10-1212 - Energy (1 of 2)Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Residential Alterations (Page 1 of 5)
Project Name:
Climate Zone # # of Stories
General Information
Site Address: Enforcement Agency:Date:
Building Type Single Family Multi Family Circle the Front Orientation: N, E, S, W, or degrees ________
Conditioned Floor Area (CFA): _________________ Project Type: Alterations Envelope Fenestration Roof HVAC
Replacement or Change Out Duct Replacement Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
Opening of framed cavity alone – Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A –C and enter mandatory insulation value in Column H.
Replacement of entire assembly – Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A – J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B C D E F G H I J
Proposed See Note Standard Values From JA4 Table
Tag/
ID1
Assembly Name
or Type1
Framing
Material
and Size2
Thickness,
Spacing,
or Other3
U-
factor4
JA4 Table
Number5
Framed
Cavity
R-value6
Continuous
Insulation
R-Value7
JA4
Assembly
Cell Value8
Proposed
Assembly
U-factor9
Note: For furred assemblies, accounting for Continuous Insulation R-value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below.
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc…Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc… see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16”or 24”OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc….
4. Based on the Climate Zone; enter the Standard U-factor from Table 151-B, C or D for each different assembly Name or type.
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing; otherwise, enter “0”.
7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise, enter “0”.
8. Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J
9. The Proposed Assembly U-factor, Column J, must be equal to or less than the Standard U-factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Only
A B C D E F G H I J K L M
Proposed Properties of Masonry and Concrete
Walls From Reference
Joint Appendix Table 4.3.5, 4.3.6, 4.3.7
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint Appendix Table 4.3.13
Final
Assembly
U-factor6,7 Comment
Mass
Thickness1
Assembly
Name or
Type2
JA4 Table
Number3 JA4 -Mass Cell Value4 Mass U-Factor5 Interior or Exterior of Insulation Layer Frame Thickness Frame Type Wood or Metal Furring Cavity R-value3 JA4 -Mass Cell Value4 Effective R-value5
Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________
2008 Residential Compliance Forms August 2009
49455 AVENIDA MONTERO La Quinta CA 92253 La Quinta, City of 11/8/2010
4 O
3390
SANTOS 1 15 1
310-A0001269B-000000000-0000 11/08/2010 14:09:29 CBPCA
4
SANTOS 1 15 1
310-A0001269B-000000000-0000 11/08/2010 14:09:29 CBPCA
Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Residential Alterations (Page 2 of 5)
Project Name:
Climate Zone # # of Stories
Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________
2008 Residential Compliance Forms August 2009
Mass and Furring Strips Construction (footnotes)
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
be found Reference Joint Appendix JA4.
2. This is the U-Factor based on the thickness of the assembly in inches.
3. The R-value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R-Value is the R-value of the furred out section of the assembly.
5.-6.The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column
D added to Column I. Column K is the inverse from column J.
7. Insert the calculated U-factor value on to the Opaque Surface Details in Column J
FENESTRATION PROPOSED AREAS
Replacing window alone – Replacement windows shall meet the U-Factor and SHGC Value requirements of Component Package D in
Table 151-C. The Total Fenestration and West-facing Area requirements are not applicable.
Adding 50ft2 or less of window area – Newly installed windows shall meet the U-Factor and SHGC Value requirements of Component
Package D in Table 151-C.
Adding more than 50ft2 of window area – Newly installed windows shall meet the U-Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF-1R-ALT
Fenestration Type and Frame
(Window, Glass Door or Skylight)
Orientation
(North, East,
South, West)
PropsedArea1
(ft2)
Maximum
U-factor2, 3
Maximum
SHGC2, 3, 4
NFRC or Default
Value5
1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration
area may be the glass area plus a “2 inch frame” around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration products installed and as indicated in CF-6R-ENV Form shall be equivalent to or have a lower U-factor and/or a lower
SHGC value than that specified on the CF-1R ALT Form.
4. Submit a completed WS-3R Form if a reduced SHGC is calculated with exterior shading.
5.If applicable at this stage enter “NFRC” for NFRC Certified windows or are CEC “Default” values found in Table 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ft2 of fenestration is added)
A B C D E F G
CFA of Entire
Dwelling
Allowed
% of
CFA
Existing
Fenestration
Area
Fenestration
Area
Removed
Fenestration
Area Added
Total Area
Allowed
(A x B)
Proposed Area2
(E-D) + C
Total Fenestration Area
(ft2) .20 ≥
West Fenestration Area1
(Required In
CZ’s 2, 4 & 7 -15)
.05 ≥
1. West Fenestration Area includes west-sloping skylights and any skylights with a pitch less than 1:12.
2. West facing glazing area removed cannot be “counted” twice.” In order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column D.
3. Include the Proposed Area of the West facing fenestration in both Area columns below.
4. To meet compliance, the Proposed Area must be less than or equal to the Total Allowed Area for BOTH the Total and West Fenestration Areas.
SANTOS 1 15 1
310-A0001269B-000000000-0000 11/08/2010 14:09:29 CBPCA
Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Residential Alterations (Page 3 of 5)
Project Name:
Climate Zone # # of Stories
Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________
2008 Residential Compliance Forms August 2009
ROOFING PRODUCTS (COOL ROOFS) §151(f)12
When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000 ft2, whichever is
less, the new roofing area must meet the roofing product “Cool Roof” requirements of §152(b)1Hi, 152(b)1Hii, or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product “Cool Roof” requirements. Note: If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§118(i) are not applicable. Do not fill table below.
Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/ft2.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep-slope roof (pitch > 2:12)
Insulation with a thermal resistance of at least 0.85 hr·ft2·°F/Btu or at least a 3/4 inch air-space is added to the roof deck
over an attic; or
Existing ducts in the attic are insulated and sealed according to §151(f)10; or
In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
Building has at least R-30 ceiling insulation; or
Building has radiant barrier in the attic meeting the requirements of §151(f)2; or
Building has no ducts in the attic; or
In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low-slope roof ( pitch ≤ 2:12)
Building has no ducts in the attic.
Other Exceptions
Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 is exempt from the below Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exempt from the Roofing Products “Cool Roof” Requirement:
CRRC Product ID Number1
Roof Slope
≤ 2:12 > 2:12
Product Weight
< 5lb/ft2 ≥ 5lb/ft2
Product
Type2
Aged Solar
Reflectance3,4
Thermal
Emittance SRI5
4
4
4
4
4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council’s Rated Product Directory at www.coolroofs.org/products/search.php
2. Indicate the type of product is being used for the roof top, i.e. single-ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council’s Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(ρinitial – 0.2) to obtain a calculated aged value. Where ρ is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at http://www.energy.ca.gov/title24/ and enter the resulting value in the SRI Column above and attach acopy of
the SRI- Worksheet to the CF-1R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
Aluminum-Pigmented Asphalt Roof Coating Cement-Based Roof Coating Other ______________________
SANTOS 1 15 1
310-A0001269B-000000000-0000 11/08/2010 14:09:29 CBPCA
AirConditioner, 60000 16.5 SEER Ducted, 0 6 SetBack Split
4
4
4
Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Residential Alterations (Page 4 of 5)
Project Name:
Climate Zone # # of Stories
Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________
2008 Residential Compliance Forms August 2009
HVAC SYSTEMS - HEATING
Heating Equipment
Type and Capacity1,2,3
Minimum
Efficiency
(AFUE or HSPF)
Distribution
Type and Location4
Duct or Piping
Insulation
R-Value
Thermostat
Type
Configuration
(Central, Split,
Space, Package or Hydronic)
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity
< 2 KW or 7,000 Btu/hr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS Verification section on Page 4 of the CF-1R-ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Cooling Equipment
Type and Capacity1,2
Minimum
Efficiency
(SEER/EER or
COP)
Distribution
Type and Location3
Duct or Piping
Insulation
R-Value
Thermostat
Type
Configuration
(Central, Split,
Space, Package or Hydronic)
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF-1R-ALT Form for additional requirements and check applicable boxes.
3. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.)
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground
hot water pipes is required in all component packages in all climate zones.
Water Heater Type/Fuel
Type1
Distribution Type
(Standard, Recirculating)2
Number In
System
Tank
Capacity (gal)
Energy Factor or
Thermal Efficiency
External Tank
Insulation
R-Value3
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the requirements of §150(j).
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written justification and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of §151(f)2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation YES NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation YES NO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation YES NO
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
SANTOS 1 15 1
310-A0001269B-000000000-0000 11/08/2010 14:09:29 CBPCA
4
4
KATHY FEENSTRA KATHY FEENSTRA
HENRY BUSH HEATING 11/8/2010
429 TEXAS ST
Redlands California 92373 909-335-0535
11/8/2010
Prescriptive Certificate of Compliance: Residential CF-1R-ALT
Residential Alterations (Page 5 of 5)
Project Name:
Climate Zone # # of Stories
Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________
2008 Residential Compliance Forms August 2009
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF-4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
YES NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10.
EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
YES NO YES: In Climate Zones 2 and 9-16, if the existing space-conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §152(b)1Di.
YES NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §152(b)1E.
EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
YES NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per §152(b)1F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of §150(o) do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
YES NO YES: In Climate Zones 10 through 15, when the existing space-conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per §152(b)1Ci to meet the requirements of §151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name: Signature:
Company : Date:
Address: If Applicable CEA or CEPE
(Certification #):
City/State/Zip: Phone:
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: Signature:
Company:
Date:
Address:
License:
City/State/Zip: Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.