01 E Env Form PDF Details

The 01 E Env form, officially known as the California Energy Commission Certificate of Installation NRCI-ENV-01-E, is a crucial document for a wide range of construction projects within California. Revised in January 2016, this two-page form plays a pivotal role in ensuring that buildings comply with the state's energy efficiency standards. It is required for nonresidential buildings, high-rise residential structures, and hotel/motel guest rooms, whether the project involves new construction, addition, alteration, or unconditioned spaces. For projects with multiple stakeholders, each individual responsible for a portion of the construction must either prepare and sign their own Installation Certificate or delegate this task to a primary individual who then becomes responsible for the entire project's certification. The form requires detailed information about the project, including the project name, enforcement agency, permit number, and project address. It also calls for an acknowledgment of responsibility from both the documentation author and the responsible builder or installer, who must certify under penalty of perjury that all installations conform to the specified requirements and applicable codes and regulations. Additionally, this document emphasizes the necessity of making a completed signed copy available both at the construction site for inspections and with the building permits, as well as including it in the documentation provided to the building owner upon occupancy. This ensures transparency and adherence to the California Building Energy Efficiency Standards, solidifying the state's commitment to sustainable construction practices.

QuestionAnswer
Form Name01 E Env Form
Form CodeNRCI-ENV-01-E
Issuing AgencyCalifornia Energy Commission
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescec nrci env, 2016 env 01, cec env e 01, env e envelope

Form Preview Example

STATE OF CALIFORNIA

ENVELOPE

CEC-NRCI-ENV-01-E (REVISED 01/16)

 

 

 

CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF INSTALLATION

 

 

 

 

NRCI-ENV-01-E

 

 

 

 

 

 

 

Envelope

 

 

 

 

 

(Page 1 of 2)

 

 

 

 

 

 

 

Project Name:

 

 

 

Enforcement Agency:

 

Permit Number:

 

 

 

 

 

 

 

Project Address:

 

 

 

City:

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BUILDING PERMIT:

PERMIT #

 

 

 

 

 

 

 

 

 

BUILDING TYPE

Nonresidential

High-Rise Residential

Hotel/Motel Guest Room

 

 

 

 

 

 

 

PHASE OF

New Construction

Addition

Alteration

Unconditioned

CONSTRUCTION

 

 

 

 

 

 

 

 

 

 

 

 

 

If more than one person has responsibility for building construction, each person shall prepare and sign an Installation Certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire construction.

SCOPE OF RESPONSIBILITY

Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate.

Date:

In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility for this Installation Certificate.

Document Title or Description

Applicable Sheets or Pages, Tables, Schedules, etc.

Date Approved By

the Enforcement

Agency

CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance

January 2016

STATE OF CALIFORNIA

ENVELOPE

CEC-NRCI-ENV-01-E (REVISED 01/16)

 

CALIFORNIA ENERGY COMMISSION

CERTIFICATE OF INSTALLATION

 

 

NRCI-ENV-01-E

 

 

 

 

 

Envelope

 

 

(Page 2 of 2)

 

 

 

 

 

Project Name:

Enforcement Agency:

 

Permit Number:

 

 

 

 

 

Project Address:

City:

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

DOCUMENTATION AUTHOR'S DECLARATION STATEMENT

1.I certify that this Certificate of Installation documentation is accurate and complete.

Documentation Author Name:

Documentation Author Signature:

Documentation Author Company Name:

Date Signed:

Address:

CEA/HERS Certification Identification (If applicable):

City/State/Zip:

Phone:

RESPONSIBLE PERSON'S DECLARATION STATEMENT

I certify the following under penalty of perjury, under the laws of the State of California:

1.The information provided on this Certificate of Installation is true and correct.

2.I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer.

3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.

4.I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met.

5.I will ensure that a completed signed copy of this Certificate of Installation 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 completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.

Responsible Builder/Installer Name:

Responsible Builder/Installer Signature:

Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)

Position With Company (Title):

Address:

CSLB License:

City/State/Zip:

Phone

Date Signed:

CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance

January 2016

How to Edit 01 E Env Form Online for Free

The 01 E Env form must be completed by the builder or installer responsible for the building envelope work on your California construction project. Follow these steps to fill it out correctly.

Step 1: Gather Project Information

Before starting, collect these details: the project name, project address, permit number, and the name of the enforcement agency overseeing the project. The enforcement agency is typically your local building department. You will enter this information at the top of the form.

Step 2: Identify the Documentation Author

The documentation author is the person who prepared the compliance documents for the building envelope. Enter their name, company name, address, and California license number in Part 1 of the form. The author must hold a California contractor, architect, or engineer license.

Step 3: Verify Envelope Compliance

Review each item in the envelope section carefully. This section covers insulation R-values, fenestration (windows and skylights), exterior walls, roofing materials, and air sealing. Confirm that all installed materials match the specifications listed in the compliance documents filed with the building department.

Step 4: Complete the Responsible Builder Section

In Part 2, the responsible builder or installer must enter their name, company, California license number, and contact information. They certify under penalty of perjury that the installations conform to the specified requirements and all applicable California codes. If multiple contractors each have a separate scope of envelope work, they may each sign their own certificate or designate a single primary signatory for the entire project.

Step 5: Sign and Date the Form

Both the documentation author and the responsible builder must sign and date the form in the designated signature blocks. Unsigned forms are not valid for building department submission.

Step 6: Submit and Retain Copies

File the completed certificate with your local building permit office. Keep a signed copy at the construction site for all required inspections. Include a copy in the documentation package given to the building owner at occupancy. A certificate of completion for construction is often required alongside this form at project close-out.

If you have questions about which envelope sections apply to your project type, review the California Building Standards Commission guidance or contact your local enforcement agency directly.