12030138 - Energy ._.._.. .. _._._....... .._. _ _. .. ........... .. ......... . .............. ...... ........
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INSTALLATION CERTIFICATE .CF-6R-MECH-04
Space Conditionin S stems,Ducts and Fans (Page 2 of 2
Site Address: 10 13 RU fJC.t+� L Enforcement Agency: Permit Number.
Ducts and Fans 10 56 Bfcr+vJe()
§150(m): Duct and Fans
❑ 1.All air-distribution system duds 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 retum-air duds and plenums are insulated to a
minimum installed level of R4.2 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 181 A,or UL 181 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
combination 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,dud board or flexible dud 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
cause reductions in the cross-sectional area of the ducts.
❑ 2D.Joints and seams of dud systems and their components shall not be sealed with cloth back rubber adhesive
dud tapes unless such tape is used in combination with mastic and draw bands.
❑ 7.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.
❑ 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.Flexible duds cannot have porous inner cores.
i
DECLARATIONSTATEMENT
. I certify under penalty of perjury,under the laws of the State of California,the mfmmation 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 coda and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
. 1 reviewed a copy of the Certificate of Compliance(CF-1 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(,)issued far 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.
Comylmy;ame:t(itnstall'rgg Subco Q tar or Geperal Contractor or Builder/Owner) .
R NaponsillleTt�Ps a<rne� _ 10 (�� R 'ble axon's Signature:
CSLB 1ML.��1ltf/tl fv,.V•-•V_t Die S' ed: � Positi penny Ore)l � .
C(1
INSTALLATION CERTIFICATE (Page 12 of 12) CF-6R
Site Address I O W Permit Number
CUP(_--AT),ro CA - 9Sb/4 pi 1 /Q/ 6
County Subdivision Lot Number
Description of Insulation (Formerly IC-1 Form)
1. RAISED FLOOR
Material 7 Brand Name
Thickness(in hes) // Thermal Resistance(R-Value)
2. SLAB FLOOR/PERIMETER
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Perimeter Insulation Depth(inches)
3. EXTERIOR WALL
Frame Type
A. Cavity Insulation
Material R-1'3 7A-s?1(av6ee,& Brand Name
Thickness(inches) - E Thermal Resistance(R-Value)
B . Exterior Foam Sheathing 4-1
T
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 !`n
3 0 -Brand Name
Thickness(inches) 1.9 & Thermal Resistance(R-Value)
Loose Fill Type Brand
Contractor's min installed weight/ft'_lb Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value)
6. ROOF
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Dec[ Hon
✓ I hereby certify that the above insulation was installed in the building at the above location in conformance with the
current Energy Efficiency Standards for residential buildings(Title 24,Part 6,California Code of Regulations)as indicated
on the Certificate of Compliance,where applicable.
Item#s Signature Date Installing Subcontractor(Co.Name)OR
(if applicable) O 6 12411 T-' General Contractor(Co.Name)OR Owner
OR Window Distributor
E
Item#s Signature Date Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR Window Distributor
Item#s Signature Date Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR Window Distributor
INSTALLATION CERTIFICATE (Page 2 of 12) CF-6R
Site Address i a ?rJ 16k-00114— Permit Number
(UPCA-71HO 619 — ?M/!j hlloltir�
An installation certificate is required to be posted at the building site or made available for all appropriate inspections.(The
information provided on this forth is required)After completion of final inspection,a copy must be provided to the building
department(upon request)and the building owner at occupancy,per Section 10-103(a).
FENESTRATION/GLAZING:
Manufactmer/Brand
Name Total
t t Quantity of Area Exterior
GROUP LIKE Product U-factorProdtct SNGC
p of LikeProduct Square Shading Device CatnmauR.ocarion/
Item RODU $ 5 CF-I R vahtc)2 (5CF-1 R value)2 Pans (Optional) Feet orOvcrhan Spec ial Feauuss
1• O'2/ 7r i r n
2. L2 L 1c4
3. 3 LT 4'
4. O '2-
5. .
T
5. I
6. G . 1
7. Ca I
8.
9.
10.
H.
12.
13.
14.
15.
p Use values from a fenestration product's NFRC label. For fenestration products without an NFRC label,use the default
values from Section 116 of the Energy Efficiency Standards.
2) Installed U-Factor must be less than or equal to values from CF-IR. Installed SHOC must be less than or equal to values
from CF-I R,or a shading device(exterior or overhang)is installed as specified on the CF-1 R. Alternatively,installed
weighted average U-factors for the total fenestration area are less than or equal to values from CF-I R. If using default table
SHGC values from§116 identify whether tinted or not
✓ ❑ I, the undersigned, verify that the fenestration/glazing listed above my signature: I) is the actual fenestration
product installed; 2) is equivalent to or has a lower U-factor and lower SHGC than that specified in the certificate of
compliance(Form CF-1 R)submitted for compliance with the Energy Efficiency Standards for residential buildings;and
3)the product meets or exceeds the appropriate requirements for manufactured devices(from Part 6),where applicable.
Item#s Signature Date Installing Subcontractor(Co.Name)OR
(if applicable) 1 v62/ General Contractor(Co.Name)OR Owner
% OR Window Distributor
Item#sISignature ate Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR Window Distributor
Item#s Signature Date Installing Subcontractor(Co.Name)OR
(if applicable) General Contractor(Co.Name)OR Owner
OR Window Distributor