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APPENDIX RD MANDATORY COMPLIANCE CERTIFICATE 2021 Georgia Residential Energy Code Compliance Certificate This certificate shall be posted on or near the electrical distribution panel or air handler Permit # House Address or Community/Lot# Building Summary Builder Company Name Signature Contact (email/phone) Date Compliance Pathway (check one) Building Envelope (when multiple values per component, list value covering largest area) Prescriptive: R401-404 Ceiling/Roof R-value Above-grade mass wall R-value UA Trade-off: R402.1.5 Sloped/vaulted ceiling R-value Cantilevered floors R-value RESCheck: Keyed to 2015 IECC Exterior wall R-value Window/Glass Door SHGC Simulated Performance: R405 Kneewall (cavity and/or continuous) R-value Window/Glass Door U-factor Energy Rating Index (ERI): R406 Foundation (cavity and/or continuous) R- value Skylight SHGC ERI Score Floors over unconditioned R-value Skylight U-factor Mechanical Summary HVAC Company Name Contact (email/phone) Date Heating System Type Efficiency (AFUE, HSPF, COP or other) Cooling System Type Efficiency (SEER, EER or other) Water Heating Type Efficiency (EF or other) Gas Air conditioner Gas Heat pump Heat pump Electric Other Other: Other: Yes No Manual J, S, D or equivalent complete? Required Mechanical Ventilation Type (check one) Design Rate (check one) Exhaust Continuous Design Ventilation Rate (CFM) Supply Intermittent Balanced If intermittent, list runtime in min. per hour Duct and Envelope Tightness Testing Summary DET Verifier Contact (email/phone) DET Verifier ID Envelope Tightness Testing 5 ACH50) (Envelope Tightness = Blower Door Fan Flow x 60 / Thermal Envelope Volume) Blower Door Fan Flow (CFM50) Thermal Envelope Volume (ft3) Envelope Tightness (ACH50) If multifamily unit and conducting sampling, this unit is not required to be tested. Mark N/A. Duct Tightness Testing 6 CFM25/100 ft2 ) (Total Duct Leakage = 100 x Fan Flow / Area Served) Number of Heating and Cooling Systems Duct Tightness Leakage Test Results System 1 System 2 System 3 If air handler and ductwork located entirely within in Conditioned space Location Fan Flow (CFM25) Area Served (ft2) Total Duct Leakage (CFM25/100 ft2) Rough In Total (RIT) or Post Construction Total (PCT)