If your are submitting revision of Ratings or IECC reports then this section is used. Please select the revision type for every revision. No duplicate revisions are allowed. Enter the Revision reason Select the RevisionType Check Government Subsidized? (true/false) 4-digit Year Enter Building Permit Date as YYYY-MM-DD Enter Dwelling Unit Unique Identifier for ZERH program Building Characteristics Enter all verifiers. Ratings Enter 4-digit year of IECC code Enter ERI score ProviderSampleSetID in the form XXXXXXXX "Date Rated shall be the date of the final inspection in YYYY-MM-DD format" Optional EPA Rater Pro App ID as assigned by the EPA App Publication Year of RESNET/ICC 301 Standard used to determine the HERS Rating CDATA tag must be used to enclose the InputFile string Heating Energy Consumption (EC_x) in Rated Home (MBtu) Cooling Energy Consumption (EC_x) in Rated Home (MBtu) Hot Water Energy Consumption (EC_x) in Rated Home (MBtu) Lighting and Appliance Energy Consumption (EULLA) in the Rated Home (MBtu) Heating normalized Modified End Use Load (nMEUL) in Rated Home (MBtu) Cooling normalized Modified End Use Load (nMEUL) in Rated Home (MBtu) Hot Water normalized Modified End Use Load (nMEUL) in Rated Home (MBtu) Lighting and Appliance load (EULLA) in Rated Home (MBtu) normalized Heating Energy Consumption (nEC_x) in Rated Home (MBtu) normalized Cooling Energy Consumption (nEC_x) in Rated Home (MBtu) normalized Hot Water Energy Consumption (nEC_x) in Rated Home (MBtu) Lighting and Appliance Energy Consumption (EULLA) in Rated Home (MBtu) Heating Load (REUL) in Reference Home (MBtu) Cooling Load (REUL) in Reference Home (MBtu) Hot Water Load (REUL) in Reference Home (MBtu) Lighting and Appliance Load (REULLA) in Reference Home (MBtu) Heating Energy Consumption (EC_r) in Reference Home (MBtu) Cooling Energy Consumption (EC_r) in Reference Home (MBtu) Hot Water Energy Consumption (EC_r) in Reference Home (MBtu) Lighting and Appliance Energy Consumption (REULLA) in Reference Home (MBtu) Energy Efficiency Program Qualified? ENERGY STAR program qualification DOE Zero Energy Ready Home qualification Indoor Air-Plus qualification Other Program qualification PHIUS Program qualifiation [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [exterior film coeff = 0] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [exterior film coeff = 0] [A = ∑ Ai for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [Enclosure UA = AG Floor (Uo*A) + Ceiling (Uo*A) + AG Wall (Uo*A) + Window (Uo*A) + Door (Uo*A)] Capacity in liters per day Efficiency in liters per kWh percent lumens/watt less than 50 percent fluorescent lighting percent LED lighting float faction for qualifying interior fluorescent lighting (Tier I) float fraction for qualifying interior LED lighting (Tier II) float fraction for qualifying exterior fluorescent lighting (Tier I) float fraction for qualifying exterior LED lighting (Tier II) float fraction for qualifying garage fluorescent lighting (Tier I) float fraction qualifying garage LED lighting (Tier II) All Ratings using Threshold Analysis, including all Sampled and Threshold Ratings, must use this "Threshold Type" ...Threshold values must be reported for all homes using this "Measurement Type" ...Tested values must be reported for all Threshold Ratings ...Tested values must be reported for all tested homes in Samples Ratings sample sets All Ratings using Threshold Analysis, including all Sampled and Threshold Ratings, must use "Threshold Type" Unless DuctSystem is qualified for testing exception or for TotalLeakAlternative, then TestedLeakage entries are required. Certifies either of two things. First, that this dwelling unit meets the requirements for duct testing exemption in accordance with the RESNET Standard. Or, that it meets the requirements for the total duct leakage alternatives described in the RESNET Standard. Total Duct Leakage test result value (cfm25 - cubic feet per minute at 25 Pa pressurization) obtained from testing of the Rated Dwelling Unit that is qualified for Tested Leakage Exception. Percentage of duct area inside the Conditioned Space Volume for Attached Dwelling Unit qualified for Tested Leakage Exception. Determination if air handler unit is within the Conditioned Space Volume for Attached Dwelling units qualified for Tested Leakage Exception. If Threshold ducted, enter ...Threshold values required for all Sampled and Threshold Ratings If Threshold ductless, do not enter ...Threshold values Qn=cfm25out/CFA ...Tested values required for all Confirmed Ratings, all Threshold Ratings and for the tested home in sample set for Sampled Ratings Qn=cfm25out/CFA % supply ducts located in conditioned space % return ducts located in conditioned space On-site Power Production (OPP) Net power production Solar Hot Water Systems Enter the Solar Fraction as a float value for solar hot water system) Drain Water Heat Recovery Systems (DWHR) DWHR efficiency (% - default = 46%) Air Conditioner Heat Recovery Unit (HRU) also known as a desuperheater Provide unique identification for this HVAC system (e.g. Cooling-01) Total Maximum Cooling Load(kBtu/h) Heating Load (kBtu/h) Was Total Duct Leakage exception used? Was alternative testing completed per ANSI/ACCA 5 QI ? Total normalized duct leakage served by system (cfm25/CFA) Total Duct Leakage Grade Designation Was Blower Fan Airflow exception used? Airflow test method Design-specified blower fan airflow (CFM) Blower fan airflow at operating conditions (CFM) Pressure difference for OEM Static Pressure Table (IWC) Airflow Fault (%) Blower fan volumetric airflow grade Test method for measuring blower fan watt draw Watt draw of blower fan (W) Blower fan efficiency (W/CFM) Blower fan watt draw grade Did alternative source provide superheat / subcooling values that meet the limits specified within ANSI/ACCA 5 QI Section 4.3.1? Test method for assessing refrigerant charge Metering device type Measured outdoor air dry-bulb temperature (F) DifferenceDTD (F) DifferenceCTOA (F) Total reported refrigerant weight (oz) Absolute value of deviation btw total anticipated and reported refrigerant weight (%) Refrigerant charge grade designation [See Section 5.1, RESNET Publication 002-15 for full explanation of elements in this element} [Integer equal to the number of stories above grade; GE 1 and LE 4] [Floating point value equal to the volume/CFA expressed in feet; GE 7 and LE 15] [Integer equal to the number of below grade slab floors; GE 1 if below grade walls] [Integer equal to the number of below grade walls: GE 1 if below grade slab floors] [Floating point value equal to crawl space perimeter expressed in feet; GE 1 and LE (Enclosure Floor Area)^0.5*7] [Floating point value equal to basement perimeter expressed in feet; GE 1 and LE (Enclosure Floor Area)^0.5*7] [Floating point value equal to the slab perimeter expressed in feet; GE 1 and LE (Enclosure Floor Area)^0.5*7] [Floating point value equal to the foundation wall height from ground level to top of foundation expressed in feet; GT 0 and LE 20] [Floating point value equal to the basement wall depth below grade expressed in feet; GE 2 and LE (wall height - 0.5)] [Floating point value equal to the enclosure floor area expressed in feet] [Floating point value equal to gross wall area of the enclosure expressed in square feet [Integer value equal to number of conditioned stories, including conditioned basements [See Section 5.3, RESNET Publication 002-15 for details on this element. Include the value for each of the available appliance types] {Floating point value [(21*Nbr+73)> CWkWh >(4.7*Nbr+16.4)]} {Floating point value [(163*Nbr+577)> eCDkWh >(55*Nbr+194)]} {Floating point value [(5.9*Nbr+20.6)> gCDtherms >(2.0*Nbr+6.9)]} {Floating point value [(12.9*Nbr+45.5)> gCDkWh >(4.3*Nbr+15.3)]} {Floating point value [(0.59*Nbr+2.1)> CW HWgalSaved/day]} Enter 4-digit year of IECC code Enter ERI score ProviderSampleSetID in the form XXXXXXXX Optional EPA Rater Pro App ID as assigned by the EPA App Publication Year of RESNET/ICC 301 Standard used to determine the HERS Rating CDATA tag must be used to enclose the InputFile string Heating Energy Consumption (EC_x) in Rated Home (MBtu) Cooling Energy Consumption (EC_x) in Rated Home (MBtu) Hot Water Energy Consumption (EC_x) in Rated Home (MBtu) Lighting and Appliance Energy Consumption (EULLA) in the Rated Home (MBtu) Heating normalized Modified End Use Load (nMEUL) in Rated Home (MBtu) Cooling normalized Modified End Use Load (nMEUL) in Rated Home (MBtu) Hot Water normalized Modified End Use Load (nMEUL) in Rated Home (MBtu) Lighting and Appliance load (EULLA) in Rated Home (MBtu) normalized Heating Energy Consumption (nEC_x) in Rated Home (MBtu) normalized Cooling Energy Consumption (nEC_x) in Rated Home (MBtu) normalized Hot Water Energy Consumption (nEC_x) in Rated Home (MBtu) Lighting and Appliance Energy Consumption (EULLA) in Rated Home (MBtu) Heating Load (REUL) in Reference Home (MBtu) Cooling Load (REUL) in Reference Home (MBtu) Hot Water Load (REUL) in Reference Home (MBtu) Lighting and Appliance Load (REULLA) in Reference Home (MBtu) Heating Energy Consumption (EC_r) in Reference Home (MBtu) Cooling Energy Consumption (EC_r) in Reference Home (MBtu) Hot Water Energy Consumption (EC_r) in Reference Home (MBtu) Lighting and Appliance Energy Consumption (REULLA) in Reference Home (MBtu) Energy Efficiency Program Qualified? ENERGY STAR program qualification Zero Energy Ready Home program qualification Indoor Air-Plus qualification Other Program qualification PHIUS Program qualifiation [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [exterior film coeff = 0] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [exterior film coeff = 0] [A = ∑ Ai for i = 1, n] [A = ∑ Ai for i = 1, n] [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [Enclosure UA = AG Floor (Uo*A) + Ceiling (Uo*A) + AG Wall (Uo*A) + Window (Uo*A) + Door (Uo*A)] Capacity in liters per day Efficiency in liters per kWh percent lumens/watt less than 50 percent fluorescent lighting percent LED lighting float faction for qualifying interior fluorescent lighting (Tier I) float fraction for qualifying interior LED lighting (Tier II) float fraction for qualifying exterior fluorescent lighting (Tier I) float fraction for qualifying exterior LED lighting (Tier II) float fraction for qualifying garage fluorescent lighting (Tier I) float fraction qualifying garage LED lighting (Tier II) All Ratings using Threshold Analysis, including all Sampled and Threshold Ratings, must use "Threshold Type" Unless DuctSystem is qualified for testing exception or for TotalLeakAlternative, then TestedLeakage entries are required. Certifies either of two things. First, that this dwelling unit meets the requirements for duct testing exemption in accordance with the RESNET Standard. Or, that it meets the requirements for the total duct leakage alternatives described in the RESNET Standard. Proposed Total Duct Leakage test result value (cfm25 - cubic feet per minute at 25 Pa pressurization) obtained from testing of the Rated Dwelling Unit that is qualified for Tested Leakage Exception. Percentage of duct area inside the Conditioned Space Volume for Attached Dwelling Unit qualified for Tested Leakage Exception. Determination if air handler unit is within the Conditioned Space Volume for Attached Dwelling units qualified for Tested Leakage Exception. Enter the proposed duct leakage for the duct system % supply ducts located in conditioned space % return ducts located in conditioned space On-site Power Production (OPP) Net power production Solar Hot Water Systems Enter the Solar Fraction as a float value for solar hot water system) Drain Water Heat Recovery Systems (DWHR) DWHR efficiency (% - default = 46%) Air Conditioner Heat Recovery Unit (HRU) also known as a desuperheater Provide unique identification for this HVAC system (e.g. Cooling-01) (true/false) Blower fan volumetric airflow grade [See Section 5.1, RESNET Publication 002-15 for full explanation of elements in this element} [Integer equal to the number of stories above grade; GE 1 and LE 4] [Floating point value equal to the volume/CFA expressed in feet; GE 7 and LE 15] [Integer equal to the number of below grade slab floors; GE 1 if below grade walls] [Integer equal to the number of below grade walls: GE 1 if below grade slab floors] [Floating point value equal to crawl space perimeter expressed in feet; GE 1 and LE (Enclosure Floor Area)^0.5*7] [Floating point value equal to basement perimeter expressed in feet; GE 1 and LE (Enclosure Floor Area)^0.5*7] [Floating point value equal to the slab perimeter expressed in feet; GE 1 and LE (Enclosure Floor Area)^0.5*7] [Floating point value equal to the foundation wall height from ground level to top of foundation expressed in feet; GT 0 and LE 20] [Floating point value equal to the basement wall depth below grade expressed in feet; GE 2 and LE (wall height - 0.5)] [Floating point value equal to the enclosure floor area expressed in feet] [Floating point value equal to gross wall area of the enclosure expressed in square feet [Integer value equal to number of conditioned stories, including conditioned basements [See Section 5.3, RESNET Publication 002-15 for details on this element. Include the value for each of the available appliance types] {Floating point value [(21*Nbr+73)> CWkWh >(4.7*Nbr+16.4)]} {Floating point value [(163*Nbr+577)> eCDkWh >(55*Nbr+194)]} {Floating point value [(5.9*Nbr+20.6)> gCDtherms >(2.0*Nbr+6.9)]} {Floating point value [(12.9*Nbr+45.5)> gCDkWh >(4.3*Nbr+15.3)]} {Floating point value [(0.59*Nbr+2.1)> CW HWgalSaved/day]} IECC Reports. ENERGY STAR National NextGen Version 1.0 ENERGY STAR National NextGen Version 1.1 Size Adjusted HERS Index Target (required if qualified = true) Size Adjustment Factor (required if qualified = true) HERS Index without OPP (required if qualified = true) All entries for insulation installation grade equal Grade I? (true/false) Duct leakage to outdoors (less than or equal to) the greater of 4 CFM / 100 sq ft of CFA or 40 CFM for all duct systems? (true/false) Total duct leakage (less than or equal to) the greater of 12 CFM / 100 sq ft of CFA or 120 CFM for all duct systems? (true/false) Check Indoor AirPlus Verification? (true/false) Is Home ZERH qualified? Enter DOE Zero Enery Ready Home (ZERH) version number Size Adjusted HERS Index Target (required if qualified = true) Size Adjustment Factor (required if qualified = true) HERS Index without OPP (required if qualified = true) Conditioned space including basement (floating point value) Conditioned space excluding basement (floating point value) Electric kWh/year (floating point value - default = 0) Natural gas therms/year (floating point value - default = 0) Fuel Oil gallons/year (floating point value - default = 0) Propane gallons/year (floating point value - default = 0) CO2 ton/year (floating point value - default = 0) SO2 lb/year (floating point value - default = 0) NOx lb/year (floating point value - default = 0) Meets EnergyStar v3 requirement (true/false - default = false) Meets mandatory Fenestration requirement (true/false - default = false) Meets mandatory Insulation requirements (true/false - default = false) Meets mandatory duct location (true/false - default = false) Meets mandatory appliances requirements (true/false - default = false) Meets mandatory lighting requirement (true/false - default = false) Meets mandatory fan efficiency requirement (true/false - default = false) Rated Home peak electricity use (kWh) Rated Home peak electricity use (kWh) Rated Home enery use intensity(kBtu/sqft) Meets mandatory Indoor airPLUS requirement (true/false - default = false) Meets mandatory Hot Water distribution requirements (true/false - default = false) Meets mandatory H/ERV requirements if in Climate Zone 6-8 (true/false - default = false) Meets mandatory Renewable Ready Home requirements (true/false - default = false) Meets mandatory Electric Ready Home requirements (true/false - default = false) Meets mandatory Electric Vehicle Ready Home requirements (true/false - default = false) Home qualified via sampling (true/false - default = false) Certified EPA WaterSense (true/false - default = false) Certified IBHS Fortified (true/false - default = false) Followed DOE ZERH Quality Management Guide (true/false - default = false) Buyer signed utility bill waiver (true/false - default = false) IAPv1.0 Meets mandatory Indoor airPLUS requirement Meets mandatory Indoor airPLUS requirement Name of EE program for which home qualifies Meets Phius CORE requirements for new construction Meets Phius ZERO requirements for new construction Meets Phius CORE Revive requirements for retrofits Meets Phius ZERO Revive requirements for retrofits Enter unit identification if townhouses with same street address Enter certifiedBuilder's e-mail address Enter phone number of Builder Number of stories for the home The home's foundation type Type of crawl space The area of the building shell in square feet The frame floor area Assembly U-Value for individual wood frame floors (not slabs) The frame floor location for each Continuous Insulation R-value for wood frame floors (not slabs) Cavity Insulation R-value for wood frame floors (not slabs) The slab area in square feet The depth of the slab below grade The length of the slab perimeter in feet The length of the slab perimeter that is exposed in feet Perimeter Insulation R-value for slab Insulation Width for slab Perimeter Insulation Depth for slab Is slab entirely insulated? Underslab Insulation R-Value Individual ceiling surface area in square feet (Individual) Individual assembly U-Value for ceiling Ceiling continuous insulation R-value (must be used with cavity R-value in order to get a total ceiling insulation R-value) Ceiling cavity insulation R-value (must be used with cont. R-value in order to get a total ceiling insulation R-value) Ceiling insulation type (i.e. Batt, blown, etc) Insulation installation grade for the ceiling insulation (i.e., 1, 2, 3) The width of the ceiling joist/bottom truss chord or rafters in inches The height of the ceiling joist/bottom truss chord or rafters in inches Ceiling framing factor Yes/No does the roof have a radiant barrier? Above grade wall area in square feet Assembly U-Value for above grade wall (Individual) Above grade wall location Above grade wall type (i.e., wood frame, hollow-core concrete block) R-value of continuous wall insulation (i.e., foam board insulation) R-value of cavity wall insulation Insulation thickness for wall insulation The width of the wall studs in inches The depth of the wall studs in inches The spacing of the wall studs in inches Ceiling framing factor Yes/No was the default framing factor used for above grade walls Foundation wall area in square feet Assembly U-Value for foundation walls Foundation wall type Foundation wall continuous insulation R-value Foundation wall cavity insulation R-value R-value of foundation wall exterior insulation Insulation installation grade for foundation cavity insulation Area of rim/band joists Assembly U-Value for rim/band joist The location of the joist with respect to conditioned/unconditioned space R-value of rim/band joist cavity insulation R-value of rim/band joist continuous insulation Rim/band joist cavity insulation grade (I, II or III) % area of framing Individual door area Individual door U-value Individual window type area Individual window Solar Heat Gain Coefficient value Individual door U-value The depth of a window overhang in inches, for each window Distance from the overhang to the top of the window it shades (inches), for each window Distance from the overhang to the bottom of the window it shades (inches), for each window Type of summer shading adjacent to windows, for each window (0 to 100%, where 100% represents the window receives full light) Type of winter shading adjacent to windows, for each window Blower Door Infiltration Verified/Tested envelope leakage? Mechanical ventilation system type Mechanical ventilation system ventilation rate in CFM The number of hours per day the mechanical ventilation system is set to run The fan watts of the mechanical ventilation system The percent of energy able to be recovered by ERV The conditioned area in square feet that the duct system serves The home's foundation type Supply duct insulation R-value Total number of returns for the specific system The type of measurement for the duct leakage test Measured duct leakage to outdoors in CFM25. Total duct leakage in CFM25. The type of duct leakage test that was conducted When the duct tightness test was conducted (Post construction, rough-in w/ or w/o air handler) The type of heating equipment being used Fuel type for the heating equipment Efficiency for the heating system (contains multiple units: i.e., AFUE, HSPF) The units for the efficiency of the heating equipment (i.e.,AFUE, HSPF) Rated output capacity for the heating equipment The fan control type for the heating system Yes/No is the software using the auxiliary electric default (EAE) Heating EAE Value where default is not used The type of cooling equipment being used Fuel type for the heating equipment Efficiency rating for the cooling equipment The units used for the cooling system (i.e., SEER) Rated output capacity for the cooling equipment The fan control type for the cooling system Yes/No is the software using the auxiliary electric default (EAE) Heating EAE Value where default is not used Water heater type Water heater fuel type Water heater tank capacity Water heater efficiency Water heater recovery efficiency Refrigerator annual electricity consumption, annually Dishwasher efficiency Dishwasher electricity consumption, annually Clothes dryer fuel type Clothes dryer CEF for dryers Clothes washer LER, annually Clothes washer capacity Ceiling fan CFMs per watt Percent Tier 1 Lighting in the Interior Percent Tier 2 Lighting in the Interior Percent Tier 1 Lighting in the Exterior Percent Tier 2 Lighting in the Exterior Percent Tier 1 Lighting in the Garage Percent Tier 2 Lighting in the Garage Solar PV Collector Area Solar PV Collector Peak Power Solar PV Collector Tilt Solar PV Collector Orientation Solar PV Inverter Efficiency Interior mass area Interior mass type Interior mass thickness Where home is qualified for ZERH certification, enter post 2021 IECC climate zone Single-Family=1, Duplex=2, Low-rise Multi-family=3, High-rise Multi-family=4, Townhouse=5, Manufactured Home=6 Enter conditioned floor area in square feet RemRate=1, EnergyGauge=2, EnergyInsights=3, OptiMiser=4, Ekotrope=5, Right-Energy HERS=6,H2O Excel=7,HouseRater=8,APEX=9 RaterID in the form XXXXXXX Enter name of Rating Company Enter name of Rater Enter phone number of Rater Enter certified Rater's e-mail address Maximum area-weighted UFactor Maximum area-weighted SHGC Percent High Efficacy Lights Envelope Leakage Rate: X.X ACH50 Proposed duct leakage rate: x Measured duct leakage rate: x Combined ventilation rate Mechanical ventilation rate Ceiling Under Vented Attic Sealed Attic Assembly Above Grade Walls: R-X (Avg. RValue) Basement Interior: R-X Basement Exterior: R-X Crawlspace wall: R- X Exposed Floor: R-X Slab Edge: Under-Slab Duct Insulation [Uo = (∑ (Ui * Ai)) / A for i = 1, n] [SHGCo = (∑ (SHGCi * Ai)) / A for i = 1, n] Rated Output Capacity (kBtu/h) Storage capacity (Gallons) The following mechanical ventilation system Types are acceptable: none, Supply, Exhaust, HRV, ERV, CFIS, hybrid or other A Supply-only ventilation system that brings in outdoor air An Exhaust-only ventilation system that exhausts indoor air A Heat Recovery Ventilator (HRV) is a Balanced System An Energy Recovery Ventilator (ERV) is a Balanced System A Central Fan Integrated System (CFIS) or "Air Cycler" is a Supply ventilation system using the AHU to bring in and distribute outdoor air Vent fan flow rate in cfm Vent fan power in watts Vent fan run time hours per day Storage capacity (Gallons) Pipe insulation RValue Supply duct insulation: Area UFactor EnergyStar version number. EnergyStar version number. This name can used instead of VersionNo National version 3.0 National version 3.1 National version 3.2 National version 4.0 California version 3.0 California version 3.1 California version 3.2 California version 3.3 ENERGY STAR California Version 4.0 Florida version 3.0 Florida version 3.1 Guam, Hawaii and the Northan Mariana Islands version 3.0 Puerto Rico and US Virgin Islands version 3.0 Washington State version 3.2 National MFNC version 1 National MFNC version 1.1 National MFNC version 1.2 National MFNC version 4.0 Caribbean MFNC version 1. California MFNC version 1.2 California MFNC version 1.3 California MFNC version 4.0 Washington State + Oregon MFNC version 1.2 Enter DOE ZERH version number National version 1, revision 08 California version 1, revision 08 National Single Family ZERH version 2 National Multifamily ZERH version 2 California Single Family ZERH version 2 California Multifamily ZERH version 2 The version of the schema true Enter the provider's e-mail address ProviderID in the form XXXX-XXX Date Completed in YYYY-MM-DD format Patterened RegistryID Enter date H2O Rating Site visit was completed. If there an existing HERS H2O ID, enter it here. Entry must be an integer Select answer from pull-down Select 'Yes' from pull-down if pressure tank installed and set ≤ 90 psi Select 'Yes' from pull-down if pressure regulating valve installed upstream of fixtures and pressure test ≤ 90 Select 'Yes' from pull-down if written documentation from water supplier that pressure ≤ 90 Enter static water gage reading (psig) measured at the indoor fixture outlet on the lowest floor closest to the water service entry Select answer from pull-down Select answer from pull-down Enter the number of single-flush toilets Enter the number of dual-flush toilets Enter average gallons per flush (gpf) of all single-flush toilets Enter average gallons per flush (gpf) of all dual-flush toilets Select 'Yes' from pull-down if NonWaterConsuming toilets present Enter the number of NonWaterConsuming toilets Enter average gallons per minute (gpm) flow rate of all shower heads. Select 'Standard' or 'Low-flow' from pull-down Enter gallons per minute (gpm) flow rate of kitchen sink Per Dishwasher specifications (cut sheet) Per Dishwasher specifications (cut sheet) Select answer from pull-down as labeled on Energy Guide Label Enter gallons per cycle from CCMS database kWh per year (from label) $ per year (from label) $ per year (from label) $/kWh (from bottom of label) $/therm (from bottom of label) Integer (from bottom of label) per specifications per specifications cu.ft (from label) from CCMS database from CCMS database kWh per year (from label) $ per year (from label) $ per year (from label) $/kWh (from bottom of label) $/kWh (from bottom of label) Integer (from bottom of label) Enter length in linear feet of hot water piping (PipL) per requirements of Section 4.2.2.5.2.11, ANSI/RESNET/ICC 301-2019 Enter length in linear feet of hot water piping (PipL) per requirements of Section 4.2.2.5.2.11, ANSI/RESNET/ICC 301-2019 Select 'Yes' from pull-down if hot water recirculation system installed Select answer from pull-down based on requirements of Section 4.2.2.5.2.11.1, ANSI/RESNET/ICC 301-2019 Select answer from pull-down based on requirements of Section 4.2.2.5.2.11.1, ANSI/RESNET/ICC 301-2019 Select answer from pull-down based on requirements of Section 4.2.2.5.2.11.1, ANSI/RESNET/ICC 301-2019 Enter Drain Water Heat Recovery (DWHR) efficiency percentage in accordance with CSA 55.1 Enter entire square feet area of the Lot where the rated home is located. Can typically be obtained from a site plan. Enter measured square feet of home pad footprint area Enter measured square feet area of hardscaping (e.g. driveways, sidewalks, patios or any area not receiving supplemental irrigation) Calculated in accordance with Section 5.3, Standard 850 Enter measured square feet of the home front-facing area (or 'Total Available Area' if finished landscape for the entire yard) Calculated as TotalAvailableArea - FrontArea Is the Back area improved in accordance with Section 5.3, Standard 850? Enter ONLY the FrontIrrigationArea. IF Back area is improved, enter BackIrrigationArea OR if there is no BackIrrigationArea, enter 0.001 Calculated in accordance with Section 5.3, Standard 850 Select 'Yes' from pull-down if pool or spa is present Select 'Yes' from pull-down if automatic irrigation system installed? Select 'Yes' from pull-down if inspection by Certified Professional Select 'Yes' from pull-down if weather-based irrigation controllers or approved soil moisture sensor-based controller Select 'Yes' from pull-down if Residential Irrigation Capacity Index (RICI) is to be used Enter the sum of all irrigation system flow rates to use RICI credits Enter water cost in dollars per hundred cubic feet (1 CCF = 748.05 gallons) Pressure-loss test on all water supplies detects no leaks Free of visible leaks from hot water delivery system Free of visible leaks from toilet(s), as determined through visual assessment and by conducting a dye tablet test in each toilet to ensure the flapper is not leaking Free of visible leaks from bathroom faucet(s) Free of visible leaks from showerhead(s) Free of visible leaks from bathroom tub faucet(s), i.e., tub spout(s), when showerhead(s) is activated, as determined through visual assessment after showerhead has been activated for one minute Free of visible leaks from kitchen and other sink faucet(s) Free of visible leaks from other fixtures or appliances (e.g., clothes washers, dishwashers, hose bibs, irrigation systems) at point of use or point of connection to water distribution system WaterSense labeled WaterSense labeled WaterSense labeled gal per year gal per year gal per year $ per year gal per day gal per day gal per day gal per day 1=TX, LA, MS, AL, GA, SC, FL, HI 2=CA, AZ, NM, OK, KS, MO, AR, TN, KY, NC 3=OR, WA, NV, ID, UT, MT, WY, CO, ND, SC, NE, MN, IA, WI, IL, MI, OH, IN, PA, NY, NJ, WV, ME, MA, VT, NH, RI, MD, VA, CT, DC, AK Number of sections for the manufactured home Enter Manufactured Home Serial Number Name of the facility where the home was constructed