Cf 1R Add Form – Fill Out and Use This PDF

Prescriptive Certificate of Compliance:		CF-1R ADD
Residential Additions		(Page 1 of 5)
Site Address:	Enforcement Agency:	Date:

Building Type Single Family	Multi Family		Circle the Front Orientation: N, E, S, W or Degrees ________
Conditioned Floor Area of Addition		New Addition Size:	Less than or equal to 100 ft2	Less than or equal to 1000 ft2
(CFA):			(Do not use this form for additions greater than 1000 ft2)

NOTE: For Alterations to an existing home, submit a completed CF-1R-ALT Form.

Exception: Existing HVAC systems that are replaced or altered to serve the addition may be included on the CF-1R -ADD Form.

PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS

For standard wood and assemblies meeting the Cavity R-value only.

•For 100 ft2 additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package D, “Pkg D”. Enter values in the shaded Proposed Columns.

•For less than 1,000 ft2 additions must comply with “Pkg D” requirements unless indicated in the Standard Column. To meet “Pkg D” minimum energy compliance requirements, see RCM Appendix B, Table 151-C or §152(b) in the RCM. Enter values in the shaded Proposed Columns.

OPAQUE SURFACE DETAILS For the furred portioned of Mass Walls see Furring Strips Construction Table below.

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.

Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________

2008 Residential Compliance Forms

March 2010

Prescriptive Certificate of Compliance:		CF-1R ADD
Residential Additions		(Page 2 of 5)
Site Address:	Enforcement Agency:	Date:

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 in column G the Frame material

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 equivalent U-factor found in JA4 Table based on the R-Value from Table 151-C

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.

1.Indicate the Mass Thickness from Reference Joint Appendix JA.

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 Table number that closely resembles the proposed assembly.

4.Enter the row and column of the U-factor value.

5.Enter the Effective R-value listed in the JA4 Table Number.

6.The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L.

7.Insert the Final Assembly U-factor value back on to the Opaque Surface Details table in Column J.

FENESTRATION PROPOSED AREAS

Total

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 Fenestration Proposed Area table above.

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 CEC “Default” values found in Table 116-A or B.

Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________

2008 Residential Compliance Forms

March 2010

Prescriptive Certificate of Compliance:										CF-1R ADD
Residential Additions										(Page 3 of 5)
Site Address:					Enforcement Agency:			Date:
ADDITION ALLOWED FENESTRATION AREAS
	A		B	C		D	E			F
	CFA of					Area	Maximum			5
	Addition		Allowed %	Allowed Area		Removed2	Allowed Area			Proposed Area
	ft2		of CFA	(A x B)		ft2	(C + D)			(Table Above)
Total Fenestration Area3			0.20						≥
West Fenestration Area1, 4			0.05						≥
(Required In CZ’s 2, 4 & 7 -15)

1.West Fenestration Area includes west-sloping skylights and any skylights with a pitch less than 1:12.

2.Glass removed to make way for the addition.

3.For additions less than 1,000 ft2 the standards allows glazing removed during the remodel to be added to the glazing area allowance. The maximum allowed glazing area for the addition is the CFA x 20% + glass removed to make way for the addition.

4.In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west-facing glazing plus west-facing glass area removed to make way for the addition. The maximum allowed west-facing glazing area is the CFA x 5% + west-facing glass removed to make way for the addition.

5.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.

ROOFING PRODUCTS (COOL ROOFS) §151(f)12

Check applicable box below if the roof addition is exempt from the roofing product “Cool Roof” requirements. Note: If any one of the boxes are checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i) are not applicable. Do not fill table below.

Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low-Sloped. Less or 2:12 pitch.

Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped. Roofs pitch greater than 2:12 and product weight less than 5lb/ft2.

Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 is exempt from the above 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:

	Roof Slope		Product Weight		Product	Aged Solar		Thermal	SRI5
CRRC Product ID Number1	≤ 2:12 > 2:12		< 5lb/ft2 ≥ 5lb/ft2		Type2	Reflectance3,4		Emittance
						4
						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:

Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________

2008 Residential Compliance Forms

March 2010

Prescriptive Certificate of Compliance:		CF-1R ADD
Residential Additions		(Page 4 of 5)
Site Address:	Enforcement Agency:	Date:

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 Pages 3 and 4 of the CF-1R-ADD Form for additional requirements and check applicable boxes.

4.Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.)

HVAC SYSTEMS - COOLING

1.Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc).

2.Refer to the HERS Verification section on Pages 3 and 4 of the CF-1R-ADD 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 storage gas or propane fired, non-recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 may be used. 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.

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 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. Applicable special features shall be marked with a YES and be specified within the plans.

Radiant Barrier (Roof)

Slab Edge (Perimeter) Insulation

Heated Slab Insulation

Raised Slab Insulation

Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.

Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________

2008 Residential Compliance Forms

March 2010

Prescriptive Certificate of Compliance:		CF-1R ADD
Residential Additions		(Page 5 of 5)
Site Address:	Enforcement Agency:	Date:

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		In all Climate Zones, if a new space-conditioning system (HVAC equipment and ducting) is installed to serve the addition
			alone, the ducts are to be sealed and tested per §151(f)10.
			In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
YES	NO		space to serve the addition, the ducts are to be sealed and tested per §152(b)1D.		EXCEPTION: Existing duct systems
			that are extended, which are constructed, insulated or sealed with asbestos.
			In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
			condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts
			are to be sealed and tested per §152(b)1E.
YES	NO			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		In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant
			charge measurement shall be verified per §151(f)7A.
			In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
YES	NO		condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a
			refrigerant charge measurement shall be verified per §152(b)1F.

Central Fan Integrated Ventilation System – Airflow and Fan Watt Draw - do not apply for additions 1,000 ft2 or less.

Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required.

YES	NO	In Climate Zones 10 through 15, if a new space-conditioning system (HVAC equipment and ducting) is installed to serve the
		addition alone, the airflow and fan watt draw shall be verified per §151(f)7B.
YES	NO	In Climate Zones 10 through 15, if the existing space-conditioning system (HVAC equipment and ducting) is replaced and
		will serve the addition, the airflow and fan watt draw shall be verified per §152(b)1F.

Documentation Author's Declaration Statement

•I certify that this Certificate of Compliance documentation is accurate and complete.

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:

For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.

Registration Number: ___________________________ Registration Date/Time: _____________________ HERS Provider: __________________

2008 Residential Compliance Forms

March 2010