HomeMy WebLinkAboutCOMB19-0037 - MiscSTATE OF CALIFORNIA FQVI -tV� NxAp ,
Prescriptive Residential Alterations That Do Not Require HERS Field Verification r
CEC-CF2R-ALT-05-E Revised 10116 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 15)
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT-01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R-ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ccSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibilityfor installation of the Items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
A. General Information
01
Project Name:
v `aT,
02
Date Prepared:
— 19
03
Project Location:
053 -�1 V q41' 1
04
Building Front Orientation (deg):
05
CA City:
CAfOrLC,'De'
06
Number of Dwelling Units with Additions:
07
Zip Code:
c1. .
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ft') (Addition):
11
Building Type:
st Y ,nom ,
12
Slab Area (ft'):
13
Project Scope:
CA Building Energy Efficiency Standards- 2013 Residential Compliance October 2015
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification 031, z
CEC-CF2R-ALT-05-E (Revised 101161 r.A, irnnuiA FxiFar-v r.nnnnmssinn. I'll
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 6 of 15)
Project Name: t, ar Enforcement Fsenry:
Permit Number
owemn¢aae.eas:� V #h aW v'io, � n
ZIP Code
Fenestration
L. Fenestration/Glazing
01
02
03
04
05
06
07
08
09
10
11
12
Tag/ID
Manufacturer/
Brand
Fenestration
Area (ft)
Orientation
Chromogenic
U -factor
Source
SHGC
Source
Fenestration
Type
Exterior Shading
Devices
(Describe)
Comments/Special Features
rvn)
IAAS<c�
9C�t 1�
3�
IJ'rPc
a s
FPS
$lralyt 5
Ptc�ur
k�
F2
23
1J1=C
gI I l��9
Lei!
w
3'z
J�dc
23
NG4C
DOC, V,
(Sack
Nle�r�l
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25
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M. Fenestration/Glazing —Additional Requirements
01
For existing buildings the U -factor and SHGC values should be the same or better than the required Energy Commission prescriptive requirements.
02
Temporary labels should not be removed until verified by the building Inspector.
03
The fenestration product manufacturer's Installation specifications shall be followed when installing these products. The space between the fenestration product and
rough opening shall be completely filled with insulation. If batt insulation is used, it is cut to size and placed properly around the fenestration product.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
CA Building Energy Efficiency Standards - 2013 Residential Compliance October 2015
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF21R-ALT-05-E iRevised 10/15
CERTIFICATE OF INSTALLATION
UALIFURNIA ENERGY CQMM156ION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 15 of 15)
Project Name:mov) e
1 tA`n Enforc meet Agency:
Permlt Num ec
Dwelling Address, �k clty
Zip Code
v{ (
Q If
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that thii Certificate of Installation documentation Is accurate and complete.
Documentation Author Name V \�
�j
Documentation Author Signature:
Documentation Author Company Name:
Date Signed:. 1` \
Address:
CEA/HERS Certification Identification (If applicable):
City/State/RIP's _
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The Information provided on this Certificate of Installation Is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or Installation of features,
materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations In this statement (responsible
builder/installer), otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) Identified on this Certificate of Installation conforms to all applicable codes and
regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that Identifies the specific requirements for the scope of construction or installation Identified on this
Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met.
5. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permits) issued for the building, and made available to the
enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be in I d with the documentation the builder provides
to the building owner at occupancy,
Responsible Builder/Installer Namei G n
�p
ftesponslble Builder/ Installer Signature:
Company Name: (Instal ling Subcontractor or Genera l Contactor or Builder/Owner)
Position Art CompanylTtle):
Coo
Address:
li-Ot t )A`)\
CSLB License:
City/State/Zip:
2
Phone Date Signed:
y—
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards- 2013 Residential Compliance October 2015