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ALTERATIONS - HVAC
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GtGGF1R-AL1-03-E(Revised 03115) CALIFORNIA ENERGY COMMISSION �
CERTIFICATE OF COMPLIANCE CF1R-ALT-03-E
Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: - Z2
Enforcement Agency:
Date Prepared:
Permit#:
Equipment Type
Equipment Efficiency
New: Ducting, Plenums, Lineset
Conditioned
Thermostat
Required R-value
Floor Area (sq ft)
❑ Packaged System
❑ Evaporator Coil
AFUE
COP
❑ R-6 (CZ 1,3-7) Ducts
Served by system
D Setback
❑Split System
1OCondensing Unit
K%EER
❑R-8t(CZ16)Ducts
W500 sgft
(If not already
_HSPF
❑ RR-6 (all CZ's) Plenums
present, must
❑ Furnace
❑ Lineset
EER
vuR-5 or R7.5 Lineset'
I be installed)
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand.filled forms allowed) and a copy left on site.
1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
Can include new ducting
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS
Air Handler/Furnace
CF3R: MECH-20-HERS
Installer Requirement: Duct leakage (<. 15%or, < 10%to outside, or seal all accessible leaks)
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned
space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building_
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts'
CF1R-ALT-02-E
CF2R-MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS
CF3R-MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS'
Installer Requirement: Duct leakage <6°%, Fan Efficacy (.58W/CFM), Air Flow_ 350 CFM/ton (or Standards Table 150.0-C/ D alternative)
113. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
Includes replacing or installing All New
CF1R-ALT-02-E
Ducts2 and one or more of the following:
CF2R-MECH-01, MECH-20-HERS, MECH-(23 or 24)-HERS
Condenser Unit, Evaporator Coil, Furnace
CF3R-MECH-20-HERS, MECH-(23 or 24)-HERS
Installer Requirement: Duct leakage <6%, Air Flow_ 350 CFM/ton (or Standards Table 150.0-C/ D alternative)
❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos.
114. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
Adding or replacing ducts in unconditioned
CF1R-ALT-02-E
space but less than All New Ducts'
CF2R: MECH-20-HERS
CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, <10%to outside, or seal all accessible leaks)
❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
' A New Duct system is when the duct system is constructed of at least 75 percent new duct material, and up to 25 percent may consist of reused
parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, plenums, duct material.
a R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%", 2.5-3T-2Y", 3.5 to 4T-2%", ST-4%"
Contractor (Documentation Author's /Responsible Designer'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 Compliance is true and correct.
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document.
3. Thatthe energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit applica ion.
Responsible Designer Name:
Respons' Design r ignature:
Date Signed:
License:
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Company:
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Address: ys
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City/State/2i9 n,
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Phone:
Fof assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300