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STATE OF CALIFORNIA
Prescriptive Residential
CEC-CF2R-ALT-05-E (Revised 01119)
COMMISSION
Alterations That Do Not Require HERS Field Verification
CALIFORNIA ENERGY
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page i of 9)
Omle<[Name: 1
Enfmcenent Agen[Y- ,U L -
Pc,mil l��
Dwelling Address: J u % !,
U
Lity \/ � �/
Nc't-., of ..Z...�
Zip Code
1 iG c1
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-OS 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. Passible 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 CFIR-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 greater than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having on 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 responsibility for 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:
L
02
Date Prepared:
7
y
^
o
03
Project Location:
Q ( L°'� �-
04
Building Front Orientation (deg):
05
CA City:
06
Number of Dwelling Units with Additions:
07
Zip Code:
V ,
08
Fuel Type:
09
Climate Zone:
-
10
Total Conditioned Floor Area (W) (Addition):
11
Building Type:
12
Slab Areaff):
13
Project Scope:
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E (Revised 01/19) CALIFORNIA ENERGY
JOMMISSION _ __ ._
CERTIFICATE OF INSTALLATION CF213-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 6 of 9)
Prni,,t Name. EnE Cement Agent, Permit Number:
Dwelling Address. City Zip Cede
Fenestration
L. Fenestration/Glazing
01
02
03
04
OS
06
07
08
09
10
11
12
Tag/ID
Manufacturer/
Brand
Fenestratio
n Area (ft')
Orientatio
n
Chromogenic
U-factor
U-factor
Source
SHGC
SHGC
Source
Fenestration
Type
Exterior Shading
Devices
(Describe)
Comments/Special Features
U
Y
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 - 2019 Residential Compliance January 2019