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Building Summary Builder Company Name Signature Email 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: 2020 Georgia Residential Energy Code Compliance Certificate Permit # House Address /Community/Lot# 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. 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 Foundation (cavity and/or continuous) R-value Skylight SHGC Energy Rating Index (ERI): R406 ERI Score Floors over unconditioned R-value Skylight U-factor Mechanical Summary HVAC Company Name Email Contact Date Duct Tightness Testing 4 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 condi- Location Fan Flow (CFM25) Area Served (ft2) Total Duct Leakage (CFM25/100 ft2) Rough In Total (RIT) or Post Construction Total (PCT) 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 Contact (email/phone) DET Verifier ID DET Verifier DAWSON COUNTY MANDATORY COMPLIANCE CERTIFICATE