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Georgia Residential Energy Code Compliance Certificate* Builder/Design Professional: Phone: Envelope Summary: • List the R-Value for the following components: Flat ceiling/roof: Sloped/vault ceiling: Exterior wall: Above grade mass wall: Attic kneewall: Attic kneewall sheathing: Basement stud wall: Basement continuous: Crawlspace stud wall: Crawlspace continuous: Foundation slab: Floors over unconditioned space: Cantilevered Floor: Other insulation: • Fenestration Components: Window U-factor: Window SHGC: Skylight U-factor: Skylight SHGC: Glazed Door U-factor: Opaque Door U-factor: (<50% glazed) • Building Envelope Tightness (BET): BET test conducted by: Fan Flow at 50 Pascals=____________CFM50 Total Conditioned Volume ACH50 = CFM50 x 60 / Volume= ACH50 (must be less than 7 ACH50 ) Low Rise Multifamily Visual Inspection Option (The visual inspection option may be conducted by a third-party instead of the BET test for R-2 buildings only.) Visual inspection conducted by: Mechanical Summary: Water Heater Energy Factor: ___Ef Fuel type: Gas Electric Other Number of Heating and Cooling Systems: Heating System Type (choose one): Gas: AFUE Air-Source Heat Pump: HSPF Other: Efficiency: Cooling System Type (Standard DX, Heat Pump, Geothermal, Cooling System Efficiency: SEER EER Other Heating/Cooling Load Calculations Performed by: Total Heating Load (Based on ACCA Man. J or other approved methodology):____________ Btu/h Total Cooling Load (Based on ACCA Man. J or other approved methodology):____________ Btu/h Cooling Sensible Btu/h Cooling Latent Load Btu/h Total Air Handler CFM (based on design calculations):_________________CFM Duct Tightness Test Conducted by: CFM25 per 100 ft2 of conditioned floor area = CFM25 x 100 / Conditioned floor area served If all ducts are not located within conditioned space, builder must verify that either the postconstruction duct leakage to outdoors (PCO) is ≤ 8 cfm/100 ft2, the post construction total duct leakage (PCT) is ≤ 12 cfm/100 ft2, or the rough-in test (RIT) with air handler installed is ≤ 6 cfm/100 ft2. State which method was used to conduct the duct tightness test: duct blower (DB), modified blower door subtraction method (MBDS), or automated multipoint blower door (AMBD). System Method (DB, MBDS, AMBD) Test (PCO, PCT, RIT) CFM25 Area served (ft2) Test Result 1 2 3 *Note: This permanent certificate shall be posted on or in the electrical distribution panel. Certificate shall be completed by the builder or registered design professional. Where there is more than one value for each component, certificate shall list the value covering the largest area.