07-2475 (CONR) CF-6R Installationcsa5 0100 0-1-ay1S-
Installation certificates (CF-6R) are required for each and every dwelling unit. When the installation of measures that require
field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic
testing and the procedures specified in this section. When the installation is complete, the builder or the builder's
subcontractor shall complete the CF-6R (Installation Certificate), and keep it at the building site for review by the building
department. The builder also shall provide a copy of the Installation Certificate to the HERS rater for any measures requiring
field verification and diagnostic testing, per Section I0-103(a).
WATER HEATING SYSTEMS:
Distribution
CEC Certified Type
Mfr Name & . (Std, Point -
Model Number of -Use. etc)
P 5 Q
S
Heater
Tyne
INSTALLATION CERTIFICATE (Page 1 of 12) CE-6R
Site Address Permit Number
1477 5— 0.,...%.. 94) r-‘, S
1
If
Recirculation,
Control Twit
iSV4
of
Identical
Systems
Rated Input
(kW or
Etalu•)1
a _6250
Tank Volume
(gallons)
Efficiency
(EF, RE)2
Standby
Loss (%)2
External
Insu lati on
R-value
R-16,
1 For small gas storage (rated input of less than or equal to 75,000 Btulhr), electric resistance and heat pump water
heaters, list Energy Factor (EF). For barge gas storage water heaters (rated input of greater than 75,000 Btu/hr), list
Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input, For instantaneous gas water heaters, list Thermal
Efficiency and Rated input.
2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0, 58.
Kitchen Piping:
If indicated on the CF-1 R, all hot water piping ? 3/4 inches in diameter that runs from the hot water source to the kitchen
fixtures is insulated.
Faucets & Shower Heads:
All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111.
Central Water Pleating in Buildings with Multiple Dwelling Units (required for prescriptive)
DAll hot water piping in main circulating loop is insulated to requirements of § 150(j)
❑Central hot water systems serving ,six or fewer dwelling units which have (I) less than 25' of distribution piping
outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping
that meets the requirements of Section 150(j)
OCentral hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature
control
✓ Q 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 m the certificate of compliance (Form CF-I R) 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.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature:
AkA,
Date; yes/09 l%
Copies to: BUILDING DEPARTMENT, PERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
INSTALLATION CERTIFICATE
Site Address
(Page 1 of 12) CF-6R
ermit Number
Installation certificates (CF-6R) are required for each and every dwelling unit When the installation of measures that require
field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic
testing and the procedures specified in this section. When the installation is complete, the builder or the builder's
subcontractor shall complete the CF-6R (Installation Certificate), and keep it at the building site for review by the building
department. The builder also shall provide a copy of the Installation Certificate to the HERS rater for any measures requiring
field verification and diagnostic testing, per Section 10-103(a).
WATER HEATING SYSTEMS:
Heater
_ Type
Cms
CEC Certified
MfrName &
Model Number
°indention
Type
. (Std, Point -
of -Use. etc)
If
Recirculation,
Control n e
# of
Identical
Systems
Rated Input
(kW or
8tulhr
19
Tank Volume
(gallons)
Efficiency
(F, RS)c
Standby
Loss (%)z
Extemal
Insulation
R-values
Nf-
1 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 (EF), For large gas storage water heaters (rated input of greater than 75,000ftu/hr), list
Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal
Efficiency and Rated Input
2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58.
Kitchen Piping:
If indicated on the CF-1R, all hot water piping > 3/4 inches in diameter that rums from the hot water source to the kitchen
fixtures is insulated.
Faucets & Shower Heads;
All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111.
Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive)
❑A11 hot water piping in main circulating loop is insulated to requirements of § 150(j)
❑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 1506)
❑Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature
control
V. ❑ 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 CP-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.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature:
/Van %//vb/
Date:
. P►er Pialvibir4.
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDXNG OWNER AT OCCUPANCY
INSTALLATION CERTIFICATE
Site Address
47-795 Dune Palms Rd, La Quinta, Ca
13k..L�G, t OO
(Page 2 of 12) CF-6R
Permit Number
07-2475
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
FENESTRATION/GLAZING:
Item
Manufacturer/Brand
Name
(GROUP LIKE
RODUCTS)
Product U-factors
(S CF-IR value)'
Product SHGC1
,�
(5CF-IR value)-
it of
Panes
Total
Quontiof
Like Product
(Optional)
Square
Feet
•Arco Exterior
Shading Device
or Overhang
Comments/Location/
Special Features
1.
Pella/Impervia
31
32
2
N/A
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
'3 Use values from a fenestration product's NFRC label. For fenestration products without an NFRC label, use the default
values from Section 1 16 of the Energy Efficiency Standards,
'-t Installed U-factor must be Tess than or equal to values from CF-1 R. Installed SHGC must be Tess than or equal to values
from CF-1 R, or a shading device (exterior or overhang) is installed as specified on the CF-I R. Alternatively, installed
weighted average U-factors for the total fenestration area are less than or equal to values from CF-1 R, If using default table
SHGC values from §116 identify whether tinted or not.
✓ ® I, the undersigned, verify that the fenestration/glazing listed above my signature: 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 (Fonn CF-IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and
3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.
Item #s
(if applicable)
(4/
r,,
Signature Date
,,
5) Si D�
j
�
Installing Subcontractor (Co.. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Pella Windows & Doors- HSC, Inc.
Item #s
(if applicable)
Signature Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
(if applicable)
Signature Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
opies to: Building Department, HERS Rater (if applicable) Building Owner at Occupancy
Residential Compliance Forms
April 2005
Uo1—r Wei --RS' PLCE
INSTALLATION CERTIFICATE
(Page 3 of 12) CF-6R
Site Address Permit Number
t volr �,t s-. Ro %Qu$sa—ram q� 0 7 —�1S
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
QC.S11,._S:1f.)G 1O0
Equip Type
(pkg. heat pump)
SCR Si✓e-
CEC Certified Mfr.
Name and Model
Number
4 of
Identical
Systems
E Iciency
GO etc.)
(.. -IR value)
Duct
Location
(attic, etc,)
' Duct or
Piping
R-value
Heating
Load
(Btu/hr)
Heating
Capacity
(Btu/hr)
Cis-v_
5,9g)ceokx)
a
cp..
Mrsc
R14.2
60� 0
8O Coo
`'
59r'teO8o
5
II
..
ft"io
Re. a
Cooling Equipment
Equip Type
(pkg. heat pump)
CRrztz s
CEC Certified Mfr.
Name and Model
Number
# of
Identicaldir%or
Systems
Efficiency
EER)
Duct
Location
(attic, etc.)
Duct
R-value
Cooling
Load
(Btu/hr)
'Cooling
Capacity
(Btu/hr)
>_CF-1Rvalue)
COOL O N C..Y
LinalLI99R
�.
14 _D
etc
R 1-1.- .
48 ono
DEr nrl6
4Pic A460Pir
SS
'i
"
c,
eaGoo_
N vr
_
Iz 8.o
-
1. > symbol reads greater than or equal to what is indicated on the CF-1R value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
✓ IF I, the undersigned, verifythat 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.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
s ()) / e.HF rliccrc CoslJ %
Signature: \
Date: S -09
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms
April 2005
INSTALLATION CERTIFICATE
Site Address
47-795 DUNE PALMS RD. BLD# 100
(PAGE 10 OF 12) CF-6R
i
Permit Number
Insulation Installation Quality Certificate
✓ II Description of Insulation, (CF-6R, formely IC-1) signed by the installer stating: insulation manufacturer's name,
material identification, installed R-values, and for loose -fill insulation: minimum weight per square foot and minimum
inches
/ 11 Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures
(ACM, Appendix RH)
✓ FLOOR
III Yes
No
A
All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end
Yes
1
No
II
N!A
Insulation in contact with the subfloor or rim joists insulated
des
✓
•
0,
Insulation properly supported to avoid gaps, voids, and compression
WALLS
!es
R
Ea
Wall stud cavities caulked or foamed to provide an air tight envelope
tQ
2
Wall stud cavity insualtion uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back
is
Ro
IR
No gaps
t1T
R
No voids over 3/4" deep or more than 10% of the batt surface area
es
(]
No
n
PTA
Hard to accesswall stud cavities such as; corner channels, wall intersections, and behind
tub/shower enclosures insulated to proper R-Value
is
R
0,
Small spaces filled
I
No
R
Rim -joists insulated
des
ig7A
Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot requirement
/ ROOF/CEILING PREPARATION
�s
R
t7IA
All draft stops in place to form a continuous ceiling and wall air barrier
is
P
0,
All drops covered with hard covers
Ms
R
a
All draft stops and hard covers caulked or foamed to provide an air tight envelope
Yes
n
n
t�7A
All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the
housing and the ceiling
fis
A
AO
0,
Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics
des
IF
R
Eave vents prepared for blown insulation - maintain net free -ventilation area
fis
AO
0,
Knee walls insulated or prepared for blown insualtion
,
NO
R
Area under equipment platforms and car -walks insulated or accessible for blow insulation
2
1
ig
Attic rulers installed
Residental Compliance Forms
April 2005
INSTALLATION CERTIFICATE
Site Address
47-795 DUNE PALMS RD. BLD# 100
(PAGE 11 OF 12) CF•6R
IPerrnit Number
a1-d 6
/ ROOF
CEILING
BATTS
•
1111
No gaps
Yes
IN
MI
No voids over 3/4" deep or more than 10% of the ball surface area
No
!s
Ro
la
Insulation in contact with the air -barrier
ms
AO
6
Recessed light fixtures covered
e
Ro
0,
Net free -ventilation area maintained at eave vents
✓ ROOF/CEILING
LOOSE -FILL
lres
i
NlA
Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls
Yes
AO
a
Baffles installed at eaves vents or soffit vents - maintain net free-ventilationa rea of eave vent
l es
Ao
IOTA
Attic access insulated
e
i
R
Recessed light fixtures covered
QsRo
�
(n-�
FITA
Insulation at proper depth - insualtion rulers visible and indicating proper depth and R-Value
No
Loose -fill insualtion meets or exceeds manufacturer's minimum weight and thickness requirements for the
target R-value. Target R-value . Manufacturer's minimum required weight for
Yes
N/A
the target R-value (pounds -per -square -foot). Manufacturer's minimum
required thickness at time of installation . Manufacturer's minimum required settled
thickness . Note: To receive compliance credit the HERS rater shall verify that the
manufacturer's minimum weight and thickness has been achieved for the target R-value. (CF-6R only)
DECLARATION
✓ I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation
Procedures
Installing Subcontractor (Co. Name) OR General
Contractor Na OR Owner
MASCO CONTRACTOR SERVICES
Signatur
Q�-
\ _
_ I
Date: 04/17/09
, lit —mac
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY
Residental Compliance Forms
April 2005
INSTALLATION CERTIFICATE
Site Address
47-795 DUNE PALMS RD. BLD# 100
(PAGE 12 OF 12) CF-6R
Permit Number
County Subdivision: La Quinta Dune Palms
Description of Insulation (Formerly IC-1) Form)
1 RAISED FLOOR
Material N/A
Thickness (inches)
2 SLAB FLOOR/PERIMETER
Material N/A
Thickness (inches)
Perimeter Insulation Depth (Inches)
3 EXTERIOR WALL
Frame Type WOOD 2 X 6
A. Cavity Insulation
Brand Name
Building Number 100
Thermal Resistance (R-value)
Brand Name
Thermal Resistance (R-value)
Material FIBER GLASS INSULATION Brand Name CERTAINTEED
Thicness (inches) 5.5 INCHES
B. Exterior Foam Sheathing
Material
Thicness (inches)
4 FOUNDATION WALL
Material N/A
Thermal Resistance (R-value) R-21
Brand Name
Thermal Resistance (R-value)
Brand Name
Thickness (inches) Thermal Resistance (R-value)
5 CEILING
Batt or Blanket Type BATT Brand Name CERTAINTEED
Thickness (inches) 12 INCHES Thermal Resistance (R-value)
Loose Fill Type Brand
R-38
Contactor's min installed weight/ft lb Minimum thickness
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
6 ROOF
Material
N/A
Thickness (inches)
Brand Name
inches
Thermal Resistance (R-value)
DECLARATION
✓ El hereby certify that the abouve insulation was installed in the building at the above location in conformance with the
current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated
on the Certificate of Compliance, where applicable.
Item #s
(if applicable)
3, 5
Signatur Date
, nl� q I(iJ�9
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
MASCO CONTRACTOR SERVICES
Item #s
(if applicable)
Signature Dat
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
(if applicable)
Signature Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Residental Compliance Forms
April 2005