 11,244F % Fie
Address: /0,i I f '1) %' P7/E' Y' 12 r.
PY CA
; 0,g ,eg
Telephone: 65
(stgnature) tdate i"
dame: --...
.,•''alit:: r r•.-�iff�i�
Agenc.\: C">t f-A ,^'lj�C-^ 1�
Telephone: ,j b't } •- IJ 9 A�t'"'
1 \ L.
iA
no
2001
d
t�
SHEET
N19