BRER2019-0013 Revision 1. "criptive F
C EC-C F 1 R-ALT-Q5-E (3;
CERTIFICATE OF
Prescrl--five Res[
I Alterations That Do Not Require HERS Field Verification
04110 )
PLIANCE
ial AltEra
ns That Do Not Require HERS Field Verification
CALI
P.Lao-"[
ENERGY COMMISSION IS_
CF1R-ALT-05-E
Pagel of 3
This compliance do rent is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verifiratiari is required, a CF1R ALT Ol shall first be registered
with a HERS ProviderData Registry.
Alteratigns to Spocetonditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct
leakage Testing inclu :less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos, or the existing duct system was previously tested and passed by a
HERS Rater. If space!cl nditioning systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that util" close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R-value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam ! . PF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R-value of 3.6 per inch, shall complete and register a CF1R-ALT-01 with a HERS Provider Data
Registry.
If more than one per .n has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Aiternar v !y, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temparory labels sho 1 not be removed before verification by the building inspector.
I I
A. General Infor tion
01 Prafect Name 02 Date Prepared:�1
03 Prp'ect Locatiq `�j_ 6 0 h C v�
f �J ��j LL f' r 04 Building Front Orientation (deg or cardinal):
I1
05 CA City: vj 06 Number of Altered Dwelling Units:
07 Zip Code:
2 Z 08 Fuel Type:
09 Climate Zone: ! 3 . _ 10 Total Conditioned Floor Area (ft2): / / C�U
11 BulildingType: C Fjr 12 Slab Area (ftz)
13 Project 5cop Select all that apply): t/
19. Insulati. D. & E. Fenestration/Glazing - ADD G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
0. Roof Re'�acement D. & F. Fenestration/Glazing REPLACE H. Water Heating System Include Mandatory Measures?
1
CA Building Energy CfCidbncy Standards - 2016 Residential Compliance
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3
April 2016
func` ! e
A.- CDOU
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
C EC -C F I R -ALT-0 5- E Revised 04116)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Roof Replacement (Prescriptive Alteration. Section 150.2(b)1H)
ENERGY COMMISSION
CFIR-ALT-05-E
Page 2 of 3
01 02 03 04 05 06 07 08 09 10 11 12 13
Proposed Minimum Required
R-value
Method of CRRC Product Product Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance Roof Pitch Exception ID Number Type Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
Add Row Delete Row
NOTES:
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
Liquid field applied coatings must comply with installation criteria from Section 110.8(i)4.
.'-ng Energy Efficiency Standards - 2016 Residential Compliance
April 2016
`�
EC-C F T R-ALT-05-E (R
CERTIFICATE OF
Prescriptive Res
oroieet Name:
ntial Alterations That Do Not Require HERS Field Verification
16}
IANCE
Alterations That Do Not Require HERS Field Verification
Date
CALIFORNIA
COMMISSION=
CF1R-ALT-05-E
Page 3 of 3
DOCUMENTATION A OR'S DECLARATION STATEMENT
1. 1 certify that this ificate of Compliance documentation is accurate and complete.
Documentatlpri Author Mama Documentation Author Signatur
Company: _
,l Signature Date:
Address: _ F CEA/ HERSCcrtification Identiflcatkon {lrapplicahlei:
cel
City/state/Zip r
r�,j I ] Phone:
RESPONSIBLE 13FIRSOWS DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws cif [.he State of California:
1. The information pr- vided on this Certificate of Compliance is true and correct.
2. 1 am eligible undeF ivision 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy IF atures and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance confo in to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The bullding desi features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calc.0 ations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency
for al applicable 1 pections_ I understand that a registered copy of this Certificate of Compliance is required to be inclu d with the documentation the builder provides to the building
owner at occupan �r
Responsible Designer Name:. Responsible Designer Sig a - f
_
Company'Date Signed:
Address:
License
City/statein Phone:
it
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016