ZENERGY CONSULTANTS (510) 766-0188
root@ZenergyConsultants.com
Date

Title-24 California Energy Code Final Compliance Affidavit

Submitted to

San Francisco Department of Building Inspection

Attn: DBI Energy Inspection Coordinator

01 Project identification

02 Affidavit of final compliance

This is to confirm that the required Certificate of Installation, Acceptance and Verification for the project above has been completed and signed by the appropriate parties and is on file with the building owner. A copy will be available for Department review upon request.

03 Final energy compliance certificates

Applicable certificates and supporting records for this project:

Enter the certificates and supporting documents applicable to this project. Add or remove rows as needed. Use the form identifier printed on each document and its title. The number in the # column is assigned automatically.

# Form ID Document Title Action

The list is project-specific and does not replace prescribed forms, signatures, verification records, or test reports required for the project.

04 Declarant information and signature

Ruichao Pan
ECC rater (RCN15067)
Declarant signature
Declarant’s signature
Zenergy Consultants · Title-24 Final Compliance California