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STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST CEC-ENV-1C (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE ENV-1C AND FIELD INSPECTION ENERGY CHECKLIST (Page 1 of 3) Project Name: Date: Climate Zone: 2008/2013 Nonresidential Compliance Forms August 2009 Project Address: Conditioned Floor Area: General Information Building Type: † Nonresidential † High-Rise Residential † Hotel/Motel Guest Room † Schools (Public School) † Relocatable Public School Bldg. † Conditioned Spaces † Unconditioned Spaces † Skylight Area for Large Enclosed Space ≥ 8000 ft2 (If checked include the ENV-4C with submittal) Phase of Construction: † New Construction † Addition † Alteration Approach of Compliance: † Component † Overall Envelope TDV Energy † Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Tag/ ID Assembly Type Area Orientation N, S, W, E Standard U-Factor Joint Appendix U-Factor Joint Appendix Table Cavity R-Value Exterior R-Value Interior R-Value Exterior Furring Interior Furring Condition Status Pass Fail2 † † † † † † † † † † † † † † † † 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS 1 2 3 4 5 6 7 8 9 10 11 12 Tag /ID Fenestration Type Surface Area Orientation N, S, W, E # of Panes Max U-Factor U-Factor Source Max ( R)SHGC SHGC Source Overhang Conditions Status Pass Fail2 † † † † † † † † † † † † † † † 8 ---PAGE BREAK--- STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST CEC-ENV-1C (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE ENV-1C AND FIELD INSPECTION ENERGY CHECKLIST (Page 2 of 3) Project Name: Date: Climate Zone: 2008/2013 Nonresidential Compliance Forms August 2009 † † † † † † 3. 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. ROOFING PRODUCT (COOL ROOFS) (Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or Performance Approach. CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT “COOL ROOF” REQUIREMENTS: Pass Fail1 NA † Roofing compliance not required in Climate Zones 1 and16 with a Low-Sloped. 2:12 pitch or less. † † † † Roofing compliance not required in Climate Zone 1 with a Steep-Sloped with less than 5 lb/ft2. Greater than 2:12 pitch. † † † † Low-sloped Wood framed roofs in Climate Zones 3 and 5 are exempted solar relectance and thermal emittance or SRI that have a U-factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV-2C. † † † † Low-sloped Metal Building Roofs in Climate Zones 3 and 5 are exempted solar relectance and thermal emittance or SRI that have a U-factor of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H of ENV-2C. † † † † The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempted solar relectance and thermal emittance or SRI. See spredsheet calculattor at www.energy.ca.gov/title24/ † † † † Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/ft2 is exempt from the Cool Roof criteria below. † † † † High-rise residential buildings and hotels and motels with low-sloped roofs in Climate Zones 1 through 9, 12 and 16 are exempted from the low- sloped roofing criteria. 1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. CRRC Product ID Number1 Roof Slope ≤ 2:12 > 2:12 Product Weight < 5lb/ft2 ≥ 5lb/ft2 Product Type2 Aged Solar Reflectance3 Thermal Emmitance SRI5 Pass Fail6 † † † † †4 † † † † † † †4 † † † † † † †4 † † † † † † †4 † † 8 ---PAGE BREAK--- STATE OF CALIFORNIA CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST CEC-ENV-1C (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE ENV-1C AND FIELD INSPECTION ENERGY CHECKLIST (Page 3 of 3) Project Name: Date: Climate Zone: 2008/2013 Nonresidential Compliance Forms August 2009 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. From the Cool Roof Rating Council’s Rated Product Directory. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5.The SRI value needs to be calculated from a spredsheet calculattor at http://www.energy.ca.gov/title24/ 6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. 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 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: Signature Date: 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 Compliance is true and correct. 2. I am eligible under Division 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. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I will ensure that a completed signed 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 all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. 8