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11050168 - Energy • ' TO‘\\6., Coe,4 INSTALLATION CERTIFICATE CF-6R-ENV-01 • Envelope— Insulation; Roofing; Fenestration (Page 1 of 3) Site Address: Enforcement Agency: Permit Number: 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 applicabl' anda_, , _ejuresswwwiith check boxes require to be checked to ensure the mandato measures have been met. 11 C4> Z Description of Insulation V •f�t 3—I 1. RAISED FLOOR Material: 1524- Brand Name: J Wr,vLS /411/4tb0✓l Thickness(inches): '571._ Thermal Resistance(R-Value): 19 ❑ §150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor. • 2. SLAB FLOOR/PERIMETER Material: Brand Name: • Thickness(inches): Thermal Resistance(R-Value): Perimeter Insulation Depth(inches): ❑ §150(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%;water vapor permeance rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. 3. EXTERIOR WALL a. Insulation Type(e.x. Batt, Loose Fill, Spray Foam) ,�L a. Thermal Resistance(R-Value): CII) b. . Insulation Type(e.x. Batt, Loose Fill, Spray Foam) b. Thermal Resistance(R-Value): Brand: � LNL /h LSc)v\ Spray/Loose fill) Installed Actual Thickness Spray/Loose fill) Contractor's min installed weight/ft2 lb (inches): 3 /L Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value) ❑ §150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. Exterior Foam Sheathing (rigid Insulation) Material: Brand Name: Thickness(inches) : Thermal Resistance (R-Value) : 4. FOUNDATION WALL Material: Brand Name: Thickness(inches): Thermal Resistance(R-Value): 5. CEILING Batt or Blanket Type: 13Z-4r Brand Name: S1nrr —5 Pt-7_S 14— Loose Loose Fill Type: Thermal Resistance(R-Value): �a Spray Foam Type: Brand Name: Installed Actual Thickness(inches): % Contractor's min installed weight/ft2 lb Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value): ❑ §I50(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. 6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER Material: Brand Name: Material: Brand Name: Thickness(inches): Thermal Resistance (R-Value): ❑ §118(a): Insulation installed meets Standards for Insulating Material. ❑ §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope — Insulation; Roofing; Fenestration (Page 2 of 3) Site Address: Enforcement Agency: Permit Number: \Ceo8o �cvaAve ( (USG 1 ,c a Description of Roofing Products _ CRRC Product ID Manufacturer Product Roof Roof Product Initial Solar Aged Solar Thermal Number' Information Brand/Model Type Area Slope Weight 2 Reflectance Reflectance° Emittance ❑3 ❑3 ❑3 I. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at ww.coolroofs.org/products/search.php 2. The weight in lbs per square feel of the roofing product being installed. 3.Check box if the Aged Reflectance is a calculated value using the equation below,footnote 4. 4. If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the ✓dir ctory and use the equation(0.2+0.7(pi„ilial–0.2)to obtain a calculated aged value. CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT"COOL ROOF”REQUIREMENT: O The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool Roof criteria. a Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/fl is exempted from the above Cool Roof criteria. To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of 20 mils across the entire roof surface and meet minimum performance requirements listed in§118(i)3 and Table 118-C. Select the applicable coating ❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other ✓ 0 CRRC-1 Label Attached to CF-6R (Note if no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance). FENESTRATION/GLAZING Product # Total Quantity Add. Exterior Comments/ Manufacturer/Brand Name U- Product of NFRC of Like Product Area Shading Dev. Location/Special Item (GROUP LIKE RODUCTS) factor' SHGC' Panes Certified'2 (Optional) 112 or Overhang Features P( —1D — ,2 ( Z ye, 2 << ( 1-- 3 3 0 a • Z� 5 -� 6 4 7. V ° 8. I. Use values from a fenestration product's NFRC Certified Label.For fenestration products without an NFRC label,use the default values from Section 116, Table i 16-A and 116-B of the 2008 Energy Efficiency Standards. 2.NFRC Label Certificates shall not be removed until the building inspector has verified the efficiency.Enter Yes or No. §116(a)1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. lF(§116(a)2 and 3:Actual fenestration products installed are equivalent to or have a lower U-factor and/or a lower SHGC than that specified on the Certificate of Compliance(Form CF-I R). ,§116(a)4:Fenestration products(except field-fabricated windows)have a label listing the certified U-Factor,certified Solar Heat Gain Coefficient(SHGC),and infiltration that meets the requirements of§10-11I(a) §117: Exterior doors and windows weather-stripped;all joints and penetrations caulked and sealed. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope — Insulation; Roofing; Fenestration (Page 3 of 3) Site Address: Enforcement Agency: Permit Number: (25$O �- �-e ciz - lto b DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the person responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance(CF-I R)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met. • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) CielsCk zx3. V'c -.)\�, 'S Responsible Person's Name: Responsible Person's Signature: Lout 2'CK-- CSLB License: Date Signed: Position With Company(Tit ): &OZ Stay 3/Wiz �rc5 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-LTG-01 Residential Lighting (Page 1 of 3) Site Address: Enforcement Agency: Permit Number: 1'23 C).0Ac kwc-j2e-4- r 10 <61 1. Kitchen Lighting Does project include kitchen lighting? elg-Yes.complete section I 0 No,go on to section 2 ) -Yes §150(k)3:The wattage of permanently installed luminaires(lighting fixtures)has been determined as specified by§130(d). ❑ Yes llt'No §150(k)3: In the kitchen,are there electrical boxes finished with a blank cover or where no electrical equipment has been installed,and where the electrical box can be used for a luminaire or a surface mounted ceiling fan?If yes,the following row must also be yes: ❑ Yes lif-#A Wattage has been calculated as 180 watts of low efficacy lighting per blank electrical box. §150(k)8 Kitchen Lighting must comply with either method (a), (b),or(c) below: (a) All high efficacy luminaires -"Tes,complies because only high efficacy luminaires have been installed in the kitchen. ❑ No,complies with method(b)or(c). (b)>50% watts used by high efficacy luminaires ❑ Yes,complies because at least 50%of the installed watts are from permanently installed high efficacy luminaires as demonstrated in the table below:Total A>Total B. ❑ No,complies with method(a)or(c). Fill out the following table if complying with either method(b)or(c). Table (b) _ Efficacy Luminaire Type High Low Watts x Quantity = High Efficacy Watts or Low Efficacy Watts ❑ ❑ x = or ❑ ❑ x = or ❑ ❑ x = or ❑ ❑ x = or or Complies with method(b) if A>B Total: A: > B: (c) Additional Kitchen Low Efficacy Lighting ❑ Yes,complies because the kitchen lighting qualifies for additional low efficacy lighting and as demonstrated in table in(b)(above)and the table in(c)(below)that(A+C)>B ❑ No,complies with method(a)or(b). Additional kitchen low efficacy lighting is available only if all of the following are true: ❑ Yes. All low efficacy luminaires in the kitchen are controlled by a vacancy sensor Dimmer energy management control system(EMCS)or a multi-scene programmable control system. ❑ Yes. Permanently installed luminaires in garages laundry rooms closets greater than 70 square feet and utility rooms are high efficacy luminaires AND are controlled by a vacancy sensor. Table(c) Use 50 W for dwelling units<2,500 ft 2 From the Table in(b) Use 100 W for dwelling units>2,500 112 Add Yes/No? A B C A+C Is(A+C)>B? • 2. Lighting Internal to Cabinets Does project includes lighting internal to cabinets? ❑Yes. complete section 2 4141o,go on to section 3 ❑ Yes,§I50(k)9: Permanently installed lighting internal to cabinets uses<20 watts of power per linear foot of illuminated cabinet. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-LTG-01 Residential Lighting (Page 2 of 3) Site Address: Enforcement Agency: Permit Number: V2 cicr25 +Id 0 \ be, 3. Installed Devices and Components Have Been Certified to the Energy Commission Does the project include any of the devices or components listed below?0 Yes,complete section 3 0 No,go on to section 4 jYes §I19 and§150(k)7(F):Any of the following devices and components which have been installed have been certified to the Energy Commission according to the applicable provisions of§119:All LED lighting systems that are classified as high efficacy,ballasts used in recessed luminaires, vacancy sensors(automatic off/manual on occupant sensors),dimmers,track lighting integral current limiters,and outdoor motion sensors. 4. Lighting Controls Complete section 4 f8 les 0 NA §I50(k)7A:Permanently installed low efficacy luminaires are controlled by switches separate from those controlling high � " efficacy luminaires. to t'es 0 NA §150(k)7B: Exhaust fans with integral lighting systems are switched separately from lighting systems,OR have a lighting system that can be manually turned on and off while allowing the fan to continue to operate for an extended period of time. 0:1-Yes 0 NA §I50(k)7C:All permanently installed luminaires are switched with readily accessible controls that permit the luminaires to be manually switched on and off. In'-fres 0 NA §150(k)7D:All lighting controls have been installed in accordance with the manufacturer's instructions. -'es 0 NA §150(k)7E:All lighting circuits that are controlled by more than one switch,where a dimmer or vacancy sensor has been installed to comply with§150(k),no controls bypass the dimmer or vacancy sensor functions. 5. Luminaires (Lighting Fixtures) Does the project include the installation of any luminaires(indoor or outdoor)? 14-Yes,complete section 5 0 No,go on to section 6 1113-Yes,high efficacy luminaire classification has been determined according to§150(k)I,and low efficacy luminaire classification has been determined according to§I50(k)2. el--Yes 0 NA §I50(k)4: Fluorescent lamps rated 13 watts or greater have an electronic ballasts having an output frequency no less than 20 kHz. Yes 0 NA §I50(k)5: Permanently installed night lights,and night lights integral to permanently installed luminaires or exhaust fans, contain only high efficacy lamps meeting the minimum efficacies contained in Table I50-C and do not contain a line-voltage socket or line voltage lamp holder,OR the night light is rated to consume no more than 5 watts of power and does not contain a medium screw-base socket. Yes 0 NA §I50(k)6: Lighting integral to exhaust fans,in rooms other than kitchens,meet the applicable requirements of§I 50(k). 0 Yes Iri3.44A Any electrical box finished with a blank cover or where no electrical equipment has been installed,and where the electrical box can be used for a luminaire or a surface mounted ceiling fan,has been treated as low efficacy luminaires for compliance with§150(k). Does the project include any luminaires that are recessed into insulated ceilings? Estes,complete the rest of section 5 0 No,go on to section 6 Nfeid-Yes,§150(k)12: Luminaires that are recessed into insulated ceilings meet all of the following conditions: B.Yes,are listed,as defined in§10I, for zero clearance insulation contact(IC)by UL or other nationally recognized testing/rating laboratory,and g,( Yes,have labels that certify the luminaires are airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283(Exhaust fan housings are not required to be certified airtight),and $1..Yes,are sealed with a gasket or caulk between luminaire housings and the ceiling,and all air leak paths between conditioned and unconditioned spaces have been sealed with a gasket or caulk.(including all exhaust fan housings),and Yes,allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without requiring the cutting of holes in the ceiling. 6. Indoor Lighting(any indoor room that is not a kitchen) Does the project include permanently installed luminaires in any room that is not a kitchen? *Yes,complete section 6 0 No,go on to section 7 Yes 0 NA §150(k)I0: Permanently installed luminaires in bathrooms,garages,laundry rooms,closets>70 112,and utility rooms are high efficacy luminaires OR are controlled by a vacancy sensor. es 0 NA §150(k)1 I:Permanently installed luminaires located in rooms or areas other than in kitchens,bathrooms,garages,laundry rooms,closets,and utility rooms are high efficacy luminaires,OR are controlled by a dimmer switch OR are controlled by a vacancy sensor. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-LTG-01 Residential Lighting (Page 3 of 3) Site Address: Enforcement Agency: Permit Number: 7. Outdoor Lighting Does the project include any permanently installed outdoor lighting? Ja-Yes,complete section 7 0 No,go on to section 8 4—Ws 0 NA §150(k)I3:Luminaires providing outdoor lighting, including outdoor lighting for private patios on low-rise residential buildings with four or more dwelling units,entrances,balconies,and porches,and which are permanently mounted to a residential building or to other buildings on the same lot are high efficacy luminaires OR are controlled by a manual on/off switch,plus a motion sensor not having an override or bypass switch that disables the motion sensor,plus one of the following three additional control methods: a. A photocontrol that does not have an override or bypass switch that disables the photocontrol;or b. An astronomical time clock not having an override or bypass switch that disables the astronomical time clock; or c. Energy management controls systems(EMCS)not having an override or bypass switch that allows the luminaire to be always on. ❑ Yes A1-4.1A Exception 2: Low efficacy outdoor luminaires used to comply with Exception Ito§150(k)13 are controlled by an override switch which temporarily bypasses the motion sensing function,and the motion sensor is automatically reactivated within six hours.The luminaire is controlled by a photocontrol,astronomical time clock,or EMCS as required by Exception I to §150(k)13. ❑ Yes 'NA Exception 3: There are permanently installed luminaires in or around swimming pools,water features,or other locations subject to Article 680 of the California Electric Code which do not need to be high efficacy luminaires. ❑ Yes' -NA §150(k)14: Internally illuminated address signs comply with§I48,OR do not contain a screw-base socket and consume no more than 5 watts of power as determined according to§130(d). ❑Yes lig-KA §150(k)15 Lighting for parking lots and carports with a total of 8 or more vehicles per site have lighting that complies with §130,132, 134, and 147.Lighting for parking garages for 8 or more vehicles comply with§130, 131, 134,and 146. If yes,the Nonresidential compliance forms must be submitted 8. Common areas of low-rise residential buildings Does the project include the installation of any luminaires in common areas of low-rise residential buildings? ❑ Yes,complete section 86 -N 8,414e,go on to section 9 ❑ Yes,§150(k)16: Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s)certified to comply with§I 19(d). DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the person responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance(CF-1R)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-I R that apply to the installation have been met. • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ` Responsible Person's Name: Responsible Person's Signature: CO V l5 0"..ekrucL— CSLB License: Date Si ned: Position With Company(Title . 80 Z 3bd S 50/7.— PieeS 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-01 Domestic Hot Water(DHW) (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: MI-so P itt 40e (I 0 2 1. WATER HEATING SYSTEMS: Distribution Rated CEC Type if N of Input(kW Tank Standby Heater Certified Mfr Name&Model (Std,Point-of- Recirculation, Identical or Volume Efficiency Loss Type Number Use,etc) Control Type Systems Btuthr)t (gallons) (EF,RE)t (%)t ,\Veke /V (20V -(,4, i 11 (c._ -Er ulo N Z4064- Zao;6- N e�5 • Note I:For small gas storage(rated input less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor(EF). For large gas storage water heaters(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency(RE), Thermal Efficiency,Standby Loss and Rated Input. For instantaneous gas water heaters, list the Thermal Efficiency and Rated Input. 2. Mandatory Measures TO COMPLY-ALL BOXES MUST BE CHECKED. §110-§113: Water heaters,showerhead and faucets are certified by the California Energy Commission. §150(j): Water System Pipe and Tank Insulation.And Cooling Line Insulation 1. Storage tank insulation A. Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater;and ira B. Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-I6 internal insulation where the internal insulation R-value is indicated on the exterior of the tank. 2. Water piping and cooling system line insulation thickness and conductivity Eti First 5 feet of hot and cold water pipes closest to water heater tank,non-recirculating systems,and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-B;and Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of Standards Table 123-A. Insulation is protected from damage, including that due to sunlight,moisture,equipment maintenance,and wind. §151(f)8D:If indicated on the CF-IR,all hot water piping that runs from the hot water source to the kitchen fixtures is insulated per Standards Table 150-B. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-01 Domestic Hot Water(DHW) (Page 2 012) Site Address: Enforcement Agency: Permit Number: 191Bo Pexe-L<t-or-J- At) i l© 0 c�G 3. Central Water Heating in Buildings with Multiple Dwelling Units(required for prescriptive) TO COMPLY-ALL BOXES MUST BE CHECKED All hot water piping in main circulating loop is insulated to requirements of§150(j) ACentral hot water systems serving six or fewer dwelling units which have(1)less than 25' of distribution piping outdoors;(2)zero distribution piping underground;(3)no recirculation pump;and(4) insulation on distribution piping that meets the requirements of Section 150(j) P. Central hot water systems serving more than 6 dwelling units-presence of either a time control or a time/temperature control DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the person responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation) conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance(CF-I R)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met. • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Responsible Person's Name: Responsible Person's Signature: l ov1 S CtitiOrOUCk CSLB License: Date Signed: Position With Company(Tit 2 5fe 1 S/ce 'i - f55 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 • Space Conditioning Systems,Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: I L) /.�.� 5D- A�' [ 10.60 � L e Space Conditioning Systems Heating Equipment Duct Efficiency Location Equip (AFUE, (attic, Type ARI #of etc.)'*3 crawl- Heating Heating (package- CEC Certified Mfr.Name Reference Identical ( CF-1 R space. Duct Load Capacity heat pump) and Model Number Number 2 Systems value)4 etc.) ,R--value (Btu/hr) (Btu/hr) T h121C Slb 33 �� L re � Cooling Equipment Efficiency Duct Equip (SEER Location Type and EER) (attic, (package #of 1.3 crawl- Cooling Cooling heat CEC Certified Mfr.Name ARI Reference Identical ( CF-1 R space, Duct Load Capacity pump) and Model Number Number 2 Systems value)4 etc.) R-value (Btu/hr) (Btu/hr) CAD N ` m<ptz 36Ca ( O 13sctt ;c- CS 4,600 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. 2.ARI Reference Number can be found by entering the equipment model number at http://www.aridirectory.org/ari/ac.php# 3. Listed efficiency on this page must be greater than or equal(>_)to the value shown on the CF-1R form. 4. When CF-1 R is reference it is also applicable to the CF-1 R, CF-1R-AA or CF-1R-ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM p §1104113: HVAC equipment is certified by the California Energy Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE,SMACNA,or ACCA. ril §150(1): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of§112(c). ( §150(j)2: Pipe insulation for cooling system refrigerant suction,chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: (SCn V644,4 iAlli# (1coo t e Ducts and Fans §150(m): Duct and Fans ,; 1.All air-distribution system ducts and plenums installed,sealed and insulated to meet the requirements of CMC Sections 601,602,603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic,tape or other duct-closure system that meets the applicable requirements of UL 181, UL 181A,or UL 18I B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch,the gbination of mastic and either mesh or tape shall be used;and 1. Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal,duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to c use reductions in the cross-sectional area of the ducts. 2D.Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. A7. Exhaust fan systems have back draft or automatic dampers. 8.Gravity ventilating systems serving conditioned space have either automatic or readily accessible,manually operated dampers. t 9. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight,moisture, equipment maintenance,and wind.Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 10 10. Flexible ducts cannot have porous inner cores. DECLARATION STATEMENT • ('certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the person responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation) conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met. • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontracto or General Contractor or Builder/Owner) 6.Ie-t-,k,�1 co -15.);\s-cc- Responsible Person's Name: esponsible Person's Signature: Lovi J C ->lkud CSLB License: Date Signed: Position With Company(Till 90Z 6g . //QgL Ar 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-05 Indoor Air Quality and Mechanical Ventilation (Page 1 of 5) Site Address: a ��� Enforcement Agency: Permit Number: 1 C' — tioe 1100\ C.8 Ventilation for Indoor Air Quality(IAQ): All dwelling units shall meet the requirements ofANSI/ASHRAE standard 62.2. Ref Title 24 Part 6 Section 150(o). Equation and table numbering on this CF-6R corresponds to the numbering for that information in the published ASHRAE Standard 62.2. WHOLE-BUILDING VENTILATION Ventilation Rate: A mechanical supply system,exhaust system,or combination thereof shall provide whole-building ventilation with outdoor air each hour at no less than the rate in equation 4.1a. For dwelling occupant densities known to be greater than(Nbr+ 1),the rate shall be increased by 7.5 cfm for each additional person. Where: Enter Eq 4.Ia Calculation: (Eq.4.I a) Qro„=0.01 Aa r+7.5(Nbr+ 1) An.=conditioned floor area,11 Ancor= t� Nbr=number of bedrooms;not to be less than one Nbr= Qr8,=ventilation air requirement=fan flow rate,(cfm) Qr ,= 41\ , 7�- Delivered Ventilation: The effective ventilation rate of an intermittent system is the combination of its delivered capacity, its fractional on-time,cycle time,and the ventilation effectiveness from Table 4.2. This calculation only applies to intermittent systems. Where: Enter Eq 4.2 Calculation Qr=ventilation air requirement from Eq.4.Ia(above) (if applicable). (Eq.4.2) Qf=Q,/(sf) f=daily fractional on-time,(%) Qr= c=ventilation effectiveness(from Table 4.2) f— Qf=fan flow rate during the on-cycle(cfm) e— Qr= Table 4.2—Ventilation Effectiveness for Intermittent Fans Whole-Building Ventilation Rate Summary Select the method used to provide Whole- Daily Fractional On-Time,f Ventilation effectiveness,C Building Ventilation and enter the required fan flow rate(cfm). Select one: f<35% 0.33 35%_<f<60% 0.50 gr.Continuous fan flow(cfm)= \ . 60%<f<80% 0.75 0 Intermittent fan flow(cfm)= Use the fan flow rate from this summary for 80%<f 1.0 selection of the whole-building ventilation fan and for the duct design for the whole-building Fan runs at least once every ventilation system. Provide the system design three hours 1.0 information in applicable sections below. LOCAL VENTILATION EXHAUST Local mechanical exhaust fans shall be installed in each kitchen and bathroom. The minimum airflow rates shall be at least the amount indicated in tables 5.1 and 5.2. Table 5.1 Table 5.2 Intermittent Local Ventilation Exhaust Airflow Rates Continuous Local Ventilation Exhaust Airflow Rates Application Airflow Notes Application Airflow Notes Vented range hood Based on Kitchen Kitchen 100 cfm required if exhaust fan Kitchen 5 ACH Volume flow is less than 5 ACH Bathroom 50 cfm Bathroom 20 cfm 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-05 Indoor Air Quality and Mechanical Ventilation (Page 2 of 5) Site Address: k� ��J_ � _ ` ��Enforcement Agency: Permit Number: c�j �-zs}- VENTILATION SYSTEM DESIGN—Fan selection and duct design criteria for compliance The airflow rates required refer to the delivered airflow of the system as installed and tested using allow hood,flow grid, or other airflow measuring device. Alternatively, the airflow rating at a pressure of 0.25 in.w.c. of a certified fan may be used to demonstrate compliance without testing of the airflow of the installed system,provided the system duct sizing meets the prescriptive requirements of Table 7.1, or manufacturer's design criteria. Other methods may be used to provide the required ventilation rates when approved by a licensed design professional,subject to confirmation of delivered ventilation airflow of the installed system. Central Fan Integrated (CFI)ventilation systems shall demonstrate compliance by field testing of the delivered ventilation airflow of the installed system. WHOLE-BUILDING VENTILATION SYSTEM DESIGN-Identify the ventilation system design criteria (select one criteria from this column) Requirements for installer to demonstrate compliance with Airflow Test code Required? Enter the installed ventilation air-moving equipment information and the installed ventilation duct system t'PTescriptive design(Table 7.1) information in the tables below,and certify on the CF-6R that no the installed system conforms to the Table 7.1 prescriptive design criteria. Central forced air system fans used in Central Fan Integrated ventilation systems shall demonstrate, in air distribution mode, ❑Central Fan Integrated(CFI) a watt draw less than 0.58 W/CFM per Standards§I51(011. yes Submit a CF-6R-MECH-22-HERS form for each forced air unit used for a CFI system. HERS verification is required. Enter the installed ventilation air-moving equipment information and the installed ventilation duct system ❑ Engineered Design information in the tables below,and certify on the CF-6R that yes the installed system conforms to the engineered ventilation system design approved by the enforcement agency. Enter the installed ventilation air-moving equipment information and the installed ventilation duct system ❑ Manufacturer's design criteria information in the tables below,and certify on the CF-6R that no the installed system conforms to the manufacturer's ventilation system duct design criteria. LOCAL VENTILATION SYSTEM DESIGN- Identify the ventilation system design criteria (select one criteria from this column) Requirements for installer to demonstrate compliance with Airflow Test code Required? Enter the installed ventilation air-moving equipment information and the installed ventilation duct system escriptive design(Table 7.1) information in the tables below,and certify on the CF-6R that no the installed system conforms to the Table 7.1 prescriptive design criteria. Enter the installed ventilation air-moving equipment information and the installed ventilation duct system ❑ Engineered Design information in the tables below,and certify on the CF-6R that yes the installed system conforms to the engineered ventilation system design approved by the enforcement agency. Enter the installed ventilation air-moving equipment information and the installed ventilation duct system ❑ Manufacturer's design criteria information in the tables below,and certify on the CF-6R that no the installed system conforms to the manufacturer's ventilation system duct design criteria. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-05 • Indoor Air Quality and Mechanical Ventilation (Page 3 of 5) Site Address: Q Enforcement Agency: Permit Number: kU - -Ave, 1 I U ---vl fc,9 Table 7.1 Prescriptive Duct Sizing Requirements Diameter,(in) Flex Duct _ Smooth Duct Fan Rating cfm @ 0.25 in.w.g. _ 50 80 100 125 50 80 100 125 Maximum Allowable Duct Length(ft) Diameter,(in) Flex Duct _ Smooth Duct 3 X X X X 5 X X X 4 70 3 X X 105 35 5 X 5 NL 70 35 20 NL 135 85 55 6 NL NL 125 95 NL NL NL 145 7 and above NL NL NL NL NL NL NL NL This table assumes no elbows. Deduct 15 ft of allowable duct length for each turn,elbow,or fitting. Interpolation and extrapolation in Table 7.1 is not allowed. For airflow values not listed,use the next higher value. This table is not applicable for airflow> 125 cfm. NL=no limit on duct length of this size. X=not allowed,any length of duct of this size with assumed turns,elbows,fittings will exceed the rated pressure drop. INSTALLED VENTILATION AIR-MOVING EQUIPMENT INFORMATION Ventilation devices and equipment shall be tested and rated by HV1 procedures for airflow and sound. Sound rating maximum is 1.0 sone for all continuous duty fans; 1.0 sone for intermittent duty whole-building fans:and 3.0 sone for intermittent duty local exhaust fans. Refer to the Residential Compliance Manual section 4.6 for information about exclusions to these sound rating requirements. In the table below,list the fan equipment installed that meets the requirement for whole-building ventilation and local ventilation exhaust. Fan or System Fan Power System Type2 Required Fan Certified Sound Ratio Name or (WBV Airflow-3 Manufacturer Fan Airflow° Rating Fan (Watt per Location' or LVE) (CFM) Name° Model Numbers (CFM) (Sone) Watts8 CFM)9 5A-‘01\ (S5‘,/ go ?zKAx t‘� fvUgV&L X(3 . D3 . 15 .OZ6"624 � \"Z w& $° PZA oA- ( f i ' eG A t ( I3 -OZZe;-. M4 /..-ti $o Q7n--0gaK\c c ( i 8 03 • 173 .O2- de-i(cl1 i L116 add 4t/ wr, ARGt? ser, , ico' cI . 5 HO . o37__ 1 1)Enter the Fan or System Identification A'ame or Location Name or System Identifier(e.g. 'Bath02""MastBath", "Kitchen0l'). 2)What type of ventilation requirement is the fan specified to meet? WBV(whole-building ventilation)or LVE(local ventilation exhaust). 3)Enter the required ventilation airflow values determined by the calculations or tables in the WHOLE-BUILDING VENTILATION and/or LOCAL VENTILATION EXHAUST sections at the beginning of this Installation Certificate(CFM). At least one fan must be designated for use for compliance with the "Whole-Building Ventilation"requirement. 4)Enter the fan manufacture's name. 5)Enter the fan model number or series number. 6)Enter the fan's Certified Airflow rating at 0.25 inch w.c. (CFM). Fans rated at less than 0.25 inch w.c. (e.g. 0.1 inch w.c.)cannot be used to comply with the ventilation requirements using the prescriptive design criteria in Table 7.1. This certified airflow rating value must be equal to or greater than the required airflow from column 3 of this table when demonstrating compliance using Table 7.1. 7)Enter the fan's certified sound rating(Sone) 8)Enter the fan watt draw 9)Divide the Watt value from column 8 by the Certified Airflow value(CFM)from column 6. For dwellings utilizing the performance energy compliance method,for standalone whole-building ventilation systems(does not apply to local ventilation exhaust fans),the fan power ratio must be less than or equal to the fan power ratio value reported on the Performance CF-1R. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-05 Indoor Air Quality and Mechanical Ventilation (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 1 BIS° 1264(169-z--2-4- -(ko ilO jI ,G.i.3 INSTALLED VENTILATION DUCT SYSTEM INFORMATION Airflows required by the standard refer to delivered airflow of the installed system as determined by testing with a flow hood,flow grid, or other measuring device. Alternatively, the installed equipment's HVI airflow rating at a pressure of 0.25 inch w.c.may be used. provided the system can be inspected to confirm the duct sizing meets the prescriptive requirements of Table 7.1, or manufacturer's duct design criteria. Fan or Compliance Required Airflow Number of Actual Allowable 1 Pass System Name Method2 Airflow3 Test4 Elbows and Duct Length Duct Length8 or or Location' (T; P;or M) (CFM) (CFM) Duct Types Fittings° (ft) (ft) Fail9 1,5 bA \ 4 go 25.6 r/xo 0 /6 t�T," 13z- ? 9 G. g 0f /�x a l0 76 g.35 At w " 2.,c) 7,0 f/e/c e to ?c> r !' — ? 9Go _ ?oo 3t //f d c 4/‘ P • I. Enter the Fan or System Identification Name, or Location Name, or System Identifier. These should be the same identifiers as shown in the INSTALLED VENTILATION AIR-MOVING EQUIPMENT INFORMATION table column I above. 2. Enter the method for demonstrating compliance with the ventilation airflow requirements. Enter"T"for Tested;"P"for Prescriptive Table 7.1 design criteria(inspection); "M"for Manufacturer's duct design criteria(inspection). Note:the building official may require submittal of manufacturer's published design criteria documentation if compliance is to be demonstrated by inspection of the installation for conformance to manufacturer's design criteria. 3. Enter the required ventilation airflow values determined by the calculations or tables in the WHOLE-BUILDING VENTILATION and/or LOCAL VENTILATION EXHAUST sections at the beginning of this Installation Certificate(CFM). These should be the same airflow values that were entered for each corresponding fan in column 3 of the INSTALLED VENTILATION AIR-MOVING EQUIPMENT INFORMATION table above. 4. If complying by a method that requires an Airflow Test of the installed system,enter the result from the Airflow Test for the installed system(CFM). 5. Enter duct type for the installed system. Choices are "Flex"or"Smooth"if using Table 7.l for compliance. 6. Enter total number of elbows or fittings or abrupt turns in the ventilation duct for the installed system. 7. Enter the installed system's actual total duct length(ft). 8. If complying by use of the prescriptive design criteria or manufacturer's design criteria, enter the Maximum Allowable Duct Length (fi)for the system as determined by Table 7.1 or manufacturer's duct design criteria. 9. If complying by airflow test, the system passes if the Tested Airflow equals or exceeds the Required Airflow3. If complying by demonstrating conformance to prescriptive design criteria or manufacturer's design criteria, the system passes if actual total duct length from column 7 is less than the maximum allowed length from column 8. Enter: Pass or Fail 2008 Residential Compliance Forms August 2009 -.Apr. Y. 1U11 I :49NM HEATING SUPPLY COMPANY ° No. 1298 P. 2 t-t • fRowi 5' vy �D/ This furnace qualifies for AFUE Federal Energy P+. •. .l C E RT I F I E D,. Efficiency Tax Credit when placed In service between tl ridircclory.org February 17 2009 and December 31 2011. V+1.917. Certificate of Product Ratings AHRI Certified Reference Number: 2003895 Date: 4/9/2012 Product Residential Furnace Heating Equipment Model Number:T9MPX080J16 Manufacturer: INTERNATIONAL COMFORT PRODUCTS, LLC(USA) TradelBrand name;TEMPSTAR, KENMORE,ICP COMMERCIAL Rated as follows In accordance with Department of Energy(00E)furnace test procedures as published in the latest edition of the Code of Federal Regulations, 10 CFR Part 430 and subject to verification of rating accuracy by AHRI-sponsored, Independent,third party testing: AFUE: 95.0% Output Heating Capacity; 77 MBTUH The following data is for reference only and is not certified by AHRI: Input: 80 MBTUH Ef: 80.4.MMBTU/yr . Eae: 1219 kWh/yr PE: 126 Watts Furnace Type: Non-Weatherized Conflg: Up!low,Downflow,Horizontal Fuel Type: Natural Gas, Propane Gas FoolNole 94-('or•'or"')May have ens suffix leiter&or numbers FoolNole 136-Can be Installed as Non•6tract Vent. t Modelo with an'Active'statue ere those that ere currently In production.Models with a'Discontinued'eletus are those that the manufacturer has elected to stop producing,yet slack is alai available.Models with an'Obeolele'status ere Inose That the manufacturer is required to slop manufacturing due to en AHRI cenlecatlou program lest failure. 'Ratings followed by en asterisk(')Indicate a voluntary rerato of previously published dale.unless accompanied with a WAS.which indicates an involuntary cerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate end makes no representations,warranties or guarantees ea to.and eseumee no responsibility for, the product(e)listed on this Certificate.AHRI expressly disofalme all liability for damagee of any kind arising out of tile use or performance of the product(a),or the uneuthortzed efteration of dale listed on this Certificate.Certified ratings are valid only for models and configurations listed In Use directory at www.anmdbectory.org. TERMS AND COMMONS Ties Certificate and Its contents era proprietary products of AHRI,This Certificate shall only be used for Individual,personal and confidential reference purposes. The contents of(fne Certificate may not,In whole or In part,be reproduced;copied;disseminated;entered into a computer database;or otherwise utilised,In any form or manner or by any means,except for the user's IndMduel,personal and conndentiel reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldtroetoryorg, Air-Conditioning,H dick on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on �r SS SA and Reta oeoling, which the certificate was Issued,which is listed above,and the Celtlncete No.,which 1e listed below. geratlon Institute • ©2012 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 12olassl6317698220 t.RPr. Y. LUIL I :49VM HER IINC SUPPLY COMPANY No. 1298 P. /7-1 (P d�arj� u1�/ �i y41r71,�s� aLy r.. ...1 CERTIFIED,. P�4'l t7,:,111i(lip c c;Iery.)UJ Certificate of Product Ratings AHRI Certified Reference Number; 3562791 Date: 4/9/2012 Product: Spilt System: Air-Cooled Condensing Unit,Coil Alone Outdoor Unit Model Number: HC4A348AKA2 Indoor Unit Model Number: ED44X48J"+TDR Manufacturer: TEMPSTAR Trade/Brand name: 13 SEER HORIZONTAL AC Manufacturer responsible for the rating of this system combination i8 TEMPSTAR Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,Independent,third party testing: Cooling Capacity(Btuh): 46500 EER Rating(Cooling): 11.00 SEER Rating.(Cotiling): 13:00 • -Ratings followed by en asterisk(71nalcete e voluntary aerate of previously published date,unities accompanied with e WAS,whim Ina(eelee en Involuntary aerate. DISCLAIMER AHRI does net endorse the productfe)listed on this Certificate end makes no representations,Warranties or guarantees as to,and assumes no responelbllib for, the product(e)hated on this Certificate.AHRI expressly disclanne all liability for damage.of any kind arising out of the use or performance of the product(a),or the unauthorized alteration of data hated on this Cerllficate.Certified ralinga are valid only for models and configurations listed Inthe directory atwwwcehrldhectory.org. TERMS AND CONDITIONS Ma Certificate and Its conlente are proprietary products of AHRI.Thla Certificate shall only be treed for Individual,personal and confidential reference purposes, The contents of this Certificate may not,In whole or In part,be reproduced;copied;disseminated;entered into a computer database;or otherwise utilized,an any form or manner or by any moans,'moil for the user's individual,personal end confidential reference. CERTIFICATE VERIFICATION The Information for the modal cited on this certificate can he verified al wwwahrldl2ctory.org, uda AN-COrtdifboning,Hsonng, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on ANEW ` ■, which the certificate was issued,which Is listed above.and the Certificate No.,which is listed below. and Refrigeration institute 02012 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 128784680851278000 /- �d1-796- 7/99 • INSTALLATION CERTIFICATE CF-6R-MECH-05 • indoor Air Quality and Mechanical Ventilation (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: OTHER REQUIREMENTS The items listed below(6.1 through 6.8)correspond to the information given in ASHRAE 62.2 Section 6"Other Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual(Section 4.6.5)for information describing these "Other Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these requirements specified in ASHRAE 62.2 Section 6.1 through 6.8 if applicable. '&6.1 Transfer Air pe.6.2 Instructions and Labeling 46.3 Cloths Dryers 6.4 Combustion and solid-fuel burning appliances 94 6.5 Garages 6.6 Ventilation Opening Area 6.7 Minimum filtration 14-6.8 Air Inlets descriptive Designs: For ventilation systems that utilize prescriptive design criteria,the signature of the Responsible Person in the declaration statement below certifies that the installed system conforms to the prescriptive ventilation system design criteria from Table 7.1 of Standard 62.2 and manufacturer's installation specifications. ❑ Engineered Designs: For ventilation systems that utilize engineered design criteria,the signature of the Responsible Person in the declaration statement below certifies that the installed system conforms to the engineered ventilation system design documentation approved by the enforcement agency. ❑ Manufacturer's design criteria: For ventilation systems that utilize manufacturer's design criteria,the signature of the Responsible Person in the declaration statement below certifies that the installed system conforms to the manufacturer's published duct system design criteria and installation specifications. DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the person responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation) conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met. • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) �zL)ek-ma k\ate Responsible Person's Name: Responsible Person's Signature: 1-01.1 CSLB License: Date Si ned: Position With Company(T. e): 8,03614 et"J 2008 Residential Compliance Forms August 2009