BLD-2024-0276_CEC-CF1R-ALT-05-E PRESCRIPTIVE RESIDENTIAL ALTERATIONS THAT DO NOT REQUIRE HERS FIELD VERIFICATION
CEC-CF1R-ALT-05-E
CA Building Energy Efficiency Standards - 2022 Residential Compliance January 2022
CERTIFICATE OF COMPLIANCE
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is
required, a CF1R-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 CF1R-ALT-05 and CF2R- ALT-05
Compliance Documents. Possible exemptions from duct leakage testing include: less than 25 feet (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 closed 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 an R-
value of 3.6 per inch, shall complete and register a CF1R-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.
Project Details
Field Name Data Entry Field Name Data Entry
Project Name Enforcement
Agency
Dwelling Address Permit Number
City and Zip Code Date Permit
Issued
Water Heater Install City of Cupertino
Cupertino
7412 Stanford Place
95014
PRESCRIPTIVE RESIDENTIAL ALTERATIONS THAT DO NOT REQUIRE HERS FIELD VERIFICATION
CEC-CF1R-ALT-05-E
CA Building Energy Efficiency Standards - 2022 Residential Compliance January 2022
A. GENERAL INFORMATION
Field Field Name Data Entry
01 Project Name
02 Date Prepared
03 Project Location
04 Building Front Orientation
(deg or cardinal)
05 CA City
06 Number of Altered Dwelling Units
07 Zip Code
08 Fuel Type
09 Climate Zone
10 Total Conditioned Floor Area (ft2)
11 Building Type
12 Slab Area (ft2)
13 Project Scope
Water Heater Install
Electric
Replace gas water heater with electric water heater.
Cupertino
02/15/2024
7412 Stanford Place
95014
PRESCRIPTIVE RESIDENTIAL ALTERATIONS THAT DO NOT REQUIRE HERS FIELD VERIFICATION
CEC-CF1R-ALT-05-E
CA Building Energy Efficiency Standards - 2022 Residential Compliance January 2022
H. Water Heating Systems (Section 150.2(b)1H)
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating.
Options:
1.Gas or propane water heating system; or
2.A single heat pump water heater. The storage tank shall not be located outdoors and shall be placed on an incompressible, rigid insulated
surface with a minimum thermal resistance of R-10. The water heater shall be installed with a communication interface that meets either
the requirements of Section 110.12(a) or has a ANSI/CTA-2045-B communication port; or
3.A single heat pump water heater that meets the requirements of NEEA Advanced Water Heater Specification Tier 3 or higher; or
4.If no natural gas is connected to the existing water heater location, a consumer electric water heater
Table H-1
Field Field Name Data Entry
01 Is natural gas connected to the existing water heater? ⃝ Yes ⃝ No
Table H-2
Field Field Name Data Entry 1 Data Entry 2 Data Entry 3
02 Water Heating System ID
or Name
03 Water Heating System
Type
04 System Option (from
§150.2(b)1Hiii)
05 Water Heater Type
06 Volume
07 Fuel Type
08 # of Water Heaters in
System
N/A
DWH
Electric
Small Storage Tank
gallon
Electric
1
65,0
0
PRESCRIPTIVE RESIDENTIAL ALTERATIONS THAT DO NOT REQUIRE HERS FIELD VERIFICATION
CEC-CF1R-ALT-05-E
CA Building Energy Efficiency Standards - 2022 Residential Compliance January 2022
Documentation Author's Declaration Statement
1.I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Company: Signature Date:
Address: CEA/ HERS Certification Identification (if applicable):
City/State/Zip: 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 Compliance is true and correct.
2.I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the
building design or system design identified on this Certificate of Compliance (responsible designer).
3.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 California Code of Regulations.
4.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 application.
5.I understand that a registered copy of this Certificate of Compliance shall be made available with the
building permit(s) 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 Compliance is required to be included with the
documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Company: Date Signed:
Address: License:
City/State/Zip: Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
Benjamin Foster
Barnett Plumbing
780 E. Airway Blvd.
Livermore, CA 94551 925-872-0805
Benjamin Foster
Barnett Plumbing
780 E. Airway Blvd.910529
Livermore, CA 94551 925-872-0805
Benjamin Foster
Benjamin Foster
02/15/2024
02/15/2024