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13080144N CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18651 CYNTHIA AVE CONTRACTOR: Tl3 'Tt7BE PERMIT NO: 13080144 JOE OWNER'S NAME: CINDY SUEHUI j DATE ISSUED: 10/24/2013 OWNER'S PHONE: 4088938007 b �� PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL / CONSTRUCT (N) 2 STORY SFD (3338 S.F.) WITH License ClassLic. #�/6— ATTACHED GARAGE (443 S.F.) & PORCH (200 S.F.) � ^� Contractor ( ((�— SUNNYVALE SANITARY I hereby affirm that I am licensed under the provisions of Chapter.9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the p ormance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $660000 ave and will maintain Worker's Compensation Insurance, as provided for by ction 3700 of the Labor Code, for the performance of the work for which this APN Number: 37523004.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN AYS OF PERMIT ISSUANCE ®R to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the / / Issued by: Date: /Y granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9A& gt /� RE -ROOFS: Signature Date ( k7 All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, l agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons:. ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one. of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.1.2 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I.have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which .emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupert'no Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 255 , 2 , and 25534. - Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. if, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and "state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCH➢TECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18651 CYNTHIA AVE OWNER'S NAME: CINDY SUEHUI OWNER'S PHONE: 4088938007 ❑ LICENSED CONTRACTOR'S DECLARATION License Class E> a "` Lic. # ?� 432--- Contractor ?,6,nCin, j Date le _;y. 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 yy1 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the t1 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18, Date CONTRACTOR: 360 CONSTRUCTION 3315 SAN FELIPE RD SAN JOSE, CA 95131 PERMIT NO: 13080144 DATE ISSUED: 10/24/2013 PHONE NO: 408-338-7788 BUILDING PERMIT INFO: BLDG ELECT r PLUMB MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: CONSTRUCT (N) 2 STORY SPD (3338 S.F.) WITH ATTACHED GARAGE (443 S.F.) & PORCH (200 S.F.) SUNNYVALE SANITARY Sq. Ft Floor Area: I Valuation: $660000 APN Number: 37523004.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of' the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner f authoriz agent: Date: A0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professiona CUPERTONO ❑ NEW CONSTR PROJECT ADDRESS CONSTRUCTION PERMIT APPL11CAT110H ED COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE e CUPERTINO, CA 95014-3255 (408) 777-3228 e FAX (408) 777-3333 ^ buildinW!a cupertino.orq UCTION L_J ADDITION L TION/T1 U REVISION /DEFERRED ORIGINAL PERMIT # /` ur,,P, APN # 1 dc5'- 1 � - `J b 4- OWNERNAME ' nt� ( PHONE Q,)y LICENSE NUMBER 14 230 C' E-MAILn'�dV CJ,�� COMPANY NAME E-MAIL STREET ADDRESS I O C•I�� 1� sorer ���v� CITY, STATE, ZIP r0 FAX EXISTING USE CONTACT NAME TYPE #STORIES PHQNE�� !� �C ` v 6 USE TYPE OCC. SQXT. VALUATION (S) EXISTG AREA NEW FLOOR DEMO AREA AREA S�'REET ADDRESS WET O UV c C Tq AnTATE, Z� d�z 9// O FAX I'm, 17 (/ bO 00Z BATHROOM KITCHEN OTHER ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME (AgLICENSE NUMBE E�TYTE BUS. LIC # COMPANY NAME E-MAIL FAX CrJ ®Oo PORCH AREA AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH L ATTACHa STREET ADDRESS3,6� a.#D!4 EL INGUNIT�DECK : C S� ZA/V, - _, SECOND TORY ❑YES PH D� COW— ARCHITECT/ENG. EER NAME LICENSE NUMBER 14 230 C' BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USECONSTR TYPE #STORIES !� �C ` v 6 USE TYPE OCC. SQXT. VALUATION (S) EXISTG AREA NEW FLOOR DEMO AREA AREA TOTAL NET AREA UV f2 I'm, 17 (/ bO 00Z BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA 44-3 CrJ ®Oo PORCH AREA AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACHa a.#D!4 EL INGUNIT�DECK : ISASECOND UNrr ❑YES SECOND TORY ❑YES j` BEING ADDED? []NO ADDITION? [:]NO PRE -APPLICATION ffYES IF YES, PROVIDE COPY OF IS THE BLDG AN [] YES RECEr TO{TAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO Y_ jC)oroL/2 f CII By my signature below, 1 certify to each of the following: I am the property owner or authorize ag to act on theme 'r erty owner's behalf. have read this application and the information I have provided is correct. I have read the Description of Work and verify it is rate. I agree to comply with all applicable local ordinances and state laws relating to build g construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: n Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP (" OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building (" permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD ❑ PUBLIC WORKS _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR SANITARY SEWER DISTRICT submittal of Building Permit application. CI ENVIRONMENTAL HEALTH B1dgApp_201 Ldoc revised 06/21/11 COW— CITY OF CUPERTINO FM_7 FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE IID CONSTR. s.f. R-3 (Custom) II-B,111-B,IV,V-B 3,981 $3,177.15 IR3PLNCK $3,386.60 IR3INSP TOTALS: 3,981 $3,177.15 $3,386.60 ADDRESS: 18651 CYNTHIA AVE Photib. Plan Check DATE: 08/20/2013 REVIEWED BY: MELISSA Elec. Peonk Fee: APN: 375 23 004 BP#: *VALUATION: 1$660,000 *PERMIT TYPE: Building Permit Elee. Insp, Fee: PLAN CHECK TYPE: New Construction PRIMARY USE: SFD or Duplex 2nd Unit? Yes ' No PENTAMATION PERMIT TYPE: 1 R3SFD WORK CONSTRUCT N 2 STORY SFD 3338 S.F. WITH ATTACHED GARAGE 443 S.F. & PORCH 200 SCOPE S.F.) Suppl. Insp. Fee:(F) Reg. Q OT F070 OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE IID CONSTR. s.f. R-3 (Custom) II-B,111-B,IV,V-B 3,981 $3,177.15 IR3PLNCK $3,386.60 IR3INSP TOTALS: 3,981 $3,177.15 $3,386.60 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the Preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 a. 7/1/12) 114i�ch. Plan Check Photib. Plan Check Elec. Plan (heck Fk>ch. Pencil Fac: Plumb. Permil Fee: Elec. Peonk Fee: Other Uec:h. Insp. 011ier Plumb Insp.L] Other Elec. Insp. Hech. Insp. Fr•.e: Plumb. hap. Fee: Elee. Insp, Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the Preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 a. 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,177.15 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Feer E) Reg. 0 OT 10701 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,386.60 Suppl. Insp. Fee:(F) Reg. Q OT F070 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONsTAxR 1 # new units $647.24 Administrative Fee: 0 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: 1PLLONGR $557.34 Select a Non -Residential Building or Structure E) Travel Doculnentalion F"ees: Strong? Motion Fee: 1BSEISMICR $66.00 Select an Administrative Item Bldg Stds Corn mission Fee: 1BCBSC $27.00 SUBTOTALS: $7,861.33 $0.00 TOTAL FEE: $7,861.33 Revised: 07/01/2013 Buillaling (Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: PERMIT # OWNER'S NAME: PHONE #�- GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: jg nr-pillieeCITY/ZIPCODE: 4,41yS' *Our municipal code requires/all businesses working in the city to have a City of Cupertino business license. NO BUILDING (FINAL OR (FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPIERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: (Date cy Contractor Signature (Date SUBCONTRACTOR BUMNIESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Contractor Signature (Date CUPIER70HO 1Buulld ing Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777- 333 �'j 09 16l JOB ADDRESS: S'. Qr . PERMIT # OWNER'S NAME: IBUSff MESS LffCIEINSIE # ONE # zz GENERAL CONTRACTOR: S USINESS LICENSE # g ADDRESS: CITY/ZIPCODE: *Our municipal code requires all (businesses working in the city to have a City off Cupertino (business license. 1N® BUILDING FINAL OR ]FINAL OCCUPANCY INSPECTION(S) WILL HE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPIER'd INO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: )[Date V SUBCONTRACTOR IBUSff MESS RAMIE IBUSff MESS LffCIEINSIE # Cabinets & Millwork 3 4 Cement Finishing Electrical Excavation �� riev Ccr rvd-ra 4-q a 2, Fencing e, n t¢ - Flooring / Carpeting Linoleum / Wood 0 v V11 Cbv a,,, Glass / Glazing r Z p Heating I -rL A` h D 1 O o v 2-6 Insulation - ��' �y�, 2A o a Landscaping uu A' 9 2i Lathing Masonry —5 4 $ 2-, Painting / Wallpaper C, C.2 a5 Paving Plastering Ja 6, 3 Z Plumbing -31 Roofingn (,p -1S 2-315- Septic Tank Sheet Metal�, i h �, , t9J D L7 53 ?"09 Sheet Rock ° Tile G ®earner / Contractor Signature /-:; CI �. Date Project Name: � to Kgb—id2h cei 130 D C 4 Project Address: C``f duo Project Description: �i,� `j ; 3•�,�_!� Complete all lines of Section 1 —"Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2010 California Green Building Standards Code as adopted by the City of Cupertino. Owner's Signature Owner's Name (Please Print) Design-ProfessionaI's Signature Design Professional's Name (Please Print) of License Professional responsible for CalGreen compliance Name of License Professional responsible for CalGreen compliance (Please Print) I Email Address for License Prof Tonal responsible for CalGreen compliance Date f Date 0124- C < Date Phone Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2010 California Green Building Standards Code as adopted by the City of Cupertino. of License Professional responsible for CalGreen compliance Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License for CalGreen compliance M. Phone Page 5 of 5 CafGreen_2010.doc revised 08/27/11 Cooling Equipment Equip. CEC Certified Compressor # of Efficiency Duct Cooling Cooling Type (pkg. Unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity beat 12umi2l M41 YUU3ber Systems > 4q (Btuzhrl 1. > reads greater than ua to. I, the undersigned, verify that equipm nt listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficie than that specified in the cert Icate of compliance (Form CF -IR) submitted for compliance with the Energy ici cy Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for a actured devices,.(from the Appliance Efficiency Regulations or Part 6), where applicable. gnature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATERS HEATING SYSTEMS: Distribution If Recir- # of Rated' Tank Effi- External Heater CEC Certified Mfr Type (Std, culation, Identical Input (kW Volume ciency' Standby' Insulation Tye Name & Model Number Point -of -Use) Control TyEe Systems or Btu/hr) (gallons EF RE Loss (%) R -value' 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58. ]Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-23 (]Page >t of 13) (CIF -6R Site Address `g ­(Q �,1 6X V11 \ w` 0- kvt— Permit Number �0._� An installation certificate is required 4o be posted at the building site or made available for all ap opriate inspections. (Th information provided on this form is required; however, use of this form to provide the info do ' . _ tip!a,1. After completion of final inspection, a copy must be provided to the building department (upon re nest) and gIl ow_—�bat occupancy, per Section 10-103(b). U HVAC SYSTEMS: Heating Equipment Equip. # of Efficiency Duct Duct o Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Heating Heating Load Capacity Cooling Equipment Equip. CEC Certified Compressor # of Efficiency Duct Cooling Cooling Type (pkg. Unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity beat 12umi2l M41 YUU3ber Systems > 4q (Btuzhrl 1. > reads greater than ua to. I, the undersigned, verify that equipm nt listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficie than that specified in the cert Icate of compliance (Form CF -IR) submitted for compliance with the Energy ici cy Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for a actured devices,.(from the Appliance Efficiency Regulations or Part 6), where applicable. gnature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATERS HEATING SYSTEMS: Distribution If Recir- # of Rated' Tank Effi- External Heater CEC Certified Mfr Type (Std, culation, Identical Input (kW Volume ciency' Standby' Insulation Tye Name & Model Number Point -of -Use) Control TyEe Systems or Btu/hr) (gallons EF RE Loss (%) R -value' 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58. ]Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-23 I NSTAILILATRON (CE11 TR FI CAT E (]Page 2 of R3) (CIF -6R Site Address FENESTRATION/GLAZING: Product Product U -Factor' (5 SHGC' (5 N of ct"'_�-t)germft Number 10 0 141 Total Quantity of Like Exterior Shading Product Square Device or Comments/l.acation/ i . _WU 6��3� 1p.o 2• a -�3 �3 — 3 3. Q _cz,q 0.3'� 7. 9. _ 10. 11. 12. —_ 13. _ 14. _ 15. ' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the default values from Section 116 of the Energy Efficiency Standards. Installed U -Factor must be less than or equal to values from CF-I'R. Installed SHGC must be less than or equal to values from CF -1R; or a shading device (exterior or overhang) is installed as specified on the CF -IR. Alternatively, installed weighted average U -Factors for the total fenestration area are less than or equal to values from CF -1R. I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) 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 -IR) submitted for mpliance with the Energy Efficiency Standards for residential buildings; and 3) the product meets or exceeds th propriate req r nts for manufactured devices (from Part 6), where applicable. �� � ate.• Item #sSi ature, Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor .1111 n� (if applicable) 11111 MS (if applicable) Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. blame) OR Owner OR Window Distributor Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2009 A-24 al QAJ 8 6"Cacae6•a a �.�._ _ �_ ._21 Site Address r Pry �, , r Permit Number / 3 I!�' L' / An installation certificate is required 4o be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) 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(b). HVAC SYSTEMS: Heating Equipment Equip. !t of Efficiency Duct Duct or Heating Heating Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Load Capacity heat numn) and Model Numhu Systems [>_CF -1 R v I mel (attic. etc.) R -value (Btu/hrl (owft) Cooling Equipment Equip. CEC Certified Compressor g of Efficiency Duct Cooling Cooling Type (pkg. Unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity heat oumn) Model Number Systems [; CM I R valud (attic. etc.) R -value (Btu/hrl (Btu/hr) l . > reads greater than or equal to. 1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution If Recir- N of Rated Tank Effi- External Heater CEC Certified Mfr Type (Std, culation, Identical Input (kW Volume ciencyr Standby' Insulation 122! Name & Model Number Point-of-Use)� Control T 'Systems or Btu/hr(gallons) (EF,RE)Loss °o R -value .(� �tx..l- 7-7 fib' �1 i ,1 _�-��- 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/[u), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58, IFaucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section l 11. I, the undersigned, verify that equipment listed above my signature is: () the actual equipment installed; 2) equivalent to or more effWes ihhifd in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Eesidential buildings; and 3) equipment that meets or exceeds the appropriate requiremen(from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date IVInstalling Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-23 RNSTALILATRON cC]ERTR FR(CAT E (Page 3 of 13) CF -6R Site Address /6;-6 S`, C ' .tkL'�-6L- Av'�e- . Permit Number DUCT LEAKAGE AND DESffGN DffAGNOSTffCS ® DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction <_ 0.06 2° 1 19�0957 Pass Fail ® For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: Yes ® No ® Pressure pan test or House pressurization test Yes ® No ® Visual Inspection of Duct Connections Pass Fail ® THERMOSTATIC EXPANSION VALVE I 01 Yes ® No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass Yes ® No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. Yes ® No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -IR. Measured Fan Flow = Yes for both I and 2 is a Pass C Pass Fail 02(/ 0 Pass Fail ® I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirement for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder emplo esu r sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Testsignature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-25 ffNS 'AILILATff C V (CIER'll'I[IF'I[(CA'll'IE (]Page 4 of 13) CIF -6R Site Address f ,F cp-�u � 4 -Ye ,. Permit ]Number R EIfi'I[8 G ERANT CHARGE AND AffRIF'IL®W MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Outdoor Unit Make Outdoor Unit Model Cooling Capacity Date of Verification Date of Refrigerant Gauge Calibration Date of Thermocouple Calibration y O Btu/hrj 26�l (must be checked monthly) (must be checked monthly) Standard Charge and Airflow Measurement (outdoor air da -bulb 55 OF and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) �10 OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) 70 OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) ! OF Evaporator saturation temperature (Tevaporator, sat) `� OF Suction line temperature (Tsuction, db) 4-4e°F Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF Superheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db - Tevaporator, sat l� OF Target Superheat (from Table 1) ! 0;-F Actual Superheat - Target Superheat OF (System passes if between -5 and +5°F) Temperature Split Method Calculations for Adequate Airflow Actual Temperature Split = T return, db - Tsupply, db °F Target Temperature Split (from Table 2) P-5 OF Actual Temperature Split - Target Temperature Split rrC °F (System passes if between -3°F and +3°F or, upon remeasurement, if between +3°F and -25°F) Standard Charge and Airflow Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated System Passes yes or no Compliance Forms August 2001 A-26 ffNS II'AILILATff ON C EI[gURCAT E (]Page 5 of 13) CF -6R Site Address f ec,ry 14- VQ , Alternate Charge and Airflow Measurement (outdoor air dry-bulb below 55 °F): Weigh -In Charging Method for Refrigerant Charge Actual liquid line length: Manufacturers Standard liquid line length: Permit ]Number /3 / pv / �- eft. Difference (Actual — Standard): 4f% ft. Manufacturers correction (ounces per foot) x diffe 1 length 2 flounces = add) - = remove) Measured Airflow Method for Adequate Airflow Airflow criterion: Cooling Capacity X 0.032 = CFM Measured Airflow is CFM and passes since it is greater than the criterion. Alternate Charge and Airflow Measurement Summary: System charge shall be corrected and it shall also pass measured adequate airflow criterion. System Passes 1! yes or no Compliance Forms August 2001 A-27 MTALLATMN CERTIFECATE (Page 6 of 13) CIF -6R Site Address � �J Cys-�c,��- � f/c? , Permit Number c41 ') abRe K -ll: Target Superheat (Suction Line Temperature tune - Evaporator Saturation Temperature) Compliance Forms August 2001 A-28 Return Air Wet -Bulb Temperature (°F) T -.-b) 50 1 51 1 52 53 54 55 56 1 57 58 59 1 60 1 61 62 63 64 65 66 67 68 1 69 70 1 71 1 72 73 1 74 1 75 76 55 8.8 1 10.1 1 11,5 12.8 14.2 15.6 17.1 18.5 20.0 21.5 23.1 1 24.6 26.2 1 27.8 1 29.4 31.0 1 32.4 33.8 35.1 1 36.4 37.7 39.0 40.2 41.5 42.7 1 43.9 45.0 56 8.6 8.3 7.9 7.5 7.0 9.9 9.6 9.3 8.9 8.4 11.2 11.0 10.6 10.2 9.8 12.6 12.3 12.0 11.6 11.2 14.0 13.7 13.4 13.0 1 12.6 15.4 15.1 14.8 14.4 1 14.0 16.8 16.5 16.2 15.8 15.4 18.2 17.9 17.6 17.2 1 16.8 19.7 19.4 19.0 18.6 18.2 21.2 20.8 20.4 20.0 19.6 22.7 22.3 21.9 21.4 21.0 24.2 23.8 23.3 22.9 22.4 25.7 25.3 24.8 24.3 23.8 27.3 26.8 26.3 25.7 25.2 28.9 28.3 27.8 27.2 26.6 30.5 29.9 29.3 28.7 28.1 31.8 31.3 30.7 30.1 29.6 33.2 32.6 32.1 31.5 1 31.0 34.6 34.0 33.5 32.9 32.4 35.9 35.3 34.8 34.3 33.7 37.2 36.7 36.1 35.6 35.1 38.5 38.0 37.5 36.9 36.4 39.7 39.2 38.7 38.3 37.8 41.0 40.5 40.0 39.5 39.1 42.2 41.7 41.3 40.8 40.4 43.4 43.0 42.5 42.1 41.6 44.6 44.2 43.7 43.3 142..9 57 58 59 60 w 61 6.5 6.0 5.3 - 7.9 7.4 6.8 6.1 5.4 9.3 8.8 8.3 7.6 7.0 10.7 10.2 9.7 9.1 8.5 12.1 11.7 11.1 10.6 10.0 13.5 13.1 12.6 12.0 11.5 14.9 14.5 14.0 13.5 12.9 16.3 15.9 15.4 14.9 14.3 17.7 17.3 16.8 16.3 1 15.8 19.1 18.7 18.2 17.7 17.1 20.5 20.1 19.6 19.0 1 18.5 21.9 21.4 20.9 20.4 1 19.9 23.3 22.8 22.3 21.7 21.2 24.7 24.2 23.6 23.1 22.5 26.1 25.5 25.0 24.4 23.8 27.5 27.0 26.4 25.8 25.2 29.0 28.4 27.8 27.3 26.7 30.4 29.9 29.3 28.7 28.2 31.8 31.3 30.7 30.2 1 29.7 33.2 32.7 32.2 31.6 1 31.1 34.6 34.1 33.6 33.0 32.5 35.9 35.4 34.9 34.4 33.9 37.3 36.8 36.3 35.8 1 35.3 38.6 38.1 37.7 37.2 36.7 39.9 39.4 39.0 38.5 1 38.1 41.2 40.7 40.3 39.9 39.4 42.4 42.0 41.6 41.2 40.8 62 63 64 65 '. ; L Q E 66 6.3 5.5 - 7.8 7.1 6.3 5.5 9.3 8.7 8.0 7.2 6.4 10.8 10.2 9.5 8.8 8.1 12.3 11.7 11.1 10.4 9.7 13.8 13.2 12.6 11.9 11.2 15.2 14.6 14.0 13.4 12.7 16.6 16.0 15.5 14.8 14.2 18.0 17.4 16.8 16.3 15.7 19.3 18.8 18.2 17.6 17.0 20.7 20.1 19.5 19.0 18.4 22.0 21.4 20.8 20.3 19.7 23.2 22.7 22.1 21.5 20.9 24.6 24.1 23.5 22.9 22.3 26.1 25.6 25.0 24.4 23.9 27.6 27.1 26.5 26.0 25.4 29.1 28.6 28.0 27.5 27.0 30.6 30.1 29.5 29.0 28.5 32.0 31.5 31.0 30.5 30.0 33.4 33.0 32.5 32.0 31.5 34.9 34.4 33.9 33.4 33.0 36.3 35.8 35.3 34.9 34.4 37.6 37.2 36.8 36.3 35.9 39.0 38.6 38.1 37.7 37.3 40.4 39.9 39.5 39.1 38.7 67 68 69 70 F `< mo ' E G v _L 71 5.6 - 7.3 6.4 5.6 - 8.9 8.1 7.3 6.5 5.6 10.5 9.8 9.0 8.2 7.4 12.1 11.4 10.7 9.9 9.2 13.6 12.9 12.2 11.5 10.8 15.0 14.4 13.7 13.1 12.4 16.4 15.8 15.2 14.5 13.9 j 17.8 17.2 16.6 15.9 15.3 19.1 18.5 17.9 17.3 16.7 20.3 19.7 19.2 18.6 18.0 21.7 21.2 20.6 20.0 19.4 23.3 22.8 22.2 21.6 21.1 24.9 24.3 23.8 23.2 22.7 26.4 25.9 25.4 24.8 1 24.3 28.0 27.4 26.9 26.4 25.9 29.5 29.0 28.5 28.0 27.5 31.0 30.5 30.0 29.5 29.1 32.5 32.0 31.5 31.1 30.6 34.0 33.5 33.1 32.6 1 32.2 35.4 35.0 34.6 34.1 33.7 36.9 36.5 36.0 35.6 35.2 38.3 37.9 37.5 37.1 36.7 72 73 74 75 Q U 76 - - - 6.6 5.7 - 8.4 7.5 6.7 10.1 9.3 8.5 7.7 6.9 .7 .0 .2 5 F 8.7 13.2 12.5 11.8 11.1 10.4 14.7 14.0 13.4 12.7 12.0 16.1 15.4 14.8 14.2 13.5 17.4 16.8 16.2 15.6 15.0 18.9 18.3 17.7 17.1 16.6 20.5 20.0 19.4 18.8 18.3 22.1 21.6 21.1 20.5 20.0 23.8 23.2 22.7 22.2 21.7 1 25.4 24.9 24.4 23.8 23.3 27.0 26.5 26.0 25.5 25.0 28.6 28.1 27.6 27.1 26.7 1 30.1 29.7 29.2 28.8 28.3 31.7 31.3 30.8 30.4 29.9 33.3 32.8 32.4 32.0 31.6 34.8 34.4 34.0 33.6 33.2 36.3 36.0 35.6 35.2 34.8 77 78 795.9 80 81 - - 6.0 5.2 - 7.9 7.1 6.3 5.5 9.7 8.9 8.2 7.4 6.6 11.3 10.612.2 9.9 9.2 8.5 12.9 11.6 10.9 10.3 14.3 13.7 13.1 12.5 11.9 16.0 15.4 14.9 14.3 13.7 1 17.7 17.2 16.6 16.1 15.5 19.4 18.9 18.4 17.8 17.3 21.1 20.6 20.1 19.6 19.0 22.8 22.3 21.8 21.3 20.8 24.5 24.0 23.5 23.0 22.6 26.2 25.7 25.2 24.8 24.3 27.9 27.4 26.9 26.5 26.0 29.5 29.1 28.6 28.2 27.8 31.2 30.7 30.3 29.9 29.5 1 32.8 32.4 32.0 31.6 31.2 34.4 34.0 33.7 33.3 32.9 82 83 84 85 86 - - - - 5.8 5.0 7.8 7.0 6.3 5.5 - 9.6 8.9 8.2 7.5 6.8 11.3 10.6 10.0 9.4 8.8 13.2 12.6 12.0 11.5 10.9 15.0 14.4 13.9 13.3 12.8 1 16.7 16.2 15.7 15.1 14.6 18.5 18.0 17.5 17.0 16.5 20.3 19.8 19.3 18.8 18.3 22.1 21.6 21.1 20.6 20.1 23.8 23.4 22.9 22.4 22.0 1 25.6 25.1 24.7 24.3 23.8 27.3 26.9 26.5 26.1 25.6 29.1 28.7 28.3 27.9 27.5 30.8 30.4 30.1 29.7 29.3 32.6 32.2 31.8 31.5 31.1 87 90 Compliance Forms August 2001 A-28 ENSTA LATR©N (CIERTE FE CAT E (Page 7 of 13) (CIF -6R Site AddressCyn 1Permit N umber 1310701-41--1 Table K -Il: Target Superheat (Suction Line Temperature re - Evaporator Saturation Temperature) (continued) Compliance Forms August 2001 A-29 Return Air Wet -Bulb Temperature (°F) eeM b 50 51 52 53 54 55 56 57 58 59 60 61 62 1 63 64 65 1 66 67 68 69 70 71 72 73 74 75 76 91 - - - - - - - - - - - - - - - - 6.1 5.4 - 8.1 7.5 6.8 6.2 5.6 10.3 9.8 9.2 8.7 8.1 12.2 11.7 11.1 10.6 10.0 14.1 13.5 13.0 12.5 12.0 15.9 15.4 14.9 14.4 13.9 17.8 17.3 16.8 16.3 15.8 19.7 19.2 18.7 18.2 17.8 21.5 21.1 20.6 20.2 19.7 23.4 22.9 22.5 22.1 21.6 25.2 24.8 24.4 24.0 23.6 27.1 26.7 26.3 25.9 25.5 28.9 28.5 28.2 27.8 27.4 30.8 30.4 30.1 29.7 29.4 92 93 94 95 d E 96 - - - - - - - - - 7.5 7.0 6.4 5.8 5.3 9.5 8.9 8.4 7.9 7.3 11.4 10.9 10.4 9.9 9.3 13.4 12.9 12.4 11.9 11.4 15.3 14.9 14.4 13.9 13.4 17.3 16.8 16.4 15.9 15.4 19.2 18.8 18.3 17.9 17.5 21.2 20.8 20.3 19.9 19.5 23.2 22.7 22.3 21.9 21.5 25.1 24.7 24.3 24.0 23.6 27.1 26.7 26.3 26.0 25.6 29.0 28.7 28.3 28.0 27.7 97 98 99 100 9 m' 0 8 F 101 - - - - - - - - - - - - - - - - - 6.8 6.2 5.7 5.2 - 8.8 8.3 7.8 7.2 6.7 10.9 10.4 9.9 9.3 8.8 12.9 12.4 11.9 11.5 11.0 15.0 14.5 14.0 13.6 13.1 17.0 16.6 16.1 15.7 1 15.2 19.1 18.6 18.2 17.8 17.4 21.1 20.7 20.3 19.9 19.5 23.2 22.8 22.4 22.1 1 21.7 25.3 24.9 24.5 24.2 23.8 27.3 27.0 26.7 26.3 1 26.0 102 103 104 105 j 106 - - - - - - 6.2 5.7 5.2 8.3 7.9 7.4 6.9 6.4 10.5 10.0 9.5 9.1 8.6 12.6 12.2 11.7 11.3 10.8 14.8 14.4 13.9 13.5 13.1 17.0 16.6 16.1 15.7 15.3 19.1 18.7 18.4 18.0 17.6 21.3 21.0 20.6 20.2 19.9 23.5 23.2 22.8 22.5 22.1 25.7 25.4 25.1 24.7 24.4 107 108 109 110 111 - - - - - - - - - - - - - 5.9 5.4 - 8.1 7.6 7.2 6.7 6.2 10.4 9.9 9.5 9.0 8.6 12.6 12.2 11.8 11.4 10.9 1 14.9 14.5 14.1 13.7 13.3 17.2 16.8 16.4 16.1 15.7 19.5 19.1 18.8 18.4 18.1 120.5 21.8 21.5 21.1 20.8 1 24.1 23.8 23.5 23.2 22.9 112 113 114 115 Compliance Forms August 2001 A-29 IINSTAILILATIION CERTIFICATE (]Page g of 13) CF -6R Site Address f �(�Sr' 6yn-f�/ eA'- !1 Ve- • Permit Number ,3/ &-Z) /V-/ Table K-2: Target Temperature Split (Return Dry -B uRb - Supply IIDn-gy-BuRb) Return Air Yet -]Bulb (°1F) ('II return, wb) 50 51 52 53 54 55 56 57 58 59 60 61 62 1 63 64 65 66 67 68 69 70 71 72 73 74 75 76 70 20.9 20.7 20.6 20.4 20.1 19.9 19.5 19.1 18.7 18.2 17.7 17.2 16.5 15.9 15.2 14.4 13.7 12.8 11.9 11.0 10.0 9.0 7.9 6.8 5.7 4.5 3.2 _ 71 21.4 21.3 21.1 20.9 20.7 20.4 20.1 19.7 19.3 18.8 18.3 17.7 17.1 16.4 15.7 15.0 14.2 13.4 12.5 11.5 10.6 9.5 8.5 7.4 6.2 5.0 3.8 21.9 21.8 21.7 21.5 21.2 20.9 20.6 20.2 19.8 19.3 18.8 18.2 17.6 17.0 16.3 15.5 14.7 13.9 13.0 12.1 11.1 10.1 9.0 7.9 6.8 5.6 4.3 72 v 22.5 22.4 22.2 22.0 21.8 21.5 21.2 20.8 20.3 19.9 19.4 18.8 18.2 17.5 16.8 16.1 15.3 14.4 13.6 12.6 11.7 10.6 9.6 8.5 7.3 6.1 4.8 73 F 23.0 22.9 22.8 22.6 22.3 22.0 21.7 21.3 20.9 20.4 19.9 19.3 18.7 18.1 17.4 16.6 15.8 15.0 14.1 13.2 12.2 11.2 10.1 9.0 7.8 6.6 5.4 74 23.6 23.5 23.3 23.1 22.9 22.6 22.2 21.9 21.4 21.0 20.4 19.9 19.3 18.6 17.9 17.2 16.4 15.5 14.7 13.7 12.7 11.7 10.7 9.5 8.4 7.2 5.9 75 76 24.1 24.0 23.9 23.7 23.4 23.1 22.8 22.4 22.0 21.5 21.0 20.4 19.8 19.2 18.5 17.7 16.9 16.1 15.2 14.3 13.3 12.3 11.2 10.1 8.9 7.7 6.5 77 - 24.6 24.4 24.2 24.0 23.7 23.3 22.9 22.5 22.0 21.5 21.0 20.4 19.7 19.0 18.3 17.5 16.6 15.7 14.8 13.8 12.8 11.7 10.6 9.5 8.3 7.0 78 - - - 24.7 24.5 24.2 23.9 23.5 23.1 22.6 22.1 21.5 20.9 20.2 19.5 18.8 18.0 17.2 16.3 15.4 14.4 13.4 12.3 11.2 10.0 8.8 7.6 79 0 - - - - - 24.8 24.4 24.0 23.6 23.1 22.6 22.1 21.4 20.8 20.1 19.3 18.5 17.7 16.8 15.9 14.9 13.9 12.8 11.7 10.6 9.4 8.1 - - - - - - 25.0 24.6 24.2 23.7 23.2 22.6 22.0 21.3 20.6 19.9 19.1 18.3 17.4 16.4 15.5 14.4 13.4 12.3 11.1 9.9 8.7 80 L 81 - - - - - - - 25.1 24.7 24.2 23.7 23.1 22.5 21.9 21.2 20.4 19.6 18.8 17.9 17.0 16.0 15.0 13.9 12.8 11.7 10.4 9.2 - - - - - - - 25.2 24.8 24.2 23.7 23.1 22.4 21.7 21.0 20.2 19.3 18.5 17.5 16.6 15.5 14.5 13.4 12.2 11.0 9.7 82 - - - - - - - - - 25.3 24.8 24.2 23.6 23.0 22.3 21.5 20.7 19.9 19.0 18.1 17.1 16.1 15.0 13.9 12.7 11.5 10.3 83 - - - - - - - - - 25.9 25.3 24.8 24.2 23.5 22.8 22.1 21.3 20.4 19.5 18.6 17.6 16.6 15.6 14.4 13.3 12.1 10.8 84 Compliance Forms August 2001 A-30 ENSTAL]LATEON (CIERTE FE CAT E (Mage 9 of 13) CF -6R Site Address 1,:? --6 S1 Ave— ?ermit Number 1 ? /9-/ DUCT t - DUCT ]LO CATM AND AREA R EDU CTffON MAGN®M(CS ® DUCT IN CONDITIONED SPACE Yes ® No Duct in conditioned space criteria matches CF -1R n/ Yes is a Pass Pass Fail ® REDUCED DUCT SURFACE AREA Measured duct exterior surface area ip the following unconditioned duct locations (square feet): Attics Crawlspaces Basements Other (e.g., garages, etc.) Yes ® No Duct surface area matches CF -1 R? Yes is a Pass Pass Fail 1:11, the undersigned, verify that the duct surface area and duct locations claimed for duct surface area reductions and duct location improvements beyond those covered by default assumptions match those on the plans. [The builder shall provide the HERS provider a copy of the CF;,6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requiem is for compliance credit.] Tests 4tignature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-31 ffNSTALLATM (CIERTUff(CAT E (]Page 11 of 13) CIF -6R Site Address 19- S / 6y) A Ve The following is an explanation of many of the input values required on this form: HVAC SYSTEMS ]Ei[eating E ui ment Type ne of the following: Permit ]'dumber /,3 / 0-6 / 4- / umace Gas (including Liquefied Petroleum Gases) or oil -fired central furnace & space heater Boiler: Gas or oil -fired boiler PckgHeatPump: Packaged central heat pump SplitHeatPump: Split central heat pump RoomHeatPump: Room heat pump LgPkgHeatPump: Large packaged heat pump (>_ 65,000 Btu/hr output) Electric: Electric resistance heating (fixed HSPF = 3.413); radiant electric resistance (fixed HSPF = 3.55) CombinedHydro: Reference water heater under water heating systems below CEC Certified Manufacturer Mame & Model Number from applicable Commission approved appliance directory. # of Identical Systems is for those systems with the same efficiency, duct location, duct R -value and capacity. Efficiency from applicable Commission certified appliance directory. ](Duct (or Piping) Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none. ](Duct (or Piping) R -Value from Directory of Certified Insulation Materials and/or manufacturer's data. Heating/Cooling ]Load refer to Commission approved load calculation procedure. Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over 2,000 ft above sea level require a derating of output capacity (refer to manufacturer's literature). Cooling Equipment Type must be one of the follow ng- SplitAirCond: Split system air conditioner PckgAirCond: Packaged air conditioner Split Heat Pump: Split system heat pump PckgHeatPump: RoomHeatPump: Packaged heat pump Room heat pump LgPkgHeatPump: Large packaged heat pump (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available RoomAirCond: Room air conditioner. Minimum SEER varies* LgPkgAirCond: Large packaged air conditioner (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available EvapDirect: Direct evaporative cooling system. For compliance calculation purposes, fixed values: SEER = 11.0; duct location = attic; duct insulation R -value = 4.2 EvapIndirect: Indirect evaporative cooling system. For compliance calculation purposes, fixed values: SEER = 13.0; duct location = attic; duct insulation R -value = 4.2 *Refer to Energy Commission publication Appliance Efficiency Regulations, P400-92-029 Compliance Forms Aygust 2001 A-33 MTALLATM (CERTM CA TE (Page 12 of 13) (CF -6R Site Address The following is an explanation of many of the input values required on this form: WATER HEATING SYSTEMS Distribution Systems Refer to Residential Manual for more details: Permit Dumber / 3 / Uv/q-/ Standard: Standard — Supply pressure based system, no pumps Pipe Insulation: Pipe Insulation on all 3/4 -inch pipes POU/HWR: Recirc/NoControl: Point of Use/Hot Water Recovery System Recirculation loop with no controls Recirc/Timer: Recirculation loop with a timer Recirc/Temp: Recirculation loop with temperature control Recirc/Time+Temp: Recirculation loop with a timer and temperature control Recirc/Demand: Recirculation loop with demand control Water Heater Tyne Storage Gas, Oil or Electric Heat Pump Instantaneous Gas Instantaneous Electric Large Storage Gas Indirect Gas (Boiler) FENESTRATION/GLAZING Information Needed Energy Factor Recovery Efficiency Standby Rated Input Yes No No No Yes No No No No Yes No No Yes No No No No Yes Yes Yes No Yes (AFUE) No Yes Fenestration: Windows, sliding glass doors, French doors, skylights, garden windows, and any door with more than one square foot of glass Operator Type: Slider, hinged, fixed U -Factor: Installed U -Factor must be less than or equal to value from CF -1R OR Installed weighted average U -Factor for the total fenestration area is less than ore ual to value from CF -1R SHGC: Installed SHGC must be less than or equal to value from CF -1R OR Installed weighted SHGC for the total fenestration area is less than or equal to value from CF -1R OR An interior shading device, overhang, or exterior shading device is installed consistent with the CF -1R Shading Device: Include when the building complied using an exterior shading device: woven sunscreen, louvered sunscreen, low sun angle sunscreen, roll -down awning, roll -down blinds or slats (do not list bug screen), or an overhang (include depth in feet Compliance Forms August 2001 A-34 M7A L.IL.AMN C E1187MCA7 E (Page 13 of 13) (SIF -6R Site Address Permit Number 13/0v /Y-( The following is an explanation of many of the input values required on the Diagnostic portion of this form (page 3 of 6): TYPE OF CREDIT Refer to Residential Manual Chapters 4 and 5 for more details: Reduced Duct Surface Area: Calculated as the outside area of the duct. Areas must be measured and verified by a HERS rater. Improved Duct Location: Supply duct located in other than attic, as verified by location of registers (does not require HERS rater verification). Catastrophic Leakage: Pressure pan test readings must be less than 1.5 Pascal at a house pressure of 25 Pascal. TXV: Access cover required to facilitate verification. Infiltration Reduction: Infiltration is measured without mechanical ventilation operating. Mechanical ventilation is required for very tight house construction when credits for infiltration reduction using diagnostic testing are being used for achieving compliance. These very tight houses are defined as those with SLA of less than 1.5. The compliance documentation (CF -1R) will contain the measured CFM target value from a blower door test at 50 Pascal pressure difference that represents this SLA of 1.5. Mechanical ventilation is also required if the builder chooses to design the building to use mechanical ventilation and claims a credit for infiltration below an SLA of 3.0. The compliance documentation (CF -1R) will contain the measured CFM target value that represents this 3.0 SLA. If the builder claims credit in a design for infiltration reduction that is at an SLA of 3.0 or higher, and the actual measured SLA is 1.5 or greater, then mechanical ventilation is not required. If the SLA in this case were below 1.5, then mitigation (such as mechanical ventilation) would be required. Compliance Forms August 2001 A-35 INS'TALLA'TION CERTIFICATE Ducts and ]Fans ClF-6R-MECH-04 Waae I of 2) Site Address: Enforcement Agency: Permit Number: � � S %�-i�-14 V,0, it3jov/ W Space Conditioning Systems Heating Equipment Equip Type (package- heat um CEC Certified Mfr. Name and Model Number ARI Reference Number 2 # of Identical Systems Efficiency (AFUE, etc.)" I (>CF -IR valueY' Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load Btu/hr(Btu/hr) Heating Capacity c/ -1;1qGC IcAtoo I c 000) as Cooling Equipment Equip Type (package heat um CEC Certified Mfr. Name and Model Number ARI Reference Number 2 # of Identical Systems Efficiency (SEER and EER) 1'' (>CF -1R value)" Duct Location (attic, crawl- space, etc. Duct R -value Cooling Load Btu/hr Cooling Capacity Btu/hr I c 000) '" t¢ moi - 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:llwww. aridirectory. org/ari/ac.php# 3. Listed efficiency on this page must be greater than or equal (>_) to the value shown on the CF -1 R form. 4. When CF -11? is reference it is also applicable to the CF -IR, CF -1R -AA or CF -1R -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ❑ §110-§113: HVAC equipment is certified by the California Energy Commission. ❑ §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ❑ § 150(1): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of § 112(c). ❑ §1500)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 CIF-6R-PJ[i EcCH-®4 Space Conditioning S (Page � of �gF Site Address: Enforcement Agency: Permit Number: Ducts and ]Fauns §150 ): Duct and Fans 1. All air -distribution system ducts and plenums installed, seated 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 181B 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 co oration of mastic and either mesh or tape shall be used; and 19 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 a reductions in the cross-sectional area of the ducts. 12D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive d?ucapes unless such tape is used in combination with mastic and draw bands. ,,. Exhaust fan systems have back draft or automatic dampers. Ud 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually op ated dampers. 10 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 wat retardant and provides shielding from solar radiation that can cause degradation of the material. 10. Flexible ducts cannot have porous inner cores. DECLARATION STATEMENT o I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. 0 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). o 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. o I 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 -1 R that apply to the installation have been met. o 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. 10, Company Name: QlAstalling Subcontractor or General Contractor or Builder/Owner) 1/lfl? ;;67� [ -; LYUN /ROG V/A/ -e� / /// Responsible Person's Name: Responsible P so e• CSLB License: Dat Sign7,:� Position W Company (Title): V-13 Z-1�o�d C � 2008 Residential Compliance Forms August 2009 INSTALLATION CER TR FIICAT E r F-6R-ILTG-01 Residentlai Lighting (Page Toff 3 Site Address: Enforcement Agency: Permlt Number: A i )tt a V �,r (?.i tit LP 1. ]Kitchen Lighting Does nroiect include kitchen liehtin¢? M Yes, complete section 1 ❑ No, go on to section 2 'M Yes § 150 3: The wattage of permanently installed luminaires (lighting fixtures has been determined asspecified by §130(d). 1,�4 Yes ❑ 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 es: MYes ❑ NA Wattage has been calculated as 180 watts of low efficacy lighting r blank electrical box. §150(k)8 ]Kitchen Lighting must comply with either method (a), (b), or (c) below: (a) All high efficacy luminaires Yes com lies 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 D Yes, complies because at least 50% of the installed watts are from permanently installed high efficacy luminaires is demonstrated in the table below: Total A > Total B. 0 No, complies with method (a) or (c). Fill out the following table if complying with either method (b) or (c). ')cable (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 j >_ B ❑ No, complies with method (a) or (b). Additional kitchen low efficacy lighting is available only if all of the following are true: 0 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. R 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. Tablle fe) Use 50 W for dwelling units:5 2,500 i From the Table in b Use 100 W for dwelling units > 2,500 f? Add Yes/No ? A B C A+C Is (A+Q >B? 2. Lighting Internal to Cabinets Does project includes lighting internal to cabinets? ❑ Yes, complete section 2 ❑ No go on to section 3 ❑ Yes. 8150fk19: Permanently installed liehtine internal to cabinets uses < 20 watts of Dower ner linear foot of illuminated cabinet. 2008 Residential Compliance Forms August 2009 Efficacy Luminaire TI a Hi Low Watts x Quantity= Hi Efficacy Watts or Low EfficacyWatts t rias 00d, )k ❑ x /0 _ � i) or 1 ❑ ❑ x = or ❑ ❑ x = or ❑ ❑ x = or ❑ ❑ x = or Complies with method (b) if A > B Total: A: �, > B: j0 (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 j >_ B ❑ No, complies with method (a) or (b). Additional kitchen low efficacy lighting is available only if all of the following are true: 0 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. R 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. Tablle fe) Use 50 W for dwelling units:5 2,500 i From the Table in b Use 100 W for dwelling units > 2,500 f? Add Yes/No ? A B C A+C Is (A+Q >B? 2. Lighting Internal to Cabinets Does project includes lighting internal to cabinets? ❑ Yes, complete section 2 ❑ No go on to section 3 ❑ Yes. 8150fk19: Permanently installed liehtine internal to cabinets uses < 20 watts of Dower ner linear foot of illuminated cabinet. 2008 Residential Compliance Forms August 2009 N INSTALLATION CERTIFICATE CF -6R -LTG -01 Residential Lighting a e 2 off 3 Site Address: Enforcement Agency:Perm* Number: SSI 7 3. Installed Devices and Components Have Been Certified to the Energy Commission Does the project include any of the devices or components listed below? ❑ Yes, complete section 3 ❑ No, go on to section 4 ❑ Yes §119 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 Comnlete section 4 J4Yes ❑ NA §150(k)7A: Permanently installed low efficacy luminaires are controlled by switches separate from those controlling high efficacy luminaires. 99 Yes ❑ 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. ® Yes 0 NA § 150(k)7C: All permanently installed luminaires are switched with readily accessible controls that permit the luminaires to be manually switched on and off. Yes ❑ NA §I50(k)7D: All lighting controls have been installed in accordance with the manufacturer's instructions. 9 Yes 0 NA § 150(k)7E: Ali 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) Dnec the nrniert inrlude the installetinn of anv htminsirec (indoor nr nutdnor)9 Yes, complete section S 0 No, go on to section 6 }1Yes, high efficacy luminaire classification has been determined according to § 150(k)1, and low efficacy luminaire classification has been determined according to § I50(k)2. )� Yes ❑ NA §150(k)4: Fluorescent lamps rated 13 watts or greater have an electronic ballasts having an output frequency no less than 20 kHz. ❑ Yes W NA § 150(k)S: 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 150-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. 0 Yes RNA §150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, meet the applicable requirements of §150(k). ❑ Yes fjl NA 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? KI Yes, complete the rest of section 5 ❑ No, go on to section 6 1i1 Yes, §150(k)12: Luminaires that are recessed into insulated ceilings meet all of the following conditions: JR Yes, are listed, as defined in §101, for zero clearance insulation contact (IC) by UL or ocher nationally recognized testingtrating laboratory, and 5A 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 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 1;7 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 nroiect include permanently installed luminaires in anv room that is not a kitchen? �I Yes, complete section 6 ❑ No, go on to section 7 Yes ❑ NA §150(k)10: Permanently installed luminaires in bathrooms, garages, laundry rooms, closets > 70 f12, and utility rooms are high efficacy luminaires OR are controlled by a vacancy sensor. Yes ❑ NA §150(k)l1: 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 vacancv sensor. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-LTG0I Residential Lighting ft e 3 of 3 Site Address: Enforcement Agency: Permit Number: 7. Outdoor Lighting Does the nroiect include anv nermanentiv installed outdoor liQhtinQ? ,F9 Yes, complete section 7 ❑ No, go on to section 8 %I. Yes ❑ NA §150(k)13: Luminaires providing outdoor lighting, including outdoor lighting for private patios on low-rise residential buildings Responsibl ture: with four or more dwelling units; entrances, balconies, and porches, and which are permanently mounted to a r6sidential D to Signed: building or to other buildings on the same lot are high efficacy luminaires OR are controlled by a manual on/off switch, plus a C—tv 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 5f NA Exception 2: Low efficacy outdoor luminaires used to comply with.Exception 1 to § 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 1 to §150(k)13. ❑ Yes W 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 §148, OR do not contain a screw -base socket and consume no more than 5 watts of power as determined according to §130(d). ❑ Yes b NA §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 8 (&No, 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 § 119(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 -1 R) form approved by the enforcement agency that identifies the specific requirements for the installation. 1 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 permii(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 io be Included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) y�svu� Responsible Person's Name: Responsibl ture: CSLB License: D to Signed: Position With mpany (Title): C—tv 2008 Residential Compliance Forms August 2009 YNSTA LlLATION C ERTI[lFICAT]E CF -6R -ENV -01 Envelope — Insulation; Roofing; Fenestration (Page I of 3) Site Address: Enforcement Agency: Permit Number: 1 c v►�~1����, �{- t c����,,� (f more than one person has responsibility for installation o%the items on this certificate, each person shall prepare and sign a certfcate applicable to theportion of construction for which they are responsible; alternatively, the person with cltief responsibility for construction shall prepare and sign this certificatc jb?- the entire construction. AH applicable Mandatory Measures with check boles require to be checked to ensure the mandatory measures have been met. Description of Insulation 1. RAISED FLOOR Material: j—t �3 ��l Items Brand Name: Ju dti-n.3 u"A Thickness (inches): 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 pemi/inch and shall be protected from physical damage and UV light deterioration. 3. EXTERIOR WALL a. Insulation ype (e.x. Batt, Loose Fill, Spray Foam) a. Thermal Resistance (R -Value): b.. Insulation Type (e.x. Batt, Loose Fill, Spray Foam) b. Thermal Resistance (R -Value): Brand: �21 Spray/Loose fill) Installed Actual Thickness Spray/Loose fill) (inches): Contractor's min installed weight/ftz Ib 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: Thickness (inches) 4. FOUNDATION WALL Material: Thickness (inches): Brand Name: Thermal Resistance (R -Value) Brand Name: Thermal Resistance (R -Value): 5. CEILING Lj Batt or Blanket Type: Brand Name: Ims I'hQ� Ut �{v Loose Fill Type: Thermal Resistance (R -Value): Spray Foam Type: Brand Name: Installed Actual Thickness (inches): Contractor's min installed weight/ftz Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): ❑ § 150(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): ❑ § I IS(a): Insulation installed meets Standards for Insulating Material. ❑ § 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16 V 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF -6R -ENV -01 Envelope — Insulation; Roofing; ]Fenestraflon (Page 2 of 3) Site Address: A e _ 1 Enforcement Agency: Permit Number: Description of R ofing Products CRRC Product ID Manufacturer Manufacturer/Brand Name (GROUP LIKE RODUCTS) Product Roof Roof Product Initial Solar Aged Solar Thermal Number' Information Brand/Model Type Area Sloe Weight t Reflectance Reflectance- Emittance 2 ❑3 3 ❑3 4 ❑3 5 1. The CRRC Product ID .Number can be obtained front the Cool Roo%Rating Council's Rated Product Directory at w•tv. cooh•oofs. org/prod acts%search. plip 2. The weight in lbs per square feet 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 d+e aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the directory and use the equation (0.2;-0.7( t„ilial – 0.2) to obtain a calculated aged value. .,,OCHECK APPLIC.4BLE BO.1' BELOIV 1F EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF” REQUIREMENT: Cl The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with a Weight of at least 25 lb/ft2 is exempted from the above Cool Roof criteria. To apply Liquid Field Applied Coatings, the coating must be applied with a uiininitun diy mil thickness of 20 mils across the entire roofstirface and meet minimum perforntancerequireinents listed in §118(i)3 and Table 118-C. Select the applicable coatin ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other ✓ ❑ CRRC-1 Label Attached to CF -6R (Note if no CRRC-1 label is available, this compliance method cannot be used and another method it required to meet compliance). FENESTRATION/GLAZING Item Manufacturer/Brand Name (GROUP LIKE RODUCTS) Product U- factor' Product SHGC' # of Panes NFRC Certified+ ' Total Quantity of Like Product (Optional) Area ft2 Add. Exterior Shading Dev. or Overhang Comments/ Location/ Special Features 1 2 3 4 5 6 7. 8. 1. Use values from a fenestration product's NFRC Certified Label. Forfenesn•adon products without an NFRC label, use the default values from Section 116, Table 116-A and 116-B of the 1008 Energy Efliciency Standards. 1. NFRC Label Certificates shall not be removed until the building inspector has verified the of icienc •. Enter Yes or No. ❑ § 1 16(a)1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. Cl §I 16(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 -IR). ❑ § 116(x)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 § 10-11 l(a) ❑ § 117: Exterior doors and windows weather-stripped: all joints and penetrations caulked and sealed. 2008 Residential Compliance Fornis Atigust 2009 INSTALLATION CERTIFICATE CIF-6R-IENV-01 Envelope — Insulation; Roofing; ; ]Fenestl: atIlon (Page 3 of 3) Site Address: Enforcement Agency: Permit Number:C . / 3 lo -o le i DECLARATION STATEMENT 0 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. 0 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). 0 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. o 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 -1R that apply to the installation have been met. 0 1 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. Compan 'ame: (Installing Subcontractor or General Conttraacc�tor or Builder/Owner) AN" Z J f�1.1 7 fin !/c ResponsiblgPerson's Namfe:J Responsibe rso e- /_IG ✓72 Zi% CSLB License: Date Signed: Position with Company (Tic e 112 fj --- r 2008 Residential Compliance Forms August 2009 — Insulation, Roofnz, Fenestration 2 of Site Address; Enforcemenz Agency: Peet Number: I S 6 5; i tl f1A A Qk, VQ- ea.plev-410 1 /3 / a -z> I (�- I Descri tion of R ofing Products CRAC'Pruduct ID Manufactumr Product U- factor' Product Roof Roof Product Initial Solar Aged Solas Tlien+val Nurnbcr Inforn ativn Brand/Model T Arca Slo Wein}1t 2 Reflectance_ Rellectance° emittunt2 2 0 go 3 4 5 6 1. The CRRC Product ID !Number cant be sbta ned from the Cool Roof Rating Council's Rated Product Directory at wiv, coofroofs. otglproducts/search. php 2. The weight In lbs per square feet of the roofing product tieing installed. I Check box if the Aged Reflectance is a calculated value using the equation below, footttote 4. 4. If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory thea use the initial reflectance value fro,.: 6 directory and use the a uaiion (0.2+0.7— — t).l to obtain a calculated a d value. ✓DCHECK APPLICABLE BOXBELOW IF EXEWT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMEM:• ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool Roof criteria. I ❑ .Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb! is exempted from the above Ceal Roof Criteria. To apply Liquid Field Applied Coatings, the coating neat be applied with a minimum dpy tail thickness of 20 mails across the entire roof 'swface aiyd meet minimum gLfformance requirements listed inf 118(i 3 and Table 118-C Select the applicable coating © Alurz um -Pi ented A halt Roof Coating 13 Cement -cased Roof coatin ®Other V ® CRRC-1 Label Attached to CF -6R ate if no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet cote fiance . FENESTRATION/GLAZING Item Manufacturer/Brand Name GROUP LIKE RODUCTS Product U- factor' Product SHGC' # of Panes NFRC Certified" Total Qusatity of Like Product ( bona !!seta fl? Add. Exterior Shading Dev. or tZverltart C®mrncnt; l "tiely Spzc4LI Peatu�� i 2 3 4 5 6 7. 8, 1. Use values from a fenestration product's WRC Cergfned Label, For fenestrulion products without an NFIZC lab --I, use the default valuesfrwn Section 116, .Ta-,% 116-A and 116-B of the 2008 Energy Efficiency Standards. 2.1VFRC Label Cert" tcates shall not be removed until the, buildin ins ector has veri ed the ietnc .Enter Yes or leo. ❑ §116(a)l: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ § 116(a)2 and. 3: Actual fenestration products installed are equivalent to or have a lower U -factor and/Gr a lower SHGC than that spzcified en the Certificate of Compliance (Form CF -1 R). O § 116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -1 -actor, certified Solar Meat Gain Coefficient (SHGC), and infiltration that meets the requirements of §10-1 r 1(a) ❑ § 1.1?: Exterior doors and windows weather-stripped; all joints and .penetrations caulked and sealed 2008 Residential CornDliance Forms A umzvt 70170 Site Address: — Insulation; Roofwg; Fenestration (Page 2 OT 3) Enforcement Agency:I Permi(� I Number: : A� Description of ofing Products FSTRATIQN/GLAZING Mc Product ID Manufacturer Product U- factor' Noduet PIC*f Roof Product laitial Solar Aged Solar Therm -1 Number` Information I3randlMoilel TYM AMC, 31 YJei t s Refalectt4ance Reflectance Emitta= 2 (� ®3 ; 000 Vim, { 5 6 1. 7'he CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Cmmcll's Rated Product Directory at n w.coolroofs.otglpmductslsearch.php 2. The weight in lbsger squarefeet of the roofing product�eing 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 theta use the initial reflectance wlue front dw directory and use the equation 0.2+0.7glial ^ 0.?2 to obtain a calculated tt ed value �Z7f71ECKAPPLtcABLE BoXBELt)wiFE.1'Ei tPrFRoV TH.E ROOFWG PRODUCT "COOL ROOF" g�QU1RE1t FM. Cl The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Carol Roof criteria. Ci Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/W is exempted from the above Cool Roof criteria. To apply Liquid Field Applied Cotttings, the coating must be applied with a mininhum dry mil tlhichshess of 2O nails across the entire roof s46t:t' t fk4 meet minimumperformance mance re 'rements listed its 118 3 and Table 118-C. Select the applicable coating © Aluminum-Pigniented Asphalt Roof Coating 13 Cement -Based Roof Coating 13 Other 10 CRRC-1 Label Attached to CF -6R (Note i no CRRC-1 label is available, this cor liunce method cannot bre used and another method is Leguired to meet com liance . FEl' FSTRATIQN/GLAZING items Manufacturer/Brand Name GROUP LIKE RODUCTS Product U- factor' Product SHGC' # of Panes NFRC Certified'' Ztiosaa Total Quantity of Like Preduct Area ffr Add. Exterior Shading Div. or Overhang Latttina! S izl Pcatu z; ; 2 3 4 5 6 1. 9. 1. Use values from a fenestration product's JVFRC t?ertifled Label. For fenestration pnducts without an MFRC label, use the default values from Section 116, Tefe 116-A and J 16-B of the 2008 Energy Efficiency Standards. 2. NFRC Label Certificates shall not be removed until the buildtn inspector has veri cd the efficiency. Enter Yes or No. 0 §116(a)1: Doors and windows between conditioned and unconditionedspaces designed to limit air leakage. 0 § l 16(a)2 and 3: Actual fenestration products installed are equivalent to or .have a lower U -factor and/or a lower SHGC than that speed an the Certificate of Compliance (Form CF -1R). ®§ 11 ta(u)t: Fenestrakian products. (oxcept field -fabricated Win do1ws) have a label listing the certified U -Factor, certified Solar Heat min Coefficient (SHGC), and infiltration that meets thetegnirements of §10-111(a) 0 § 117: Exterior doors and windows weather-stripped: all joints and penetrations caulked and sealed. 2008 Residential Compliance Forms Avimict 7ano EIMVeRoe -- lInsulavolmd@1 1W Yt>r®e�T1°iI LIl®iIIi tl 3 d 3) ,Sits-, �c� 9 t'rJ"PAnirlca Matt � �ney, Permfftt Nu mbeir: /, c cN I OF-CLAM'nOW STATEMENT o I certify under penalty of per ury, under the laws of the State of California, the infomation provided on this form is true and correct. o I arrr 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). o I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforrns to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcernent agency. o T 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 -1R that apply to Ilse installation have been msz. o I will ensure that a completed, signed copy of this QmtFUz6om Cesfflcate shnfl lea poster, or rnuffc onflob1z wIIN tf3 besW,-42 permlt(s) Issued for the building, mnd rnnde ovzli ble to the enTorcem:2nt agency for all npplheoble IcVecefba& If underap-nd t bnt o signed copy of this I nstniindon Certificate is required to be included with the documento0on Oe buRder provides to tlbe bWldl33 owner at occupancy. 9 INSTALLATION CERTIFICATE C]F-6R-IECH-0Il Domestic Hot WaterIID43II (Page 10 � Site Address: Enforcement Agency: Permit Number: G S( Cyn •-4L'CA— Ala . , -2, / rev / 4t l 1. WATER HEATING SYSTEMS: Heater Type CEC Certified Mfr Name & Model Number Distribution Type (Std, Point -of- Use etc) If Recirculation, Control Type # of Identical Systems Rated Input (kW or Btd r)t(gallons) Tank Volume Efficiency (EF, RE)� Standby Loss 'AAVk A. 0. s m t, eA G oskk ` o V 0,3 AWL(- ttjzsM 1.Q? � S, 0 0 SG- p �% Note l: 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 ofgreater 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 H 'E(§ ,'O COMPLY - ALL BOXES MUST BE CHECKED IJ §110-§113: Water heaters, showerhead and faucets are certified by the California Energy Commission. § 1500): 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 ®/ B. Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-16 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 ❑ 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 -1R, 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 C F-6II8-1i<i[IECH-01 � Domestic Hot Water (IIDHW) (Pa e Site Address: Enforcement Agency: Permit Number: 3. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive) '1�<O COMPLY - ALL BOXES MUST BE CHECKED I� All hot water piping in main circulating loop is insulated to requirements of § 1500) ® Central 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 1500) ® Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature control DECLARATION STATEMENT U I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. U 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). o 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. U 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 -IR that apply to the installation have been met. o 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) � ,r QTS , 04 0 - Responsible Persons Name: Responsible Person's Signature: ' : CSLB License: Date SigIl Position With Company (Title: Vy 'f-- 2008 Residential Compliance Forms August 2009 (CIEIlBUR(CA'>I'IE ®IF (C®MIFILUN CIE: R ESM EN'll'1TAIL (Page 1 of 3) (CIF -7111 Project Title/� l Date / IPA, %A�n� -A A V � . ., l tit,/1 -A ect Documentation Author Telephone Compliance Method (Package or Computer) Climate Zone Building Permit # Plan Check / Date Field Check / Date GENERAL IIINIFORMATR®IN Total Conditioned Floor Area ft, Average Ceiling Height: ft Conditioned Slab Floor Area ftz Building Type: Singe Family Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one) Number of Stories Number of Dwelling nits: Floor Construction Type: Slab tsed Flo (circle one or both) RADIANT BARRIER (required in climate zones 2,4,8-151 Required for this submittal_ yes BUILDING DING IEINV EII OPE INSULATION no V`/ h Component Type Frame Type wd = wood stl = steel Cavity Sheathing Total R- Assembly Location/Comments Insulation Insulation Value' U -Factor' (attic, garage, typical, etc.) R -Value R -Value Wall Wall Roof W 3 Roof Floor Floor Slab Edge ' For prescriptive compliance. Total R -Value and Assembly U -Factor are not required for a wood -framed wall that meets cavity R -value insulation requirements for the Prescriptive Package. FENESTRATION Shading Devices Fenestration Orien- Area Fenestration Fenestration Exterior Overhangs/ #/T e/Pos. tation(ft') U -Factor SHGC Shading Att. Fins Front Front Left Left Rear Rear Right Right Skylight Skylight Compliance Forms August 2001 A-2 (CIERUR(CAT E OF (CO PMAN(CIE: R ESM ENUAIL (Page 2 of 3) CF -IR Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value Type (split or package) Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct heat pump, evap. cooling) (SEER) (attic, etc.) R -Value r0oV/, AZ(oAJce t 3 -2.�1 SEALED )(DUCTS and TXVs (or Alternative Measures) L7 Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required) I/TXVs, readily accessible (climate zones 2 and 8-15 only) ,(Installer testing and certification and HERS Rater or field verification required) L"1 Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) OR / ' Heat Pump Thermostat Configuration Type (sol it oroackaQe) ❑ Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window U -Factor SEER Heating WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation T e Type in System or Btu/hr(gallons) Efficiency Loss % R -Value I. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES (add extra sheets if necessary). Package C and IID: TXVs, Sealed Ducts, Radiant ]farriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual). Package C: thermal amass (thermal mass type, covering, thickness, and description). Compliance Forms August 2001 A-3 (CIERUR CAST E OF (C®IYIIMA N CIE:RIESM ENTEAIL (CIF -IR COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer o(u' Owner (per Business and /Professions Code) !I Name: A09-1 I - les 4f - Title/Finn: 09.11 6U �� Address: .J� �� 4 Telephone: J 62 Documentation Author Name: Title/Firm: Address: Telephone: Lie. #: SS X -, I4 (si e) (date) (signature) (date) Enforcement Agency Name: Title: Agency: _ Telephone: (signature / stamp) (date) Compliance Forms August 2001 A-4 �3 00l BULMNG ENERGY ANALYSM REPORT CUP DRpa�oe�� wilding e PROJECT: aEviE�>,iEi� rUl� VUDE �Ui�►PLi Hsu Residence 18651 Cynthia Ave. Cupertino, CA 95014 Project Designer: H.I.C. Associates, LLP 12280 Saratoga -Sunnyvale Rd #209 Saratoga, CA 95070 408-446-8418 Report Prepared by: H.M.C. Associates, LLP 0 Job Number: 13-008 Date: 8/17/2013 3�e� \QU��o zo,�� The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 bV EnergVSoft User Number: 6518 RunCode: 2013-08-17T18:29:46 ID: 13-008 11 TABLE OF CONTENT Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary Room Load Summary Room Heating Peak Loads Room Cooling Peak Loads Form ECON-1 Energy Use and Cost Summary Form UTIL-1 R Utility Incentive Worksheet EnergyPro 5.1 by EnergySoft Job Number: ID: 13-008 User Number: 6518 1 2 3 3 11 13 15 17 19 20 M PERFORMANCE CER II OCA E: ResidentW Part 1 of 5 CF -9 R Project Name Hsu Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 1811712013 Date Project Address 18651 Cynthia Ave. Cupertino California Energy Climate Zonond. CA Climate Zone 04 e Floor Area Total C3,338 Addition n/a # of Stories 2 MELD I1NSIPEC1I1ON ENERGY CHECKLIST ❑ Yes E] No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. E] Yes EI No Special Features -- If Yes, see Part 2 of 5 of this form for details. iNSULATi®N Construction Ty2e Area Special Cavity (ft),, Features (see fart 2 off 5) Status Roof Wood Framed Attic R-38 2,116 Radiant Barrier Venting New Wall Wood Framed R-21 2,589 New Door Opaque Door Insul 48 New Floor Wood Framed w/Crawl Space R-19 2,120 New Door Wood Framed R-13 43 New FENESTRATION U- Exteruor Orientation Area(ft) Factor STC ®verfu�Sideffins Shades Status Skylight 2.0 0.340 0.33 none none None New Front (W) 188.0 0.390 0.37 2.0 2.010.0 Bug Screen New Left (N) 198.5 0.390 0.37 2.0 2.0/0.0 Bug Screen New Right (S) 175.5 0.390 0.37 2.0 2.010.0 Bug Screen New Rear (E) 193.5 0.390 0.37 2.0 2.0/0.0 Bug Screen New Skylight 2.0 0.390 0.37 none none None New HVAC SYSTEMS Ct . Heating Alin. Effff Cooling Min. fEtff Thermostat Status 1 Central Furnace 90% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 90% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DGTR f UTION Location Heatin ®acct Co®Biro ®acct Location R -Val ue Status HVAC 1 Ducted Ducted Crawlspace 6.0 New HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 6.0 New WATER HEATWG Ot . Type Gallons Alin. Effff Distribution Status 1 Small Gas 75 0.52 Kitchen Pipe Ins New EnergyPro 5.1 by Energ Soft User Number: 6518 RunCode: 2013-08-17T18:29:46 ID: 13-008 Page 3 of 20 PERFORMANCE C ERTOCATE. ResWenlW (Part 2 of 5) CF -1 R Project Name Hsu Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 8/17/2013 SPEML FEATURES NSPECTM CHEC KL MT The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof R-38 Roof Attic 1/150 Vent Area requires verification. HERS REWRED VER11PICATI]OW] Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Ener Pro 5.1 by Ener Soft User Number: 6518 RunCode: 2013-08-17T18:29:46 ID: 13-008 Page 4 of 20 PERFORMANCE ORMANCE C ERT CATS: Reside ift'(Part 3 of 5) C F -I R Project Name Building Type ®Single Family ❑Addition Alone Date Hsu Residence7 ❑ Multi Family ❑ Existing+ Addition/Alteration 8/17/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 16.62 14.09 2.53 Space Cooling 9.52 8.07 1.44 Fans 4.87 4.46 0.41 Domestic Hot Water 11.84 13.09 -1.26 Pumps 0.00 0.00 0.00 Totals 42.85 39.71 3.13 Percent Better Than Standard: 7.3% SUOLONNO CSO ]PLI]GB o MOO HERS VIER1]VOC Z%vilom GREQUI]IRED Fenestration Building Front Orientation: (tM 270 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (tM 1,060 188 Fuel Available at Site: Natural Gas (N) 693 199 Raised Floor Area: 2,120 (E) 989 194 Slab on Grade Area: 0 (S) 693 176 Average Ceiling Height: 9.0 Roof 2,120 4 Fenestration Average U -Factor: 0.39 TOTAL: 760 Average SHGC: 0.37 Fenestration/CFA Ratio: 22.8% REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company H.M.C. Associates, LLP 8/17/2013 Address Name City/State/ZipCity/State/Zip Phone Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company H.M.C. Associates, LLP��j� Cv, r d &Address — 12280 Saratoga -Sunnyvale Rd #209 Name Mike Chen IC���%� V�"l City/State/Zip Saratoga, CA 95070 Phone 408-446-8418 Signed License # Date Ener Pro 5.1 by Ener Soft User Number., 6518 Run Code: 2013-08-17718:29:46 ID: 13-008 Pa e 5 of 20 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Hsu Residence Building Type m Single Family 0 Multi Family ❑ Addition Alone ❑ Existing+ Addition/Alteration Date 8117/2013 OPAQUE SURFACE DETAILS 244 0.069 R-21 180 Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 858 0.025 R-38 0 30 New 4.2.1-A21 Zone 1 2,078 Wall 465 0.069 R-21 270 90 New 4.3.1-A6 Zone 1 4.4.1-A4 Door 48 0.500 Insul 270 90 New 4.5.1-A3 Zone 1 0.069 R-21 Wall 237 0.069 R-21 0 90 New 4.3.1-A6 Zone 1 Wall 244 0.069 R-21 180 90 New 4.3.1-A6 Zone 1 Floor 2,078 0.037 R-19 0 180 New 4.4.1-A4 Zone 1 Wall 450 0.069 R-21 90 90 New 4.3.1-A6 Zone 1 Door 43 0.102 R-13 90 90 New 4.3.1-A3 Zone 1 Wall 359 0.069 R-21 270 90 New 4.3.1-A6 Zone 2 Wall 258 0.069 R-21 0 90 New 4.3.1-A6 Zone 2 Wall 303 0.069 R-21 90 90 New 4.3.1-A6 Zone 2 Wall 274 0.069 R-21 180 90 New 4.3.1-A6 Zone 2 Floor 42 0.037 R-19 0 180 New 4.4.1-A4 Zone 2 Roof 1,2581 0.025 R-38 I I I I 1 01 30 1 New 14.2.1-A21 IZone 2 FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Skylight 2.0 0.340 NFRC 0.33 NFRC 0 New Andersen Permashield Zone 1 2 Window 142.0 0.390 NFRC 0.37 NFRC 270 New Milgard Classic Low -E Vinyl Zone 1 3 Window 150.5 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low -E Vinyl Zone 1 4 Window 143.0 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low -E Vinyl Zone 1 5 Window 91.5 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low -E Vinyl Zone 1 6 Window 46.0 0.390 NFRC 0.37 NFRC 270 New Milgard Classic Low -E Vinyl Zone 2 7 Window 48.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low -E Vinyl Zone 2 8 Window 102.0 0.390 NFRC 0.37 NFRC 90 New Milgard Classic Low -E Vinyl Zone 2 9 Window 32.5 0.390 NFRC 0.37 NFRC 180 New Milgard Classic Low -E Vinyl Zone 2 10 Skylight 2.0 0.390 NFRC 0.37 NFRC 0 New Milgard Classic Low -E Vinyl Zone 2 (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Len H t LExt I RExt Dist Len I H t Dist Right Fin Len Hat 1 None 1.00 2 Bug Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 3 Bug Screen 0.76 5.0 5.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 4 Bug Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 5 Bug Screen 0.76 8.0 8.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 6 Bug Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.11 2.0 0 0.0 0.0 0 7 Bug Screen 0.76 0.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 8 Bug Screen 0.76 4.5 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 9 Buq Screen 0.76 5.0 0.0 2.0 0.1 2.0 2.0 0.1 2.0 0 0.0 0.0 0 10 None 1.00 J20 Ener Pro 5.1 by Ener Soft User Number: 6518 RunCode: 2013-08-17718:29:46 ID: 13-008 Page 6 of CHER MICATE OF C OMPUANC E: ResWeMW (Part 5 of 5) CF -1 R Project Name Hsu Residence Building Type ® Single Family ❑ Addition Alone 0 Multi Family ❑ Existing+ Addition/Alteration Date 8117/2013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built HVAC 1 Zone 1 2,078 18,702 HVAC 2 Zone 2 1,260 11,340 Totals 3,338 0 0 0 HVAC SYSTEMS System Name Qty. HeatingT e Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC 1 1 Central Furnace 90% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC 2 1 Central Furnace 90% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Cooling Duct Location R -Value Ducts Tested? Status HVAC 1 Ducted Ducted Crawlspace 6.0 ❑ New HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 6.0 ❑ New WATER HEATING SYSTEMS S stem Name 01y. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status A.O. SMITH FPS -75-230 1 Small Gas Kitchen Pipe Ins 75,000 75 0.52 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control E E 2 uJ a- Hot Water Piping Length ft o m a y ¢ System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried Ener Pro 5.1 )y EnerqySoft User Number: 6518 RunCode: 2013-08-17718:29:46 ID: 13-008 Page 7 of20 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF®1 R Project Name Date Hsu Residence 8/17/2013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage §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 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -613 Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §150(j)1 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. , §150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §150(j)2: 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. §150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. §150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number.' 6518 RunCode: 2013-08-17T18:29:46 ID.' 13-008 Page 8 of 20 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Hsu Residence 8/17/2013 §150(m)1: All air -distribution system ducts and plenums installed, are 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 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 reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)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 cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tae is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: 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. §150(m)10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANS I/ASHRAE, Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool ,water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 . Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. §150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 6518 RunCode: 2013-08=17718:29:46 ID: 13-008 Page 9 of 20 MANDATORY ®RAY MEASURES SUMMARY: Residential Pa e 3 of 3 MF_1 R Project Name Date Hsu Residence 8/17/2013 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §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. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number: 6518 RunCode: 2013-08-17718:29:46 ID: 13-008 Page 10 of 20 HVAC SYSTEM IHC ATUG AND COMING LOADS SUMMARY Project Name Date Hsu Residence 8/17/2013 System Name Floor Area HVAC 1 2,078 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 704 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 73,000 17,239 209 687 25,392 Total Output (Btuh) 73,000 0 Output Btuh/s ft 35.1 412 1,060 Cooling System 0 0 Output per System 40,500 0 0 0 0 Total Output Btuh 40,500 0 209 0 Total Output (Tons) 3.4 412 1,060 Total Output (Btuh/s ft) 19.5 Total Output s ft/Ton 615.7 18,063 27,513 Air System CFM per System 1,385 HVAC EQUIPMENT SELECTION Airflow cfm 1,385 Sears N9MP1080F16** 33,249 5,903 73,000 Airflow cfm/s ft 0.67 Airflow cfm/Ton 410.4 Outside Air (%) 0.0% Total Adjusted System Output 33,249 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 5,903 Aug 3 PM 73,000 Outside Air cfm/s ft 0.00 Jan 1 AM Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF 69 OF 69 OF 105 OF Outside Air 0 cfm Supply Fan Heating Coil 104 OF 1,385 cfm ROOM 69 OF 70 OF I COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak) 86/67°F 78/62°F 78/62°F 55/54°F Outside Air 0 cfm Supply Fan Cooling Coil 55 / 54 OF 1,385 cfm i �❑ 40.6% 3 9100H r 78/62°F 78/62°F U E. EnergyPro 5.1 by EnergySoft User Number: 6518 RunCode: 2093-08-97798:29:46 ID: 13-008 Page 11 of 20 HVAC SYSTEM HEATM AND C00UNG LOADS SUMMARY Project Name Hsu Residence Date 8/17/2013 System Name HVAC 2 Floor Area 1,260 ENGINEERING CHECKS SYSTEM LOAD Number of Systems Heating System Output per System Total Output Btuh Output Btuh/s ft Cooling System Output per System Total Output Btuh Total Output ons Total Output Btuh/s ft) Total Output s ft/Ton 1 COIL COOLING CFM Sensible 44,000 Total Room Loads 437 10,748 44,000 Return Vented Lighting 0 34.9 Return Air Ducts 352 Return Fan 0 46,500 Ventilation 0 0 46,500 Supply Fan 0 3.9 Supply Air Ducts 352 36.9 325.2 TOTAL SYSTEM LOAD 11,452 PEAK COIL HTG. PEACE Latent CFM Sensible 684 350 13,088 557 0 0 0 0 684 0 557 14,201 Air System CFM per System 1,720 HVAC EQUIPMENT SELECTION Airflow cfm 1,720 Sears N9MP1050B12" 37,719 7,278 44,000 Airflow cfm/s ft 1.37 Airflow cfm/Ton 443.9 Outside Air % 0.0% Total Adjusted System Output 37,719 Outside Air cfm/s ft 0.00 (Adjusted for Peak Design conditions) Note: values above given at ARI conditions TIME OF SYSTEM PEAL( 7,278 Aug 3 PM 44,000 Jan 1 AM HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28 OF Outside Air 0 cfm 70 OF 70 OF 105 OF 105 OF t I Heating Coil Supply Fan 105 ° F 1,720 ch ROOMr, 70 °F .,.7 COOLING SYSTEM PSYCHROMETICS (Airstream Temperatures at Time of Cooling Peak 86/67°F Outside Air 0 cfm 78/62°F 78/62°F 55/54°F 55/54°F TH Cooling Coil Supply Fan 55 / 54 OF 1,720 cfm 40.9% j ROOM y iROOM 78/62°F --Ir-- EnergyPro 5.1 by EnergySoff User Number: 6518 RunCode: 2013-08-17T18:29:46 ID: 13-008 Page12 of 20 ROOM LOAD SUMMARY Project Name Hsu Residence Date 8/17/2013 System Name HVAC 1 Floor Area 2,078 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible CFM Sensible Zone 1 Zone 1 1 704 17,239 209 704 17,239 687 25,392 1209 PAGE TOTAL 704 17,239 209 687 25,392 TOTAL ' 704 17,2391 209 687 25,392 " Total includes ventilation load for zonal systems. Ener Pro 5.1 by Ener Soft User Number: 6518 Run Code: 2013-08-17718:29:46 ID: 13-008 Pae 13 of 20 ROOM LOAD SUMMARY Project Name Hsu Residence Date 8/17/2013 System Name HVAC 2 Floor Area 1,260 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name Room Name Mult. CFM Sensible Latent CFM Sensible Latent CFM Sensible Zone 2 Zone 2 1 437 10,748 684 437 10,748 684 350 13,088 PAGE TOTAL 437 10,748 684 350 13,088 TOTAL ' 437 10,7481 684 350 13,088 " Total includes ventilation load for zonal systems. Ener Pro 5.1 by Ener Soft User Number: 6518 RunCode: 2013-08-17718:29:46 ID: 13-008 Pae 14 of 20 ROOM HEATNIG PEAK LOADS Project Name Hsu Residence Date 78/17/2013 ROOM INFORMATION DESIGN CONDITIONS Room Flame Zone 1 Floor Area 2,078.0 ft' Indoor Dry Bulb Tem erature 70 OF Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area U -Value X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X AT *F = = = = = = = c = = = _ = = = = = = = = = = = = = = = = = = 42 Btu/hr R-38 Roof Attic 858.0 X 0.0250 42 901 Andersen Permashield 2.0 X X 0.3400 42 29 R-21 Wall 1,395.3 0.0690 42 4,044 Insulated Metal Door 48.0 X 0.5000 42 1,008 Milgard Classic Low -E Vinyl 527.0 X 0.3900 42 8,632 R-19 Floor Crawlspace 2,078.0 X 0.0370 42 3,229 Wood Door 42.7 X 0.1020 42 183 X X X X X X X X X X X X X X X X X X X X X X X X Items shown with an asterisk (`) denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction through an interior surface to X 2,078 X Area Ceiling another room 9.00 X 0.522 Height ACH Page Total /60] X AT 18,025 = 7,367 TOTAL HOURLY HEAT LOSS FOR ROOM 25,392 EnergyPro 5.1 by EnergySoft User Number: 6518 Run Code: 2013-08-17T18:29:46 ID: 13-008 Page 15 of 20 BOOM HEATING PEAK LOADS Project Name Hsu Residence Date 8/17/2013 ROOM INFORMATION DESIGN CONDITIONS Room Name Zone 2 Floor Area 1,260.0 ft' Indoor Dry Bulb Temperature 70 OF Time of Peak Jan 1 AM Outdoor Dry Bulb Temperature 28 OF Conduction Area X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X to Ceiling U -Value X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X AT °F = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = 42 Btu/hr R-21 Wall 1,193.5 0.0690 42 3,459 Milgard Classic Low -E Vinyl 230.5 0.3900 42 3,776 R-19 Floor Crawlspace 42.0 0.0370 42 65 R-38 Roof Attic 1,258.0 0.0250 42 1,321 Items shown with an asterisk (') denote conduction Infiltration:[ 1.00 X 1.077 Schedule Air Sensible Fraction through an interior surface X 1,260 X Area another room 9.00 X 0.522 Height ACH Page Total /60] X AT 1 8,621 = 4,467 TOTAL HOURLY HEAT LOSS FOR ROOM 13,088 EnergyPro 5.1 by EnergySoft User Number. 6518 RunCode: 2013-08-17T18:29:46 ID: 13-008 Page 16 of 20 RESIDENTIAL ROOM COMING LOAD SUMMARY Project Name Date Hsu Residence 8/17/2013 ROOM INFORMATION DESIGN CONDITIONS Room Name Zone 1 Outdoor Dry Bulb Temperature 86 OF Floor Area 2,078.0 ft2 Outdoor Wet Bulb Temperature 67 OF Indoor D BulbTem erature 78 °F Outdoor Dail Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R-38 Roof Attic (N) 858.0 X 0.0250 X 37.0 = 794 R-21 Wall 465.0 X 0.0690 X 13.0 = 417 Insulated Metal Door 48.0 X 0.5000 X 13.0 = 312 R-21 Wall (N) 236.5 X 0.0690 X 3.0 = 49 R-21 Wall (S) 244.0 X 0.0690 X 6.0 = 101 R-19 Floor Crawlspace 2,078.0 X 0.0370 X 4.0 = 308 R-21 Wall (E) 449.8 X 0.0690 X 13.0 = 403 Wood Door (E) 42.7 X 0.1020 X 13.0 = 57 X X = Page Total 2,440 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Skylight (N) 0.0 X 14.0 ¢ 2.0 X 60.3 = 121 Front Windows (W) 42.6 X 15.1 k 99.4 X 37.2 = 4,346 Left Windows (N) 0.0 X 15.1 + 150.5 X 15.1 = 2,272 Right Windows (S) 143.0 X 15.1 + 0.0 X 20.4 = 2,159 Rear Window (E) 17.2 X 15.1 + 74.3 X 37.2 = 3,028 X + X - X + X - X + X - X X - Page Total 11,926 Internal Gain Btu/hr- tu/hrOccu Occupants ants 2.0 Occupants X 230 Btuh/occ. = 460 Equipment 1.0 Dwelling Unit X 1,600 Btu = 1,600 Infiltration: 1.077 X 0.73 X 128.67 X = 813 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 17,239 Latent Gain Btulhr Occupants 2.0 Occupants X 200 Btuh/occ. = 400 Infiltration: 4,830 X 0.73 x 128.67 x -0.00042 = -191 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 209 Ener Pro 5.1 by Ener Soft User Number: 6518 RunCode: 2013-08-17718:29:46 ID: 13-008 Pae 17 of 20 RESMENTIALL ROOM COMING ING L OAA SUMMARY Project Name Date Hsu Residence 1 8/17/2013 ROOM INFORMATION DESIGN CONDITIONS Room Name Zone 2 Outdoor Dry Bulb Temperature 86 OF Floor Area 1,260.0 ft2 Outdoor Wet Bulb Temperature 67 OF Indoor Dry Bulb Tem era4ure 78 OF Outdoor Daily Range: 30 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R-21 Wall (W) 359.0 X 0.0690 X 13.0 = 322 R-21 Wall (N) 258.0 X 0.0690 X 3.0 = 53 R-21 Wall (E) 303.0 X 0.0690 X 13.0 = 272 R-21 Wall (S) 273.5 X 0.0690 X 6.0 = 113 R-19 Floor Crawlspace 42.0 X 0.0370 X 4.0 = 6 R-38 Roof Attic (N) 1,258.0 X 0.0250 X 37.0 = 1,164 X X = X X = X X = Page Total 1,930 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Window F (W) 13.8 X 15.1 + 32.2 X 37.2 = 1,408 Window L (N) 0.0 X 15.1 + 48.0 X 15.1 = 725 Window B (E) 34.0 X 15.1 + 68.0 X 37.2 = 3,046 Window R (S) 32.5 X 15.1 + 0.0 X 20.4 = 491 Skylight (N) 0.0 X 15.6 + 2.0 X 67.6 = 135 X + X - X + X - X ¢ X - X + X - Page Total 5,805 Internal Gain Btu/hr Occupants 4.0 Occupants X 230 Btuh/occ. = 920 Equipment 1.0 Dwelling Unit X 1,600 Btu = 1,600 Infiltration: 1.077 X 0.73 X 78.02 X = 493 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 10,748 Latent Gain Btu/hr Occupants 4.0 Occupants X 200 Btuh/occ. = 800 Infiltration: 4,830 X 0.73 X 78.02 X 0.00042 = -116 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIL FOR ROOM 684 Ener Pro 5.1 by Ener Sok User Number: 6518 RunCode: 2013-08-17718:29:46 ID: 13-008 Pae 18 of 20 ENERGY USE AND COST SUMMARY ECOM-1 Project Name Hsu Residence Date 8/17/2013 Rate: Electric Alameda H Fuel Type: Electricity STANDARD PROPOSED MARGIN Energy Use kWh Peak Demand (kW) Cost $ Energy Use kWh Peak Demand Cost kW $ Energy Use kWh Peak Demand Cost kW $ Jan 137 1 19 134 1 19 3 0 0 Feb 97 5 15 90 4 14 7 1 1 Mar 75 4 13 70 4 12 4 0 0 Apr 126 6 18 117 5 17 9 0 1 May 83 8 14 73 8 13 9 0 1 Jun 267 10 32 231 9 29 36 1 4 Jul 310 9 37 271 8 33 39 1 4 Aug374 10 44 335 9 40 39 0 5 Sep 214 11 27 177 11 23 37 0 4 Oct 104 1 7 16 88 7 14 161 0 2 Nov 87 2 14 84 2 14 3 1 0 Dec 136 1 19 133 1 19 3 0 0 Year 2,009 11 267 1,803 11 246 205 0 22 CO2 1,617 lbs/yr 1,452 1 lbs/yr 165 lbs/yr Rata: Gas PG&E P Fuel Type: Natural Gas STANDARD PROPOSED MARGIN Energy Use therms Peak Demand (kRtu/hr) Cost $ Energy Use (therms) Peak Demand Cost kBtu/hr ($ Energy Use therms Peak Demand Cost kBtu/hr $ Jan 114 94 154 103 87 137 11 7 17 Feb 73 81 94 67 76 85 6 6 8 Mar 58 78 72 55 73 68 3 5 4 Apr 48 68 60 46 64 57 2 5 3 May 25 57 33 28 53 37 -3 4 -4 Jun 22 25 29 24 24 32 -2 1 -3 Jul 22 6 29 24 6 32 -2 0 -4 Aug22 6 28 24 6 32 -2 0 -3 Sep 21 6 27 23 14 31 -3 -7 -4 Oct 29 60 39 31 56 42 -2 4 -3 Nov 72 83 93 67 77 84 6 6 8 Dec 113 96 152 102 89 136 11 8 17 Year 618 96 809 593 89 773 25 1 8 36 CO2 7,236 lbs/ 6,941 lbs/ 296 lbs/ r Annual Totals Energy Demand Cost CosVs ft Virtual Rate Electricity 1,803 kWh 11 kW $ 246 $ 0.07 /S ft $ 0.14 /kWh Natural Gas 593 therms 89 kEtu/hr $ 773 $ 0.23 /s ft $ 1.30 /therm Total $ 1,019 $ Avoided CO2 Emissions: 0.31 /sgft 461 lbs/yr EnergyPro 5.1 by EnergySoft User Number: 6518 RunCode: 2013-08-17T18:29:4 ID: 13-008 Page 19 of 20 N�11UTY MENTWE WORKSHEET UT11L-1 R Project Name Date Hsu Residence 8/17/2013 - • ANNUAL TDV ENERGY USE (kEtu/s ft- r) Q PERCENT BELOW TITLE 24 % Better than ENERGY COMPONENT Standard ProDosed Margin Space Heating 16.62 14.09 2.53 Margin Standard Title 24` Space Cooling 9.52 8.07 1.44 3.13 / 42.85 = 7.3 Heat Rejection 0.00 0.00 0.00 Cooling Standard Indoor Fans 4.87 4.46 0.41 1.85 / 1 14.39 _ 12.9 Domestic Hot Water 11.84 13.09 1.26 Incentive Eligibility Yes No Pumps 0.00 0.00 0.00 Owner Incentive (>=15%) ❑ m NSHP Incentive (>=30%) ❑ m TOTALS: 42.85 39.71 3.13 Conditioned Floor Area = 3,338.0 ft- Number of Bedrooms = 4 • ANNUAL SITE ENERGY USE Average 2pm - 5pm Standard Proposed Margin- Single Orientation Peak Demand kW 6.81 1 6.1 0.7 Standard Proposed Margin ENERGY COMPONENT Electricity Natural Gas Electricity Natural Gas Electricity Natural Gas kWh therms kWh therms kWh therms Space Heating 0.00 352.21 0.00 298.65 0.00 53.56 Space Cooling 1,074.81 0.00 920.70 0.00 154.11 0.00 Heat Rejection 0.00 0.00 0.00 0.00 0.00 0.00 Indoor Fans 934.01 0.00 882.79 0.00 51.22 0.00 Domestic Hot Water 0.00 1 266.27 0.00 294.56 0.00 -28.29 Pumps 0.00 0.00 0.00 0.00 0.00 0.00 TOTALS: 2,008.82 618.48 1,803.49 593.21 205.33 25.2711 • POTENTIAL OWNER INCENTIVE CALCLILATION Potential incentives indicated % Better than Title-24' Incentive Savings on this report are available from stepRfrom 2) � Ste 3 Su Electricity (kWh) n/a n/a x n/a �only through the California Advanced Homes Program for $/kWh kWh new construction and are Electricity (kW) nia1 n/a x NOT GUARANTEED. Projects $/� kW must meet all other program Natural Gas n/a n/a X n/a � n/a requirements to qualify. Potential incentives are $/therm therm subject to program limitations Base Incentive ,;F: Pacific rias and l Energy Star Incentive n/a x 90% r Electric Company Green Home Incentive n/a x 90% y sO'"HUN CALIFORNIA EM S O 1Nn Compact Home Incentive n/a I x 15% An EDISON 1NTLRNA71C)NAL'T Company Photovoltaic Incentive n/a x = n/a A DC Rating kW aSempra Energy utuity`/77 NSH P c0ni,, 1 �� Total am advancedO"', A Sempra E.nergyannr' '% Better than in this equation is limited to 45% Energ Pro 5.1.3. by Ener Soft User Number: 6518 RunCode: 2013-08-17T18:29:46 ID: 13-008 Page 20 of 20