Residential Compliance Certificate Form - Energy Conservation Code - City Of Phoenix, Planning & Development Department

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Energy Conservation Code
Residential Compliance Certificate
Project Number ______________________
Permit Number _______________________
Project Address _____________________________________________________________
Instructions: Select compliance method 1, 2, or 3 by marking the appropriate check box. Sign and complete
contact information and statement of compliance and attach additional information as required. All buildings shall
meet the 2012 International Energy Conservation Code (IECC) requirements.
1.
REScheck (Total UA Alternative per R402.1.4)
Report, R402.4.1.1
2012 IECC 403
REScheck
Checklist, R402.1.1
in addition to
Certificate, R401.3
REScheck
Print and attach REScheck compliance certificate based on 2012 IECC (required). Download
REScheck free at
----------------------------------------------------------- OR ----------------------------------------------------------
2.
Prescriptive Method
R401
General
R402.1 Building Thermal Envelope
Chapter 4
R402.4 Air Leakage
R402.1 Insulation Requirements
R402.1 Fenestration Values
R403
Systems
----------------------------------------------------------- OR ----------------------------------------------------------
3.
Performance Method
401
General
405 Simulated Performance
Chapter 4
402.4
Air Leakage
Alternative
402.6
Fenestration
403
Systems
Compliance Statement: I certify that to the best of my knowledge and belief the project listed
above is in full compliance with the current City of Phoenix Energy Conservation Code. The
method of compliance for this project is clearly marked above.
Signed __________________________ Permit Name _____________________________
Date _______________ Relationship to Project ___________________________________
Page 1 of 1
For more information or for a copy of this publication in an alternate format, contact Planning & Development at
602-262-7811 voice or TTY use 7-1-1.
S:\Energy Compliance Certificate, Residential
TRT/DOC/00459
WEB\trt_pdf_00459
Rev. 12/15

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